Room 17  Return to Education Form
This form is to be used when children are returning to school after any absence.  
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Email *
Child's Name: *
Child's Teacher's name: *
I have no reason to believe that my child has an infectious disease. I have followed all medical and public health guidance with respect to excluding my child from educational facilities. By typing your name below you are signing this declaration.
Signature of Parents/Guardians: *
Date of return (day/month/year): *
A copy of your responses will be emailed to the address you provided.
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