Health & Travel Declaration Form

1. Does your child have flu-like symptoms?

e.g. fever, cough, runny nose, sore throat or loss of taste / smell, etc.

—Please choose an option—YesNo

2. Have your child tested ART positive in the past 3 days?

—Please choose an option—YesNo

3. Is your child currently awaiting a COVID-19 swab result?

—Please choose an option—YesNo

4. Is your child currently serving Isolation Order (IO) or Stay-Home Notice (SHN)?

—Please choose an option—YesNo

5. Is your child currently under MOH Health Risk Warning (HRW) monitoring?

—Please choose an option—YesNo

I hereby declare that I have provided the above information truthfully and I understand that making false declarations here can be prosecuted under the Infectious Disease Act.