Bracebridge PS Attestation: Student Return to School Following an Illness
Everyone has a responsibility to help reduce the spread of COVID-19 in our community by wearing a mask, following physical distancing requirements, and following health unit advice and isolation requirements when ill, especially if the illness includes any of the symptoms that are common symptoms of COVID-19.

This form is to be used by parents/guardians PRIOR to a student who has been absent due to illness returning to school, in order to confirm compliance with health and safety protocols related to COVID-19.

If you have more than one child who was absent, please complete one form per student.
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Name of Student: *
My child was sent home from school OR was unable to attend school due to illness starting on (date): *
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I agree and confirm that my child passed their most recent COVID-19 school screening: https://covid-19.ontario.ca/school-screening/ Students must be screened every day using the school screening tool and must pass the screening prior to attending school, including following an absence due to illness. *
Absence Due to Symptoms of COVID-19: I agree and confirm that all of the listed criteria have been met for at least ONE of the following situations in relation to my child's absence and return to school: *
Required
Absence Due to Exposure:  I agree and confirm that all of the listed criteria have been met for at least ONE of the following situations in relation to my child's absence and return to school: *
Name of Parent Filling Out Form: *
Date of Survey Completion *
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Parent/guardian contact email address
Information collected on this survey will only be used for the purposes of tracking school attendance and monitoring COVID-19 protocol compliance. Data collected will not be used for any other purpose. Thank you for completing the Return to School Survey and for doing your part to keep our community safe.
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