COVID-19 Student Testing Consent Form
Please read the associated letter and terms of consent before completing this form.
Email address *
Student's First Name *
Student's Surname *
Tutor Group *
Date of Birth *
Name of Parent/Guardian giving consent *
Relationship to test subject *
Details of any health or accessibility issues which might affect a child’s safe participation in the testing exercise.
Do you give consent for the testing? *
Signature (please type your name) *
Please check all information is accurate before submitting. If you wish to change your response or withdraw consent at any time please email
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