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    Office of Student Affairs and Services: Guardian/ Parental Consent

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    Avery Jan Magabanua Silos
    This document is a parental consent form for a student activity. It provides information about the type and dates of the activity, as well as the venue and time. The parent agrees to allow their son/daughter to participate and understands they are not responsible for any incidents as long as proper care is taken for student safety. The student also affirms the information is true and that they will follow instructions to ensure their safety during the activity. The document lists the faculty moderators accompanying the students. It reminds that students without consent cannot attend and must be notarized.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Office of Student Affairs and Services: Guardian/ Parental Consent

    Uploaded by

    Avery Jan Magabanua Silos
    25 views1 page
    This document is a parental consent form for a student activity. It provides information about the type and dates of the activity, as well as the venue and time. The parent agrees to allow their son/daughter to participate and understands they are not responsible for any incidents as long as proper care is taken for student safety. The student also affirms the information is true and that they will follow instructions to ensure their safety during the activity. The document lists the faculty moderators accompanying the students. It reminds that students without consent cannot attend and must be notarized.

    Original Title

    Parent's Consent

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    This document is a parental consent form for a student activity. It provides information about the type and dates of the activity, as well as the venue and time. The parent agrees to allow their son/daughter to participate and understands they are not responsible for any incidents as long as proper care is taken for student safety. The student also affirms the information is true and that they will follow instructions to ensure their safety during the activity. The document lists the faculty moderators accompanying the students. It reminds that students without consent cannot attend and must be notarized.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    25 views1 page

    Office of Student Affairs and Services: Guardian/ Parental Consent

    Uploaded by

    Avery Jan Magabanua Silos
    This document is a parental consent form for a student activity. It provides information about the type and dates of the activity, as well as the venue and time. The parent agrees to allow their son/daughter to participate and understands they are not responsible for any incidents as long as proper care is taken for student safety. The student also affirms the information is true and that they will follow instructions to ensure their safety during the activity. The document lists the faculty moderators accompanying the students. It reminds that students without consent cannot attend and must be notarized.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    OFFICE OF STUDENT AFFAIRS AND SERVICES

    GUARDIAN/ PARENTAL CONSENT


    OSAS-OC ____
    Type of Activity: ____________________________ Venue:
    ___________________
    Inclusive Dates: _____________________________ Time Finished:
    ______________

    To: The Director of Student Welfare and Development

    I hereby willingly and voluntarily consent to the participations of my


    son/daughter ________________________________ in an aforementioned activity I have
    considered the benefits that he/she will derive by participating in this undertaking. I understand
    that I will not hold any party responsible for any untoward incidents which may happen in this
    course of duration of the activity as long as proper care is observed to insure the safety and
    security of the students.

    _______________________________________ ______________________
    (Printed Name and Signature of Guardian/Parent) Date

    Address: ________________________________________
    Contact Number(s)________________________________

    STUDENT CONTACT

    I affirm that all information contained herein are true and correct, that I will not
    hold Southland College or any instrumentality thereof responsible for any untoward incidents
    that may happen due to personal negligence, irresponsible behaviour, or lack of attention that
    will constitute a violation of prearranged instructions given to insure my safety and security and
    thereof beyond the control of duly designated peer or faculty/adult moderations. I also
    understand that this activity is approved as an extension of undertaking and thereof all rules and
    policies pertinent to are applicable.

    CONFORMED:

    _________________ __________________
    _______________
    Printed Name Signature Course

    Faculty Moderator/s who will accompany the students in the said activity.
    1. ____________________________
    2. ____________________________

    Important Reminders:
    Student/s without Parent Consent cannot attend the activity mentioned above.

    For strict compliance.

    SUBSCRIBE AND SWORN to before me this _______________________day of


    ____________________________at _________________________________________
    Negros. Occidental.

    NOTARY PUBLIC
    Doc. No. _________
    Page No. _________
    Book No. _________

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