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Consent Form For Testimonial

This document is an activity consent form for a student to participate in a testimonial dinner and year-end party on December 13, 2022. The parent is informed that competent supervisors will monitor the activity but that the school does not provide personal accident insurance. The parent consents to the student's participation, acknowledges the medical costs responsibility, and accepts the school obtaining treatment if needed by signing the form.

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Denzel Joe Pebojot
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124 views1 page

Consent Form For Testimonial

This document is an activity consent form for a student to participate in a testimonial dinner and year-end party on December 13, 2022. The parent is informed that competent supervisors will monitor the activity but that the school does not provide personal accident insurance. The parent consents to the student's participation, acknowledges the medical costs responsibility, and accepts the school obtaining treatment if needed by signing the form.

Uploaded by

Denzel Joe Pebojot
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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St.

Paul University Surigao


St. Paul University System SAO-F-004-(004)
8400 Surigao City, Philippines

ACTIVITY CONSENT FORM


DATE : December 12, 2022

Dear Parent(s)/Guardian(s):

We are happy to inform you of the activity which your daughter/son ____________________________________________
(Name of Student)
of ________________________________________ is invited and scheduled to attend:
(course & year)

ACTIVITY : TESTIMONIAL DINNER & YEAR END PARTY 2022


DATE : December 13, 2022
TIME : 2:30 PM to 10:00 PM
VENUE : SPUS- Basic Education Gym
ATTIRE : Semi-Formal
SPONSORING ORGANIZATION: COE College Governing Unit

This is part of the school’s effort to promote the total formation of your daughter/son. We hope that you will encourage and
urge her/him to participate. Competent teacher(s)/ club moderator(s) will supervise the aforementioned activity and all
the NECESSARY PRECAUTIONS will be undertaken of the coordinating persons/staff to ensure her/his safety.
Activity Risks & Insurance
Please note that the sponsoring organization and the school do not have specified and explicated personal accident insurance cover for attending
students in any specific activities. If your child is injured as a result of an accident or incident while participating in the activity, all costs associated with
the injury, including medical costs are the responsibilities of the parent/guardian. Some incidental medical costs may be covered by the organization and
the school if the untoward incident is a result of organizer’s incapacities and failure. Please take this into consideration in deciding whether or not to
allow your child to participate in this activity.

For further inquiries and concerns regarding the details of the activity, please contact the coordinating teacher/staff of this activity through the contact
digits 09091617960 or visit the College of Engineering Office and find any of the CGU Officers.

Sincerely yours,

MR. GUILBERT R. MANTALA


Head of Student Affairs and
DO NOT DETACH OR TEAR ANY PART OF THIS FORM
Vice President for Student Services

CONSENT
By signing this consent form I agree that:
 I give consent for my daughter/son, _______________________________________________ <write name>
of <write course & year>, to participate in the abovementioned activity
with specified details and logistics;
 I have read all of the information contained in this form in relation to the activity (including any attached material) and I understood and am
aware that the sponsoring organization and the school do not have specified and explicated personal accident insurance cover for attending
students in any specific activities unless;
 I will pay to the school the costs detailed above for my child’s participation in the activity;
 In the event of an accident or illness, school staff may obtain or administer any first aid or medical assistance or treatment my child may
reasonably require, including contacting my child’s doctor;
 I accept liability for all reasonable costs incurred by the organizing team or the school in obtaining such medical assistance or treatment
(including any transportation costs) and undertake to reimburse the school and the organization if necessary.
 I have been fully informed of the specific details of the activity and acknowledge the capacity of the coordinating persons and the school to
take care of my child and the rest of the participating students.
Parent’s/Guardian’s Name: (in PRINT please)

Parent’s/Guardian’s Signature:

Date: ________/_________/________
(This document must be filled up and be submitted to the school for records keeping before the implementation date of the activity)

__________________________________________________________________________________

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