Church of England Incorporated Society for Providing
Homes for Waifs and Strays
Intake Form
TRANSCRIBED INTAKE FORM:
*
See # 21: Consent for emigration was known
as the Canada Clause.
An
organization could make a child’s admission contingent upon the parent signing
the consent to emigration.
Letterhead: Patrons
- Their Majesties the King & Queen
- Patron of the “Children’s Union”
- H.M. Queen Alexandra
- Presidents - His Grace the Lord Bishop of Canterbury and His Grace
the Lord Archbishop of York
- Secretary - Rev. Prebendary Rudolf Secretary’s Assistant - H. M.
Fowle, Esq.
Instructions: APPLICATION FOR THE ADMISSION OF A CHILD
NOTE: This form, when filled up
and certified by a Clergyman of the Church of England, should be returned with
the medical certificate to Rev. Prebendary Rudolf, Secretary, Waifs and Strays
Society.
IMPORTANT: This page must be
filled up (as concisely as possible) with a full and particular account of the
child, its parents, family, etc. Details
should be added here if Question 17 is answered in the affirmative. The guarantee for payment (if any) should
also be written here. When signing this
page please state permanent address and whether “Rev.,” “Mr.,” “Mrs.,” or
“Miss.” Please do not write on page 4. Any additional particulars of the case
should be written on foolscap.
Acknowledgment of the receipt of this application will be sent, but the
Committee’s decision will be forwarded with the least possible delay.
QUESTIONS
TO BE REPLIED TO.
1. Give
the child’s christian names and surname in full.
Frederick George Snow. In the event of an application being made on behalf of more than one
child, separate forms should be asked for.
2. State
the exact date and place of birth: Please forward birth certificate if
possible. September 1909, Larch Road, Balham. Birth Certificate:
No.
3.
Legitimate? (Yes or No): Probably no (See Letter)
4. State
exact date and place of baptism. St. Peter’s Church, South
Croydon, October 1913
5. Are
parents living? Yes
6. If
either or both are dead, state nature of disease and give date of death: No
7. If
living, give their exact places of abode, how long they have resided there, and
rent paid. Mother ___ Father ___ (See
Letter)
8. Give
the christian names and surnames of parents in full, and state their ages. Mother: Annie Gifford Age
39. Father: (See
Letter)
9. What
was, or is, the nature of the father’s occupation and the amount of his weekly
earnings? Give the name and address of his present or last employer. (See
Letter)
10. What
was, or is, the nature of the mother’s occupation and the amount of her weekly
earnings? Give the name and address of her present or last employer. (See
Letter)
11. Have
the parents or guardians ever received parish relief? If so, to what extent? No
12. Give
the names, addresses, and ages, of all the brothers and sisters of the child and
occupations and earnings (if any). Replies to this question must be very full
and exact. No application can be received without full enquiry as to earnings
having been made, and result stated. The name of the child upon whose behalf
this application is being made should not be given here.
Probably sort of step brother and sister. Name: Amy
Alice Snow Age: 6. Name: John Allen Snow Age: 8
13. At
what address and with whom is the child now staying? C/o Miss Westoby, Children’s Convalescent Home,
Brighton Road, South Croydon.
Give in
full the names, addresses, occupations, and earnings of each living relative
the child is known to possess, either on the father’s or mother’s side, such as
grandparents, uncles, aunts. Replies to this question must be very full and
exact. No application can be received without full enquiry as to earnings of
relatives having been made, and result stated.
Please see letter. It is impossible
to answer this question correctly as will be seen from the letter, only the
mother’s own rightful husband (on whom the child has no claim) has very
uncertain employment, often being out of work, at best he has about 30
shillings per week for 8 months out of the 12 months. He is Mr. Snow, the
Stables, Dean Road, Croydon.
15.
State whether any of the child’s relatives are, in your judgment, in a position
to maintain the child or to contribute in any degree? No
16. Can
payment for the child be guaranteed from any source exclusive of the relatives?
