Scribd
Upload
135 views1 page

Notary Requirements for Minors' Permits

This document is a parental/guardian permit form for students at the University of Legazpi in the Philippines. It requires basic student information such as name, course, and year of study. Parents/guardians must provide their contact details and signatures to give their child permission to participate in and travel for an educational tour or field trip. The form notes that risk assessment plans and safety measures will be in place and lists faculty members accompanying the student. Both parents/guardians must sign if the student is a minor.

Uploaded by

Kristine Vibar
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
135 views1 page

Notary Requirements for Minors' Permits

This document is a parental/guardian permit form for students at the University of Legazpi in the Philippines. It requires basic student information such as name, course, and year of study. Parents/guardians must provide their contact details and signatures to give their child permission to participate in and travel for an educational tour or field trip. The form notes that risk assessment plans and safety measures will be in place and lists faculty members accompanying the student. Both parents/guardians must sign if the student is a minor.

Uploaded by

Kristine Vibar
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

B ic ol Permit Form

Parents’ /Guardians’ U n iv er s it y Legazpi City, Philippines

semester, SY

PLEASE TAKE NOTE CAREFULLY


1. Please fill up this form in BLOCK LETTERS.
2. ALL sections MUST BE COMPLETED when applicable.
3. Permit should be duly NOTARIZED for Educational Tour/Field Trip purposes and when participant is a minor.

TO WHOM THIS MAY CONCERN


This certifies that ,a _
(Course and Year)

of the College of with Student No. has the


his/her undersigned parent(s)/guardian(s) to participate and/or attend in the
on , 20
in .

This certifies further that risk assessment plans and necessary safety and precautionary
measures have been instituted.

Further, that the following faculty members shall accompany him/her in the travel.
1.
Faculty Name (Please print) Faculty Signature

2.
Faculty Name (Please print) Faculty Signature

3.
Faculty Name (Please print) Faculty Signature

4.
Faculty Name (Please print) Faculty Signature

Note: If the student is a minor, both parents MUST sign the permission form.
I/We have honestly and accurately completed all parts of the Parents’/Guardian’s
Permit Form to the best of my/our ability.

Parent/Guardian Signature #1 Date Parent/Guardian Signature #2 Date

Parent/Guardian Name (please print) Parent/Guardian Name (please print)

Complete Address Complete Address

Contact Numbers Contact Numbers

JURAT

On , of 20
_, before me personally appeared, and
to me known to be the individual, or individuals
described in and who executed the within and foregoing instrument, and acknowledged that
he/she/they signed their free and voluntary act and deed, for the uses and purposes therein
mentioned.

Given under my hand and official seal this day of , 20 .

Notary Signature: Affix


BU OSS S A S seal
BU-F-OSS-34
here

Effectivity: September
Notary Printed Name13, :2012 Revision No.
1
My commission expires:

Office of Student Services


Student Activities Section

P. 1 of 1

You might also like