NOTE:- Kindly make cheque / DD in favour of “SANYAM TRAVELS” Consent Form Date: Delhi Public School Harni Madam T would like my ward of class/sec. Sex___ (M/F) to join the school's tour to “Jaipur and Chokhi Dani”. I appreciate your ‘surance for precautions for the safety of my ward. | ensure that I shall be present to collect my ward from Vadodara Railway station at 03:10 am on 21” October 2018. I shall accept any action taken in case of my/our late arrival to collect my/our ward. 1 indemnify the school and staff / tour agent against any mishap resulting in any harm that may be caused to my ward during the actual conduct of the tour. I ensure my ward will not carry any electronic devise/ Mobile Phone /or any other expensive item to the tour. ‘The same if found will not be returned by the teachers on duty . ‘Name and Signature of the Parent: (PILL IN THE DETAILS) NAME OF STUDENT: CLASS:_ SECTION ADDRESS: A a PHONE NUMBERS : AADHAR CARD NO ANY MEDICAL HISTORY BLOOD GROUP ANY ALLERGIES TO BE MENTIONED/ALLERGIC REACTION TO SPECIFIC MEDICATION’ FooD