The lead member of the group should complete this form either prior to arrival or on the request of our office staff.

Contact details

Your name/s:

- Parent/visitor
- Accompanying child/student *
Contact phone number: *
Date: *
Expected arrival time: *
Who are you visiting today? *

Covid-19 Declaration

- You and your child.

Have you returned from a country in which the UK requires you to quarantine in the last 14 days? *
Have you been tested positive for Covid-19 in the last 14 days? *
Have you been in contact with anyone who has been tested positive for Covid-19 in the last 14 days? *
If you have answered YES to any of these questions, please provide details here. You will not be permitted to enter KPS until a review has been undertaken.
Are you currently experiencing any symptoms associated with Covid-19?

- A high temperature
- Persistent cough
- Loss of smell/taste
*

https://www.nhs.uk/conditions/coronavirus-covid-19/symptoms/ 

Entering Kensington Park School

You will be need to bring the following with you during our visit:

  • A clean face mask for your visit.
  • A different face mask than the one you used for travel.
  • Only one adult and one student permitted per family and visit.

I confirm that I have answered these questions to the best of my knowledge and will respect the safety of Kensington Park School's Covid-19 measures and requests to protect their students and staff.

Response: *


Please leave the next box blank or your submission will not be accepted: