JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Return to Educational Facility Parental Declaration
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Name*
*
Your answer
Parents/Guardian's Name*
*
Your answer
Email Address
*
Your answer
What class is your child in?
*
Junior Infants
Senior Infants
1st Class
2nd Class
3rd Class
4th Class
5th Class
6th Class
Declaration: I have no reason to believe that my child has infectious disease and I have followed all medical and public health guidance with respect to exclusion of my child from educational facilities.
*
I confirm this declaration
I do not confirm this declaration
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
