This common consent form has been designed for use by parents and guardians of pupils and under 16s, pupils and students over 16. Underlined sections should be read as applicable and completed as follows:

For pupils and students younger than 16 years - this form must be completed by the parent or legal guardian..

Pupils and students over 16 can complete this form themselves, having discussed participation with their parent / guardian if under 18.

1. I have had the opportunity to consider the information provided by the school/college about the testing, ask questions and have had these answered satisfactorily.
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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.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 having / my child having a nose swab for a lateral flow test.
4. I consent that my / my child’s sample(s) will be tested for the presence of COVID-19.
5. I understand that if my child / my result(s) are negative on the lateral flow test I will not be contacted by the school/college except where they/you are a close contact of a confirmed positive.
6. If the lateral flow test indicates the presence of COVID-19, I consent to my child having / having a nose and throat swab for confirmatory PCR testing, which shall be sent the same day to an NHS Test & Trace laboratory.
7. I consent that I / they will need to self-isolate following a positive lateral flow test result, until the results of the confirmatory PCR have been received.
8. I agree that if my / my child’s test results are confirmed to be positive from this PCR test, I will report this to the school / college and I understand that I/ my child will be required to self-isolate following public health advice.

Privacy Notice - Department for Education testing in schools is available here

GDPR - Data protection Covid-19 testing FAQs for parents is available here

I have read and understood the above, and give consent
I have read and understood the above, and do not give consent

First name : *

Post code : *

Academy : * Please select... East Leake Academy Hillocks Primary Academy Holgate Academy Queen Elizabeths Academy Redgate Primary Academy Retford Oaks Academy Tuxford Academy Walton Academy Yeoman Park Academy

Validate

Surname : *

Date of birth : *

First name: *

Email *

Repeat email *

Surname: *

Phone number : *

Relationship to child: *