Return to School Parental Declaration Form for TY students 2021
Please complete this form if your child is returning to school further to any absence.
 
Appendix 3 listed below is an updated section of the Dept of Education and Skills Covid Response Plan. Please ensure you have read this.

Appendix 3 - Summary of additions to COVID-19 Response Plans required by ‘Work Safely Protocol'

Sec 5 Infection Prevention Control Measures - To prevent Introduction and Spread of COVID-19 in Schools

- Pupils are advised to self-isolate or restrict their movements at home if they display any signs or symptoms of COVID-19 and contact their family doctor to arrange a test
- Pupils are advised not to return to or attend school in the event of the following:

If they are identified by the HSE as a close contact of a confirmed case of COVID-19
If they live with someone who has symptoms of the virus
If they have travelled outside of Ireland; in such instances staff are advised to consult and follow the latest Government advice in relation to foreign travel.

Pupils are advised to cooperate with any public health officials and the school for contact tracing purposes and follow any public health advice in the event of a case or outbreak in the school;

Adherence to these guidelines is important.

Please see the attached Safe Schools document

 "Safe Schools Advice for Parents" from the DES.
http://loretonavan.ie/News/Safe-Schools-Advice-for-Parents/68693/Index.html


Please read the following advice from the HSE on testing for students under age 13 yrs
https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/guidance/primarycareguidance/adviceriskassessmentandmanagementofpatients/COVID-19%20Assessment%20and%20testing%20pathway%20for%20children.pdf

Please read the following advice from the HSE on testing for students over age 13

https://www.hpsc.ie/a-z/respiratory/coronavirus/novelcoronavirus/guidance/primarycareguidance/adviceriskassessmentandmanagementofpatients/Isolation%20quick%20guide%20adults%20and%20children%20from%20their%2013th%20birthday.pdf

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Email *
Student Name *
Student Base Class *
Please tick the box below to acknowledge your agreement with this health declaration form - I have no reason to believe that my child has an infectious disease and I have followed all medical and public health guidance with respect to the exclusion of my child from education facilities. *
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Parent/Guardian Name (for the purposes of this form, this is deemed to be the Parent/Guardian signature) *
Date of submission *
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