COVID-19 Return to School Parental Declaration

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This form is a declaration by you, as parent as guardian, that your child is well, and you have not been advised by Public Health Officials to keep your child away from school (either by restricted movements or self-isolation)

Information is used only to check that parents have made this declaration.
Email address is collected, but as an identifier in the data only.
Only the Principal and school secretary has access to collected information.

If you have more than one child in the school, you just need to complete the form for the oldest child attending Cornamaddy NS this year.

Email *

Child's Surname *

Child's first name *

Parent/Guardian's name *

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 *

I confirm that the declaration above is TRUE

A copy of your responses will be emailed to the address you provided.

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