Childcare 5th January to 8th January 2021
Please complete this form if you will require supervised childcare between Tuesday 5th and Friday 8th January 2021.  

Please note students will be provided with access to a computer to access online learning but will not be participating in any face to face lessons.  

Please note that this provision is intended for those students who are not able to remain at home unsupervised.  
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1. Student Surname *
2. Student Forename *
3. Year Group *
4. Form Group
5. Is either parent a critical key worker? *
6. If the answer to question 5 is yes, please state which parent and job title below.
7. On what days do you require supervised childcare?
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