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Case 4488

1. Application to Waifs and Strays' Society 14 September 1894

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13. At what address and with whom is the child now living?

14. Give in full the names, addresses, ages, occupations and earnings of each living relative the child is known to possess either on the father's or mother's side such as grandparents, uncles, aunts, &c.
DEGREE OF RELATIONSHIP, NAMES, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS
Aunt, M., Silver Street, 38, [?], 3/- 4/
Uncle, C., Old Palace Rd., 63, Drayman, 15/

15. State whether any of the child's relatives are in your judgment in a position to maintain the child, or to contribute in any degree to its support.
No

16.Can any payment for the child be guaranteed from any source? If so, by whom?
A donation of £1.1

17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment.
None of the children

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?
H. attends St. Giles Girls School. 1 Standard. R. at Brooks Place Board 2nd. G. none at present time plays the truant

19. Ever attended Sunday School? Is so, where and for how long?
Yes St. Giles Sunday School

20. Has the child ever been in the workhouse? If so, for how long and where?
No

21. Has the child any affections of the limbs, joints, skin or eyes which may have the affect of preventing her from entering domestic services?
R. [?] have no affections which would prevent them entering domestic service. signature MD 18/9/96

22. Is the child subject to fits or has she ever had one? If so, state its nature. Is the child subject to incontinence of urine?
The father informs me that R. & [?] have never had any fits & also that they are not subject to incontinence of urine. signature MD 18/9/96

23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?
They are not affected with any infections or contagious disease & do not require treatment for scrofula. signature MD 18/9/96

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has it been vaccinated?
All the children have had all the complaints named except small pox

25. Is the child's general health good, and has it average mental capacity?
Both are in good health & of average mental capacity. signature MD 18/9/96

26. Are the child's parents, grandparents or next of kin, willing to sign an agreement to commit it wholly to the care of the Managers of the Home, to obey the rules in force, and to permit the said child when fully trained to be sent to any situation in the United Kingdom which may be obtained for it by the Committee?
Father quite willing

I certify that the foregoing questions have been replied to by who is known to me as a responsible person.
Name - signature
Address - Magdalen Rd. Norwich
Incumbent of Police Court Missionary
Date - Sept. 14th 1894

Original document

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Image of Case 4488 1. Application to Waifs and Strays' Society  14 September 1894
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