Return to Educational Facility Parental Declaration Form
To be completed when children are returning to the school setting after an absence
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Email *
Child's Name: *
 Child's Year and Class:
Parent's/Guardian's Name: *
Parent's/ Guardian's Email Address *
Parents Contact Number
Name of the school:
Declaration: 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 exclusion of my child from educational facilities.  (PLEASE SIGN BELOW)
Date:
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