Parents

Skibbereen Community School COVID-19 Parental DECLARATION FORM

In the interest of the safety of staff, their families and the community, we ask that you complete the following parental declaration before your child returns to school. Your co-operation and support is appreciated.

Child's Name

First Name

Last Name

Class

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.

Name as Digital Signature

First Name

Last Name

Date (DD/MM/YYYY)

Parental self-declaration

Parents

Skibbereen Community School COVID-19 Parental DECLARATION FORM

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