OFFICE OF ADMISSIONS AND SCHOLARSHIP ADMINISTRATION

(Date) _____________________

PARENT’S OR GUARDIAN’S CONSENT FORM

TO WHOM IT MAY CONCERN:

I, the parent/guardian of _________________________________ allow him/her to join the (name of activity) __________________________________________ on (date & time) _______________________________ at (venue) ____________ ________________________ as part of the conditions of his/her Scholarship.

I am conscious of the benefits and risks involved in this activity. Having obtained permission, my son/daughter has the responsibility of safeguarding himself/herself for the entire duration of the activity. I also understand that the University of San Carlos and the Scholarship Sponsor will not be accountable for any untoward incident that may happen to him/her.

__________________________________________(Signature above printed Name of Parent/Guardian)