COVID 19 Key Workers Question Title * 1. Child/children’s name Question Title * 2. Year group/s Question Title * 3. In receipt of free school meals Question Title * 4. Parent carer Name 1 (Compulsory) Question Title * 5. Carer/parent Occupation Health and Social Care Education and childcare Key public services Local and national government Food and other necessary goods Public safety and national security Transport Utilities, communication and financial services NA Question Title * 6. Parent carer Name 2 (optional) Question Title * 7. Carer/parent 2 Occupation Health and Social Care Education and childcare Key public services Local and national government Food and other necessary goods Public safety and national security Transport Utilities, communication and financial services NA Question Title * 8. Will you need to send your child to school once school closes? Yes No Question Title * 9. Will you need to send them all day Monday to Friday Yes No Question Title * 10. If yes what days/times? Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Done