Covid Vaccination Consent Confirmation

Further to our recent communication, our NHS colleagues are able to offer COVID vaccinations to pupils in school and will visit school on Friday, 10th November 2023 to provide this.

Please complete the form below to confirm your consent for your child to receive the vaccination. The NHS Vaccination team may also contact you to discuss the details of the vaccination.

In the meantime if you have any questions or concerns, please call the clinic on xxxxxxxx

Please enter your child's full name* Please enter your child's date of birth dd/mm/yy* Please enter your child's NHS number (if known)

By ticking this box, I confirm that I give my consent for my child to be vaccinated in school*I consent

By ticking this box, I agree to Riverside School sharing my contact details and my child's name and date of birth with the NHS.*I agree

Please enter your full name* Please enter your contact telephone number*

Covid Vaccination Consent Confirmation

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