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* 1. Name of student(s) and Tutor Group

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* 2. Name of 1st parent / carer

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* 3. Key worker role

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* 4. Name of 2nd parent / carer

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* 5. Key Worker Role

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* 6. Would you wish to send your child(ren) to ongoing childcare provision during the crisis in principle?

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* 7. Is(are) your child(ren) fit and able to attend the provision at Highams Park School as of Monday 23rd March?

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* 8. Would you wish to use any childcare provision during the Easter Holidays?

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* 9. We hold up to date contact details for all parents. If you would like us to use an alternative email address or mobile number please enter it below.

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* 10. Any further comments

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