Health Declaration Form
for Onsite Classes

HEALTH DECLARATION FORM FOR ONSITE CLASSES

 

To ensure everybody’s safety, kindly fill out the health declaration form. Please take note that this health declaration form also serves as your confirmation in our on-site classes. Failure to submit the form automatically disqualifies you to attend. 

 

The form will be strictly confidential. Refusal to cooperate and report notifiable diseases such as COVD-19 is prohibited by law under Republic Act No. 11332. 

 

Thank you very much for being one with us in providing a safe haven for our beloved teachers, staff, students and their companions.

Please select
Please check any signs of illness that may have been experienced by you or any member of your family or household within the past 2 weeks
Has any member of your family or household traveled within or outside the country in the past 2 weeks?
Has any member of your family or household been exposed to a probable or confirmed case of COVID-19 in the past 2 weeks?
Are you vaccinated?

Thanks for submitting!

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