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Parental Consent Form
Parental Consent Form
I have considered the benefits that my son/daughter will derive from his/her
participation in this activity with the understanding that due care and precaution will be
observed to ensure the comfort and safety of the participants.
_______________________ ______________________
Signature of Father Signature of Mother
_______________________ ______________________
Name of Father Name of Mother
_______________________ ______________________
Date Date
_________________________________
Signature of Guardian over Printed name
_________________________________
Relationship with the student
_________________
Date