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Waiver Form

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Raymund Joshua Pre�a
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36 views1 page

Waiver Form

Uploaded by

Raymund Joshua Pre�a
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Bicol University

Legazpi City

PARENT’S/GUARDIAN’S PERMIT AND WAIVER FOR IN-PERSON CLASSES


(Undergraduate Students)

I/we, parent (s)/guardian(s) of ________________________________, ______


Surname, Given Name MI Age

years old, a _______ student of ______________________________, of the


Year level Course
______________________________________________ has my/our permission to
College/Campus
participate in the in-person classes for blended learning of Bicol University, starting this

SY 2022-2023.

This certifies further that I/we is/are aware of the risks involved in the conduct of
the in-person face-to-face classes and the health and safety protocols instituted by the
college to minimize the risks of COVID-19.

Signature
Name
Relationship:
Contact No/s:
Address
BU-F-VPAA-25-A Revision No. 0
Effective Date: 22 July 2022

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