Frontline Return to Class
Covid 19 return to class form. Please fill in separate forms for each student.
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Where do you attend Frontline Stage School? *
Name of Child *
Name of Parent/Guardian *
Parent/Guardian email *
Current Class at school *
Do any members of your family have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like symptoms now or in the past 14 days? * *
Have any members of your family been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days? * *
Have any members of your family been in close contact with a person with a confirmed or suspected case of COVID-19 in the past 14 days (ie. Less than 2 metres for more than 15 minutes accumulative in 1 day)? * *
Have any members of your family been advised by a Doctor to self-isolate or cocoon in the last 14days? * *
Please supply any details below of any circumstances relating to COVID-19, not included in the above, which may need to be considered to allow your child’s safe return to classes. * *
If any of these details change after this form is completed and submitted, I agree to contact Frontline Stage School by phone immediately.  *
Required
If required, I agree that Frontline Stage School may share my contact details with the HSE for contact tracing purposes. * *
Required
Thank you and see you soon at class!
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