COLUMBAN COLLEGE, INC. No. 1 Firs Street, New Asinan 2200 Olongapo City, Philippines ‘Tel Nos. (047) 223-3329, 224-1581-82; Fax No. (047) 222-7782 ‘E-Mail Address: columban_college_inc@yahoo.cem ‘Website; wuw.cdlumban.edu.ph STUDENT WAIVER College of___ Department of boo prt erie in (course & year) present myself 0 join the. 2 part of our school! student activly and do hereby pledge; that: 4. Lil ebey and abide the rues and requetons promulgated, enforved by the officials of the College for tha protection and safety ofa 2 That f hereby walve and renounce my sighls fo all damages, hospitalization, and the like and 1 will ROL hold the employees or staff and MUST ba responsible for any misfortune, injury, or ascidents be slight oF serious, thal may happen in connection with the activites or requirements. The cause of which wil be ‘atiributed to my acts of my disobedience, negligence, and the offense of my heading U advice, worming, precaution and safely ules that were read to me by my adviser before tha slart of tha activity, “That the content ofthis waiver was read and explained to mn before | afix my name and signature this dayof freely and voluntary. ‘Thank you very much! “Yours truly, hepened eeais) Name of Student Name of Parent/Guardian {Signature-over-printed-name) . (Signature-over-printed-name)