PARTICIPANTS BACKGROUNDAND PARENTSCONSENT FORM

MARIAN YOUTH CONGRESS 2023

Saturday-Sunday, 09-10 September 2023
PARTICIPANTS BACKGROUND
The following information will be shared to the Foster Family where the participant will spend the Second
Part of the Congress with. This will guide them in taking care of the participant, and in facilitating the
Immersion Session. Please write N/Aif the fields being asked are not applicable to the participant.
Name: Age:
Address: Contact No.:
Delegation: Formation Topic:
Delegation Head: Contact No.:
Group Leader: Contact No.:
Medical Condition/s:

Dietary Restriction/s:

Allergy/s:

PARENTSCONSENT AND WAIVER

I, whose name and signature appears below, give due permission to my son/daughter/ward, whose
name and details appear in the section above, to participate in the 2023 Marian Youth Congress and all
its components on 09-10 September 2023 in Naga City. I certify that the information stated in the
section above are, to the best of my knowledge true; that I have fully understood the components and
guidelines of this Congress prescribed in the official primer as explained to me by my childs delegation
head and as verified to me by my child; and that I agree that the organizers and the host families will in
no way be held responsible for any untoward incident which may happen during the course of this
event.
Signature over Printed Name of Parent/Guardian
Relationship to the Participant:
Date: