KPS Return to School Health Declaration Form
This form is to be used when children are returning to the school after any absence.
Email address *
Child's Name *
Child's Class *
Date of Return to School *
MM
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DD
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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 type parent/guardian name below. *
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