Student check-in form

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Please complete this lesson before each face to face lesson.

Name of student *

Name of parent/guardian

For under 18s - is the parent/guardian attending the lesson with the student? (Please add their name above if so)

Yes

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Please check each box below to confirm your understanding of the rules for face to face lessons *

I have watched the video and understand the new rules for face to face lessons

I have none of the COVID-19 symptoms (persistent cough, raised temperature, loss of smell or taste)

I understand that I will need to sanitise my hands on arrival

I understand that the room may be cooler than usual due to ventilation

I will minimise touching any surfaces in the music room and that time during my lesson may be used to clean surfaces

I will bring my own music or phone/tablet for song words (wifi will be provided, free of charge)

I am not self-isolating and have not received a positive COVID-19 test result

Required

For track and trace purposes, please enter the phone number that should be used to contact you should Carolyn or any student receive a positive COVID-19 test *

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