Emergency contact Emergency contact Name: David & Lesley Dawson Name: Tel: 07872 376789 Tel: Address: 67 Mill Street, Great Broughton, Address: Cockermouth, Cumbria Any restrictions on contact with birth family Any restrictions on contact with birth family or or others? others? Supervised parental contact during school holidays Birth parent contact (if applicable) Birth parent contact (if applicable) Name: Name: Tel: Tel: Address: Address: Who should school reports be sent to? Who should school reports be sent to? Carers Carers Social workers Social workers Others (please state) Others (please state) Parent/carer consultations will be attended Parent/carer consultations will be attended by: by: Carers Carers Social workers Social workers Others (please state) Others (please state) Permission for trips will be given by: Permission for trips will be given by: Carers for day trips Carers for day trips Social workers for residential/overnight trips Social workers for residential/overnight trips Others (please state) Others (please state) Signed by Virtual School for CLA team member: Signed by Virtual School for CLA team member: P Askew P Askew Date: 9th October 2018 Date: 14th March 2019
Emergency contact Name: David & Lesley Dawson Tel: 07872 376789 Address: 67 Mill Street, Great Broughton, Cockermouth, Cumbria Emergency contact Name: Tel: Address: Any restrictions on contact with birth family or others? Supervised parental contact during school holidays Any restrictions on contact with birth family or others? Birth parent contact (if applicable) Name: Tel: Address: Birth parent contact (if applicable) Name: Tel: Address: Who should school reports be sent to? Carers Social workers Others (please state) Who should school reports be sent to? Carers Social workers Others (please state) Parent/carer consultations will be attended by: Carers Social workers Others (please state) Parent/carer consultations will be attended by: Carers Social workers Others (please state) Permission for trips will be given by: Carers for day trips Social workers for residential/overnight trips Others (please state) Permission for trips will be given by: Carers for day trips Social workers for residential/overnight trips Others (please state) Signed by Virtual School for CLA team member: P Askew Date: 9th October 2018 Signed by Virtual School for CLA team member: P Askew Date: 14th March 2019
43322133836.docx