Department of Education

Region VI – Western Visayas

Division of Negros Occidental
NEGROS OCCIDENTAL HIGH SCHOOL
Bacolod City
Tel No.(034) 433-9377; Fax No. (034) 433-6640

PARENTAL WAIVER

I hereby voluntarily allow my son/daughter ________________________

of____ grade_____ section to participate in the Theater Talk Forum for Production Design at
Negros Museum on November 15, 2019 6:30 pm to 7:00 pm.

I understand the benefits that my child will get from this particular activity and that I will not
hold the teachers and the school official’s responsible for any untoward incident which may
happen in the course of the activity as long as proper care are observed to ensure the safety
and security of the participants.

___________________________________ _____________
Signatureoverprinted name of Parent/Guardian Date

Address: ________________________________________________________________
Contact Number/s:________________________________________________________

Department of Education
Region VI – Western Visayas
Division of Negros Occidental
NEGROS OCCIDENTAL HIGH SCHOOL
Bacolod City
Tel No.(034) 433-9377; Fax No. (034) 433-6640

PARENTAL WAIVER

I hereby voluntarily allow my son/daughter________________________

of____ grade_____ section to participate in the Theater Talk Forum for Production Design at
Negros Museum on November 15, 2019 6:30 pm to 7:00 pm.

I undestand the benefits that my child will get from this particular activity and that I will not
hold the teachers and the school official’s responsible for any untoward incident which may
happen in the course of the activity as long as proper care are observed to ensure the safety
and security of the participants.

___________________________________ _____________
Signatureoverprinted name of Parent/Guardian Date

Address: ________________________________________________________________
Contact Number/s:________________________________________________________