Emergency contact Emergency contact Name: Name: Tel: Tel: Address: Address: Any restrictions on contact with birth family Any restrictions on contact with birth family or or others? others? Birth parent details (if applicable) Birth parent details (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: Date: Date:
Emergency contact Name: Tel: Address: Emergency contact Name: Tel: Address: Any restrictions on contact with birth family or others? Any restrictions on contact with birth family or others? Birth parent details (if applicable) Name: Tel: Address: Birth parent details (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: Date: Signed by Virtual School for CLA team member: Date:
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