This parental consent and waiver form is for students from Pulo Senior High School participating in the school's Work Immersion Program. It requires parental permission for students to participate in the off-site program and transportation to and from the program location. The form provides a brief description of the program location and duration, as well as the mode of transportation. It also releases the school from any liability or claims related to student participation in the program. The parent agrees to the terms and conditions by signing and providing their contact information.
This parental consent and waiver form is for students from Pulo Senior High School participating in the school's Work Immersion Program. It requires parental permission for students to participate in the off-site program and transportation to and from the program location. The form provides a brief description of the program location and duration, as well as the mode of transportation. It also releases the school from any liability or claims related to student participation in the program. The parent agrees to the terms and conditions by signing and providing their contact information.
This parental consent and waiver form is for students from Pulo Senior High School participating in the school's Work Immersion Program. It requires parental permission for students to participate in the off-site program and transportation to and from the program location. The form provides a brief description of the program location and duration, as well as the mode of transportation. It also releases the school from any liability or claims related to student participation in the program. The parent agrees to the terms and conditions by signing and providing their contact information.
City Schools Division of Cabuyao Pulo Senior High School Brgy. Pulo, City of Cabuyao, Laguna
PARENTAL CONSENT AND WAIVER FORM
I, __________________________, grant permission for my son/daughter,
_______________________, to participate/partake/engage in the Work Immersion Program which requires transportation to a location away from the school site. This activity will take place under the guidance and direction of the Immersion teacher and Immersion supervisor. A brief description of the Work Immersion follows: Location of company: _________________________ Duration: _____________ Mode of transportation: ________________________ I, as parent and/or legal guardian, remain legally responsible for any personal actions taken by the above named participant. I agree on behalf of myself, my child named herein, to hold harmless and defend Pulo Senior High School, its officers, employees, faculty, or representatives associated with the event, from any and all actions, claims, demands, damages, costs, expenses and all consequential damage arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith. In signing the Parental Consent and Waiver, I am not relying on any oral or written representation or statements made by the school and, its officers, employees, faculty, or representatives associated with the event, to induce me to permit my student to take the Work Immersion, other than those set out in this Consent and Waiver. I have read and understood the terms of this consent and waiver, and recognized that it is binding upon me, my heirs, executors and administrators.
___________________________________ ______________________ (Parent/Guardian over Printed Name) Date Signed
Home Address: ____________________________________