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