COVID-19 TRAVEL & HEALTH DECLARATION FORM

Student Name:

Have your child(s) travelled abroad (outside Singapore) in the last 14 days ?
YesNo
Have your child(s) been in close contact with a case of COVID-19 infection in the last 14 days ?
YesNo
Is your child(s) currently serving a Quarantine Order (QO), Stay-Home Notice (SHN) or awaiting a COVID-19 result ?
YesNo

Parent Name:

I hereby declare that I have provided the above information truthfully.