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.

Thank you
Email address *
Child's FULL Name *
Level *
Please select the branch(es) that your child is attending lessons *
Required
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 Name *
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. *
Declaration *
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