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* 1. What is your full name?

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* 2. What is your child's name?

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* 3. What school does your child currently attend?

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* 4. What year group is your child currently in?

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* 5. Can you confirm that your profession is listed on the 'Key worker' guidance released by the Government?
Please note, you may be asked to provide evidence of this.

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* 6. What is your profession?

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* 7. It is our intention to offer childcare between the hours of 8:00am - 5:00pm. Please can you give an indication of the days and  hours you would require childcare in order for you to continue to attend your work?

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* 8. Would you require childcare over the Easter Holidays?

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* 9. Food would be provided for children still attending school and would be free for those who qualify for free school meals.
Please indicate whether your child would require a school lunch or would be bringing a packed lunch

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* 10. Please provide 3 Emergency Contact Names and Numbers.
Please also indicate relationship to the child. 
e.g/ Auntie - Ellen + (tel. no)

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