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NAME: CLASS/ ORGANIZATION: IECEP DLSL-SC ACTIVITY:Mr and Miss IECEP CALABARZON DATE: SEPT.

23, 2012 TIME: VENUE: Collegio San Juan de Letran (Calamba)

Dear Parent/Guardian: Your child has either requested or been requested to participate in above activity. De La Salle Lipa would like to assure you that its officers, faculty and staff will exercise the legal diligence required for the safety and well-being of your child for the duration, place, date and time of the activity as stated. While no absolute guarantee of safety can possibly be offered this legal diligence will include oral and written instructions, given either before or during the activity, which if properly followed, would help ensure the safety of your child. Should you child disregard or fail to follow the above-mentioned oral and or written instructions or act on his/her own, however you and your child shall have no claims against the school, its officer, faculty, adviser and staff-in-charge should any damage be caused or liability incurred to property or person.

Parent/Guardian: i consent to my child to participation in the activity.

Printed Name: Contact Number:

Signature:

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