Heschel Travellers Agreement

If you have multiple children in your family, you must submit a form for each child.

Student Name*
First Last
Grade/Class*
Are you travelling outside of Canada?*
- Yes
- No
Date leaving Canada*
MM slash DD slash YYYY
Date returning to Canada*
MM slash DD slash YYYY
Completion date of self isolation (14 day isolation period beginning the first day of your return)*
MM slash DD slash YYYY

*By completing this form, I consent that all information is accurate and any changes will be reported to Heschel.