Concent Form

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Consent Form for IIT Kanpur Educational Trip

I,___________________________(Father's/Mother's name) hereby give my child,


_______________________consent for my studying in Class_______ Sec_______
to participate in the school educational tour to IIT Kanpur on 30/05/2023.
I understand that my child will be representing our school during the tour and I
will ensure that they adhere to the highest standards of behaviour and conduct. I
will inform my child about the importance of respecting the facilities, guidelines,
and instructions provided by the authorities at IIT Kanpur.
I will ensure that no mobile phone/electronic gadget will be carried by my child
during the said trip.
Personal Information:
Parent/Guardian's Full Name: _____________________________,
Relation with child -___________________________,
Address: ___________________________________,
Contact Number: _______________________, Alternate Contact no.
______________________,
General Instructions -
Tour Fee: The tour fee for the visit to IIT Kanpur is Rs 500 per student. The
payment should be made in advance to confirm the participation of the student.
The fee covers transportation fees only.
Departure timing - 6:30 am from School Campus on 30/05/2023
Return Timing - 7:00 pm (Expected). Pick and Drop will be from School Campus
only.
Parent/Guardian's Signature:________________
Date: ____________
Student's Signature: _______________
Date: ____________

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