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Swimming Consent Form

Consent

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Crishani
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27 views2 pages

Swimming Consent Form

Consent

Uploaded by

Crishani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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wisiowesS JU gs bliszil Uy ls ajo GDhe Apple Dnternational Community School Date: 271072021, Name o the Child: hse & Section: Kindly tek your chills [Z)rovce [] earner [foaed ContdentSwinmer [Competitive SrimmerDoes your child have or your child ever had any ofthe following health Issues. (Pease check and tek othe right of the column) ‘Yes [No [Specify ‘auaphobie 7 “stamatie Epileptic ‘Chlorine Allens ‘Heart Ailments ‘Langintection Post Surgery effects Undergone any major medical reatments Tar Infection ‘Skin’ Fungal infections S (5 (5 | 5 |S [55 |5 ‘Declaration ‘We hereby declare that our chil is FIT/ NOT FIT for swimming classes Apple interzaional Community ‘School wich includes vigorous activites. We also state that the potential information furnished above is ‘ructo tenatureassfety comes ist We understand the relevance ofthe medical information provided and hence that theschoo wil not be responsible for any unavoidable circumstances. We are aware of the things that our child must bring infor the school swimming classes and the rules& regulations to be invariably followed by hmm her. Name ofthe Father. ature with date. [Name ofthe mother semen dag? Contact Numbers: Father. Mother 50, 656812. 04-3708644,_.04-3086068 Warm regards, [AICS ADMINISTRATION

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