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Consent

Please complete this form when you have read the information supplied by the school.

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* 1. First Name of Student

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* 2. Last Name of Student

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* 3. Year group of student

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* 4. Terms of consent

1. I have had the opportunity to consider the information provided by Highgate Wood School about the testing, ask questions and have had these answered satisfactorily, based on the information presented on the school website, including the linked 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 If on the day of testing they do not wish to take part, then they will not be made to do so and consent can be withdrawn at any time ahead of the test.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. My child will self-swab, otherwise I understand that assistance is available. In the case of under 16s or students who are not able to provide informed consent, I have discussed the testing with my child and they are happy to participate and self-swab (with assistance if required).

4. I understand that there may be multiple tests required and this consent covers all tests for the above 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day of testing  they do not wish to take part, then I understand they will not be made to do so and that consent can be withdrawn at any time ahead of the test.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 necessarily be contacted by the school except where I am / they are a close contact of a confirmed positive.

7. If the lateral flow test indicates the presence of COVID-19, I consent to my child having a nose and throat swab for confirmatory PCR testing. This test will be provided by the school but ordinarily will not be conducted there. My child will follow the instructions on the PCR Kit to return the test the same day to an NHS Test & Trace laboratory.

8. 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.

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

10. I agree that if my child’s test results are confirmed to be positive from this 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.

11. 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 be tested every day at school for 7 school days.

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* 5. Date of Birth of Student

Date

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* 6. Gender of student – this information is needed for Department for Health and Social Care research purposes.

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* 7. Ethnicity of student- this information is needed for Department for Health and Social Care research purposes.

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* 8. Home Postcode:

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* 9. Email Address – this is where test results will be sent

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* 10. Mobile Number – this is where test results will be sent. Please do not put a landline number – you can only receive test results to a mobile number.

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* 11. Name of parent/carer giving consent (your name)

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* 12. Relationship to student

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* 13. My child is currently showing Covid-19 symptoms

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* 14. Today’s date

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

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* 16. Please click the agree button below to formally give your consent to the above named student taking part in the covid-19 testing programme.

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