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Option 1
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Your Child's Full Name :
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Child's Year Group :
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Parent's Name :
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Parent's Job Title :
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Name of Employer :
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Contact Number for Employer :
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Do you wish for your child to continue attending a school during the period of school closures ?
Yes
No
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As a key worker I do not have alternative childcare
Yes
No
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Please provide any further comments you wish to make :
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