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Greenbank High School - Registration and consent for lateral flow testing in school for pupils aged 11-15 on 1st January 2021. Please complete both sections.
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* Indicates required question
Child's forename
*
Your answer
Child's surname
*
Your answer
Year group
*
Year 7
Year 8
Year 9
Year 10
Year 11
Date of Birth
*
MM
/
DD
/
YYYY
Currently showing any Covid-19 symptoms?
*
Yes
No
Other:
Home Postcode
*
Your answer
Email address - this should be the parent/carer's address
*
Your answer
Mobile number - this should be the parent/carer's number
*
Your answer
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