COVID-19 Travel Declaration Form for Parents
For the health and safety of our community, declaration of travel and status is required. Be sure that the information you'll give is accurate and complete.
Child's Name
First Name
Last Name
1. Has your child travelled abroad during the past 30 days?
Yes
No
Travel Details
2. Does your child have plans to travel abroad during the rest of the year?
Yes
No
Travel Details
3. Is your child living with a household member under Home Quarantine Order (HQO) or Stay-Home Notice (SHN)?
Yes
No
Household Member's Name
First Name
Last Name
Relationship
HQO/SHN Start Date
-
Month
-
Day
Year
Date
HQO/SHN End Date
-
Month
-
Day
Year
Date
4. What transportation you use to drop and pick up your child?
Own vehicle
Taxi
Private hirer
Metro
Bus
By foot
By signing this form I acknowledge that the information I've given is accurate and complete.
Date
-
Month
-
Day
Year
Date
Signature
Clear
Declare
Should be Empty: