LEYTE COLLEGES
Tacloban City
COLLEGE OF CRIMINAL JUSTICE
PARENTAL CONSENT
Permission is hereby granted to my/our son/daughter, _____________________________ a fourth
(4th) year criminology student of Leyte Colleges, College of Criminal Justice, to undergo PRACTICUM
for a period of Two Hundred Seventy (270) hours.
I/WE hereby acknowledge that sufficient information has been provided by the school with respect
to the planned activity, duration, location, method of transportation, and supervision; that certain RISKS
or INJURIES are inherent to participate in learning activities outside the school.
I/WE understand that the rules and regulation established for this type of activity are designed for
the safety and protection of the participants and hereby undertake to inform my child to abide by these
rules and regulations; that the higher institution (school) and the host agency are not liable for any
unavoidable circumstances that may arise during the course of the Practicum.
I/WE declare having read and understood this Parental Consent Agreement in its entirety and hereby
consent to allow my/our son/daughter to participate, acknowledging all the foregoing.
IN WITNESS WHEREOF, I/WE hereunto affix our signature this _____ day of
______________________ 20_____, at ____________________________________ Philippines.
________________________ ________________________
Parents/Guardian Parents/Guardian
(Signature Over Printed Name) (Signature Over Printed Name)
Valid ID No. ____________ Valid ID No.
SUBSCRIBED AND SWORN TO before me this ____, day of _______________ , 20_____,
at ________________________________, Philippines.
_________________________
Notary Public
