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Return to Education Form September 2021
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This form is to be used when children are returning to Eyrecourt NS after an absence. ***Please complete a separate entry for each of your children.
Child's name
*
Your answer
Class
*
Junior Infants
Senior Infants
1st Class
2nd Class
3rd Class
4th Class
5th Class
6th Class
Declaration: I have no reason to believe that my child has an infectious disease and that I have followed all medical and public health guidance with respect to the exclusion of my child from educational facilities.
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Parent name
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Your answer
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