UNDERTAKING FORM FOR STUDENT PARTICIPATION
CISCE Games & Sports - Zonal Level Competitions
Date: ____/____/_________
To,
The Principal,
_____________________________
_____________________________
Subject: Undertaking for Participation in CISCE Games & Sports Zonal Level Competitions
We, the undersigned,
Name of Parent/Guardian: ____________________________________________________________
Parent/Guardian of (Student’s Full Name): ______________________________________________
Class: ___________ Section: _______ Date of Birth: _______________________________________
School: ______________________________________________________________________________
School Code:______________ CISCE Sports ID___________________________________________
do hereby give my consent for my child/ward to participate in the CISCE Zonal Level Games &
Sports competitions.
We understand and acknowledge the following:
1. Awareness of Risks:
We are aware that participation in the CISCE Zonal Level Games & Sports competition may
involve certain risks of injury, illness, or other adverse events.
2. No Insurance:
We are aware that our child/ward is being permitted to participate at the zonal level without
mandatory medical / accidental insurance. Further, if my child qualifies for the next level of
competition (Regional/National), We understand that insurance will be mandatory for further
participation and no exemption will be allowed.
3. Responsibility:
We hereby declare and confirm that neither CISCE nor the host school shall be held responsible
in the event of any misfortune or accidents and/or personal injuries whether fatal or otherwise
involving our child and also agree that we are solely responsible for any costs associated with
any injury, illness, or other medical or financial consequences arising from the student's
participation in the CISCE Zonal Level Games & Sports competition.
We shall undertake full responsibility of all the consequences should any other person or
anybody suffers such accidents and/or personal injuries and/or damage to the property as a
result of our child’s /ward’s negligent act during the period of event organised.
4. Compliance:
We ensure that the child’s/ward’s follows all rules, regulations, and guidelines established for
the smooth conduct of the competition.
5. Indemnity:
We agree to indemnify and hold harmless CISCE and the host school from any and all liability,
claims, damages, or losses arising from the child’s/ward’s participation in the CISCE Zonal
Level Games & Sports competition.
6. Medical Emergencies:
In the event of a medical emergency, we agree that we will be responsible for arranging and
paying for any necessary medical care and transportation for the child/ward.
Declaration:
We hereby declare that I have read and understood the above terms and voluntarily agree to
them.
Parent/Guardian Signature: ___________________________
Name: ___________________________________________
Mobile Number: _______________________
Date: _______________
Countersigned by the Principal:
Signature: ___________________________
Name: ___________________________________________
Date: _______________
School Seal
