Mayfield School Covid-19 testing for pupils
Please complete the registration and consent statements for each child.
Please complete this section even if you do not want your child to take part in the testing.
Pupil's First Name *
Pupil's Surname *
Pupil's Year Group *
Date of Birth *
Gender at birth *
Are they currently showing any COVID-19 symptoms? *
Today's Date *
Home Postcode *
Name of person to contact in case of a positive result. *
Email of person to contact in case of a positive result. *
Mobile number of person to contact in case of a positive result. *
NHS Test and Trace Consent form for COVID-19 testing
This form must be completed by the parent or legal guardian. Please discuss this with your child before completing this so they understand what is happening.
Do you consent to your child taking part in the ‘lateral flow’ testing? *
If you agreed to the 'lateral flow' testing you MUST complete these statements.
If you have said no please complete your details at the end of the statements.
1.) I have had the opportunity to consider the information provided by the school about the testing, ask questions and have had these answered satisfactorily, based on the information presented in the frequently asked questions on the school website?
2.) I have discussed the testing with my child and my child is happy to participate. If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test?
3.) I consent to my child having a nose and throat swab for a lateral flow test. My child will self-swab if my child is able to, otherwise I understand that assistance is available.
4. I understand that there may be multiple tests required and this consent covers all test for my child. If, on the day of testing, they do not wish to take part, then I understand they will not be made to do so and that consent can be withdrawn at any time ahead of the test.
5.) I consent that my child’s sample(s) will be tested for the presence of COVID-19
6.) I understand that if my child’s result(s) are negative on the lateral flow test I will not be contacted by the school except where they are a close contact of a confirmed positive?
7.) If the lateral flow test indicates the presence of Covid-19, I commit to ensuring that my child is removed from school as promptly as possible, bearing in mind that they may have some anxiety following a positive result.
8.) I understand that my child will need to self-isolate following a positive lateral flow test result.
9. I agree that if my child’s test results are confirmed to be positive from this lateral flow test, I will report this to the school and I understand that my child will be required to self-isolate following public health advice.
10. I understand that if a close contact of my child tests positive that my child will self-isolate for 10 days in line with Government guidance.
Full name of person giving consent. *
Relationship to pupil *
Please confirm you have parental responsibility. *
Date completing the form.
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