Republic of the Philippines
Department of Education
Region 02
Schools Division of Santiago City
WAIVER
Name of Event: 8th NORTHEASTHERN LUZON REGION SCOUT JAMBOREE
Date: AUGUST 27-31 , 2019 Venue : DARIUK HILLS , BALINTOCATOC , SANTIAGO CITY
Name: _____________________________________________________________________________
EMERGENCY INFORMATION:
Contact Person 1: ___________________________ Contact Number: _____________________
Contact Person 2: ___________________________ Contact Number: _____________________
I agree to waive, release, indemnify and hold harmless the BSP, its officers, members and all the
organizers of this event from any claims of liability arising out of my child’s participation in this
activity. I also agree to waive that BSP, its officers, advisers, members and all organizers of this event
have responsibility to my child before, during and after the activity.
Should my child require medical attention as a result of accident or any serious illness, I do
hereby grant and bestow upon the organizers of this event permission and authority for and on my
behalf to authorize any licensed medical practitioner to render medical aid and treatment.
CONFORME: ________________________________ ___________________
Signature above Printed Name Date