NSTP DEPARTMENT

Reminder: A completed Consent Form must be submitted to the NSTP Department before the first day of implementation of the
community project at the chosen project site. Failure to do this will prevent you from attending the scheduled activity.

CONSENT FORM
I am allowing my son/daughter, _____________________________________________, with Student ID No.
____________, from the College/School of __________________________, to take part in all the activities of the
CIVIC WELFARE TRAINING SERVICE (CWTS) Program supervised by the National Service Training
Program (NSTP) of Baliuag University. I fully understand the program as well as the responsibilities required from
my son/daughter. I am also aware that these are necessary for his/her academic formation as a BU student and as
an individual.
Having gathered information about the CWTS Program from my son/daughter, it is with my knowledge that he/she
will be present and will perform well in Civic Welfare Training Service 2 (Community Service Phase), in- and
off-campus. I fully understand that he/she will conduct his/her community project at Tumana, Barangay San
Jose, Baliwag, Bulacan on January 20 and 27, 2016 to February 17 and 24, 2016 from 2:00 pm to 5:00
pm.
If there are changes in schedule, I will hold my son/daughter responsible in providing me with the
necessary information.
Considering the benefits that our son/daughter will derive from his/her participation in the activity and further
considering the diligence to be exercised by the Faculty-in-Charge to ensure his/her safety, I shall hold the
University, the National Service Training Program Department, the Program Director, its Faculty and Staff free from
any liability, claim, suit or action from any unforeseen incident or any event beyond their control, or that arising from
the students disregard or non-compliance with the rules, regulations and guidelines of the activity.
__________________________________________
Signature over printed name of Parent/Guardian

________________
Date

_______________________
Contact No.

Note: See please see the attached Letter of the Program Director

NSTP DEPARTMENT
Reminder: A completed Consent Form must be submitted to the NSTP Department before the first day of implementation of the
community project at the chosen project site. Failure to do this will prevent you from attending the scheduled activity.

CONSENT FORM
I am allowing my son/daughter, _____________________________________________, with Student ID No.
____________, from the College/School of __________________________, to take part in all the activities of the
CIVIC WELFARE TRAINING SERVICE (CWTS) Program supervised by the National Service Training
Program (NSTP) of Baliuag University. I fully understand the program as well as the responsibilities required from
my son/daughter. I am also aware that these are necessary for his/her academic formation as a BU student and as
an individual.
Having gathered information about the CWTS Program from my son/daughter, it is with my knowledge that he/she
will be present and will perform well in Civic Welfare Training Service 2 (Community Service Phase), in- and
off-campus. I fully understand that he/she will conduct his/her community project at Tumana, Barangay San
Jose, Baliwag, Bulacan on January 20 and 27, 2016 to February 17 and 24, 2016 from 2:00 pm to 5:00
pm.
If there are changes in schedule, I will hold my son/daughter responsible in providing me with the
necessary information.
Considering the benefits that our son/daughter will derive from his/her participation in the activity and further
considering the diligence to be exercised by the Faculty-in-Charge to ensure his/her safety, I shall hold the
University, the National Service Training Program Department, the Program Director, its Faculty and Staff free from
any liability, claim, suit or action from any unforeseen incident or any event beyond their control, or that arising from
the students disregard or non-compliance with the rules, regulations and guidelines of the activity.
__________________________________________
Signature over printed name of Parent/Guardian

Note: See please see the attached Letter of the Program Director

________________
Date

_______________________
Contact No.