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Third Class Absence Note and Return to School Parental Declaration Form
This form must be completed when children are returning to school after any absence.
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* Indicates required question
Child's name.
*
Your answer
Class
*
Your answer
Date returning to school.
*
MM
/
DD
/
YYYY
Number of days absent :
*
Your answer
Reason for absence :
*
Your answer
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 school.
*
The above statement is correct
Required
Parent/Guardian name.
*
Your answer
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