English Student Mentor Program Parent Permission Form.doc - healthiersf 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your child's name in the designated field where it states 'student’s name'. This is crucial for identifying your child in the program.
  3. Next, provide your name as the parent or caregiver in the 'Parent/Caregiver name' section. Ensure that you print clearly for accurate documentation.
  4. Sign and date the form in the respective fields to give consent for your child's participation. This step is essential for processing their enrollment.
  5. Fill out both phone number fields, including an emergency contact number, ensuring that all information is current and correct.
  6. If you consent to image and interview usage, complete that section by signing and providing your details as requested.
  7. Finally, review all entries for accuracy before submitting the completed form back to the Mentor Program Site Coordinator by the specified date.

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