Return to Educational Facility Parental Declaration Form

Child's Name*:

Manager's Name:

Parent/Guardian's Name*:

Name of Setting*:

This form is to be used when children are returning to the setting after any absence.
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.

Signed*:

Date*:

Submit