Dear Parent

Jai Millennium!!!

This is to inform that the health authorities are organizing the Pulse Polio Programme                                    on 18th, 19^th and 20^th January 2015 for the children up to the age of 5 years. You are kindly requested to take your ward to the nearest booth assigned to your locality on these dates for the polio drops to be administered to them.

Stay Blessed.

Principal

Consent Form

The Principal

The Millennium School

Bathinda

Sub :- Consent for Administering Polio Drops

Please administer Polio drops to my ward ……………………………..……………….. of class ……………….. in the school premises. I understand that the school will take all possible care and precautions in the best interests of my child. I in no way would hold the school authority responsible for anything under any circumstances.

Parent’s Signature

Ph. No …………………………………