The document is an Agreement/Consent Form for students participating in a Work Immersion program as part of the Senior High School Curriculum. It includes sections for medical background, parental consent, and a liability waiver, indicating that parents/guardians agree to the student's participation and release the school from any liability for injuries. The form requires signatures from both the parent/guardian and the student, confirming their understanding and acceptance of the program's rules and regulations.
The document is an Agreement/Consent Form for students participating in a Work Immersion program as part of the Senior High School Curriculum. It includes sections for medical background, parental consent, and a liability waiver, indicating that parents/guardians agree to the student's participation and release the school from any liability for injuries. The form requires signatures from both the parent/guardian and the student, confirming their understanding and acceptance of the program's rules and regulations.
The document is an Agreement/Consent Form for students participating in a Work Immersion program as part of the Senior High School Curriculum. It includes sections for medical background, parental consent, and a liability waiver, indicating that parents/guardians agree to the student's participation and release the school from any liability for injuries. The form requires signatures from both the parent/guardian and the student, confirming their understanding and acceptance of the program's rules and regulations.
The document is an Agreement/Consent Form for students participating in a Work Immersion program as part of the Senior High School Curriculum. It includes sections for medical background, parental consent, and a liability waiver, indicating that parents/guardians agree to the student's participation and release the school from any liability for injuries. The form requires signatures from both the parent/guardian and the student, confirming their understanding and acceptance of the program's rules and regulations.
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Agreement/Consent Form
WORK IMMERSION Name of Student Date of Birth School
Name of Parent/Guardian Address Contact Number MEDICAL BACKGROUND Does your child suffer from any medical conditions/allergies? (please check appropriate box) £ Yes □ No Please provide details of medication that must be administered, if any:
UNDERTAKING: a) I agree to my son/daughter taking part in the Work Immersion as a key feature of the Senior High School Curriculum, which involves hands-on experience or work simulation in which learners can apply their competencies and acquired knowledge relevant to their track; b) I understand that the student shall report in the school to undergo immersion training. All required protocols (i.e wearing of face masks/face shields, social distancing, hand sanitizing) shall be observed for every scheduled training. c) I hereby release the school, its teachers and personnel from any and all liability, claims, demands, and causes of action whatsoever arising out of or related to any loss, damage or injury that may be sustained by my son/daughter during the Work Immersion: d) I confirm to the best of my knowledge that my son/daughter does not suffer from any medical condition other than those listed above; e) That I have read and fully understood the statements above including the implications thereof.
_____________________________ Signature Over Printed Name of Parent/Guardian Date: _______________________________________________ WORK IMMERSION AGREEMENT AND LIABILITY WAIVER
I am fully aware of the duties and responsibilities I will undertake through the Work Immersion Program with the school.
I recognize the authority of the school which I may be placed and submit myself to all the Rules and Regulations that may be imposed upon myself following the duties.
I renounce and waive any claim against the school and the Immersion Teacher/Coordinator for any injury that I may sustain/suffer, personal/financial in the performance of my duties/function.
Name of Student-Trainee : __________________________
And I, the trainee’s parent and/or legal guardian, allow my son/daughter to undergo Work Immersion starting on _____________________ until ___________________________ at ____________________________ in partial fulfillment of the requirements for Senior High School K-12 Program.
It is understood that he/she abides by the rules and regulations that may be imposed by the Immersion Teacher/Coordinator for his/her welfare and safety.
I fully agree to waive any responsibility on the part of the school in case of any untoward incident that may happen to my son/daughter during the duration of the WORK IMMERSION.
Name of Parent/Guardian : _____________________________
