RETURN TO EDUCATIONAL FACILITY- Parental declaration form September 2021

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Please do not send your child to school if they are showing any symptoms of Covid 19 such as temperature, sore throat, cought, shortness of breath, change in taste or smell, headache, vomiting/diarrohea. If your child is feeling unwell in any way it is best to keep them at home and consult a doctor. HSE guidelines recommend staying at home for 48 hours after feeling unwell.

Email *

1. Child's full name *

Today's Date: *

YYYY

Parent's contact details *

Teacher's name and class *

Name of School *

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. *

Yes

Required

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