STUDENT REGISTRATION FORM
Child’s Name ;
Age Date of Birth
Guardian’s Name : Contact Phone Number
Email Address
Contact name of another Adult ( In case of emergency ) :
Phone Number : Email address :
Please note all answers are in strictest confidence. Please list here any relevant medical information which would enable me to better help me attend to your child’s needs ( epilepsy, asthma, Learning or mobility needs ) Please note I strongly advocate an inclusive policy where every student deserves access tofun social engagement.
Does your child have any anxiety, grief, identity or confidence issues ? Frequently we can build in uplifting and supportive elements to the Workshops
From time to time, during workshops, Field Trips and Exhibitions we may photograph students creating. Please circle one of the two options below
I do/ do not consent to my child being photographed for use on Mary Murphy’s Website /social media, (no child named) .
Signed
COVID-19 Response Plan for The Mary Murphy School Of Art
including Protocols for Safe Reopening
Risk assessment specific to The Mary Murphy School Of Art Studio
1. Procedures for Arrival and Pick-up
2. Procedure in Case of Non COVID-19 Emergency
3. Implementing the COVID-19 Prevention and Control Measures to Minimize Risk to Teachers and Students
Policies and procedures for prompt identification and isolation of workers/students who may have symptoms of
COVID-19. The prompt identification and isolation of potentially infectious individuals is a crucial step in
protecting the worker involved, their colleagues, customers or others at the workplace.
● Mary Murphy will keep a log of all classes held to facilitate contact tracing
● Mary Murphy will display information on signs and symptoms of COVID-19
● Mary Murphy will provide up to date information on the Public Health advice issued by the
HSE and Gov.ie
We will:
5. Dealing with a Suspected Case of COVID-19 in the Workplace/Class
6. Information on Public Health and Occupational Health and Safety
Health & Safety Authority: http://www.hsa.ie/
The Health and Safety Authority Workplace Contact Unit at [email protected] and Tel: 1890 289 389
The Health Service Executive, HSElive at Tel: 1850 241850 https://www.hse.ie/eng/hselive/
With reference to:
Return to Work Safely Protocol: COVID-19 Specific National Protocol for Employers and Workers
As information about the virus is evolving, public health advice is being updated on a regular basis, and
it is important to recognise that flexibility will be required in meeting the measures to reduce the spread
of the virus; this also means that these policies will be subject to change on an ongoing basis.
COVID-19 Response Plan for The Mary Murphy School Of Art
including Protocols for Safe Reopening
Consent Form
The Mary Murphy School Of Art agrees to adhere to the Irish government and the World Health Organisation (WHO) recommended ways to prevent the spread of infection.
The Mary Murphy School Of Art will ensure that the appropriate measures are in place; e.g. through displaying posters promoting hand washing and ensuring hand sanitiser/and or soap is available on the premises.
The Mary Murphy School Of Art will also encourage the practice of good coughing and sneezing etiquette.
If your child (or anyone in your household) is unwell, even with a mild cough or fever, they should stay at home and will not be permitted to participate in the art class or onto the premises.
The parent/legal guardian agrees that the Mary Murphy School Of Art is not responsible for any spread of infection or contraction of Covid-19.
Name of child: ___________________________________________
Name of parent/legal guardian: ___________________________________________
I confirm that I have read the above information sheet and agree to conform to its stipulations/rules.
Signature of parent/legal guardian: ___________________________________________
Date: ___________________________________________
Child’s Name ;
Age Date of Birth
Guardian’s Name : Contact Phone Number
Email Address
Contact name of another Adult ( In case of emergency ) :
Phone Number : Email address :
Please note all answers are in strictest confidence. Please list here any relevant medical information which would enable me to better help me attend to your child’s needs ( epilepsy, asthma, Learning or mobility needs ) Please note I strongly advocate an inclusive policy where every student deserves access tofun social engagement.
Does your child have any anxiety, grief, identity or confidence issues ? Frequently we can build in uplifting and supportive elements to the Workshops
From time to time, during workshops, Field Trips and Exhibitions we may photograph students creating. Please circle one of the two options below
I do/ do not consent to my child being photographed for use on Mary Murphy’s Website /social media, (no child named) .
Signed
COVID-19 Response Plan for The Mary Murphy School Of Art
including Protocols for Safe Reopening
Risk assessment specific to The Mary Murphy School Of Art Studio
1. Procedures for Arrival and Pick-up
- Students should not present for class if they are feeling unwell
- Wearing of face covering for ages 13+ is to be decided by Parent/Guardian/Student.
