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* 1. Please give us the names and years of your child/children (Example: John Smith Year 7, Dave Smith Year 9)

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* 2. Please indicate your key worker category (proof of status may be required).

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* 3. Please indicate below the name, address and contact details of your place of work as a key worker

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* 4. Is your child entitled to a free school meal?

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* 5. If you know at this stage which days you would require support, please specify below:

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