CONSENT FORM

I hereby give my consent to my son/daughter ____________________student of

std____________sec__________ for physically attending one day offline revision classes in APS
Khadakwasla i.e 16 Feb ,(Wed) 2022.

I certify that my ward is not COVID positive and no family member is suffering from COVID at present.

I will not send my ward to school in case any active COVID positive case in the family where the ward is
residing.

I also declare that I shall not hold the school responsible for any unforeseen event or mishap beyond its
control.

Name & signature of parent/guardian _________________

__________________

Contact No. :-_____________________________________

Address :-________________________________________

_________________________________