NOTRE DAME UNIVERSITY
Office of Student Affairs and Services
Parental Consent Form
Name of Student:
Address:
The undersigned being the lawful guardian of the above student; a resident of _______________________________
________________________________________________________, do hereby consent to the participation of my ward in the
14TH JIECEP SOX SUMMIT
(ACTIVITY)
Conducted by JIECEP SOCCSKSARGEN REGION
(DEPARTMENT/COLLEGE/ORGANIZATION/UNIT)
on OCT.4-5, 2024 (INCLUSIVE DATES OF ACTIVITY) under the supervision of
ENGR. GIL JOSEPH DONATO, PECE AND
ENGR. CHRISTIAN JADE REYES ECE,ECT
(ORG ADVISER)
The undersigned hereby certifies that my ward is able to participate in the above-described
activity without limitation, except for the following:
List of any restriction(s) and/or any activities the student is not allowed to engage in:
Due to the following reasons,
With this consent, I commit to abide by the policies set by the College and the University, comply
with all the requirements in relation to our parental roles/authority, cooperate with the policies of
the agency to be visited by my ward and attend to post conferences as deemed necessary after the
activity.
In case of emergency, my contact number is . In the event that I
cannot be reached in an emergency, I give permission to the Adviser/Personnel-in-Charge to secure
proper treatment for my ward.
I execute this PARENTAL CONSENT of my own free will and volition.
SEPT. 5, 2024
Signature of Parent/Guardian Date
FM-OSA-044 00 06-01-2019
