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Return to Educational Facility Parental Declaration Form
This form is to be used when children are returning to Our Lady's NS, Nurney, after an absence.
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Email
*
Your email
Name of child returning:
*
(Name all of your children returning if more than one)
Your answer
Parent/Guardian's Name:
*
Name of the parent/guardian filling out this form.
Your answer
Declaration: I have no reason to believe that my child has an infectious disease and I have followed all medical and public health guidance with respect to exclusion of my child from educational facilities. Signed:
*
Your answer
Date:
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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