Critical Worker Form

Name of child 1

Name of child 2

Name of child 3

Name of child 4

Days required (Please tick)
MondayTuesdayWednesdayThursdayFriday

I can confirm that my child(ren) meets the eligibility for a critical worker place and I cannot keep my child at home whilst schools are closed. (Please tick)
Yes

My household has submitted a letter from my/our employers to support this critical worker school place application. (Please tick)
Yes