Callystown N.S. Pupil Return to School Form
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Name(s) of Pupil(s) *
Their Class(es) *
Required
Start Date of Absence *
Please type the date or dates of absence.
MM
/
DD
/
YYYY
End Date of Absence *
Please type the date or dates of absence.
MM
/
DD
/
YYYY
Any other relevant information
Declaration: I have no reason to believe that my child has an infectious disease and I have followed public health guidance with respect to the exclusion of my child from school. *
Required
Name of Parent(s)/Guardian(s) *
Today's Date *
MM
/
DD
/
YYYY
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