Uploaded by dina.basilio

HIRAYA-WAIVER-AND-STUDENT-INFO

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Mangaldan National High School
Mangaldan, Pangasinan
April _____, 2023
This is to certify that I am allowing my son/daughter
_______________ to watch the
(Name and Section)
theater play “TATLO BUO” at Binalonan, Pangasinan on April 18, 2023. It is understood that my
son/daughter shall abide by the rules and regulations that may be imposed by the personnel-in-charge
for the welfare and safety of the group. It is further understood that I fully agree to waive any responsibility
on the part of the school and personnel-in-charge in case any untoward incident happens to my son/daughter in
the entire duration of the trip.
Parent/Guardian Signature
Section Adviser
Parent/Guardian Contact No.: ___________________
FB Account: _____________________________________________
Contact No.: ______________________
FB Account: __________________________________
I am allowing my son/daughter to go to side trips pasalubong shopping, etc.
I am not allowing my son/daughter to go to side trips pasalubong shopping, etc.
Mangaldan National High School
Mangaldan, Pangasinan
April _____, 2023
This is to certify that I am allowing my son/daughter
_______________ to watch the
(Name and Section)
theater play “TATLO BUO” at Binalonan, Pangasinan on April 18, 2023. It is understood that my
son/daughter shall abide by the rules and regulations that may be imposed by the personnel-in-charge
for the welfare and safety of the group. It is further understood that I fully agree to waive any responsibility
on the part of the school and personnel-in-charge in case any untoward incident happens to my son/daughter in
the entire duration of the trip.
Parent/Guardian Signature
Parent/Guardian Contact No.: ___________________
FB Account: _____________________________________________
Section Adviser
Contact No.: ______________________
FB Account: __________________________________
I am allowing my son/daughter to go to side trips pasalubong shopping, etc.
I am not allowing my son/daughter to go to side trips pasalubong shopping, etc.
STUDENT INFORMATION SHEET
(THEATER PLAY: BINALONAN, PANGASINAN)
APRIL 18, 2023
Grade & Section:
Student Name
Adviser:
Contact Number
Emergency Contact
Person
Emergency Contact
Phone No.
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