Please answer these questions and send them to us (just click ‘send’) before you arrive at the school:







STUDENT DETAILS

All fields marked with * are mandatory

First Name*:

Last Name*:

Student Number* (ST-xxxxxx):

Nationality*:

Your address in the UK*:

Mobile Phone Number (s)*:

Please list all the countries that you have visited in the last 14 days*:

The symptoms of Covid-19 are: a cough, a high temperature, loss/change of sense of taste/smell
Have you suffered from any of these symptoms in the last 14 days?* YesNo

Do you understand and agree that if you start to have any of these symptoms you must not come to school?* YesNo

Please tell us about any other medical conditions that you have:



EMERGENCY CONTACTS



Please give the details of the person we should contact in an emergency.

Full Name*:

Relationship to you (eg parent, brother, partner)

Phone Number (s)*: