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Room 20 Ms Hoey Return to Education - Parental Declaration Form
This form is to be used when children are returning to school after any absence.
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* Indicates required question
Child's Name:
*
Your answer
Child's Teacher's name:
*
Your answer
I have no reason to believe that my child has an infectious disease. I have followed all medical and public health guidance with respect to excluding my child from educational facilities. By typing your name below you are signing this declaration.
Signature of Parents/Guardians:
*
Your answer
Date of return (day/month/year):
*
Your answer
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