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Waiver: Republic of The Philippines Department of Education Region 02 Schools Division of Santiago City

The document is a waiver form for a scout jamboree event being held from August 27-31, 2019 in Balinlocatoc, Santiago City. It collects the participant's name, emergency contact information, and has the participant or guardian sign to agree to waive liability for the organizers and grant permission for medical treatment if required.

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Faith Fernandez
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0% found this document useful (0 votes)
45 views1 page

Waiver: Republic of The Philippines Department of Education Region 02 Schools Division of Santiago City

The document is a waiver form for a scout jamboree event being held from August 27-31, 2019 in Balinlocatoc, Santiago City. It collects the participant's name, emergency contact information, and has the participant or guardian sign to agree to waive liability for the organizers and grant permission for medical treatment if required.

Uploaded by

Faith Fernandez
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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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

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