Hidden Lives Revealed. A virtual archive - children in care 1881-1981 * Image of handwritten text

Case 8649

1. Application to Waifs and Strays' Society 2 November 1901

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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
not relatives, H, old, wife & charwoman, irregular
", F, old, [pensioned]
", E, old, husband beyond work

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?
no

17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment
no

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?
Regularly (4 [?]) at C.C. School in 5 standard very intelligent & persevering

19. Ever attended Sunday School? Is so, where and for how long?
Regularly at C.C. Sunday Schools

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 him from entering domestic services?
no

22. Is the child subject to fits or has the child ever had one? If so, state its nature. Is this child subject to incontinence of urine?
convulsions as a baby
no

23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?
no

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has he been vaccinated?
whooping cough & measles 2 marks on left arm from vaccination

25. Is the child's general health good?
General health good 12 years old as reached 5th standard at school

D [?]
13 [?]

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

I certify that the foregoing questions have been correctly replied to by H who is known to me as a responsible person.
Name M
Address Charles [?] S [?]
Assistant at Church Ch: Stewart
Date November 2, 1901

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Image of Case 8649 1. Application to Waifs and Strays' Society 2 November 1901
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