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    Øekad&f'kfojk&ek/ @ek&l@fofo/k Fnol@: To, The Principal MDS Public School Udaipur, Rajasthan Declaration Cum Consent

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    Akshaan Khan
    The document is a declaration and consent form from parents regarding sending their child to school during the COVID-19 pandemic. It states that the parents understand the risks of infection but are voluntarily choosing to send their child. It outlines several protocols the child and parents will follow, such as not attending if residing in a containment zone, wearing a mask, maintaining hygiene and social distancing. It also notes that medical expenses and legal action will not be the responsibility of the school if the child contracts COVID-19. The parents and student sign acknowledging agreement to these terms.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Øekad&f'kfojk&ek/ @ek&l@fofo/k Fnol@: To, The Principal MDS Public School Udaipur, Rajasthan Declaration Cum Consent

    Uploaded by

    Akshaan Khan
    19 views1 page
    The document is a declaration and consent form from parents regarding sending their child to school during the COVID-19 pandemic. It states that the parents understand the risks of infection but are voluntarily choosing to send their child. It outlines several protocols the child and parents will follow, such as not attending if residing in a containment zone, wearing a mask, maintaining hygiene and social distancing. It also notes that medical expenses and legal action will not be the responsibility of the school if the child contracts COVID-19. The parents and student sign acknowledging agreement to these terms.

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    consent letter eng

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    The document is a declaration and consent form from parents regarding sending their child to school during the COVID-19 pandemic. It states that the parents understand the risks of infection but are voluntarily choosing to send their child. It outlines several protocols the child and parents will follow, such as not attending if residing in a containment zone, wearing a mask, maintaining hygiene and social distancing. It also notes that medical expenses and legal action will not be the responsibility of the school if the child contracts COVID-19. The parents and student sign acknowledging agreement to these terms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views1 page

    Øekad&f'kfojk&ek/ @ek&l@fofo/k Fnol@: To, The Principal MDS Public School Udaipur, Rajasthan Declaration Cum Consent

    Uploaded by

    Akshaan Khan
    The document is a declaration and consent form from parents regarding sending their child to school during the COVID-19 pandemic. It states that the parents understand the risks of infection but are voluntarily choosing to send their child. It outlines several protocols the child and parents will follow, such as not attending if residing in a containment zone, wearing a mask, maintaining hygiene and social distancing. It also notes that medical expenses and legal action will not be the responsibility of the school if the child contracts COVID-19. The parents and student sign acknowledging agreement to these terms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    To,

    The Principal
    MDS Public School
    Udaipur, Rajasthan

    DECLARATION CUM CONSENT

    1.) I and my / our ward(s) have read, understood and gone through the guidelines and advisories issued
    by the Central and State Government(s), Institute, from time to time including the Standing Operating
    Procedure – SOP issued by the Office of Director, Secondary Education Rajasthan, Bikaner vide
    its letter Øekad&f’kfojk&ek/;@ek&l@fofo/k fnol@2018/461 dated 07.01.2021 as amended pertaining
    to the protection of ourselves/ our ward(s) from the spread / infection of COVID-19 and duly
    understand that I/we are free to send our ward(s) to institute for attending classes or not, at our sole
    discretion / choice.
    2.) I and my / our ward(s) hereby acknowledge the fact that institute has taken all possible and appropriate
    measures to provide a safe and secure environment to its students, staff and visitors by placing all
    preventive measures to reduce the spread of COVID-19. However, since it is practically not possible for the
    institute to prevent all risks of infection as this virus is still spreading, hence the institute cannot assure /
    guarantee us that my / our ward will not become infected with COVID-19.
    3.) In the light of above, I/we in all conscience, willingly giving consent and declaring by submitting this
    form that-
    (A.) I/we are agreeing to send my/our ward(s) to the institute voluntarily and assuring that we and my / our
    ward(s) will follow / abide by all COVID-19 protocols / guidelines stated above without any lapse; and
    (B.) I and my/our ward are not residing in the Contentment Zone(s) declared by District Administration to
    stop the spread / infection of COVID-19 and/or if in future our residing area would be notified as
    Contentment Zone, we shall notify the same to the institute and will not send our ward(s) to the campus
    of institute to attend the classes; and
    (C.) I and my/our ward(s) are not suffering from any medical conditions, allergies or symptoms of Covid -
    19 etc. and medically fit to attend the classes / study sessions and assuring that he/she will wear mask,
    keep sanitizer with him/her, follow hygiene conditions and maintain minimum distance of 6 feet during
    all the time, while he/she would be at the institute.
    (D.) I and my/our ward(s) have understand that every day there will be sanitisation and temperature check at
    the institute gate and if our ward’s temperature is more than 100 F, he/she will be asked to sit in the
    isolation room under information to us to come and take him/her home.
    (E.) In case of any symptoms of COVID-19 would be detected, I/we will not send him/her to the schools or
    in case these symptoms would arise in during classes at institute, institute may inform us and may
    notify to the certain public health officials / local administration with a legitimate need / obligation in
    compliance of COVID – 19 guidelines. I/we shall not hold the institute responsible for this and
    accepting our full responsibility to bear all medical and hospital expenses and any other related
    expenses resulting out of it; and also undertake to not to initiate any legal action for recovery of hospital
    expenses, cost, damages or any other criminal action of any nature whatsoever against the institute, its
    officials and management staff.

    Name Of Student
    Name of Parent / Guardian:
    Date:
    Mobile No
    Emergency contact details (If different from above)
    Relation with Student
    Student’s Class
    Student’s Section (if alloted)
    Father’s signature
    Mother’s signature
    Student Signature

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