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English Student Mentor Program Parent Permission Form.doc - healthiersf

English Student Mentor Program Parent Permission Form.doc - healthiersf 2025

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The document is a consent form for parents or guardians of students participating in the San Francisco Unified School District's Student Mentor Program. It outlines the program's purpose, which is to provide additional support to students through mentoring activities, and requests parental permission for their child's participation. The form also includes a section for granting permission to use the child's image and interviews for promotional purposes.

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Click ‘Get Form’ to open it in the editor.
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.
Next, provide your full name as the Parent/Caregiver in the corresponding field. Ensure that you print your name clearly for accurate identification.
Sign the form in the space provided for your signature. This confirms your consent for your child’s participation in the mentoring program.
Fill in the date of signing and include both your phone number and an emergency contact number to ensure communication is seamless.
If you agree to allow SFUSD to use images or interviews of your child, sign at the bottom of that section as well, providing all requested information.
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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