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This document is a parent's authorization form for St. Louis University allowing a guardian other than the parents or allowing the child to act as their own guardian. The parents authorize the named guardian to act on behalf of their child and sign documents requiring parental consent. They agree not to hold the university responsible for any issues caused by the guardian. The parents and guardian must sign and attach photocopies of identification documents.

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36 views1 page

S ST

This document is a parent's authorization form for St. Louis University allowing a guardian other than the parents or allowing the child to act as their own guardian. The parents authorize the named guardian to act on behalf of their child and sign documents requiring parental consent. They agree not to hold the university responsible for any issues caused by the guardian. The parents and guardian must sign and attach photocopies of identification documents.

Uploaded by

grace_manggad
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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ST. LOUIS UNIVERSITY NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE SCHOOL OF TEACHER EDUCATION Gonzaga Campus, Gen. Luna Rd.

,2600 Baguio City Tel: (074) 4470664/09198807387/09163349807Email:[email protected]/ [email protected] PARENTS AUTHORIZATION FOR GUARDIANS OF OWN CHILDRENOTHER THAN THEMSELVES To St. Louis University:This is to authorize_______________________________,of _________________________________ ( N a m e o f g u a r d i a n ) ( a d d r e s s o f g u a r d i a n ) the _______________________________of our child ____________________________who is studying in( relationship of guardian to the child) (Name of child)St Louis University, to act as the guardian of our child; to sign all documents, papers or waivers that requireparents signature in accordance with SLU policies, and do all other things in connection thereof.We understand that by this authorization, we shall not hold St. Louis University liable for any lapse of diligence committed by the above guardian.Signed:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ( a n d / o r ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _______________ N a m e a n d S i g n a t u r e o f F a t h e r N a m e a n d S i g n a t u r e o f M o t h e r D a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Conforme:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ N a m e a n d S i g n a t u r e o f G u a r d i a n N a m e a n d S i g n a t u r e o f C h i l d D a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NOTE: required attachment photocopy of two IDs of parents and two IDs of the guardian. The IDs should bear the picture, addressand signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parentsand guardians should counter certify their IDs by attaching their signature beside the photocopy of their ID in original hand/ink. ******************************************************************************************************************************************************

ST. LOUIS UNIVERSITY NATIONAL SERVICE TRAINING PROGRAM(NSTP)OFFICE SCHOOL OF TEACHER EDUCATION Gonzaga Campus, Gen. Luna Rd.,2600 Baguio City Tel: (074) 4470664/09198807387/09163349807Email:[email protected]/ [email protected] PARENTS AUTHORIZATION FOR OWN CHILDRENTO ACT AS GUARDIAN TO THEMSELVES To St. Louis University:This is to authorize our child _____________________________________who is studying in (name of child) St Louis University but having no guardian other than ourselves, to sign, in our behalf, all documents, papersor wai v ers r equ iri n g ou r s i g n atu r e as p ar en ts /g u ard i an s i n ac c ord a nc e wi th S LU p ol ic i es an d d o al l ot h er things in connection thereof.We understand that by this authorization, we shall not hold St. Louis University liable for any lapse of diligence committed by our child.Signed:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ( a n d / o r ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______________ N a m e a n d S i g n a t u r e o f F a t h e r N a m e a n d S i g n a t u r e o f M o t h e r D a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D a t e : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Conforme:____________________________ Date:______________________ Name and Signature of Child NOTE: required attachment photocopy of two IDs of parents. The IDs should bear the picture, address and signature of the parent or the guardian. At least one of the two IDs should be government issued ID. On the photocopy, parents should counter certify their IDsby attaching their signature beside the photocopy of their ID in original hand/ink

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