Little Treasures Nursery

Ras Al Khaimah

Dear Parent/Staff,

In order to ensure the continuous wellbeing of our nursery community (Students/Staff/Parents), as per the current prevention and control policy of COVID-19, Dubai Health Authority requires you to provide information regarding history of travel in the last 14 days and health status.

Please report and update regularly in case of travel.

Are u?

Parent on behalf of student

Staff Member

Name:

Date of Birth:

Parent/Guardian Name:

Have you travelled in the past 14 days?

Yes

No

Any history of contact with confirmed COVID-19 in the last 14 days?

Yes

No

Any current fever or flu like symptoms?

Yes

No

Have you had any PCR testing done?

Yes

No

Contact Number:

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief, and I undertake the responsibility to inform nursery clinic of any changes therein, immediately. I also agree to download the ALHOSN application.

Email

Thanks for submitting!

Little Treasures Nursery

Tel: 07-2432307 / 055-3218851 Email: littletreasuresnurseryrak@gmail.com

bottom of page