Medical Declarations

This screen is intended to allow you, as a Parent or Guardian, to submit a medical declaration of health on behalf of your child(ren) to your chosen school.

DataBiz Solutions is an Irish company that provides software to Irish schools. If you have been directed to this screen, that means that your chosen school is using this facility to accept Medical Declarations. DataBiz Solutions will process that data in the strictest confidence, and that data will be under the control of your school.

Any response to your application will come from - and any specific queries regarding medical declarations should be directed to - your chosen school.

Please enter your School's Roll Number:

Please enter YOUR full name:

Please enter below the details of those children to whom this declaration applies:

Child 1 Child's first name: Child's last name: Child's class:

Child 2 Child's first name: Child's last name: Child's class:

Child 3 Child's first name: Child's last name: Child's class:

Child 4 Child's first name: Child's last name: Child's class:

Child 5 Child's first name: Child's last name: Child's class: