{"id":37689,"date":"2023-01-16T09:54:10","date_gmt":"2023-01-16T17:54:10","guid":{"rendered":"https:\/\/vermont.salk.edu\/?page_id=37689"},"modified":"2024-12-03T21:47:23","modified_gmt":"2024-12-04T05:47:23","slug":"parent-consent","status":"publish","type":"page","link":"https:\/\/www.salk.edu\/de\/about\/education-outreach\/programs\/high-school-scholars\/parent-consent\/","title":{"rendered":"Heithoff-Brody High School Scholars Program Parent Consent Form"},"content":{"rendered":"<style>legend{border-bottom: none !important;}<\/style>\n<div class=\"page-form\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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enctype='multipart\/form-data'  id='gform_193'  action='\/de\/wp-json\/wp\/v2\/pages\/37689' data-formid='193' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_193' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_193_9\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of Child<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_193_9'>\n                            \n                            <span id='input_193_9_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                              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gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p><strong>This certifies that I approve of this application and that the applicant has my consent to participate if selected.<\/strong><\/p>\n\n<p style=\"margin-left: 20px;\">I understand that my child may be working with hazardous chemicals, radioactive materials. and biological materials. Student interns will be provided training in the safe handling of these items.<\/p>\n\n<p style=\"margin-left: 20px;\">I understand that if my child is selected to participate I agree to submit any additional documents that may be required based on grant funding.<\/p>\n\n<p style=\"margin-left: 20px;\">I understand that my child will be required to attend the program in its entirety if accepted.<\/p>\n\n<p><strong>By agreeing to the above and initialing and dating below I hereby give my consent for my child to participate in the Heithoff-Brody High School Summer Scholars program. 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