Frontline Return to Class
Covid 19 return to class form. Please fill in separate forms for each student.
Sign in to Google to save your progress. Learn more
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.  *
If required, I agree that Frontline Stage School may share my contact details with the HSE for contact tracing purposes. * *
Thank you and see you soon at class!
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy