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Father’s Name:
Mother's Name:
Contact Number :
I , Father/Mother/Guardian of studying in
2021 Final exam components - EE, TOK and IA between 10th and 26th February 2021
A negative PCR COVID test administered within 72 hours of the first date my child will be
entering campus will be required for entry onto campus. By signing this form I ensure all safety
measures at home and send my ward only if he / she is healthy and fit in any following campus
visits within a 14 day window. I will ensure that my ward strictly follows the set protocol for
safety. I will ensure that he/she wears the mask and follows the instructions given by the school.
I understand that the safety and security of my ward is the responsibility of the school only till
he/she is on campus and not before and after.
(Please fill in specific details related to dismissal - i.e. will your child return home independently
using public transportation; will be picked up by driver (please include name), etc. I will instruct
my child to reach home straight after completion of the session at 3:30pm
I have read the notice/guidelines sent by the school and will abide by the same.
(Name: ` (Name: