Consent Form - NHS Test and Trace: Return to school COVID-19 testing for students in Y12-Y13
This form records the details and consent required from students to allow The Trinity School to undertake the lateral flow test. This also includes the consent required to analyse and report results from 8th March 2021 onwards.
* Required
First name of student
*
Your answer
Last name of student
*
Your answer
First line of home address
*
Your answer
Year Group
*
Y12
Y13
Required
Tutor Group
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender at Birth
*
Male
Female
Are you currently showing any COVID-19 symptoms?
*
Yes
No
Home Postcode
*
Your answer
Email address
*
Your answer
Mobile number
*
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of The Trinity Catholic School.
Report Abuse
Forms
