Return to School Declaration Form

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Return to School Declaration Form - St. Patrick's

This form is to be used when your child is returning to school after any absence (as advised by the HPSC / Health Protection Surveillance Centre). Please complete separately for each child. Thank you.

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 answer all 5 questions and click Submit

Name of Child *

2. Your Child's Class: *

3. Signed (Parent's/Guardian's FULL name): *

4. Your Mobile Number: *

5. Today's Date: *

YYYY

Submit

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This form was created inside of St Patrick's BNS. Report Abuse

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