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Your full name* Your contact telephone number*Your email address*
Your son's full name* Date of visit*
MM slash DD slash YYYY
We ask you to confirm that in the last 14 days, neither you nor anyone attending Bedford School with you or any member of your household or support bubble - (a.) has been advised by a GP or hospital clinician to either stay at home or leave their home only under limited constraints, (b.) has tested positive for COVID-19, (c.) is currently waiting for a test or for test results, (d.) has been contacted by NHS Test and Trace and advised to self-isolate, (e.) has recently entered the UK from another country and is required to follow the current quarantine guidelines in place.*
I declare the NONE of the above circumstances apply to me, anyone attending Bedford School with me or any member of my household or support bubble in the last 14 days
I confirm that we WILL NOT visit the school should any of the above circumstances develop ahead of our visit
Visitors will be required to observe the school's guidelines on social distancing, hand hygiene measures and all other signage and displayed instructions in place in the buildings and locations visited.*
I confirm that I and all members of my family attending WILL comply with the school's guidelines as listed above
We require all visitors to wear a face mask or covering while they are on the school estate.*
I confirm that I and all members of my family aged 11 or over will wear face masks or coverings while on the school estate.
I am/a member if my family is exempt from wearing a face mask or covering.
Please provide the name/s of the individual/s exempt from wearing a face mask or covering. In line with current government regulations, we will collect and hold the following information regarding your visit for 21 days. Name of the lead member of your family, his or her contact telephone number and email address, number of individuals in attendance in your group, time of arrival and departure, names of the staff and boys assigned to you for your visit and other families touring at the same time as you. This information may be shared with the NHS Test and Trace service should a case of COVID-19 be identified.*
I consent to the above detail being collected and held for the purposes outlined above.