Please fill in your child’s name and confirm by ticking the box at the bottom of this form. This form goes directly to your students’ teacher.

Our Lady of Good Counsel GNS, Johnstown, Dún Laoghaire, Co Dublin.

We would appreciate if you would complete the return to school declaration.

Declaration: I have no reason to believe that my child has an infectious disease and I have followed all medical and public health guidance with respect to exclusion of my child from educational facilities. *

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