PARENTAL CONSENT AND WAIVER I, _____________________________________, Filipino, of legal age and with residence address at___________________________________________________ , hereby declare

and affirm that: 1. I am the parent/guardian of _________________________ (hereinafter Child/Ward),____ years old, who is under my care and responsibility. 2. I hereby give my consent and authority to my Child/Ward to participate in the____________ __________ (the Activity/Clinic) organized by ________________ (the Organizer) and sponsored by Nestl Philippines, Inc. (NPI) to be held on __________________________. 3. I hereby declare and confirm that my Child/Ward is physically fit to participate and take part in the Activity and that he/she has no known illness, physical defect, or adverse medical condition that would render him/her unfit to participate therein. Should I subsequently discover any illness, physical defect, or adverse medical condition that would render my Child/Ward unfit to participate in the Activity, I shall accordingly prevent my Child/Ward from participating in said Activity, and I shall immediately advise the Organizer in writing. 4. I hereby authorize the Organizer and/or the Activity sponsor to use my Childs/Wards name, photographs, and interviews in connection with the Activity, in broadcast and print media, videotapes, etc., without any consideration, monetary or otherwise. 5. I acknowledge that the Activity is conducted and managed solely by the Organizer. I understand that NPI is the sponsor of the Activity and is not involved in the formulation and implementation of the rules governing the Activity. 6. My Child/Ward and I shall abide by the decision of the Organizer on any issue relative to his/her participation in the Activity, including but not limited to, official calls, judgements and the interpretation of rules governing the Activity, and shall accept as correct and final any decision of the Organizer regarding any dispute over such rules or regarding the manner of holding the Activity.

7. On behalf of my Child/Ward, I shall hold the Activity sponsor, NPI, and the Organizer free and harmless from any and all claims arising from any incident, accident, damage, injury,or harm that I or my Child/Ward may suffer as a result of my Childs/Wards participation in the Activity. 8. I am fully aware that NPI, as the sponsor of the Activity, will conduct MILO product samplings during the Activity. Accordingly, I hereby fully authorize my Child/Ward and allow him/her to participate in the said MILO sampling activity and to avail of the MILO sampling products in the course of the Activity. 9. I hereby confirm my presence or that of my representative, Mr./Ms.___________________ during the Activity. I hereby declare that I have executed this document willingly, freely, and voluntarily. Signed this __________ day of ___________ , 2012 at _____________________________.

Printed Name & Signature of Parent/Guardian

Printed Name & Signature of Child/Ward

SIGNED IN THE PRESENCE OF:

REGISTRATION FORM
Last Name Age: Phone Number: Birth Date: Desired Sports Badminton Swimming Table Tennis Schedule and Venue Desired: Parents Monthly Income P20,001 - P60,000 P60,001 - P90,000 Not Applicable (i.e. Students) P8,000 and below P8,001 - P20,000 P90,001 and up Taekwondo Tennis Volleyball Chess Football Gymnastics Karatedo School: Email: Sex: Home Address: First Name M.I.

FEEDBACK FORM
1. Have you or your child tried MILO before? 2. If yes, when was the last time you bought the product? Yesterday A month ago 3 . H o w d o e s y o u r k i d l i k e s h i s / h e r M I L O? Hot without sugar Hot without milk & sugar Cold without sugar Hot with sugar Cold with sugar Cold with milk & sugar No Table Tennis Karatedo Swimming Ice Skating Karatedo Gymnastics Swimming Taekwondo Tennis Table Tennis Taekwondo Tennis Volleyball Volleyball More than 6 months ago Last week Yes No

4. Is this your childs first time to enroll in the MILO Summer Sports Clinics? Yes Badminton Basketball Bowling Badminton Basketball Bowling Others, please specify 7. How did you get to know about the MILO Summer Sports Clinics? Print Ad TV Ad Through a friend Leaflet Poster Through the MILO website To learn character forming values To learn a new sport To meet new friends To be physically fit To keep him/her busy this summer Others, please specify 9. How can we improve our MILO Summer Sports Clinics? Chess Football Gymnastics Football Chess Ice Skating

5. If no, what other Summer Sports Clinics sponsored by MILO have your child enrolled in before?

6. What other summer sports clinics NOT sponsored by MILO have your child enrolled in before?

Through my childs teacher/coach Others, please specify

8. Why did you enroll your child in the MILO Summer Sports Clinics? (you may check more than one)