| No. in Admissions Register: | 307 |
| Date of admission: | 5 July 1865 |
| Whence received: | Stafford |
| By whom brought: | - |
| On what terms: | - |
| Friends interested in him: | - |
| Description: | |
| Height: | - |
| Figure: | - |
| Complexion: | Fresh |
| Hair colour: | Light brown |
| Eyes colour: | Blue |
| Perfect vision? | Yes |
| State of health: | Good |
| Able-bodied? | Yes |
| Sound intellect? | Yes |
| Use of all limbs? | Yes |
| Had cow or small pox? | Vaccinated 17 June 1865 |
| Particular marks: | None |
| Cutaneous disorder? | No |
| Scrofulous or consumptive? | Not apparent |
| Subject to fits? | None |
| Age last birthday: | 14 |
| Illegitimate? | No |
| Birthday: | - |
| Birth place: | - |
| Has resided: | Longton |
| Parish he belongs to: | Stoke on Trent |
| Customary work and mode of life: | Potter |
| Schools attended: | - |
| By whom and where employed: | - |
| State of education: | |
| Reads: | Imperfectly |
| Writes: | Imperfectly |
| Cyphers: | - |
| General ability: | - |
| Offence: | Stealing a sheet, the property of James Cotton, Dresden, Longton |
| Circumstances which may have led to it: | Neglect of parents |
| Date of sentence: | 14 June 1865 |
| Where convicted: | Longton Police Court before J E Davis |
| Who prosecuted: | - |
| Where imprisoned: | Stafford |
| Sentence: | 21 days in prison, 4 years at Saltley |
| Previous committals and convictions: | None |
| Father's name: | - |
| Occupation: | - |
| Residence: | - |
| Mother's name: | Ann Emery |
| Occupation: | - |
| Residence: | - |
| Father's character: | - |
| Mother's character: | Not good |
| Parents dead? | Father |
| Survivor married again? | No |
| Parents' treatment of child: | Bad |
| Character of parents | Not good |
| Parents' wages: | About 7s per week |
| Amount parents agree to pay: | Ought to be called upon to pay 1s 2d per week |
| Superintendent of police (to collect payments): | George Garnham, Superintendent, Longton |
| Relatives to communicate with: | - |
| Person making this return: | John R Rose, Magistrates Clerk, Stoke on Trent |
| Estimate of character on admission: | - |
| Character on discharge: | - |
| When and how left the Reformatory: | - |
10 June 1865 There is a short report of the offence in the Staffordshire Advertiser Saturday 10 June 1865 p.7 col.5: JUVENILE THIEVES. -Two lads, named John Emery and William Shaw, who had evidently been much neglected by thelr parents, were charged with stealing a sheet, the property of James Cotton, at Dresden. The lads had gone to the prosecutor's house begging, and taken the sheet from a table. Shaw pledged it the same day at Mr. Hill's, for a shilling. Both were remanded until Wednesday next.
4 July 1869 Discharged
December 1870 At Longton. Doing well
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