RETURN TO EDUCATIONAL FACILITY PARENTAL DECLARATION FORM
This form is to be used when children are returning to the setting after any absence.
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Email *
Student's Email Address *
Students name: *
Parents/Guardian's Name: *
Year Group? *
Declaration:

I have no reason to believe that my child has infectious disease and I have followed all medical
and public health guidance with respect to exclusion of my child from educational facilities.
*
Date? *
MM
/
DD
/
YYYY
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