TLDSB Return to School Commitment

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The return to school for students will look very different this year. Each day, parents/guardians are to do an assessment of their child’s health before they go to school. Students who are showing any symptoms are to stay at home. All staff and any essential visitors must also complete a self-assessment each day before entering the school building. The Daily Health Assessment Chart may be found at https://www.tldsb.ca/returntoschool/

All TLDSB students are to wear a face-covering/cloth mask while at school and on the bus. Students must bring their own cloth face-coverings/mask(s) from home.

This form is an agreement where you as the parent/guardian of your child commit to completing a daily health assessment of your child and sending your child to school with a cloth face-covering/mask(s) each school day.

Please complete this form for each child in your household.

School Name *

Student Last Name *

Student First Name *

Child's Grade *

Parent/Guardian' Full Name (or Student Full Name if over 18) *

Phone Number *

Please review the following statements:

I will do a daily health assessment of my child each day prior to sending them to school.

I will keep my child home from school if my child has any of the symptoms listed in the
daily health assessment checklist.

I understand that if my child shows signs of any symptoms on the checklist, that they will
be removed from the classroom and I will be asked to collect them from the school.

I will send my child to school with a cloth face-covering/mask(s) to be worn throughout the school day and on the bus.

Confirmation of commitment *

I agree to abide by the above statements

Required

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