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Pupil Home Test Register
Please complete this form every time you complete a Home Test.
You MUST also record your result with the NHS as per the instructions sent with the Home Test Kit.
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* Indicates required question
Email
*
Your email
Pupil's Name
*
Your answer
Which Year are you/your child in?
*
Choose
Year 7
Year 8
Year 9
Year 10
Year 11
Date of Test
*
MM
/
DD
/
YYYY
Result of Test
*
Negative
Void
Positive
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