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Highgate Primary Family Centre - Toddler Stay and Play Financial Grant Application
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1.
Question 1.
Name of child
Required
- Required.
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2.
Question 2.
Child's date of birth
Required
- Required.
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3.
Question 3.
Full name of parent/carer completing this form
Required
- Required.
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4.
Question 4.
Contact number for parent/carer
Required
- Required.
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5.
Question 5.
Contact email for parent/carer
Required
- Required.
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6.
Question 6.
Address of child
Required
- Required.
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7.
Question 7.
Reason for applying for financial grant
Required
- Required.
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8.
Question 8.
Do you receive any of the following financial supports?
Required
- Required.
Income support
Income based Job Seeker Allowance
An income-related employment and support allowance (ESA IR)
Child Tax Credit
Guaranteed element of Pension Credit
Universal Credit
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9.
Question 9.
Do you have a child at Highgate Primary School?
Required
- Required.
Yes
No
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10.
Question 10.
Name of child at Highgate Primary school (if applicable)
Required
- Required.
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The information provided above will only be used by the school to assess the application for the financial grant. It will not be used for any other purpose or shared with anyone outside of Highgate Primary School.
Required
- Required.
I confirm that I have read and understood the above.
I hereby declare that the information provided is true and accurate
