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Youth Development Office Waiver: Republic of The Philippines Quezon City

The document is a waiver form for scholars of the Quezon City Youth Development Office to be interviewed in person at their office during the community quarantine. The scholar and their parent acknowledge and accept the risks of going outside and agree not to hold the office liable for any health issues resulting from the interview. They must sign the waiver and provide a photocopy of the parent's ID for the scholar to be interviewed.

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Elain Ragos
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173 views2 pages

Youth Development Office Waiver: Republic of The Philippines Quezon City

The document is a waiver form for scholars of the Quezon City Youth Development Office to be interviewed in person at their office during the community quarantine. The scholar and their parent acknowledge and accept the risks of going outside and agree not to hold the office liable for any health issues resulting from the interview. They must sign the waiver and provide a photocopy of the parent's ID for the scholar to be interviewed.

Uploaded by

Elain Ragos
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

Republic of the Philippines

QUEZON CITY
YOUTH DEVELOPMENT OFFICE
WAIVER

I, ___________________________________________________ (Scholar’s name), batch____________, category

___________________________________________, studying at ______________________________________________,

taking up _________________________________________________________________________, have chosen to

be interview ____8:00am-12:00nn/____1:00pm-4:00pm at QCYDO office.

I am fully aware about the hazard outside that I might extract a Virus, and will do all the

necessary health protocol imposed by the National and Local Government.

I, ___________________________________________________________ (Parent’s/Guardian’s) I acknowledge

and accept that my Son/daughter __________________________________________________________

(scholar’s name) to be interviewed at QCYDO 7th Floor Commerce Building, Quezon City

Hall Complex, Diliman, Quezon City is entirely voluntary and all risk is voluntary assumed

by my son/daughter.

With the imposed community quarantine I am fully aware about the hazard outside. I

hereby agree not to hold the QCYDO, any individual employed by QC LGU, liable for any

health risk/personal injury/accident to my son/daughter which is not the result of any

negligent act or any willful default of the Office. I will not bring any suit or assert any claim

against the Office or the QC LGU.

Signature over Printed Name Signature over Printed Name

Scholar Parent/Guardian

Kindly attach a photocopy of parent’s/guardian’s valid ID with 3 signature.

7th Floor Commerce Building, Quezon City Hall Complex, Diliman, Quezon City, Metro Manila

(02) 8988 4242 LOC. 8738 [email protected] facebook.com/QCYDO


Republic of the Philippines
QUEZON CITY
YOUTH DEVELOPMENT OFFICE
Note: We will not going to accommodate scholar without waiver and photocopy of
parent’s/guardian’s valid ID

7th Floor Commerce Building, Quezon City Hall Complex, Diliman, Quezon City, Metro Manila

(02) 8988 4242 LOC. 8738 [email protected] facebook.com/QCYDO

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