Biology Department Ateneo de Manila University Telephone: +63 426-6001 local 5610-5616 Fax: +63 426-1034 Website: http://www.ateneo.edu/depts/bio

___________________________________________________________________________________________________________
Date: _______________________
To: the Biology Department Chairperson
CC: Faculty in charge of Subject
I
___________________________, hereby give consent to my son/daughter _____________________________
to attend the fieldwork at __________________, _________________________on from
__________ to ________, 2003 as a class member participant.
I will not
hold responsible the organizers and the Ateneo de Manila for
events beyond their control and/or due to fortuitous
happenings.
_____________________________
Signature of Parent or Guardian
------------------------------------------------------------------------------------------------------------
N.B. Please return part of the form before
the perforation to the Biology Department, Ateneo de Manila University and
provide proper guidance on any restrictions your child may have (ex. allergies,
disorders)
Note to parents or guardians:
FIELDTRIP
DETAILS:
Dates:
__________________________________
Time of
departure from campus_______________
Expected
time of arrival in campus ____________
Field site Location________________________________________________________
Estimated
Budget/Expenses _________________
Prepared
by: APTamino