Student Health Declaration Form
Dear parents & students
As part of precautionary measures to ensure the health and well-being of your child and others, please fill in the form truly and completely.
Child's FULL Name
Please select the branch(es) that your child is attending lessons
Did your child travel to any foreign countries in the last 14 days?
Did your child have any of the following symptoms in the last 14 days; fever, colds, cough, sore throat or difficulty in breathing, loss of smell?
Did your child consult a doctor?
Have your child been in close contact with any individual with a confirmed COVID-19 infection in the last 14 days?
Did your child receive any LOA, AA, SHN or HQO from school or other organizations in the last 14 days?
Did anyone in the household receive any LOA, AA, SHN or HQO from school or other organizations in the last 14 days?
Parent's Phone number
I am aware that I have to update the centre via a phone call should there be any changes to my child's health declaration at any point of time.
I declare that all the infomation given in this form is true and correct.
Send me a copy of my responses.
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