HHV Opportunity Fund Application Form

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Please complete this form to apply for discounted rates of entry to all youth cycling sessions at Herne Hill Velodrome. Any information provided will be treated in the strict confidence. If you would rather not complete the form, please email Tianne Bell (Youth Cycling Development Officer) directly at tbell@hhvt.org

Parent/carer full name: *

Parent/carer email address: *

Full name(s) of all children applying for: *

Are your children eligible for pupil premium at school? *

Yes

Other:

Do your children receive free school meals (Year 3 and above)? *

Yes

Other:

If your child/children are eligible for pupil premium and/or free school meals, please email documentary proof of this to tbell@hhvt.org in confidence.

If your child/children are not eligible for pupil premium or free school meals, please provide any further information below to help us consider your application for hardship discounts e.g. eligibility for income-based benefits, child tax credits, universal credit, disability benefits, social care status

Please tell us how you heard about Herne Hill Velodrome? *

Please tell us how you found out about the Opportunity Fund? *

Once you submit this application and email your supporting documentation, we will respond as soon as possible via your email. Thank you.

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