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Consent Form

World Scholar’s Cup- Regional Round at Pathways World School, Aravali


(Sunday, 3rd Feb and Monday, 4th Feb, 2019)

I, ____________________________ student of Grade ______of Pathways World School, ID No. _________, agree to
participate in the World Scholar’s Cup- Regional Round at Pathways World School, Aravali, scheduled for
February 3rd and 4th 2019 (Sunday and Monday)

I, __________________________Parent of _________________________agree to pay to the School the charges specified for


this participation which is: Rs. 1800 by Tuesday, 22nd January, 2019. The charges for the participation can
be taken from Contingency account of the student.

The fees Includes- All charges- Registration, Meals and Transport (pick up and drop) up to Vatika City/
Leisure Valley.

I hereby agree that in the event of:


• Cancellation from our end there will be no refund.
• Further, I accept that if my ward is placed under a School disciplinary sanction between the
registration date and the actual event, which could lead to him/her not being able to attend, then I
will not be entitled to any refund.

I understand that this event will be supervised by member(s) of the School Faculty and that all reasonable
safety precautions will be followed.

I will not hold the School responsible for any circumstances beyond its control.

Name of the Student: _____________________________ Grade _____________ Student Id: ________________________.

Name of the Parent: ___________________Emergency Contact Number: _____________________.

School Transport required (Y/ No): _________________

Signature of the Parent: ___________________

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