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Please refer to the Birchwood letter for DfE definitions of key workers

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* 1. How many adults with parental responsibility in your home are key workers as defined by the DfE?

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* 2. Which category of key worker would you define yourself as?

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* 3. What is the job title(s) of the key worker(s) in your household?

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* 4. What is the name and address of the workplace(s) where this key work is done?

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* 5. Would you like to continue sending your child(ren) to Birchwood from 9am-3pm on weekdays during the period of school closure?

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* 6. How many children would you like to send to Birchwood to be supervised?

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* 7. What is the name(s) of the child(ren) you would like to be supervised at Birchwood?

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* 8. In what year group(s) is your child(ren)?  Tick any that apply.

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* 9. What is your name and the name of any other adult keyworkers in your household?

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* 10. Please enter a work email address(es) in this space

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* 11. Please enter an emergency contact number at your employer(s) in this space

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* 12. On which day(s) would you like your child(ren) to be supervised at Birchwood?  Tick all that apply.

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