Sample CPR - the Leicester City, Leicestershire and Rutland ...
Sample CPR - the Leicester City, Leicestershire and Rutland ...
Sample CPR - the Leicester City, Leicestershire and Rutland ...
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Form <strong>CPR</strong><br />
Part A – Essential Information<br />
Current contact arrangements for <strong>the</strong> child<br />
What are <strong>the</strong> current<br />
arrangements? (Include<br />
frequency <strong>and</strong> location)<br />
Birth mo<strong>the</strong>r 1 ½ hours every Monday,<br />
Tuesday <strong>and</strong> Friday<br />
Page 13<br />
© BAAF 2006<br />
How are <strong>the</strong> current<br />
contact arrangements<br />
meeting <strong>the</strong> needs of<br />
<strong>the</strong> child?<br />
Photographs are being<br />
taken of <strong>the</strong> contact<br />
sessions for use in<br />
Jane’s life story book<br />
Birth fa<strong>the</strong>r As above As Above<br />
Birth mo<strong>the</strong>r’s current<br />
partner<br />
Not applicable<br />
Maternal gr<strong>and</strong>mo<strong>the</strong>r None<br />
Maternal gr<strong>and</strong>fa<strong>the</strong>r None<br />
Paternal gr<strong>and</strong>mo<strong>the</strong>r Deceased<br />
Paternal gr<strong>and</strong>fa<strong>the</strong>r None<br />
Sibling 1 (name) Jason Brown Social worker currently<br />
exploring with Bethany<br />
Jakes Maternal<br />
Gr<strong>and</strong>mo<strong>the</strong>r who is<br />
Jason’s legal Guardian.<br />
Currently all of Jane’s<br />
siblings meet for contact<br />
once per year. It is<br />
hoped that Jane would<br />
be able to join this<br />
contact.<br />
Sibling 2 (name) Jean Sibley Adopters would support<br />
contact arranged<br />
between Jane <strong>and</strong> Jean.<br />
Currently all of Jane’s<br />
siblings meet once a year<br />
<strong>and</strong> it is hoped that Jane<br />
will joint his contact.<br />
Sibling 3 (name) Ross Green Social worker currently<br />
exploring with Bethany<br />
Jakes Maternal<br />
Gr<strong>and</strong>mo<strong>the</strong>r Ross’s<br />
legal guardian. Currently<br />
all Jane’s sibling meet<br />
once a year <strong>and</strong> it is<br />
hoped that Jane will be<br />
able to join this contact.<br />
All rights reserved. Except as permitted under <strong>the</strong> Copyright, Designs <strong>and</strong> Patents Act 1988, this form may not be<br />
reproduced, stored in a retrieval system, or transmitted in any form or by any means, without <strong>the</strong> prior written permission<br />
of <strong>the</strong> publishers. A Licence Agreement permitting electronic reproduction of this form can be purchased from BAAF.<br />
Published by BAAF, Saffron House, 6–10 Kirby Street, London EC1N 8TS
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