University of Santo Tomas Institute of Physical Education and Athletics STATEMENT OF PARENTAL CONSENT Dear Parents/Guardians: Your son/daughter has expressed his/her intentions of joining the ANNUAL Track and Field (Juniors) TEAMBUILDING sponsored by Institute of Physical Education and Athletics to be held on January 27-28 2008 at Biak-Na-Bato National Shrine, Bulacan. Should you allow your son/daughter to join the aforementioned activity, kindly fill-up the REPLY SLIP below and return the same to the HEAD COACH of the Junior Track and File d TEAM on or before January 27, 2008. Rest assured that the Team’s Coaching Staff will accompany them during the activity. Should there be a need for you to communicate with your son/daughter,
kindly
call
ASST.
(7315744/7313101 Loc. 8227). Sincerely yours, ASST. PROF. FELIX MICHAEL SILBOR Athletics Moderator Noted by: REV. FR. ERMITO G. DE SAGON, O.P. Director
PROF.
FELIX
MICHAEL
SILBOR
REPLY SLIP Please be informed that the undersigned poses no objection to the participation
of
my
son/daughter________________________
in
the_______________________ (Name of son/daughter)
(Title of Activity or
Event) sponsored by the Institute of Physical Education and Athletics to be held on January 27-28 at Biak-Na-Bato National Shrine, Bulacan. I hereby give consent for him to take part in the said event. ________________________
Date:________________________
SIGNATURE OVER PRINTED NAME OF THE PARENT/GUARDIAN Contact
number
of
Parent’s/Guardian:_______________________________________* Contact
Address
of
Parent’s/Guardian:_______________________________________* *Consent of the parent(s) and or guardian should be confirmed by the coach. (Note: Filled-up Parental Consent should be checked by the Athletics Moderator. Players who did not submit their filled-up waivers are not allowed to join the activity.)