Case 2434

Application for the Admission of a child to the St. Nicholas Home for Crippled Children

1. Give the child's christian name and surname

A

2. State the exact age, and give the date and place of her birth

Nearly eleven - Tunbridge Wells May 1879

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Baptized Trinity Church, about July 1879

5. Parents living?

yes

6. If, however, either or both are dead, state of what disease they died and give the date of their death

7. If living, give their exact places of abode, and state how long they have resided there

Mother Newton Road Tunbridge Wells - 3 years
Father Broadmoor Lunatic Asylum - 6 years

8. Give the christian names and surnames of her parents (in full) and state their ages.

Mother R, age 48
J, 49

9. What was or is the nature of the father's occupation and the amount of his weekly earnings? Give the name and address of his present or last employer.

Printer 25/per week Abblot Newspaper Editor