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This consent form is for participation in tests designed to detect asymptomatic COVID-19 cases

Anyone experiencing symptoms should follow government guidelines to self-isolate, even if they have had a recent negative lateral flow test.
 
Consent relates to the following groups of students/pupils and staff as follows:

For students younger than 16 years - this form must be completed by the parent/carer. Please complete one consent form for each child you wish to participate in testing.

Students over 16 who are able to provide informed consent - can complete this form themselves, having discussed participation with their parent/carer if under 18.
 
For any student who does not have the capacity to provide informed consent - this form must be completed by the parent/carer. Please complete one consent form for each child you wish to participate in testing.

Staff will complete this form themselves.

Terms of consent

1. I have had the opportunity to consider the information provided by the school about lateral flow device (LFD) testing, ask questions and have had these answered satisfactorily, based on the information presented on the website and in the letters emailed to me during the course of 2021 and the attached Privacy Notice.

2. In the case of under 16s, 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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.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 lateral flow tests.

4. I understand that there may be multiple tests required and this consent covers all tests for the below named person. 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day of testing they do not wish to take part, then I understand they will not be made to do so and that consent can be withdrawn at any time ahead of the test.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/college. 

7. If the lateral flow test indicates the presence of COVID-19, I commit to ensuring that my child is removed from school premises as promptly as possible, bearing in mind they may have some anxiety following a positive test result.

8. I understand that they will need to self-isolate following a positive lateral flow test result, until the results of the confirmatory PCR have been received.

9. I agree that if my child’s test results are confirmed to be positive from a PCR 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 consent that if a close contact of my child tests positive, but my child has tested negative, they will continue to attend school but will take a lateral flow test at home every day for 7 days. If they test positive, they will isolate and I will inform the school.

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* 1. Child's first name

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* 2. Child's last name

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* 3. Tutor Group

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* 4. Date of Birth

Date

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* 5. Please tick one of the following statements:

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* 8. Email Address

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* 9. Mobile Number

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* 10. Name of Parent/Carer giving consent

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* 11. Relationship to the child

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* 12. Signature (typing out your name is sufficient if you are filling this digitally)

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* 13. Today's date

Date

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* 14. Details of any health or accessibility issues which might affect a child's safe participation in testing exercise

0 of 14 answered
 

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