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Case 9662

1. Application to Waifs and Strays' Society 23 April 1903

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13. At what address and with whom is the child now living?
Frances Terrace with her mother

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
Uncle, cannot work large family, Sharlston
Uncle, large family, Sharlston, Miner

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 toward its support?
They are not

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?
Yes about 2 years at New Sharlston [?] School, now at hold Sharlston National School, Second Standard

19. Ever attended Sunday School? Is so, where and for how long?
At Sharlston Common Mission Room about 2 years

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?
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?
no
no

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

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has she been vaccinated?
no
yes

25. Is the child's general health good?
yes

C MRCS FRM [?] Wakefield

26. Are the child's parents, grandparents or next of kin, willing to sign an agreement to commit the girl wholly to the care of the Managers of the Home, to obey the rules in force, and to permit the said girl when fully trained to be sent to any situation in the United Kingdom which may be obtained for her 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 W
Address Kirkthorpe Vicarage
Incumbent of Warinfeld with Sharlston
Date 23rd April 1903

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Image of Case 9662 1. Application to Waifs and Strays' Society  23 April 1903
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