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Parent'S/Guardian'S Consent Form: Condition, Etc.)

This consent form provides information for a learner's participation in an off-campus activity. It records the learner's name and date of birth, the parent/guardian's name and contact details, details of the activity such as title and venue and date. The parent acknowledges being informed of the activity details and risks, and consents to allowing their child to participate, following the established rules and being solely responsible for travel insurance and expenses. The parent signs and dates the form.

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Reina France Borja Pineda
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75 views1 page

Parent'S/Guardian'S Consent Form: Condition, Etc.)

This consent form provides information for a learner's participation in an off-campus activity. It records the learner's name and date of birth, the parent/guardian's name and contact details, details of the activity such as title and venue and date. The parent acknowledges being informed of the activity details and risks, and consents to allowing their child to participate, following the established rules and being solely responsible for travel insurance and expenses. The parent signs and dates the form.

Uploaded by

Reina France Borja Pineda
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
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PARENT’S/GUARDIAN’S CONSENT FORM

Name of Learner: ________________________________________________________________________________


Date of Birth: _____________________________________________ Sex: ________________________
Parent’s /Guardian’s Name: ______________________________________________________________________
Relationship to Learner: __________________________________________________________________________
Home Address: _____________________________________________________________________________________
Contact Number/s: _________________________________________________________________________________
Title of the Activity: ________________________________________________________________________________
Venue: __________________________________________________ Date of Activity: _________________________

As the parent/guardian of the abovementioned learner, I hereby acknowledge that I


have been informed of the details of the off-campus activity and voluntarily and freely elect
to participate in this off-campus activity. Furthermore, I understand the risks associated
with an off-campus activity and agree that the rules and regulations established for the said
activity are for the safety and security of the participants, and thus agree to instruct my
child or children to obey them.

Having understood all the aforementioned, I hereby consent to allow my child or


children to participate, acknowledging all of the foregoing. I am also solely responsible for
providing travel insurance and any expenses for my child or children’s participation in the
activity.

_________________________________________________________ _______________________________
Parent/Guardian’s Name and Signature Date

Notes (other information you may wish to inform the teacher, such as child’s medical
condition, etc.):

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