On-Site Attendance / COVID-19 Declaration Form
To ensure the ongoing health and well-being of all members of our school community, please complete this form upon entering the school.

All information provided will be dealt with in the strictest of confidence in accordance with the Australian Privacy Principles contained in the  Commonwealth Privacy Act 1988 as detailed in the school’s Privacy Policy.  A copy of the Privacy Policy is available on the school’s website.

St. Patrick's School reserves the right to refuse entry to the school if you have answered Yes to any of these questions. We trust that you appreciate your declaration is in the best interests of the health & well-being of all members of our school community.
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Your Name *
Mobile No.
Has anyone who lives at your address returned from domestic or international travel within the last 14 days? *
Required
In the last 14 days, has anyone who lives at your address been in physical contact with a person/s who has been diagnosed with the COVID-19 virus? *
Required
Is anyone who lives at your address currently under a form of self-isolation as a result of an order of a government authority or as the result of a recommendation by a health professional? *
Required
In the last 14 days, has anyone who lives at your address been in physical contact with a person/s who is in self-isolation due to the COVID-19 virus? *
Required
In the last 14 days, has anyone who lives at your address experienced symptoms such as: >Flu-like symptoms >Fever >Coughing >Shortness of breath >Fatigue *
Required
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