CONSENT FORM

(SCHOOL-BASED IMMERSION)
NAME OF STUDENT : __________________________________
DATE OF BIRTH : __________________________________
SCHOOL : __________________________________
NAME OF PARENT / GUARDIAN: __________________________________
ADDRESS : __________________________________
CONTACT NUMBER : __________________________________

UNDERTAKING:
A. I agree to my son/daughter taking part in the SCHOOL-BASED IMMERSION as
a key feature of the TVL TRACK, which involves hands-on experience or work
simulation in which the learners can apply their competencies and acquired
knowledge relevant to their track and later on applied to their future career.
B. I hereby release the school, its teachers and personnel from any and all liability,
claims, demands and causes of action whatsoever arising out of related to any
loss, damage or injury that may be sustained by my son/daughter.
C. I confirm to the best of my knowledge that my son/daughter does not suffer from
any medical condition.
D. That I have read and fully understood the statements above including the
implications thereof.

______________________________ DATE: ________________________

SIGNATURE OVER PRINTED NAME MONTH/DAY/YEAR
OF PARENT
_____________________________________________________________________________________
CONSENT FORM
(SCHOOL-BASED IMMERSION)
NAME OF STUDENT : __________________________________
DATE OF BIRTH : __________________________________
SCHOOL : __________________________________
NAME OF PARENT / GUARDIAN: __________________________________
ADDRESS : __________________________________
CONTACT NUMBER : __________________________________
UNDERTAKING:
A. I agree to my son/daughter taking part in the SCHOOL-BASED IMMERSION as
a key feature of the TVL TRACK, which involves hands-on experience or work
simulation in which the learners can apply their competencies and acquired
knowledge relevant to their track and later on applied to their future career.
B. I hereby release the school, its teachers and personnel from any and all liability,
claims, demands and causes of action whatsoever arising out of related to any
loss, damage or injury that may be sustained by my son/daughter.
C. I confirm to the best of my knowledge that my son/daughter does not suffer from
any medical condition.
D. That I have read and fully understood the statements above including the
implications thereof.

______________________________ DATE: ________________________

SIGNATURE OVER PRINTED NAME MONTH/DAY/YEAR
OF PARENT