{"text":"Form No. SW2\/7 (Continued) \nNAME AGE ADDRESS \nBrothers or Sisters not shown \ncisewhere on this form. \nNAME & RELATIONSHIP AGE ADDRESS \nClose relatives or.fersons \ninterested in child \nPARENTAL UNDERTAKING \ne \u2014\u2014\u2014\u2014\u2014\u2014\u2014\u2014\u2014n \n:g)a\ufb02 ........ \ncing the parent\/legal guardian of ..... o ... SANDERS .. Cerrreiesenriiaaa, \nhereby request the Highland Regional Council to receive the above child\/ren into care, under Section 13, \nSocial Work (Scotland) Act, 1968, and hereby agree that the child\/ren may receive such medical, surgical or \ndental treatnient as may be deemed necessary by a registered medicat or dental practitioner. | further agree \nthit the child\/ren may be givena gencral anaesthetic if in the opinion of a medical practitioner this is felt 1o be \nNCCOSNAryY. \n(i) I understand that 1 am liable 1o contribute towards the cost and maintenance of the children. \n(b) [ understand the law requires me to keep the Sociat Work Department informed of any changes in my \ncircumstances, including change of address. and undertake to co-operate with the Highland Regional \nCouncil in formulating future pians for the care of the child\/ren. \n(c) The contents of the leaflet - \u201cA Child in Care\u201d - have been fully explained to me by the Highland \nRegional Council Wark Department. \nSlgncdg%-\u2019ga\/\u2018i{p\u2018\/\u2018] ........... \nher\/Mother\/Legat-Guardian \nAddress .. R...CRMG TNV SR . TEREACE ... ... .. \nDesignation ..... \ufb02. S k :t zL' S edeaccsasusascarnsntbensnnrenn 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