Sample CPR - the Leicester City, Leicestershire and Rutland ...

Form CPR
Part D – Siblings (full and half)
Give a brief physical description of this sibling (unless this child is
subject to a CPR being considered at the same panel)
See above description under child’s physical characteristics.
Outline the nature of the relationship of this sibling with the child subject
to this report, including the length of the relationship, where and when
they have lived together, the frequency of the contact and the quality of
their relationship
Jean has not had any contact with Jane to date.
Currently all of Jane’s siblings meet for contact once a year and it is hoped
that Jane will join this contact post adoption.
Part D – Siblings (full and half) 25
Sibling 3
Surname Green
First names Ross
Date of birth 14.10.04
Place of birth Leicester
Sex Male
Ethnicity White/British
Nationality British
A recent good quality photograph should be attached if appropriate
Date of photograph:
(This should be written on the back of the photograph.)
Briefly describe the child’s physical characteristics
White/British child. Fair complexion, light brown hair and dark brown eyes.
Birth mother’s full name (surname first)
Tina Green
Birth father’s full name (surname first)
Simon Green
Current carer’s name (where appropriate)
Bethany Jakes
Current carer’s address (where appropriate)
300 Howard Hill, Leicester
Relationship/status of current carer to child
Maternal Grandmother
Page 43
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