Gaelscoil na bhFilí
This form is to be completed ON YOUR CHILD'S RETURN to school following an absence.
One form per pupil per period of absence must be filled out. Child and family agency TUSLA require that all absences from school are accounted for by parents/guardians.
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Ainm do pháiste / Name of pupil *
Rang do pháiste / Pupils Class *
Reason for absence *
Céad lá as láthair / First date absent *
MM
/
DD
/
YYYY
Lá deireanach as láthair / Last day absent from school *
MM
/
DD
/
YYYY
Is your child currently experiencing any of the main symptoms (cough, fever, fatigue, shortness of breath and loss of smell and taste) associated with COVID-19? *
Is your child over 48 hours free from the symptoms (cough, fever, fatigue, shortness of breath and loss of smell and taste) of COVID-19? *
Has your child or any family member received a test for COVID during the duration of illness? *
Aon eolas breise / Additional Info
Ainm tuismitheora nó Ainm caomhnóra / Parent or Guardian name *
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