- Toilet access will be minimised
- Students should arrive exactly on time, early arrival cannot be facilitated as cleaning and sanitising of the studio must take place between classes
- Teachers will wash hands and use hand sanitiser between classes
- Children will be escorted to exit for pick-up
- Parents/Guardians and non-students are not allowed to enter the building and must wait outside
- Parents/Guardians must pick-up on time to avoid any congregation of students outside buildings. NO PARKING OR BLOCKING NEIGHBOUR'S GATEWAYS.
- Parents/Guardians should maintain social distancing outside the studio while waiting for children
- Correct amount of Money for classes MUST be brought in an envelope WITH students name on it.
- Strict no hand shaking policy
- Practice good coughing and sneezing etiquette
2. Procedure in Case of Non COVID-19 Emergency
- A first aid box with gloves, ice-packs and medical equipment is available in the studio
- The designated first-aider using this area must first wash hands, then put on gloves & face mask
- on before attending to a student needing attention.
3. Implementing the COVID-19 Prevention and Control Measures to Minimize Risk to Teachers and Students
Policies and procedures for prompt identification and isolation of workers/students who may have symptoms of
COVID-19. The prompt identification and isolation of potentially infectious individuals is a crucial step in
protecting the worker involved, their colleagues, customers or others at the workplace.
● Mary Murphy will keep a log of all classes held to facilitate contact tracing
● Mary Murphy will display information on signs and symptoms of COVID-19
● Mary Murphy will provide up to date information on the Public Health advice issued by the
HSE and Gov.ie
We will:
- Make themselves aware of the signs and symptoms of COVID-19 and monitor their own wellbeing
- Self-isolate at home and contact their GP promptly for further advice if they display any signs or symptoms
5. Dealing with a Suspected Case of COVID-19 in the Workplace/Class
- While teachers/students should not attend work/class if displaying any symptoms of COVID-19, the
- following steps outline how employers should put in place a response plan in advance and also deal with a suspect case that may arise during the course of work.
- Designated isolation has been allocated in The Studio
- Other students will not have any access to the isolated person
- Student’s parent(s) will be contacted and they will be taken home immediately
- Staff will maintain 2 metre distance
- Both will wear facemasks
- The teacher should avoid touching people, surfaces and objects
- Advice should be given to the person presenting with symptoms to cover their mouth and nose with the disposable tissue provided when they cough or sneeze and put the tissue in the waste bag provided
- Assessment of the incident will be undertaken, which will form part of determining follow-up actions and recovery
- Appropriate cleaning of the isolation area and work areas involved will follow.
- Mary Murphy will provide advice and assistance if contacted by the HSE
6. Information on Public Health and Occupational Health and Safety
Health & Safety Authority: http://www.hsa.ie/
The Health and Safety Authority Workplace Contact Unit at [email protected] and Tel: 1890 289 389
The Health Service Executive, HSElive at Tel: 1850 241850 https://www.hse.ie/eng/hselive/
With reference to:
Return to Work Safely Protocol: COVID-19 Specific National Protocol for Employers and Workers
As information about the virus is evolving, public health advice is being updated on a regular basis, and
it is important to recognise that flexibility will be required in meeting the measures to reduce the spread
of the virus; this also means that these policies will be subject to change on an ongoing basis.
COVID-19 Response Plan for The Mary Murphy School Of Art
including Protocols for Safe Reopening
Consent Form
The Mary Murphy School Of Art agrees to adhere to the Irish government and the World Health Organisation (WHO) recommended ways to prevent the spread of infection.
The Mary Murphy School Of Art will ensure that the appropriate measures are in place; e.g. through displaying posters promoting hand washing and ensuring hand sanitiser/and or soap is available on the premises.
The Mary Murphy School Of Art will also encourage the practice of good coughing and sneezing etiquette.
If your child (or anyone in your household) is unwell, even with a mild cough or fever, they should stay at home and will not be permitted to participate in the art class or onto the premises.
The parent/legal guardian agrees that the Mary Murphy School Of Art is not responsible for any spread of infection or contraction of Covid-19.
Name of child: ___________________________________________
Name of parent/legal guardian: ___________________________________________
I confirm that I have read the above information sheet and agree to conform to its stipulations/rules.
Signature of parent/legal guardian: ___________________________________________
Date: ___________________________________________