12 JULY 1971 Issue I Reissued 4 July 1975 as BPL Cancels HCO Policy Letter of 12 July 1971 Same Title | 12 JULY 1971 Issue I Reissued 4 July 1975 as BPL Cancels HCO Policy Letter of 12 July 1971 Same Title |
PARENT OR GUARDIAN ASSENT FORMS | PARENT OR GUARDIAN ASSENT FORMS |
The following form must be used when a minor requires any service. | The following form must be used when a minor requires any service. |
This form is to be filled in by the parent or guardian of the minor concerned and is a prerequisite before any Dianetic or Scientology processing, testing or training can be undertaken. | This form is to be filled in by the parent or guardian of the minor concerned and is a prerequisite before any Dianetic or Scientology processing, testing or training can be undertaken. |
Parent or Guardian Assent to Dianetic or Scientology Processing, Testing or Training. | Parent or Guardian Assent to Dianetic or Scientology Processing, Testing or Training. |
I........................................................................................................... | I........................................................................................................... |
of.......................................................................................................... | of.......................................................................................................... |
............................................................................................................ | ............................................................................................................ |
do hereby attest that I give my full consent for my child/ward …............................................ | do hereby attest that I give my full consent for my child/ward …............................................ |
............................................................................................................ | ............................................................................................................ |
...................................................... to be tested, audited or trained in the.............. | ...................................................... to be tested, audited or trained in the.............. |
............................................................................................................ | ............................................................................................................ |
Scientology Organization and that I understand that all auditing received will be on the Standard Dianetics or Scientology processes administered by an Auditor who is a student of Scientology, and that all training administered will be Standard training for that particular course or level. | Scientology Organization and that I understand that all auditing received will be on the Standard Dianetics or Scientology processes administered by an Auditor who is a student of Scientology, and that all training administered will be Standard training for that particular course or level. |
I further understand that Scientology is known to be a spiritual and religious guide intended to make persons more aware of themselves as spiritual beings and not treating or diagnosing any human ailments of body or mind whatsoever. | I further understand that Scientology is known to be a spiritual and religious guide intended to make persons more aware of themselves as spiritual beings and not treating or diagnosing any human ailments of body or mind whatsoever. |
Date:................................................................. Signature:............................ | Date:................................................................. Signature:............................ |
Address...................................................................................................... | Address...................................................................................................... |
............................................................................................................. | ............................................................................................................. |
Brian Day, HAS SH Fdn David Gellie, Qual Sec SH Fdn Margaret Hodkin, ED SH Fdn (For Ad Council SH Fdn and LRH Comm SH Fdn) Ewa Isaacson, A/LRH Comm Aide UKLO Policy Review Section Jane Kamber, The Guardian WW Mary Sue Hubbard, CS-G for L. RON HUBBARD Founder | Brian Day, HAS SH Fdn David Gellie, Qual Sec SH Fdn Margaret Hodkin, ED SH Fdn (For Ad Council SH Fdn and LRH Comm SH Fdn) Ewa Isaacson, A/LRH Comm Aide UKLO Policy Review Section Jane Kamber, The Guardian WW Mary Sue Hubbard, CS-G for L. RON HUBBARD Founder |
Approved by the Commodore’s Staff Aides and the Board of Issues for the BOARDS OF DIRECTORS of the CHURCHES OF SCIENTOLOGY | Approved by the Commodore’s Staff Aides and the Board of Issues for the BOARDS OF DIRECTORS of the CHURCHES OF SCIENTOLOGY |