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Case 64241. Application to Waifs and Strays' Society 24 March 1898
View the Case Summary.
- 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
- Her mother, F (known as [?]), Newhold Cottage, 34
- 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?
- A sister can possibly take one child
- 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 6th standard
- 19. Ever attended Sunday School? Is so, where and for how long?
- Gary Street Leamington
- 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?
- 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?
no- 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?
- I hereby certify that I have examined the child A (known as B) and with reference to question nos. 21, 22, 24, and 25 stat that she is not subject to fits, (she had a slight convulsion once while teething) she is not subject to incontinence of urine, she is not at [?] afflicted with any infections or contagious disease, or with scrofula, she has not had scarlet fever, whooping cough or small pox, but has [?] and she has been vaccinated. Her general health is good, and has [?] A [?] 25th March 1898
- 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?
- With the exception of the interviewed the mother will sign
- I certify that the foregoing questions have been correctly replied to by Mr. [?] who is known to me as a responsible person.
- Name H
- Address Ten Vicarage
- Incumbent of Leamington
- Date March 24/98
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