PARENTAL CONSENT AND WAIVER FORM

I, __________________________, grant permission for my son/daughter, _______________________, to participate in the

2017 PICPA WVR ADOPT – A – CHAPTER SEMINAR SERIES on September 29 and 30, 2017 to be held at
Hotel Metro and Skybar Restaurant, Toting Reyes Street, Kalibo, Aklan. Accountancy students of different
schools in Aklan are invited to join on the first day of the seminar, September 29, 2017 from 1:00PM to 5:00PM.
This forum will enhance students’ understanding on what awaits them in the four sectors of the accountancy
profession – Public Practice, Commerce and Industry, Education and Government.

I, as parent and/or legal guardian, remain legally responsible for any personal actions taken by the above
named participant. I agree on behalf of myself, my child named herein, to hold harmless and defend Aklan
State University, its employees, faculty, or representatives associated with the event, from any and all actions,
claims, demands, damages, costs, expenses and all consequential damage arising from or in connection with
my child attending the event or in connection with any illness or injury or cost of medical treatment in
connection therewith.

_______________________________
Parent/Guardian over Printed Name

Date:___________________ Home Address: ____________________Contact No(s): ____________________

PARENTAL CONSENT AND WAIVER FORM

I, __________________________, grant permission for my son/daughter, _______________________, to participate in the

2017 PICPA WVR ADOPT – A – CHAPTER SEMINAR SERIES on September 29 and 30, 2017 to be held at
Hotel Metro and Skybar Restaurant, Toting Reyes Street, Kalibo, Aklan. Accountancy students of different
schools in Aklan are invited to join on the first day of the seminar, September 29, 2017 from 1:00PM to 5:00PM.
This forum will enhance students’ understanding on what awaits them in the four sectors of the accountancy
profession – Public Practice, Commerce and Industry, Education and Government.

I, as parent and/or legal guardian, remain legally responsible for any personal actions taken by the above
named participant. I agree on behalf of myself, my child named herein, to hold harmless and defend Aklan
State University, its employees, faculty, or representatives associated with the event, from any and all actions,
claims, demands, damages, costs, expenses and all consequential damage arising from or in connection with
my child attending the event or in connection with any illness or injury or cost of medical treatment in
connection therewith.

_______________________________
Parent/Guardian over Printed Name

Date:___________________ Home Address: ____________________Contact No(s): ____________________