PODAR INTERNATIONAL SCHOOL - ______________________________

CONSENT FORM
For Educational Tour/ Field Trips/ Any Other Outdoor Activities
(For All Grades)

Student Details
Student Name - ________________________________ Grade - ______Div - ________

DOB - ________________ Sex (M/F) - __________ Blood Gp - _________________

Allergic To - __________________________________

Contact No (Mother) - __________________ Contact No (Father) - ____________________

To,
The Principal,
_____________________________,
_____________________________.

Dear Sir/ Madam,

I, the undersigned permit my Son/ Daughter/ Ward for the Educational Tour/ Field Trip/ Any
Other Activity to be held at _______________________ dated on ___________. I hereby
agree to abide by the rules. While appreciating your assurance and I understand that utmost
care would be taken of my ward, still I undertake that the school, Principal, Teachers or any
authorized individual of Podar International School ________________ or the tour operator
will not be held liable for any claim and zero accountability that will arise from any loss,
damage and injuries to the learner or his/her property during above mentioned Educational
Tour/ Field Trip/ Any Other Activity.

This letter of indemnity is binding on me, my executors, legal representatives and learners.

Parents Signature:- ___________________________ Date : - _______________

Accepted By School Principal on _________________ (Date)

Name &Sign

Principal