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WI-Consent-form

This document is a Parent/Guardian/Career Consent Form for students participating in a Work Immersion program at Caloocan High School. It requires details about the student, medication, and emergency contacts, along with consent for participation, medical conditions, financial support, and travel arrangements. The form also states that the school is not responsible for any incidents during the immersion.

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JohnPaul Anicete
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2 views

WI-Consent-form

This document is a Parent/Guardian/Career Consent Form for students participating in a Work Immersion program at Caloocan High School. It requires details about the student, medication, and emergency contacts, along with consent for participation, medical conditions, financial support, and travel arrangements. The form also states that the school is not responsible for any incidents during the immersion.

Uploaded by

JohnPaul Anicete
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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CALOOCAN HIGH SCHOOL

10th Ave. Grace Park, Caloocan City


SENIOR HIGH SCHOOL DEPARTMENT

PARENT/GUARDIAN/CAREER CONSENT FORM

Name of student: Age:

Name of Parent/Guardian:

Address:

Please provide details of the medication that must be administered:

____________________________________________________________________________________________

Emergency contact details: (If different from above)

Name:
Telephone Number:
Relationship to child:

CONSENT (Please read carefully.)


a) I agree with my son/ daughter taking part in the Work Immersion in
partial fulfillment of the SUBJECT to develop the independent and critical
skills of the students.
b) I confirm to the best of my knowledge that my son/ daughter does not suffer
from any medical condition other than those listed above.
c) I fully support the work immersion undertaking of my son/daughter through
minimal financial cost and through my attendance/presence if so desired.
d) I consent to my son/ daughter traveling by any form of public transport,
to attend work as an immersion company partner.
e) I understand that the teacher/school accepts no responsibility for any
untoward incident, damage or injury caused by or during attendance based
on the attached schedules of the work immersion.

Signed by:

_____________________________
(Parent/ Guardian Date: ___________________

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