Mulroy College Return to Educational Facility Parental Declaration Form
Dear Parent/Guardian,

In line with the Work Safely Protocol, the key to maintaining a safe school requires strong communication and a shared collaborative approach between the BOM/ETB, staff, students and parents.

The assistance and cooperation of all staff, students, parents, contractors and visitors is critical to the success of keeping us safe and well.

This form must be used when children are returning to the school setting after any period of absence and should be updated accordingly.

It is compulsory for all parents/guardians or students over 18 to complete this form prior to their son/daughter returning to school, any child returning without a completed form may be refused entry.

Regards,
Fiona Temple
Email address *
Principal's name *
Student's name *
The Year group the student is in *
Parent/Guardian's name *
Students over 18 should input their own 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 *
Please tick 'yes' or 'no' to confirm. If you tick 'no', please seek medical advice and do not send your child into school.
Date *
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