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Return to Educational Facility Parental Declaration Form- Tombrack NS
This form is to be used when children are returning to the setting after any absence.
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* Indicates required question
Childs name
*
Your answer
Class
*
Junior Infants
Senior Infants
1st
2nd
3rd
4th
5th
6th
Declaration:
*
I have no reason to believe that my child has an infectious disease and that I have followed all medical and public health guidance with respect to the exclusion of my child from educational facilities.
Signed by parent/guardian:
Your answer
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