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Return to school form
This form is required by the Department of Education. Please ensure that it is filled in for each child and submitted on return to school.
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* Indicates required question
Name of child
*
Your answer
Name of teacher
*
Mrs. Cullinan
Ms. Moore
Ms. Browne
Ms. Swift
Ms. Larkin
Ms. Quirke
Mrs. Fitzgerald
Mr. O'Dwyer
Mrs. Mulhern
Ms. Mahoney
Mrs. Whelan
Ms. O'Donoghue
Ms. Delahunty
Mrs. Lyons
Mrs. Power
Mr. Murphy
Declaration: I have no reason to believe that my child has infectious disease and I have followed all medical and public health guidance with respect to exclusion of my child from educational facilities.
*
Agree
Parent/guardian name
*
Your answer
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