Key Worker Support for COVID-19

Child 1

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* 1. Child's first name

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* 2. Child's surname

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* 3. Child's date of birth

DD/MM/YYYY

Date

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* 4. Does your child meet the criteria for vulnerable children?

Yes - Supported by social care

Yes - Young carer

Yes - Has an EHCP

No - None of the above

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* 5. Do you have another child at the school?

Yes

No