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Information about you
Please complete this form if you are a Critical Worker and would like your child/ children to attend school over the coming weeks.
* Indicates required question
Surname
*
Your answer
First name
*
Your answer
Key Worker Category
*
Health and social care
Education and childcare
Key public services
Local and national government
Food and other necessary goods
Public safety and national security
Transport
Utilities, communication and financial services
Required
Your job title
*
Your answer
Your employer
*
Your answer
Your E-mail
*
Your answer
Your phone number
*
Your answer
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