Return to Educational Facility Parental Declaration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

All students returning to school are required to have a "Return to Educational Facility Parental Declaration Form" completed for each child as laid out in the Schools Pathway document.
This is part of the Public Health Risk Assessment (PHRA), which is undertaken in all educational facilities.

If you have a child enrolled in Coláiste Chiaráin, please complete this form for each individual child. Once you click submit you will be presented with the opportunity to submit another Form.

If you are not sure that your child is fit to return to school, please consult with your family GP.

Thank you.

Name of Parent/Guardian completing this Form *

Name of Student *

YearGroup of Student *

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.

Confirmation *

I declare that my child is not unwell or sick and can return to school.

Yes

Required

Any other Comments

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Coláiste Chiaráin. Report Abuse

Forms