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Case 87901. Application to Waifs and Strays' Society 28 February 1902
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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
- 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.
- The father will pay 8/. per month for A.
- 16. Can any payment for the child be guaranteed from any source?
- 17. Has the child ever been convicted? Is so, state the nature of his offence and term of imprisonment.
- no
- 18. Has it ever attended day school? If so, where and for how long?
- yes. In 3rd standard at Swansea [?] at Lowestoft
- 19. Ever attended Sunday School? Is so, where and for how long?
- yes. at Swansea & Lowestoft
- 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 ie ever had one? If so, state its nature. Is this child subject to incontinence of urine?
- 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 it been vaccinated?
- no. Has been vaccinated
- 25. Is the child's general health good?
- Yes
- 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 Managers?
- The Parents are quite willing for A. to enter the Home
- I certify that the foregoing questions have been correctly replied to by S. Laura who is known to me as a responsible person.
- Name F
- Address Sprowston Vicarage, Norwich
- Incumbent of Sprowston
- Date Feby 28th, 1902.
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