KPS Return to School Health Declaration Form
This form is to be used when children are returning to the school after any absence.
Sign in to Google to save your progress. Learn more
Email *
Child's Name *
Child's Class *
Date of Return to School *
MM
/
DD
/
YYYY
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. Please type parent/guardian name below. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms