Tel. 021 4500059St Patrick's Hill, Cork

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St Angelas College

"Those who instruct many unto justice will shine like stars for all eternity"

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Covid-19
School Life
Principal
- Office Hours
School History
A Caring Community
Calendar
- Equipment Booking System for Staff
- Exam Booking Calendar for Staff
Facilities
- PE and Sports Facilities
Contact Us
Recruitment

Home
Covid-19
School Life
Principal
- Office Hours
School History
A Caring Community
Calendar
- Equipment Booking System for Staff
- Exam Booking Calendar for Staff
Facilities
- PE and Sports Facilities
Contact Us
Recruitment

Student Return to School Declaration Form

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Student Return to School Declaration Form

GENERAL
Child's Name*
First Name Surname
Year*
Parents / Guardian's Name*
First Name Surname
Managers Name*
Name of Setting*
This form is to be used when children are returning to the setting after any absence.
Question
Do you / Does Your child have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like symptoms now or in the past 14 days?*
- Yes
- No
Have you / Has Your child been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days?*
- Yes
- No
Are you / Is your child a close contact of a person who is a confirmed or suspected case of COVID-19 in the past 14 days (i.e. less than 2 metres for more than 15 minutes accumulative in 1 day)?*
- Yes
- No
Have you / Has your child been advised by a doctor to self-isolate at this time?*
- Yes
- No
Have you / Has your child been advised by a doctor to cocoon at this time?*
- Yes
- No
You will be requested to not enter the building if you answer “Yes” to any of the above questions.

Please note: The school is collecting this sensitive personal data for the purposes of maintaining safety within the workplace in light of the COVID-19 pandemic. The legal basis for collecting this data is based on vital public health interests and maintaining occupational health and will be held securely in line with our retention policy.

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.
Signature*
DATE COMPLETED:*
DD slash MM slash YYYY