Return to School COVID-19   After Mid- Term    
This questionnaire must be completed by all parents at least 3 days in advance of returning to school. If the answer is Yes to any of the below questions, you are advised to seek medical advice before returning to school.      Please note:  The school is collecting this sensitive personal data for the purposes of maintaining safety within the workplace in light of the Covid-19 pandemic.  The legal basis for collecting this data is based on vital public health interests and maintaining occupational health and will be held securely in line with our retention policy.
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Childs Name *
Parents Name *
Date *
Does your child have symptoms of cough, fever, high temperature, sore throat, runny nose,  flu like symptoms difficulty breathing, loss or change in their sense of smell or taste (out of sorts) now or in the past 7 days? *
Has your child been diagnosed with confirmed or suspected COVID-19 infection in the last 7 days? *
Is your child awaiting the results of a COVID - 19 test? *
Has your child been in touch with a person who is a confirmed or suspected case of COVID-19 in the past 7 days? *
Has your child been advised by a doctor to self-isolate at this time? *
Has your child been advised by your doctor that he/she in the very high risk group? If yes, please liaise with your doctor and Principal re return to school. *
Has your child returned from abroad within the last 7 days?   *
If the answer to question 7 is yes please confirm which country and the date they returned from. Please note your child must quarantine for 14 days from time of re-entry to Ireland.  I confirm, to the best of my knowledge that my child has no symptoms of COVID-19, Is not self-isolating, isn’t awaiting results of a COVID-19 test or has not been advised to restrict their movements. *
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