Covid Student Testing Information
This form is to support our testing of students in line with government requirements.
Please be reassured that this information will only be used the purpose of planning appropriate covid testing for students, it will be stored securely and only accessible to a small number of staff involved in the testing process.
If you have questions please email
giving your contact information and someone will call you.
Families, please complete this form for each child at Thomas Gainsborough School.
Sixth Form students you may complete this form yourself.
This form gives consent for a series of covid tests conducted on site at Thomas Gainsborough School. Consent can be withdrawn at any time.
Student first name
Student last name
Who is completing this form
Student in Year 12 or 13
Parent of, or other person with parental responsibility for, student in Years 7 to 11
Staff member recording telephone conversation with parent
Name of person completing this form?
Relationship to the student
Please enter family relationship, eg mother OR staff initials of staff member who conducted the telephone call OR leave blank if you are the student.
Telephone contact details of the person giving permission
I have read the privacy notice and give consent for my information to be stored for the sole purpose of facilitating testing
Our privacy notice is available at
in the orange resources section
If the student has received a positive covid test in the last 90 days (since 1 December 2020) please enter the date
The advice often given to those who have had a confirmed case of covid is not to take a subsequent test within 90 days.
Please provide consent by selecting
Consent has been provided by the parent, or person with parental responsibility (for years 7-11)
Consent has been provided by the student (for Sixth Form)
Consent is NOT given because of an earlier confirmed case of Covid
Consent is NOT given for another reason
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This form was created inside of Thomas Gainsborough School.