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Return to School Nursery - Year 6
Please fill in this for if your child is in Reception, 1, 2, 3, 4, 5, or 6.
If you have multiple children, please fill out a separate form for each child.
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* Indicates required question
Child's First Name
*
Your answer
Child's Surname
*
Your answer
Child's Form Group
*
Nursery AM
Nursery PM
Nursery Full Day
Reception Rowan
Reception Lemon
1Beech
1Birch
2Elder
2Maple
3Ash
3Elm
4Oak
4Sycamore
5Aspen
5Olive
6Derwent
6Liffey
Name of Parent
*
Your answer
Relationship to child e.g. Mother, Father, Carer
Your answer
If your child is in Nursery, will you be sending them in from Tuesday 5th January?
Yes
No
Not applicable
Clear selection
Does your child have an internet-enabled device at home for accessing remote learning?
Yes
No - my child will need to borrow a school device
Do you need to access Key Worker provision for your child?
No
Yes - I am a Key Worker and need my Reception - Year 6 child to be in school from Tuesday 5th January
Clear selection
If you need to access Key Worker provision for your child, please indicate what category of Key Worker you fall under:
Not applicable
Health and social care
Education and childcare
Local and national government
Food and other necessary goods
Public safety and national security
Transport
Utilities, communication and financial services
Key public services
Clear selection
If your Reception-Y6 child is eligible for Free School Meals, would you want to collect a Food Parcel from Tuesday 5th January?
Yes
No
Clear selection
I would like someone to call me in the first week of January to discuss further please.
Yes
No
Clear selection
Add any questions or comments here to help us have the best information ready for when we call you back (if requested).
Your answer
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