Return to School Parental Declaration Form
Scoil Éanna, Ballybay, Co Monaghan, A75 R285 Tel: 042 9741172
This form is to be completed when children are returning to school after any absence.
A separate form must be completed for each sibling,
5th Class1 (Mr Duffy)
5th Class2 (Ms Fitzpatrick)
Reason for absence eg. school closure, illness, appointment.
Declaration: I have no reason to believe that my child has any infectious disease and I have followed all medical and public health guidance with respect to exclusion of my child from educational facilities.
By writing my name here as parent/guardian I am agreeing with the declaration above
Date of Absence: From
If your child presents with ANY symptoms of COVID-19 please do not send them to school. Your cooperation helps keep us all safe. Thank you.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Scoil Éanna.