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Case 84551. Application to Waifs and Strays' Society 24 August 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
- 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?
- Yes the Guardians of the Chertsey Union
- 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 Weybridge National Schools 12 months III previously at Walton on Thames
- 19. Ever attended Sunday School? Is so, where and for how long?
- Yes at Weybridge & I believe attended at Walton
- 20. Has the child ever been in the workhouse? If so, for how long and where?
- Yes went in with mother & was there for a few weeks until boarded out with foster parents
- 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?
- 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?
- vaccinated in July for [?] measles
- 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 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?
- I certify that the foregoing questions have been correctly replied to by E. Norfolk who is known to me as a responsible person.
- Name A
- Address [?] Park Weybridge
- Incumbent of Curate of Weybridge
- Date Aug. 24, 1901
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