HYRONS COLLEGE PHILIPPINES Inc.

Sto. Niño, Tukuran, Zamboanga Del Sur

SEC. No.: CN200931518
Tel. No.: 062-945-5169
hyronscollege.phil.inc.2015@gmail.com

PARENT/GUARDIAN JDVP CONSENT FORM

Instruction: Please complete the following, sign and return to your work immersion teacher

Name of student: __________________________________________ Age: ____________

Name of Parent/Guardian: ______________________________________________________

Address: ______________________________________________________________________
Mobile: ___________________________
Family Doctor …………………………………………… Doctor’s Tel No: …………………………........
Does your child suffer from any medical conditions/allergies that the teacher/ trainer should be aware of
(including any current medication?
.......................................................................................................
Please provide details of medication that must be administered:
___________________________________________________________________
Emergency contact details: (If different from above)

Name: ______________________________________ Telephone no: __________________

Relationship to child: _____________________________________________

CONSENT (please read carefully)

a) I agree to my son/ daughter taking part of the Joint Delivery Voucher Program as requirement of the
SHS Curriculum to expose the students to the assigned company/units and learn new skills relevant
to the theory learned in the classroom
b) I fully support the Joint Delivery Voucher Program undertaking of my son/daughter through minimal
financial cost; Uniform and through my attendance/presence if so desired
c) I consent to my son/ daughter travelling by any form of public transport, minibus or motor vehicle by
land or water in the course of his/her Joint Delivery Voucher Program.
d) I understand that my son/daughter will undergo an 40 days Training to the assigned company/unit
with corresponding School coordinator and In-Company Trainer

______________________________ _________________________________
Signature over printed name of students Signature over printed name of Parents

____________________________ __________________________________
Signature over printed name of Partner School Signature over printed name of School Principal