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Consent Form for Sending My Child to School

This consent form outlines the responsibilities and acknowledgments of parents sending their children to Arya Mahila Nagarmal Murarka Model School during the COVID-19 pandemic. Parents agree to send their child voluntarily, understand the risks involved, and commit to following health guidelines, including submitting a negative COVID-19 test for re-entry. The form also states that the school cannot guarantee the absence of infection and that parents will bear all related medical expenses and not hold the school liable for any consequences related to COVID-19.

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6 views

Consent Form for Sending My Child to School

This consent form outlines the responsibilities and acknowledgments of parents sending their children to Arya Mahila Nagarmal Murarka Model School during the COVID-19 pandemic. Parents agree to send their child voluntarily, understand the risks involved, and commit to following health guidelines, including submitting a negative COVID-19 test for re-entry. The form also states that the school cannot guarantee the absence of infection and that parents will bear all related medical expenses and not hold the school liable for any consequences related to COVID-19.

Uploaded by

ravibitian
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 FOR SENDING MY CHILD TO SCHOOL

(In compliance with order No. 40-3/2020-DM-I) (A) of MoHA, Govt of India, dated September 30, 2020)

As a sincere parent of Arya Mahila Nagarmal Murarka Model School, Chetganj, Varanasi and a responsible citizen of India,
I understand that sending children to schools is completely at the discretion of the parents. I agree and accept the fact that
Arya Mahila Nagarmal Murarka Model School, Chetganj, Varanasi has taken all possible measures to provide a safe and
secure community to its students, staff and visitors. However, since it is practically not possible for the school to prevent all
risks of infection, I in all my conscience, willingly give the following consent –

 I understand that I am free either to send or not to send my child to school.


 By submitting this Consent Form, I am agreeing to sending my child to school voluntarily.
 In case of symptoms of COVID-19 surfacing in my child, I shall take him/her away from the school immediately
and I shall send him/her back to school again only when he/she completely recovers from COVID-19. I understand
and accept the fact that fact that I shall have to submit an RTPCR negative COVID-19 test report to the school when
my child joins back school.
 I accept full responsibility for familiarizing myself with the most recent updates and complying with the same at all
times while on the school premises.
 I understand and acknowledge that my ward will have to carry everyday to school a mask (an additional
extra if one gets lost or soiled) and sanitizer.
 I also understand that everyday there will be temperature check at the school gate and any child with
temperature of more than 1000 F, will either be sent back with the parents (If they come with parents) or
made to sit in the isolation room and parents inform to come and take them home.
 I will ensure that my child follows all hygiene norms and health related guidelines of the school at all times.
 I acknowledge that Arya Mahila Nagarmal Murarka Model School, Chetganj, Varanasi has done its best to
implement recommendations of the Ministry of AYUSH, the Ministry of Health, State and Local Administrative
guidelines and has put in place preventative measures to reduce the spread of COVID-19. However, because of the
nature of the virus being so, the school cannot guarantee that my ward will not become infected with COVID-19.
 I understand and consent to submit and comply with any testing; health monitoring and contact tracing protocol that
the school has determined/may determine in future which is prudent to maintain a safe campus environment.
 I understand and acknowledge that given the unknown nature of COVID-19, it is not possible to fully list each and
every individual risk of contacting COVID-19. Hence, I shall not hole the school responsible in case my child gets
infected by it in future.
 I understand that the school will take reasonable measures to ensure the confidential and private nature of the testing
and health monitoring information it may obtain from students, however, the school may share such information
with certain public health officials/local administration with a legitimate need to know this information.
 I accept full responsibility for bearing all medical and hospital expenses and any other related expenses resulting out
of my child getting the infection.
 I hereby undertake not be initiate any legal action for damages or any other criminal action of any nature whatsoever
against the school authorities and management in the event of my ward or anyone else contacting Covid-19 and
consequences thereof.
 I understand that in case of my child’s monthly fee not being clear every month by the due dat, he/she may not be
able to avail certain standard academics being provided by the school online. The child will not be able to take the
offline classes being held in the school either. However, the child will continue to avail the Basic Online classes.
 I also understand that I can approach the school office to avail installments on my ward’s pending fees in case I have
financial constraints.

DECLARATION AND CONSENT


I, ……………………………………., father/mother of …………………………………….. studying in your school in
Class.…section.… having registration no……………… agree to abide by all the points stated above concerning COVID-19
or related issues as amended/updated from time to time by the school and communicated via SMS, E-mail or WhatsApp to
students and parents. I hereby certify that my child is not COVID positive and my child has my consent to attend the school.
I, accept and declare that though the school is taking all possible measures to check possibilities of infection yet in case my
child back to school only when he/she is completely cured from Covid-19 and is certified accordingly.

Name of Parent Mr. / Ms…………………………………………….…………….Sign with date ……………………………

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