Croobyar AF00192024 14/7740-2 - Flipbook - Page 4
SCHEDULE OF ALL CHILDREN AVAILABLE TO ATTEND PROPOSED SCHOOL, INCLUDING THOSE UNDER SCHOOL AGE.
* Signature of Parent or Guardian.
State whether
Owner, Lessee,
Share-farmer,
etc.
How long
in present
home.
Yrs. Mths.
Yrs. I Mths.
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Distance of home
from nearest School
by shortest
practicable route.
Age .
Christian name of Child.
(Give surname if Child is a Ward.)
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Miles.
Chains,
How is Child being educated
at p resent I
If attending a School, give name
and distance from home by nearest
practicable route.
Religion.
Remarks.
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* It the parent or guardian is unable to write, his mark must be witnessed by another resident.