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Consent Form

This consent form allows a parent or guardian to give permission for their child to participate in the Adventure Camp organized by Doon International School on May 26, 2025. It includes sections for medical information, emergency contact details, acknowledgment of safety measures, and payment details. The form requires the parent's signature and date to validate the consent.

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tanishqsoftwares
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23 views1 page

Consent Form

This consent form allows a parent or guardian to give permission for their child to participate in the Adventure Camp organized by Doon International School on May 26, 2025. It includes sections for medical information, emergency contact details, acknowledgment of safety measures, and payment details. The form requires the parent's signature and date to validate the consent.

Uploaded by

tanishqsoftwares
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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CONSENT FORM

I, the undersigned, hereby give my consent for my child, ___________________________ (Student's


Name), of Class ________, to par cipate in the Adventure Camp organized by Doon Interna onal
School on May 26, 2025.

Medical Informa on:

 Does your child have any allergies? Yes / No


If yes, please specify: ___________________________________________

 Is your child currently under any medica on? Yes / No


If yes, please specify: ___________________________________________

 Does your child have any chronic illnesses or medical condi ons? Yes / No
If yes, please specify: ___________________________________________

Emergency Contact Informa on:

 Name: ______________________________________

 Rela onship to Student: _______________________

 Contact Number: _____________________________

Acknowledgment and Agreement:

 I understand that the school will take all necessary precau ons to ensure my child's safety
during the camp ac vi es.

 I agree to adhere to the guidelines set by the school for the event.

 I authorize the school staff to seek medical treatment for my child in case of an emergency.

Payment Details:

 Amount Paid: ₹400

 Mode of Payment: Cash / Cheque / Online Transfer

 Transac on/Receipt Number: ___________________________

Signature of Parent/Guardian: ___________________________

Date: ___________________

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