Return to School Parental Declaration Form
Scoil Éanna, Ballybay, Co Monaghan, A75 R285 Tel: 042 9741172
This form is to be completed when children are returning to school after any absence.
A separate form must be completed for each sibling,
Email *
Child's Name *
Class *
Reason for absence eg. school closure, illness. *
Declaration: I have no reason to believe that my child has any infectious disease and I have followed all medical and public health guidance with respect to exclusion of my child from educational facilities. *
By writing my name here as parent/guardian I am agreeing with the declaration above *
Date of Absence: From *
MM
/
DD
/
YYYY
To: *
MM
/
DD
/
YYYY
If your child presents with ANY symptoms of COVID-19 please do not send them to school. Your cooperation helps keep us all safe. Thank you.
A copy of your responses will be emailed to the address you provided.
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