Document ID No.
: FR-SHS-002
SENIOR HIGH SCHOOL DEPARTMENT
PARENT/GUARDIAN/CAREER Revision No.: 00
CONSENT FORM
Date Effective:
March 2024
Instruction: Please complete the following, sign and return to:
Mr./Mrs.______________________________________________
Name of student:___________________________ Age:_____________________
Name of Parent/Guardian: __________________________________________
Address: _______________________ Mobile/Tel Number: _____________
Please provide details of medication that must be administered: _____________
_________________________________________________________________
Emergency contact details: (If different from above)
Name: ________________________ Telephone Number:______________
Relationship to child: ______________________________________________
CONSENT (please read carefully)
a) I agree to my son/ daughter taking part in the Field Work/Immersion in
partial fulfillment of the (STRAND) to develop the independent and
critical skills of the students.
b) I confirm to the best of my knowledge that my son/ daughter does not suffer
from any medical condition other than those listed above.
c) I fully support the work immersion undertaking of my son/daughter
through minimal financial cost and through my attendance/presence if so
desired.
d) I consent to my son/ daughter travelling by any form of public transport,
minibus or motor vehicle by land or water in the course of gathering
research data.
e) I understand that the teacher/school accept no responsibility for any
untoward incident, damage or injury caused by or during attendance based
on the attached schedules of the field work/gathering data.
Signed by:
____________________
(Parent/ Guardian)
Date: ____________________
Note: Please attach a photocopy of Parent/ Guardian ID with Signature