Return to Educational Facility Parental Declaration Form

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Parents of students or students over 18 MUST complete this declaration before returning to school. This form is to be used when returning to the setting after any absence.

Name of Setting: Loreto Secondary School, Bray, Co. Wicklow

Name of Principal: Ms Emma Raughter

Email *

Student's name *

Parent/Guardian's name *

Students over 18 should input their own name

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 tick 'yes' or 'no' to confirm. If you tick 'no', please seek medical advice and do not send your child into school.

Yes

Date *

YYYY

Send me a copy of my responses.

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