This form is to be used when children are returning to Eyrecourt NS after their Halloween break. ***Please complete a separate entry for each of your children.
Child's name *
Your answer
Class *
Declaration: I have no reason to believe that my child has an infectious disease and that I have followed all medical and public health guidance with respect to the exclusion of my child from educational facilities. *
Parent name *
Your answer
A copy of your responses will be emailed to the address you provided.