Pupil LFD test consent/Opt-in form
• for pupils younger than 16 years, this form must be completed by the parent or legal guardian. Remember to complete one consent form for each child you wish to enrol.

• pupils over 16 who are able to provide informed consent, this form can be completed by themselves,  having discussed participation with their parent/guardian.

• for any pupil/learner who does not have the capacity to provide informed consent, this form must be completed by the parent or legal guardian.

This COVID 19 testing programme is being led by the Department for Health and Social Care and the Welsh Government to provide asymptomatic testing in schools for staff and pupils/learners in upper secondary school years and further education.

Taking part in testing is voluntary. There is no expectation or obligation to participate. Nobody should be required to undergo testing without consent, and nobody should be excluded from school if they do not wish to test.

Please read the following sections, complete the questions below and submit this form to the school as soon as possible:

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Name of person completing this form  (parent/carer if pupil is under the age of 16 and pupil if over the age of 16) *
Pupil's surname *
Pupil's forename *
Pupil's year group *
Pupil's tutor group *
Please tick the following four boxes if you wish to consent to opt-in to the testing and then submit the form to us *
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This form was created inside of Haverfordwest High VC School.

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