Sample Parents Consent Form

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LONOY NATIONAL HIGH SCHOOL

Parent Consent Form

Name of Child: __________________________ Date of Birth: _______________________

Grade: ___________ Section: ___________________

Parent/ Guardian: ___________________________________________________________

Address:

Mobile #: _______________ Activity to attend : Overnight stay at school (Grade (-Hope


Classroom) in preparation for the FAREWELL PARTY of Grade 9-Hope
Inclusive date/s :05-27-24

Emergency contact details: (If different from above)

Name of Child: __________________________ Mobile #: ___________________________

Relationship to child:
___________________________________________________________________________

PARENT’S CONSENT (please read carefully)

a) I agree to my son / daughter taking part in the activities of the


program.

b) I confirm to the best of my knowledge that my son/ daughter


does not suffer from any medical condition.

c) I give consent to my son / daughter travelling by any form of


public transport, minibus or motor vehicle organised by any event
in which the program is participating.

d) I understand and agree the situation and in case of any unnatural


happening; I will not hold the school and the teacher responsible.

Parent / Guardian: ___________________________________________________

Date: ______________________________________________________________

Signed: ____________________________________________________________

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