Parental Consent and Disclaimer Form
Inter-State Trip Activity Permission Form by Parent or Legal Guardian
Form to serve as an Example and for Demo purpose.
(Please tick
or strike what is not appropriate I/We & fill in the blank details)
I/We the parents / guardians namely, Mr &
Mrs: ____________________________________________________________________________________________
have our child/children currently studying in
School/College ____________________________________________________________________________________________.
We are aware of the Goa Educational Tour
(GET) that is being planned & organized by your educational institution.
Our child/children are excited about it and we are interested that our
child/children should actively participate in this interstate tour to Goa.
We have been duly briefed about the GET tour
by the school/college authorities and the GET representative here in _____________________________, India.
We also have had a good look at the group educational trip event website of www.holidaygoa.com on the internet.
We
have read, understood, and have agreed to the Terms & Conditions and Package
details of Goa Educational Tours.
Our
child’s/Children’s names is/are:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
They are currently studying in
_________________________________________________________ standard of _______________________________________________________________________________
Educational institution.
As
parents and legal guardians of the above-mentioned student’s,
I/We provide our permission for our child/children to participate in the
interstate & outstation activity tour to the state of Goa.
We
provide our consent for our children to travel in the school/college
educational group tour to Goa. We
understand that multiple days will be spent in traveling to and fro between students Home state and the state of Goa on the train and the main educational tour organized by Holidaygoa Enterprises will be of 3 Nights & 4 Days within
Goa state only.
Travel
& Activity Disclaimer
I/We as parents and guardians do understand that personal injury can and may occur to my child/children,
and I/We hereby authorize Goa Educational Tours/Holidaygoa Enterprises/www.holidaygoa.com or any other appointed representatives
to seek and consent to emergency medical attention for my child/child if as and
when needed; and I further agree to be liable for and to pay all costs as and
when incurred in connection with such medical attention.
I/We as parents or legal guardians of the students hereby release Goa Educational Tours / Holidaygoa Enterprises / www.holidaygoa.com, its
proprietors, employees, agents, representatives, tour facilitators, tour
organizers, staff, and volunteers from any and all liabilities claims, demands,
causes of action and possible causes of action whatsoever arising out or
related to any loss, damage, or injury (including death) that MAY be sustained by
my child/children in some unfortunate, uncontrollable, and unforeseen accident,
while participating in the "GET" tour or while traveling to and fro from this event
in Goa.
Below
I/We have provided all of the personal and private Insurance information,
restrictions, known allergies, and present medications information necessary
for the child/children to appropriate medical care and attention ONLY when
extremely necessary.
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I/We
give permission to our child/children to travel by Train from Jharkhand to Goa
and to ride in any vehicle designated by Goa Educational Tour, its employees,
representatives, tour guides, and adult volunteers, while participating in and
traveling to and from this event.
I/We
agree to accept full responsibility, financially
or otherwise, for any damage, my child/children may do to the property of Goa
Educational Tours or other Public and Private properties, other third parties properties, or vehicles used for transportation visited on & during the
education tour to Goa.
I/We
have read, understood, agreed and voluntarily consent towards subscribing our
hand written name and signatures to all of the above statements.
Father’s
Full Name: ____________________ Mother’s
Full Name: _____________________
Father’s
Signature: ____________________ Mother’s
Signature: ___________________ __
Date:
____________________________________ Date: ______________________________________
Place:
___________________________________ Place: _____________________________________
Mobile Phone Number: ________________ Mobile Phone Number: ____________________
Emergency
Contact Number: __________ Emergency Contact Number:
______________
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