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* 1. Name of child / children

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* 2. What year group(s) is he / are they in?

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* 3. Are you a critical worker as defined in the cabinet office guidance?

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* 4. What is your profession?

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* 5. Please give brief details as to why you need your child to come to school, including childcare details you do or not have in place.

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* 6. Will you also require childcare in the school holidays?

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