Return to School Declaration Form - St. Patrick's
This form is to be used when your child is returning to school after any absence (as advised by the HPSC / Health Protection Surveillance Centre). Please complete separately for each child. Thank you.

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.

Please answer all 5 questions and click Submit
Name of Child *
2. Your Child's Class: *
3. Signed (Parent's/Guardian's FULL name): *
4. Your Mobile Number: *
5. Today's Date: *
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