If so, by whom? State full name and address. No
17. Has
the child ever been convicted? Has his or her character been affected in any
way by exceptional knowledge of evil? No
18. Ever
attended day school? If so, where and for how long, and in what standard? Too young.
19. Ever
attended Sunday school? If so, where and for how long. No
20. Ever
been in the Workhouse? If so, where and for how long. No
21. I, J. G. Snow of Dean Cottage, Dean Road, South Croydon (guardian)
of Frederick George do hereby commit him wholly to the
care of the Society, and promise to obey the rules in force, and to permit the
said child to be brought up in the Faith of the Church of England, and when
fully trained to be sent to any situation in the United Kingdom, which may be
obtained for him by the Committee.
Signature:
John George Snow. Date: October 3, 1913.
Signature
of Witness: V. Inez Reeve Address: St. Peter’s Vicarage Croydon
22. I
also hereby give my consent to the child being emigrated to Canada, if he or
she is found suitable and if the Committee consider it advisable.
Signature
of Witness: V. Inez Reeve
Signature:
John George Snow.
(If
consent to emigration is not given, this space should be left blank)
N.B. - Preference will be given to those cases in
which consent to emigration is expressed.
I
certify that the foregoing questions have been correctly replied to, to the
best of my belief.
Name:
Arthur Reeve Address: St. Peter’s Vicarage, Croydon. Incumbent of St. Peter’s,
Croydon.
Date
October 2, 1913
UNANSWERED QUESTIONS:
7. It is
not known where the father and Mother of Frederick George Snow are?
9.
Nothing is known about the child’s own father.
10. It
is not known as to whether the Mother earns anything or not. She took to
drinking dreadfully, & the short time she was home last, she tried to pawn everything
she could, to buy drink.
12. The
only real brother (or sister) is a tiny baby.
14.
Being an illegitimate child it is difficult to answer all this question, but
the Mother’s Mother is known to be dead, and the Mother’s Father is a very old
man, receiving Old Age Pension.
21. The
Mother having deserted the child, has no right to say where the child shall now
go or not go, & as she has run away & it is not known where she is, it
would not in any case be able to ask her.
The poor man with whom the child was left, is only too thankful for the
child to be taken care of anywhere in England or abroad, & he naturally
never wishes to see it again, for although he is a most
kind man with children, (& was to this one too) this Frederick, naturally
only causes him pain.
N.B. It
has only just been found out lately that this child - Frederick - has not been
baptized, but he is going to be next week when the Matron, who is now away,
returns home. He will be baptized in the name of Frederick George.
The mother of Frederick
George Snow, is the second wife of John George Snow, by whom she had two
children, Amy Alice Snow & John Allen Snow. Her husband had a grown up son
by his first wife, called William Henry Snow - who is nine years younger than
his stepmother Annie Gifford. Annie
Gifford turned out a very bad woman, & behaved very disgracefully with her
stepson, in such a manner that when Frederick George was born, this woman’s own
husband did not own this child, but says it undoubtedly is his eldest son’s
child.
Shortly after this the
woman ran away with her stepson, taking only Frederick (the baby) with her.
About a year ago the woman returned, bringing Frederick with her, and another baby William Henry born 29/8/1912 (hers and her
stepson’s). She stayed with her
own husband, and her two eldest children for a month or two, and ran away again
to join her stepson again, this time taking only her baby with her and
deserting Frederick - leaving him to the mercy of - not his own father, but his
wife’s legitimate husband, John Snow.
This man was very good to the child, although it was not his, and he
had been so wronged, but having the two children of his own to work for &
feed & clothe, and having very little work to do, they were almost at
starvation’s door. The Reverend A.
Reeve, Vicar of St. Peter’s, Croydon then sent this deserted waif to the
‘Children’s Convalescent Home’, Brighton Road, South Croydon, where he has been
ever since. This is such a drain on St. Peter’s Poor Fund, that Mr. Reeve finds
he can do it no longer.
NOTE:
This Intake
Form contained many mistakes and inaccuracies.
It did provide small clues that proved to be vital in establishing the
truth regarding my father’s “coming into care” and ultimately identifying his
parents and six siblings.