ST.
VINCENT’S COLLEGE INCORPORATED
Padre Ramon Street, Estaka, Dipolog City 7100 Philippines
www.svc.edu.ph | (065) 212-6292 | | Fax # 908-1133 |
[email protected]____________________________________________________________________
PARENTS’ CONSENT
Date:
TO WHOM IT MAY CONCERN:
THIS IS TO CERTIFY that I Mr/Mrs
parent/guardian of Mr/Ms a student of St.
Vincent’s College Incorporated, Padre Ramon Street, Estaka, Dipolog City and a resident
of
granted him/her permission to attend the upcoming
_________________________________ to be held on ___________________________
at ________________________________.
I further affirm that the St. Vincent’s College Incorporated are in no way responsible nor
shall pay compensation for any accident, harm, injury that may be caused on his/her
during the said convention which is due to negligence or any deliberate act on the part of
the student.
This furthermore certifies that he/she has on his own freewill signified to me his/her
decision to undergo on the said convention as evidenced by his/her signature affixed
below together with my/our signature.
_____
Parent/Guardian Name & Signature
IN WITNESS WHEREOF, I have hereunto affixed my signature, this _____ day of
____________________ in the City of ____________________.
____________________________
Affiant
SUBSCRIBED AND SWORN to before me this ______ day of
________________________, in ____________________________, Philippines; affiant
exhibit to me his/her _________________________ as per data indicated his/her name,
and who avowed under penalty of law to the whole truth of the contents of the document,
which he/she executed freely and voluntarily.
Doc. No. ______;
Page No.______;
Book No.______;
Series of ______.