HSE / HPSC Return to Educational Facility Parental Declaration Form 2021
This form is to be completed and digitally signed when children are returning to St. Catherine's Senior School after any absence.
Class Teacher's Name
Parent / Guardian's Name
Name of School
St. Catherine's Senior School
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.
Online signature of Parent / Guardian
Date Signed (dd/mm/yyyy)
Please note: By clicking agree and writing your name, you are electronically signing this document.
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This form was created inside of St. Catherine’s Senior School.