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Return to Educational Facility Parental Declaration Form
To be completed when children are returning to the school setting after an absence
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* Indicates required question
Child's Name:
*
Your answer
Child's Year and Class:
Your answer
Parent's/Guardian's Name:
*
Your answer
Parent's/ Guardian's Email Address
*
Your answer
Parents Contact Number
Your answer
Name of the school:
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. (PLEASE SIGN BELOW)
Your answer
Date:
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/
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/
YYYY
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