Return to School Parental Declaration Form

This Form is to be completed when children are returning to the setting after any absence.

School Principal: Ms Bridann Molony
Name of Educational Facility: Scoil Angela, Ursuline Primary, Thurles,

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.

1. Child's Name *

2. Child's Class

3. Name of Parent/Guardian completing this form *

4. Signature *

5. Date *

YYYY

Website