Return to School Declaration Form

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Please complete this form for your child after any absences from school during the school year 2021-2022.
Thank You.

Child's Name: *

Class Teacher: *

Mrs Kelly

Ms. Dunlea

Mr Earley

Mrs Coffey

Ms. Denmead

Mrs McGrath

Mr Brunnock

Please read the following and tick the box if you wish to confirm. Declaration: I have no reason to believe 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. *

Agree

Required

Reason for absence: *

Name of Parent/Guardian: *

Submit

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