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.
Child's Name *
Class Teacher's Name *
Parent / Guardian's Name *
Name of 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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