NHS Test and Trace consent form for COVID-19 testing: for parents of under 16s

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For pupils and students younger than 16 years - this form must be completed by the parent or legal guardian. Please complete one consent form for each child you wish to enrol.

Email *

I have had the opportunity to consider the information provided by Bede Academy about the testing and have read the FAQ *

Yes

In the case of under 16s, I have discussed the testing with my child and my child is happy to participate. If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test. *

Yes

I consent to my child having a nose and throat swab for a lateral flow test. *

Yes

I consent that my child’s sample(s) will be tested for the presence of COVID-19. *

Yes

I understand that if my child’s result(s) are negative on the lateral flow test I will not be contacted by Bede Academy except where they are a close contact of a confirmed positive. *

Yes

If the lateral flow test indicates the presence of COVID-19, I understand that I will need to book a PCR test and provide the academy with the results *

Yes

I consent that they will need to self-isolate following a positive lateral flow test result, until the results of the confirmatory PCR have been received. *

Yes

I agree that if my child’s test results are confirmed to be positive from this PCR test, I will report this to Bede Academy and I understand that my child will be required to self-isolate following public health advice. *

Yes

Parental Consent

I understand that by entering my name below I am giving consent to all of the above statements

Parent Name *

Child's Surname *

Child's Forename *

Child's Year Group *

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