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Case 6458

1. Application to Waifs and Strays' Society 3 May 1898

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

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.
Grandfather, W, S. John St. Halifax, 77, none, none

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?

16. Can any payment for the child be guaranteed from any source?
yes, from Board of Guardians 5/- per week

17. Has the child ever been convicted? Is so, state the nature of the child's offence and term of imprisonment

18. Has it ever attended day school? If so, where and for how long and in what Standard is it?
Halifax Par. Ch. Day Schools 5 years

19. Ever attended Sunday School? Is so, where and for how long?
Halifax Par. Ch. 5 years

20. Has the child ever been in the workhouse? If so, for how long and where?
Yes Halifax since Feb. '98

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?

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?

23. Is the child at present affected with any infectious or contagious disease, or with scrofula requiring medical treatment?

24. Has the child had scarlet fever, or whooping cough or measles, or small pox? If not the latter, has he been vaccinated?

25. Is the child's general health good?

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?

Is there any objection to its being emigrated, if this is thought desirable by the Society?

I certify that the foregoing questions have been correctly replied to by W who is known to me as a responsible person.
Name H
Address Union Street Halifax
Curate of Halifax
Date May 3, 1898

Cross written in black: W 10 M.D. Halifax 4/5/98

Original document

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Image of Case 6458 1. Application to Waifs and Strays' Society  3 May 1898
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