PARENT/GUARDIAN CONTACT INFORMATION Parent/Guardian Name#1: (Required)
Live With Student: (Required) Relationship to student: (Required) Parent/Guardian Name#2: (Required)
Live With Student: (Required) Relationship to student: (Required) EMERGENCY CONTACT INFORMATION Sibling In Attendance at this school:
It is the policy of this school to notify a parent when a student is ill or needs attention. In
the event we cannot contact you and we need to get immediate help for your student, we require a signed consent to do so.
1. I give consent for my child to be taken to the nearest emergency medical center
when I cannot be contacted.
2. I give consent for my student to receive medical treatment.
Our school likes to celebrate your child's work and achievement. As a result, images, and videos of your child and his/her work may appear on social media and our website.
Hereby: grant permission / do not permission (delete as appropriate) to Vancouver Nour Danesh (VANDA) School to take and use photographs, videos and/ or digital images of my child for use in printed publications or materials, electronic publications, school website and classroom.
I understand that a minimum level of fitness and health (physical, mental and emotional), is required. I, hereby acknowledge that sufficient information has been provided by the school with respect to the planned activity, duration, location, method of transportation, participants and supervision. I, hereby acknowledge that certain RISKS OF INJURY are inherent to participate in learning activities outside the school. These types of injuries may be minor or serious and may result from one’s actions, or the actions or inaction of others, or a combination of both. I understand that the Rules and Regulations established for the outdoor activities are designed for the safety and protection of the participants and herby undertake to inform my child to abide by these rules and regulations. I declare having read and understood the above Parental Consent Agreement in its entirety and hereby consent to allow my child to participate, acknowledging all of the foregoing.
Please Upload the Requirements: Iranian Birth Certificate : (Required) Parent's Iranian Birth Certificate: (Required) Latest Report Card: (Required)
Please send the last Iranian report card
Student Photo: (Required)
Please send the last passport photo
I hereby declare that I have read and understood the information contained on this form and the information I have provided is correct.