Scribd Logo
Upload

Welcome to Scribd!

  • 16 views

    CPSU Victorias Parents Consent

    Uploaded by

    Jane Navarez
    The document is a consent form for parents to allow their child to participate in face-to-face classes at Central Philippines State University during the COVID-19 pandemic. It acknowledges that while the school will follow health and safety protocols, there is still a risk of COVID-19 transmission. It confirms the child shows no COVID symptoms and the parent will not send the child if they develop symptoms. The parent agrees to waive legal claims against the school and consents to the child's participation starting August 17, 2022.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CPSU Victorias Parents Consent

    Uploaded by

    Jane Navarez
    16 views1 page
    The document is a consent form for parents to allow their child to participate in face-to-face classes at Central Philippines State University during the COVID-19 pandemic. It acknowledges that while the school will follow health and safety protocols, there is still a risk of COVID-19 transmission. It confirms the child shows no COVID symptoms and the parent will not send the child if they develop symptoms. The parent agrees to waive legal claims against the school and consents to the child's participation starting August 17, 2022.

    Original Title

    CPSU-Victorias-Parents-Consent

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is a consent form for parents to allow their child to participate in face-to-face classes at Central Philippines State University during the COVID-19 pandemic. It acknowledges that while the school will follow health and safety protocols, there is still a risk of COVID-19 transmission. It confirms the child shows no COVID symptoms and the parent will not send the child if they develop symptoms. The parent agrees to waive legal claims against the school and consents to the child's participation starting August 17, 2022.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views1 page

    CPSU Victorias Parents Consent

    Uploaded by

    Jane Navarez
    The document is a consent form for parents to allow their child to participate in face-to-face classes at Central Philippines State University during the COVID-19 pandemic. It acknowledges that while the school will follow health and safety protocols, there is still a risk of COVID-19 transmission. It confirms the child shows no COVID symptoms and the parent will not send the child if they develop symptoms. The parent agrees to waive legal claims against the school and consents to the child's participation starting August 17, 2022.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    PARENT’S CONSENT FOR FACE-TO-FACE CLASS IMPLEMENTATION IN CPSU

    As the parent or legal guardian of____________________, a


    ____________________________________student of CPSU, Victorias City, Negros Occidental, I
    hereby acknowledge that I have been informed of the details of the conduct of Face-to-Face
    Learning Modality in Central Philippines State University.

    I understand that Central Philippines State University shall implement the minimum public
    health standards set by the government to minimize risk of the spread of COVID-19, but it cannot
    guarantee that my child will not become infected with COVID-19, given that COVID-19 is highly
    contagious.

    I understand that my child’s in-person attendance in school will include associating with
    teachers, fellow learners and school personnel, and other persons inside and outside of the school
    that may put my child at risk of COVID-19 transmission, notwithstanding the precautions undertaken
    by the school.

    I acknowledge that my child’s participation in this activity is completely voluntary. While there
    remains the risk of possible COVID-19 transmission to my child, and to the members of my
    household, I freely assume the said risk and I permit my child to attend school under this activity.

    I am aware that symptoms of COVID-19 include, but are not limited to, fever or chills, cough,
    shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of
    taste or smell, sore throat, congestion or runny nose, nausea, vomiting, and diarrhea.

    I confirm that my child currently has none of those symptoms, and is in good health. I will
    not allow my child to physically go to school to attend classes if my child or any member of my
    household develops any of the said symptoms or any other symptoms of illness that may or may
    not be related to COVID-19. I will also inform the school and not allow my child to attend face-to-
    face classes if my child or any of my household members tests positive for COVID-19. My child and
    I, with my household members, will follow the required health and safety protocols and procedures
    adopted by the school and our community.

    To the extent allowed by law and rules, I hereby agree to waive, release, and discharge any
    and all claims, causes of action, damages, and rights against the school and its personnel as well
    as officials and personnel of Central Philippines State University relative to the conduct of the
    activity.

    With full understanding, I, ___________________on behalf of myself, my household


    members, and my child, hereby freely and voluntarily give my consent to my child’s participation in
    the activity starting August 17, 2022. I also attest that I had sought the views of my child and
    she/he has expressed willingness to participate in the activity.

    Parent’s/Guardian’s Name:

    Parent’s/Guardian’s Signature:

    Parent’s Address:

    (For the Student)


    I agree to follow all instructions and procedures during the conference activities and also to
    maintain a maximum level of safety.

    Student’s signature over printed name:

    SUBCRIBED AND SWORN before me this day of , 2022 by


    who exhibited to me her/his CTC No. issued
    on , 2022 at .

    Notary Public:
    Doc. No.
    Page No.
    Book No.
    Series of 2022.

    Doc Control Code: CPSU-F-OSSA-15 REV01 Effective Date: 2/11/2022 Page No.:1 of 1

    You might also like