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Parent Consent

This document is a consent form for a student, John Brandon D. Velasco, allowing him to participate in Field Work/Immersion as part of his education. The parent, Gerlynne Del Rosario, confirms that her child does not have any medical conditions other than those listed and agrees to the terms regarding travel and the school's lack of responsibility for incidents. The form requires a signature and a photocopy of the parent's ID for validation.

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klarrence2005
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22 views1 page

Parent Consent

This document is a consent form for a student, John Brandon D. Velasco, allowing him to participate in Field Work/Immersion as part of his education. The parent, Gerlynne Del Rosario, confirms that her child does not have any medical conditions other than those listed and agrees to the terms regarding travel and the school's lack of responsibility for incidents. The form requires a signature and a photocopy of the parent's ID for validation.

Uploaded by

klarrence2005
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

Document ID No.

SENIOR HIGH SCHOOL DEPARTMENT


PARENT/GUARDIAN/CAREER Revision No.: 00
CONSENT FORM

Date Effective:

Instruction: Please complete the following, sign, and return to:

Mr./Mrs:

Name of student: John brandon d. Velasco Age: 17

Name of Parent/Guardian: Gerlynne Del rosario

Address: 610 d gamban st pasay city

Please provide details of medication that must be administered:


Emergency contact details:

Name: Khiezeil Dee


Relationship to child: Son

CONSENT (please read carefully)


a)I agree with my son taking part in the Field Work/Immersion in partial
fulfillment to develop the independent and critical skills of the students.
b) I confirm to the best of my knowledge that my nephew/ daughter does not
suffer from any medical condition other than those listed above.
c) I fully support the work immersion undertaking of my nephew/daughter
through minimal financial cost and through my attendance/presence if so
desired.
d) I consent to my son/ daughter traveling 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 accepts 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:

GERLYNNE DEL ROSARIO


(Parent/ Guardian)

Date: May 13, 2024

Note: Please attach a photocopy of Parent/ Guardian ID with Signature

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