Work Release Form

March 17, 2010

in Release Forms

A work release form is mostly used by parents or guardians who need to authorize and/ or give permission for their children to work.  Children still under the supervision and care of their parents need this form for employers to hire them without being held liable and getting into trouble.

Sample Work Release Form

Parents’/ guardians’ details:

Father’s name: ___________________________________________________________

Work phone: _____________________________________________________________

Home phone: ____________________________________________________________

Mobile number: __________________________________________________________

Address: ________________________________________________________________

Email address: ___________________________________________________________

Mother’s name: __________________________________________________________

Work phone: _____________________________________________________________

Home phone: ____________________________________________________________

Mobile number: __________________________________________________________

Address: ________________________________________________________________

Email address: ___________________________________________________________

Please indicate your child’s details:

First name: ______________________________________________________________

Middle name: ____________________________________________________________

Last name: ______________________________________________________________

Please indicate the details of the company your child wishes to work for:

Company’s name: ________________________________________________________

Company logo: ___________________________________________________________

Address: ________________________________________________________________

Tel number: _____________________________________________________________

Mobile number: __________________________________________________________

Email address: ___________________________________________________________

Please indicate when your child will be working:

From: __________________________________________________________________

To: ____________________________________________________________________

Time: __________________________________________________________________

Parent’s signature: ________________________________________________________

Date: ___________________________________________________________________

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