Name of child:

Year Group:

Having read and understood the guidance issued by the Government regading overseas travel (https://www.gov.uk/guidance/coronavirus-covid-19-travel-corridors) I can confirm that (tick all appropriate answers) *

If your child will be self-isolating at the beginning of the school term, on what date will their period of self-isolation end?

I confirm that the information I have provided here is true and accurate and understand that failure to follow the Government's guidelines regarding overseas travel could result in action being taken against me. *

Name of person completing form: *