Main Carer
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Children's Centre Registration

Main carer

Carer's details
Date of birth *
Date of birth
Marital status
Marital status
Are you a lone parent?
Are you a lone parent?
Are you pregnant?
Are you pregnant?
Due date
Due date
Are you an Armed Forces family?
Are you an Armed Forces family?
What level is your English?
What level is your English?
What is your ethnic background?
Select your ethnic background
Select your ethnic background
Housing status
Housing status
Employment
Employment
Do you receive benefits?
Do you receive benefits?
Benefits received
Benefits received
Are you receiving support from any other agencies (e.g. Homestart or Family Support Worker)?
Are you receiving support from any other agencies (e.g. Homestart or Family Support Worker)?
Would you be interested in becoming a volunteer at the centre?
Would you be interested in becoming a volunteer at the centre?
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