KUNDAN VIDYA MANDIR SENIOR SECONDARY SCHOOL

CIVIL LINES, LUDHIANA

CONSENT FORM

I would like my ward ___________________________ of Class ___________ to join the

school’s 7 days trip to Kerala from June 14, 2023 – June 20, 2023. I appreciate your

assurance for precaution for the safety of my ward. I shall indemnify the school / Staff

and the group leader for any mishap or accident resulting in any harm that may be

caused to my ward or any other member of the group due to misconduct of my ward

during the tour or any other unforeseen circumstances. I promise not to sue the school

or the leader for events beyond their control or for any mishap that occurs during the

tour. I take full responsibility of my ward and permit him/her for all activities.

Medical History (If any) ____________________________________

Allergies (If any) ___________________________________________

Signature of Parent

Father’s_____________________________

Mother’s____________________________

Phone No.__________________________