Westside Performing Arts COVID-19 Return to Class
The following has been adapted from the HSA ‘Return to Work Form’
To help prevent the spread of COVID-19 in our studios, every student (parent) must compete this form before returning to Westside.
On Review of the form, Westside may contact you and ask you not to return to the studios immediately and will discuss a suitable future date for your return. N.B Every question MUST be answered.

*Should you be unsure of whether or not you are considered to be in the ‘at risk’ category, further information on people who are at higher risk from Coronavirus can be accessed at https://www2.hse.ie/conditions/coronavirus/people-at-higher-risk.html
IMPORTANT – Should your situation change after you complete and submit this form, please inform Westside at your earliest convenience.
  • YES NO
    1. Do you have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like Symptoms now or in the past 14 days?
    2. Have you been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days?
    3. Are you a close contact of a person who is a confirmed or suspected case of COVID-19 in the past 14 days (i.e less than 2 meters for more than 15 minutes altogether in 1 day)?
    4. Have you been advised by a doctor to self-isolate at this time?
    5. Please provide details* below of any other circumstance relating to COVID-19, not included in the above, which may need to be considered to allow your safe return to class.
    6. Do you understand that should you be coming from another training facility or gathering of people, you are responsible for limiting the spread of infection and therefore need to adhere to Westside COVID-19 procedures.
    6A. Which include but are not limited to; changing clothes and practicing good hand and respiratory hygiene?
    7. Have you travelled to any country outside of the Republic of Ireland in the last 14 days? Please provide details below if you answered YES
  • Name of Signatory
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