Phased return to school

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* 1. What is your child's full name, your email address and your preferred contact number?

Child's name:

Your email address:

Preferred contact number:

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* 2. Which year group is your child in?

Nursery

Reception

Year 1

Year 6

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* 3. Do you feel it is safe for your child to attend school from June 1st?

Yes

No

If you answered No, please say why not:

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* 4. If the school is to open from 1st June, will your child be attending?

Yes

No

If you answered No, please say why not:

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* 5. Has any member of your family had COVID-19

Yes

No

If you answered Yes, please say on what date it was diagnosed.

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* 6. (Optional) Please add any comments or queries you may have in relation to the proposed re-opening of schools to some pupils from 1st June.