WAIVER
Permission, Waiver, Release, and Indemnity Agreement
In consideration of my child/ward named BERNICE ORTEGA being permitted to participate in
the 24th General Assembly, the undersigned, parent(s) or legal guardian(s) of the attendee,
hereby agree(s) to the following terms and conditions set forth below:
1. Participation: Permission is granted for my child/ward to participate in the meeting with
the understanding that he/she is not mandated to attend this activity. I understand and
acknowledge that certain risks are inherent in this excursion, and I assume liability and
responsibility for any risks associated with participating in the activity.
2. Expectations: I understand and acknowledge that my child/ward is expected to abide by
all the regulations during the activity. I agree to direct my child/ward to cooperate for the
whole duration of the activity.
3. Hold Harmless: I acknowledge that, as a condition of my child/ward’s participation in
this activity, I hold harmless and waive any claims against the National Federation of
Junior Philippine Institute of Accountants Region IV, its officers, including, but not limited
to, claims arising out of any ordinary negligence of any officer or any loss or damage to
personal property occurring because my child/ward participated in this activity.
4. Release from Third-Party Liability: I understand that the NFJPIA-R4 is not an agent of,
and has no responsibility for, any third party, including without limitation any sponsor or
program that may provide any services, equipment, training or activities associated with
the activity mentioned above.
5. Indemnification: As a condition of my child/ward’s participation in this meeting, I
indemnify NFJPIA-R4 for all claims resulting from my child/ward’s participation in the
activity, including but not limited to any injury, accident, illness, death, or any loss or
damage to personal property.
6. Medical Care: I consent to any of the Regional Executive Officers and representatives of
NFJPIA-R4 administering such emergency medical care to my child/ward as such person
deems appropriate in the circumstances and hereby authorize medical treatment in case
of emergency.
7. Medical Insurance: I understand and acknowledge that NFJPIA-R4 does not carry or
maintain health, medical, or disability insurance coverage for my child/ward and
therefore agrees to assume the responsibility for such coverage.
8. Medical Conditions: I agree to provide to NFJPIA-R4 current information concerning any
medical or physical conditions, including, but not limited to, allergies, asthma, and
medications, of my child/ward and names and phone numbers for emergency contact.
9. Severability: If any provision of this agreement is held invalid or unenforceable, the
remainder of this agreement shall nevertheless remain in full force and in effect.
10. Voluntary Agreement: The child/ward and the parent(s)/guardian(s) acknowledge that
they have read the “Permission, Waiver, Release and Indemnity Agreement” and are
aware of the legal consequences of signing. My signature below indicates that I have
read and freely signed this agreement. I further certify that I am legally competent to sign
this agreement.
IMPORTANT – READ THE ENTIRE PERMISSION, WAIVER, RELEASE, AND INDEMNITY
AGREEMENT BEFORE SIGNING
Name of Attendee____________________BERNICE A. ORTEGA_______________________
(Print Name)
Attendee’s Signature____________________________/ ___02/05/2023_________
(Signature) (Date)
Name of Guardian__________ROSELYN A. ORTEGA_________________________________
(Print Name)
Guardian’s Signature____________________________/ ____02/05/2023_______
(Signature) (Date)
Guardian’s Contact Number: _____09276316650__________
