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HSE Parental Declaration Form
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Child's Name
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Room Number
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Ms Burns Junior Infants Room 1
Mrs Arthur Junior Infants Room 8
Mrs Lambe Junior infants Room 7
Mrs McCarey Junior Infants Room 4
Mrs McKenna Senior Infants Room 9
Ms Lynch Senior Infants Room 10
Mrs Carville Senior Infants Room 13
Ms Fitzpatrick First Class Room 11
Ms Peoples First Class Room 12
Ms McCague First Class Room 14
Parent Declaration: I have no reason to believe that my child has an infectious disease and I have followed all medical and public health guidance with respect to exclusion of my child from educational facilities. Please sign your name below.
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