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Key Worker childcare information
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* Indicates required question
Child 1 name
*
Your answer
Child 2 name
Your answer
Child 3 name
Your answer
Does your child or one of your children have an Education, Health and Care Plan?
*
Yes
No
Does your child or one of your children have a Social Worker, Child Protection Plan or Child in Need Plan in place?
*
Yes
No
Parent 1 occupation
*
Your answer
Parent 2 occupation (leave blank if single parent)
Your answer
Is your child / children entitled to Free School Meals (FSM)? (Children in Reception, Y1 and Y2 are entitled to FSM, as well as children who are in receipt of Pupil Premium funding)
*
Yes
No
This applies to some of my children
Will you child / children be bringing their own packed lunch or will you require a lunch? (If you are not entitled to Free School meals, there will be cost for this)
*
Packed lunch
Will require a lunch
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