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St John the Baptist BNS Return To School Parental Declaration Form
This Form is to be used when children are returning to the setting after any absence.
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* Indicates required question
Child's Name:
*
Your answer
Child's Class:
*
Choose
Mrs Laffan (Junior Infants)
Miss Kelly (Junior & Senior Infants)
Mr Colbert (Senior Infants)
Mrs Callanan ( First Class)
Mrs Bane (Second Class)
Ms O'Farrell (Third Class)
Mr Molloy (Fourth Class )
Ms Quinn (Fourth Class)
Miss Curry (Fifth Class)
Miss Crosse (Fifth Class)
Mr Coskeran (Sixth Class)
Name of Parent/Guardian completing this form:
*
Your answer
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.
*
Yes
Date:
*
MM
/
DD
/
YYYY
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