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Covid-19 Health Declaration
(Please submit
only
when requested)
If you are unable to tick the boxes or submit this form you should call Lynne on 07717 433651
Only one student on each Declaration, please.
The Student has NOT travelled outside the U.K. in the last 14 days
The Student is NOT experiencing the symptoms of Covid-19
The Student has NOT been in close contact with a Covid-19 patient in the last 14 days
I declare that the info I’ve provided is accurate & complete and I undertake to IMMEDIATELY advise you should there be any change.
I understand that, when requested, this information must be shared with NHS Test & Trace.
Submit
Submission Successful!!
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