Return to Office (RTO) Parental Consent Form
Return to Office (RTO) Parental Consent Form: Please complete this form to provide your consent for your child’s return-to-office arrangement. Your responses will be used solely for this purpose.
Full Name of Parent/Guardian
*
First Name
Last Name
Relationship to Child
*
Please Select
Mother
Father
Legal Guardian
Other
Full Name of Child
*
First Name
Last Name
Employee/Guardian Email Address
*
example@example.com
Employee/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Office Location or Department
Requested Start Date for Return to Office
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Authorization and Consent
*
By signing below, I confirm that I am the parent or legal guardian of the above-named child and hereby authorize their participation in the return-to-office arrangement as outlined. I understand this consent is required for my child’s attendance.
*
Submit Consent
Submit Consent
Should be Empty: