Case 5959

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

With her Mother. Mead Street

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
Brothers, J, Huntingdon, 18, Militia
G, Not known, 15
H, [Broad] Street, 13
A, [Broad] Street, 9

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 £6 a year from the Ladies Asn for help of Friendless Girls

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 fifth standard

19. Ever attended Sunday School? Is so, where and for how long?

no

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 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?

scabs from measles only
vaccinated successfully

25. Is the child's general health good?

yes

MD ([?])
Peterborough

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?

I certify that the foregoing questions have been correctly replied to.

Name

Address

Incumbent of

Date

I am now so well known to this society & have sent children to its Houses for so many years that it cannot be necessary to fill this up

C.