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Return to School Parental Declaration Form
This is a HSE Form that is now required when children are returning to school after ANY absnece, including the January / February School Closure.
Please complete and submit ONE FORM PER CHILD.
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* Indicates required question
School Name: Scoil na Croise Naofa, Mahon
Principal: Ms. Ciara Bowe
Child's Name
*
Your answer
Child's Class
*
Early Start
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 infectious disease and I have followed ALL medical and public health guidance with respect to exclusion of my child from educational facilities.
*
I confirm the above is true
Required
Signature of Parent:
*
Your answer
Date
*
MM
/
DD
/
YYYY
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