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: G POOL, KENDRIYA VIDYALAYA
SWIM TORS, OHINI, DELHI - 110088
REGI TION ,
Form No. .
1. Name (in capital letters)
2. Slo, Dio.
Admission No. -
DECLARATION
1 Certify that
a) T have gone through the rules and regulations of the swimming pool, given overleaf
and agree to abide by those rules and regulatiorts.
b) The information given above is correct to the best of my knowledge and if found
wrong, my membership may be cancelled. |
c) My ward will be participating in swimming classes on his/her own risk. /He/She
hereby indemnify schoo! management in this regard.
d) He/She shall use life saving equipments and dress as per the rules and advise of
coach/ life guard.
i
Parent's Signature Class Teacher's Signature Signature of Applicant
MEDICAL CERTIFICATE
(To be issued by M.B.B.S. Doctor Onl
Certify that Mr./Mrs./Miss re
S/o, Dio
Ro .: 7
5 . was examined by me.
He/She is not suffering from any communicable di “or any such dexbil
" 3 iseases, aller bility
which may render him/her unfit for swimming, He/She is fit for chacaming, re
Date:
Place : .. Sit seal
Signature of Doctor with seal
_ Rogistration No. Ly
FOR OFFICE USE ONLY
Medically fit & Recommended / Not Recommended
Permitted / Not Permitted ‘ PET/ In-charge
‘PRINCIPAL
Scanned with CamScanner gWIMMING POOL, KENDRIVA VIDYALAY
SECTOR-3, ROWINI, DELI — 110085
RULES & INSTRUCTIONS
. rea i ; ; ny
) will submit medical certificate that, he/she is not suffering from at
~ They Mable diseases or fiom such disability which may render his/her unfit for
water sport. +
water Sport a/ open injury oF illness would render the swimmer unfit for enter into
swimming pool till medically declared fit. , a
Personal particulars will be recorded int the register every time before entering the
ool. |
Entry to swimming pool without identity card will not be permitted.
Time in and out will be endorsed and full signature will be put in the register.
Swimmer will put on proper swimming costume/ truck and head cap as
nue
recommended by official.
‘Swimming is: water sport and children will of it on their own risk; School
management will not be responsible for any injuryjor loss of life.
No valuables should be kept in the changing ron. Care taker or school will not be
responsible for any loss whatsoever. :
|. Apart from the above rules, the instructions imparted by the principal/ coach will be
strictly’ followed failing which ‘disciplinary attion. will be ‘taken, against the
individuals.
10.'The school reserves the right of admission.
x
so
a
Lwe accept the rules/ instructions/ conditions as spelt-out above from SI. No. 1 to
10
"Full Signature Of Applicant
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