Consent Form - COVID-19 NHS Test and Trace: Return to School September 2021

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This form records the details and consent required from parents/ students (over 16s only) to allow The Trinity School to undertake the lateral flow test. This also includes the consent required to analyse and report results from 1 September 2021 onwards.

First name of student *

Last name of student *

First line of home address *

Home Postcode *

Year Group from September 2021 *

Y10

Y11

Required

Date of Birth *

YYYY

Gender at Birth *

Male

Female

Name of Parent/ Guardian if under 16 *

Relationship to child if under 16 *

Email address of parent/ carer *

Mobile number of parent/ carer *

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