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Weekly Declaration Form

In response to the recent Coronavirus (COVID -19) ABC Nursery is taking precautions to lessen the spread of the virus.  All parents must read and sign the declaration form on weekly and send to the nursery electronically


  • I have not, or any of my family members in my household, been in contact with someone who is suspected of being infected with COVID-19 or someone diagnosed with COVID-19.

If yes please mention the date:

As identified by the authorities in the UAE, I have not recently experienced/ experiencing any of the following symptoms of COVID-19:


  • Fever

  • Cough with shortness of breath

  • Repeated shaking with chills

  • Muscle pain

  • Headache

  • Sore throat

  • Loss of sense of taste and/ or smell

I recognize that the following chronic diseases are considered as high risk and could pose complications with COVID-19. I acknowledge that if I have or anyone in my family has the following chronic illnesses, and that if I choose to send my child to the nursery, I am exposing myself or my family members with the chronic disease to an added risk if exposed to COVID-19. The following illnesses include but may not be limited to:

  • Cancer

  • HIV

  • Recent transplants

  • Respiratory issues

  • Kidney or heart issues

  • Inflammation

I hereby acknowledge and undersign that the information I have provided above is accurate and correct. I’m fully aware of the risks/threats posed to the community if I fail to adhere to the Nursery Guidelines, and shall immediately notify the nursery in the event of myself or my child being infected by Covid-19, or if I suspect that my child or I have been infected or exposed; or if I/my child show any symptoms of being infected by the said virus and that ALHOSN application has been downloaded and is active.

This is a declaration from me, the undersigned, that I shall comply with all the above and with all procedures issued by relevant authorities

Thanks for submitting!

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