PARENT/GUARDIAN CONSENT REQUEST FORM
Date
College
Department
: USTP Oroquieta Campus
: Technology and Livelihood Education
TO WHOM IT MAY CONCERN:
This is to certify that I allowed my son/daughter/ward to join/attend Limited Face to Face Laboratory
Classes at the USTP Oroquieta Campus.
(Please specify the name of event/activity here)
Name of son / daughter
Name of Activity/event
Inclusive Date/s of Activity/event
Place(s) to Visit
For OJT (Please Write the name of ompany/Industry)
Limited Face to Face Laboratory Classes
First Semester, Academic 2022 – 2023
USTP Oroquieta Campus, Laboratories
Not Applicable
Thank you very much!
Yours truly,
APPROVED:
Name of Student
(Signature-Over-Printed Name)
Name of Parent/ Guardian
(Signature-Over-Printed Name)
Acknowledgement
I, _______________________________________ (name) presently enrolled in ___________________
______________________________ (course/ year & section) present myself to join the Limited Face to Face
Laboratory Classes at the USTP Oroquieta Campus as part of our school/student activity and
1. Do hereby pledge to obey and abide the rules and regulations promulgated, enforced by the
officials of the University for the protection and safety of all;
2. That I understand that should I violate the guidelines and policies that I be dealt with
accordingly.
3. That I should strictly always observe the health protocols; and
4. That should I have clarifications regarding the activity/event, it is my responsibility to inquire
from concerned authorities/organizers.
Thank you very much!
Yours truly,
Name of Student
(Signature-Over-Printed Name)
Noted by,
Name of Parent/ Guardian
(Signature-Over-Printed Name)
SUBSCRIBED AND SWORN to before me this_____ day of_____________ 2022 in Oroquieta City.