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Parental Consent: Province of Zamboanga Del Norte Municipality of Polanco Municipal Social Welfare and Development Office

This document is a parental consent form for the participation of a child in Group Work sessions aimed at youth aged 13-17 who are out-of-school or irregularly attending school. The program focuses on personal development, peer support, educational awareness, and life skills over a five-month period. Parents acknowledge the benefits of participation and agree not to hold the organizers liable for unforeseen incidents.

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10 views1 page

Parental Consent: Province of Zamboanga Del Norte Municipality of Polanco Municipal Social Welfare and Development Office

This document is a parental consent form for the participation of a child in Group Work sessions aimed at youth aged 13-17 who are out-of-school or irregularly attending school. The program focuses on personal development, peer support, educational awareness, and life skills over a five-month period. Parents acknowledge the benefits of participation and agree not to hold the organizers liable for unforeseen incidents.

Uploaded by

mamaingco.dm776
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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REPUBLIC OF THE PHILIPPINES

Province of Zamboanga Del Norte


Municipality of Polanco
Municipal Social Welfare and Development Office

PARENTAL CONSENT

I/We hereby willingly and voluntarily give consent for the participation of my/our son/daughter,
_____________________________________, in the Group Work sessions to be conducted in
Barangay Poblacion South.

I/We understand that the activity is designed for youth aged 13–17 years old who are either out-
of-school or irregularly attending school. I/We am/are aware that this program aims to create a
safe and respectful environment where participants are encouraged to:
 Reflect on their behaviors and make positive changes
 Develop peer support and a sense of community
 Gain educational awareness and realize the value of education
 Become wise thinkers to improve their life decisions
 Enhance life skills that can support themselves and others in similar situations

I/We have considered the benefits that my/our child will gain from participating in these
sessions, which will run for a period of five (5) months. Provided that due care and precaution
will be observed to ensure my child’s comfort and safety, I/We understand that the Social Work
Interns and involved personnel shall not be held liable for any untoward incidents beyond their
control.
I/We affirm that my/our child is willing and committed to fully participate in the activities for the
entire duration.

Name of Parent/Guardian: _____________________________________


Signature: _____________________________________
Contact Number: _____________________________________
Date: _____________________________________

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