Modern School
Vasant Vihar
Date: 5th May 2008
Dear Parents,
This is to inform you that Under 16 trials for State team organized by B.C.C.I. will be conducted through schools this year. Keeping that in view, school had decided to arrange a cricket camp during summer holidays starting from 10th May 2008 to 30th May 2008.
The schedule during the camp will be as follows:-
Talented students from all age group will be eligible to join the camp. For the queries, please contact Mr. Pradeep Rawat, Cricket Coach on his mobile no. 9871448234.
Payment should be made in favor of Principal, Modern School Vasant Vihar. Fees will be Rs. 3000/-.
(HOD, Sports Dept.) (Principal)
_________________________________________________________________________________________________________________________
CONSENT FORM
NAME: ___________________________________
DATE OF BIRTH : ___________________________________
FATHER’S NAME: ___________________________________
MOTHER’S NAME: ___________________________________
ADDRESS: ___________________________________
SCHOOL: ___________________________________
__________________
(Signature of Parents)
Ph. No.: _______________
Mob.: _________________
_________________________________________________________________________________________________________________________
UNDERTAKING
(To be filled in by Parent/Guardian of the applicant)
Date: _______________ Signature: ______________
_________________________________________________________________________________________________________________________
The following students are selected for the camp:
_________________________________________________________________________________________________________________________
Following medicines are being given for the school camp
Name of the Medicine |
Illness |
Prescribed Dosage |
Dependal M |
Diarrhoea |
1 Tablet – 3 time a day |
Theo Asthalin |
Asthama |
1 Tablet – 3 time a day |
Crocin – Calpol |
Body pain, Fever |
1 Tablet – Repeat after every 6 hours. |
Wikorly |
Cold |
1 Tablet – Repeat after every 6 hours. |
CZ3-Cetzine |
Anti Allergy, Rash, Itching |
Once in a day |
Meftal Spas, Magadol |
Stomach ache |
1 Tablet – Repeat after every 6 hours. |
Brufen 400mg, Combiflame, Disprin |
Pain Killer, Body pain |
1 Tablet – Repeat after every 6 hours. |
Avomin |
Vomitting, Travelling sickness |
1 Tablet – Repeat after every 6 hours. |
Nausifar |
Travelling Sickness |
Once in a day |
Strepsils |
Sore Throat |
Once in a day |
No medicine to be given on empty stomach.