July 15, 2016

PARENTS OR GUARDIANS CONSENT FORM

TO WHOM IT MAY CONCERN:

I, the parent of __________________________________________________ allow

him/her to join the ____________________________________________________
on _____________________________ at the
_______________________________________as part of the conditions of
his/her Scholarship.

I am conscious of the benefits and risks involved in this activity. Having

obtained permission, my ___________has the responsibility
himself/herself for the entire duration of the activity. I also understand
that his/her University, ___________________________________________ and
the Scholarship Sponsors will not be accountable for any untoward
incident that may happen to him/her.

_______________________________________
(Signature above Printed Name of Parent)