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Consent Form

The document is a Parent Consent Form for a student named Mohammed Azaan attending Belvedere Spring School. The parent gives consent for offline schooling, acknowledges safety measures like mask-wearing and sanitization, and agrees not to send the child if anyone in the family is unwell or under quarantine. The form also includes a section for vaccination status of family members.

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Shagufta Shaikh
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332 views1 page

Consent Form

The document is a Parent Consent Form for a student named Mohammed Azaan attending Belvedere Spring School. The parent gives consent for offline schooling, acknowledges safety measures like mask-wearing and sanitization, and agrees not to send the child if anyone in the family is unwell or under quarantine. The form also includes a section for vaccination status of family members.

Uploaded by

Shagufta Shaikh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BELVEDERE SPRING SCHOOL

A CAMBRIDGE INTERNATIONAL SCHOOL


PARENT CONSENT FORM

Name of the Student : ______________________________ Class _______


Mohammed Azaan 9

To
The Principal
Belvedere Spring School
Adarsh Nagar, Off New Link Road
Oshiwara, Andheri West.
Mumbai – 400102

Subject: Consent regarding attending of School by my ward


Respected Ma’am,

This is to inform you that I, the Parent/Guardian of the above-mentioned student, have been
given to understand that the School will be opening for offline schooling.

➢ I give my whole-hearted consent and take full responsibility of my child/ward attending


Offline School and will not hold the School responsible for any unforeseen incident.
➢ I do understand and will also communicate to my child/ward that wearing a mask,
regular hand sanitization and maintaining social distance is mandatory on the school
campus and even while travelling to School and back.
➢ I undertake NOT to send my child/ward if he/she or any member of my family is
unwell.
➢ I also undertake NOT to send my child/ward to School if the Society/Building where I
reside with my child/ward, who is a student of your School, is under Quarantine as per
orders received from the State Authorities/Municipal Corporation.

Number of family members who are vaccinated: Fully vaccinated: _______

Only 1st dose: _______

Not vaccinated: _______ (excluding below 18)

Yours faithfully,

________________________

Signature of Parent with date

Name of the Parent: __________________________________ Mobile No. _________________

Residential Address: _____________________________________________________________


__________________________________________________________________________________

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