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Return to Educational Facility Parental Declaration Form
Tá an fhoirm seo le húsáid nuair a bhíonn páistí ag filleadh ar an suíomh tar éis aon asláithreachta - This form is to be used when children are returning to the setting after any absence.
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PRÍOMHOIDE: Mícheál Ó Broin
SUÍOMH: Gaelscoil Chnoc na Ré
(CHILD) AINM/NAME:
*
Your answer
RANG
NAÍONÁIN SHÓISIR (Yvonne)
NAÍONÁIN SHINSIR (Jade)
RANG 1 (Laura Ann)
RANG 2 (Fiona)
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(PARENT/GUARDIAN) AINM/NAME:
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Your answer
DÁTA/DATE:
*
MM
/
DD
/
YYYY
DEARBHÚ/DECLARATION
Níl aon chúis agam a chreidiúint go bhfuil galar tógálach ar mo pháiste agus lean mé gach treoir leighis agus sláinte poiblí maidir le mo pháiste a eisiamh ó shaoráidí oideachais - 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.
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