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Lateral Flow Device Testing Consent Form
Parental Consent for your child to take part in the National Covid 19 Testing Programme
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* Indicates required question
Email
*
Your email
Surname
*
Your answer
First name
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Year Group
*
Year 7
Year 8
Year 9
Year 10
Year 11
Form Group
*
Your answer
I consent to my child participating in the lateral flow testing programme in Education settings. I agree to the test kit being sent home with my child.
*
Yes
I agree to the terms of the programme and will ask my child to test twice weekly (Weds and Sun) and report the results to the NHS online portal
*
A positive result must also be reported immediately to the school Attendance Officer
Yes
I have read and understand the Headteacher's letter and Privacy Notice on the school website
*
Yes
Full name of the person completing this form
*
Your answer
Relationship to child
*
Your answer
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