Student Exchange Program Consent Form
Student Information
Full Name
Student ID
Date of Birth
Contact Number
Email Address
Current Address
Parent/Guardian Information
Full Name
Contact Number
Email Address
Exchange Program Details
Program Name
Host Institution
Start Date
End Date
Consent
I hereby give consent for my child/ward to participate in the above student exchange program.
I acknowledge and accept the travel, accommodation, and supervision arrangements made by the school/institution.
In case of emergency, I authorize medical treatment for my child/ward as deemed necessary.
Additional Information/Notes
Parent/Guardian Signature
Date