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Holden Lane Primary School
Emergency Worker Childcare Provision during COVID-19 School Closure
Please note that this application form is for parents of pupils in Nursery to Year 6, who currently attend Holden Lane Primary School
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* Indicates required question
Please enter your full name.
*
Your answer
Please enter the full name of your child. If you have multiple children who attend the school, please separate their names with a comma.
*
Your answer
Which key worker category, as outlined by the Government, does your employment fall under? If other, please specify.
*
NHS and medical professionals
Other health workers
Emergency Services and community safety
Armed Forces
Careworker
Education and childcare
Supermarket worker
Delivery driver
Critical infrastructure and utilities
Prison staff
Local Authority
Other:
Please specify the full name of your employer.
*
Your answer
Please confirm which days of the week you intend to send your child / children into the school? (select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
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