Key Worker Declaration Form

March 2020

CHILDCARE PROVISION 

Please complete and submit the form below

Click here to read guidance for Key Workers

  • PUPIL DETAILS

  • KEY WORKER DETAILS

    Please complete details for each applicable parent below
    Link to guidance can be found at the top of this page.
  • (please specify if full or part time and specify school days worked)
  • Parent/Carer 2 (if applicable)

  • (please specify if full or part time and specify school days worked)
  • CHILDCARE REQUIREMENTS (Are you part time?)

  • There is one further question at the bottom of this form please ensure that you have completed all relevant sections before submitting.
  • Finally...

  • This field is for validation purposes and should be left unchanged.