Free School Meals Application Form

Personal Details

Title Please select... Mr Mrs Miss Ms Dr Other

If other title, please specify:  

Surname (*Required field)  

First Name (*Required field)  

Address (*Required field)  

Postcode (*Required field)  

Telephone Number (*Required field)  

Email Address (*Required field)  

Date of Birth (*Required field)  

Relationship to child eg mother, father, carer (*Required field)  

Qualifying Benefit Being Received

National Insurance Number or National Asylum Support Service Number (*Required field)  

* You must provide your National Insurance Number or your National Asylum Support Service Number if you are in receipt of Support under part six of the Immigration and Asylum Act 1999.

Details of children in full time education

* You can give details of up to 4 children on this form. If you wish to claim for more than 4 children, please complete an additional online form, after you have submitted this one.

* Please give us details of all the children you are applying for below:

Child 1

Child 1: Surname  

Child 1: First Name  

Child 1: Date of Birth  

Please select the school that your child attends from the list below. NOTE: If your child attends any of the following schools, you must contact the school directly to apply for Free School Meals: Bedelsford, Coombe Boys’, Tiffin Boys’, Holy Cross Convent, Richard Challoner, St Luke’s COE Primary.

Select the school from the following list for Child 1: Please select... Alexandra Infants Burlington Infants Burlington Juniors Castle Hill Primary Chessington Community College Christ Church New Malden COE Primary Christ Church COE Primary Coombe Girls’ Coombe Hill Infants Coombe Hill Juniors Corpus Christi Catholic Primary Dysart Ellingham Primary Fern Hill Primary Grand Avenue Primary Green Lane Primary Hollyfield & 6th Form King Athelstan Primary Knollmead Primary Latchmere Lovelace Primary Malden Manor Primary Malden Parochial COE Primary Maple Infants Our Lady Immaculate Catholic Primary King’s Oak Primary Robin Hood Primary Southborough High St Agatha's Catholic Primary St Andrew's and St Mark's COE Junior St John's COE Primary St. Joseph's Catholic Primary St Mary's COE Primary St Matthew's C of E Primary St Paul's C of E Primary St Paul's C of E Junior St Philip’s Tiffin Girls’ Tolworth Girls’ & 6th Form Tolworth Infants Tolworth Juniors

Please tell us the school your child attends if they do not attend one of the schools in the list above  

Child 2

Child 2: Surname  

Child 2: First Name  

Child 2: Date of Birth  

Please select the school that your child attends from the list below. NOTE: If your child attends any of the following schools, you must contact the school directly to apply for Free School Meals: Bedelsford, Coombe Boys’, Tiffin Boys’, Holy Cross Convent, Richard Challoner, St Luke’s COE Primary.

Select the school from the following list for Child 2: Please select... Alexandra Infants Burlington Infants Burlington Juniors Castle Hill Primary Chessington Community College Christ Church New Malden COE Primary Christ Church COE Primary Coombe Girls’ Coombe Hill Infants Coombe Hill Juniors Corpus Christi Catholic Primary Dysart Ellingham Primary Fern Hill Primary Grand Avenue Primary Green Lane Primary Hollyfield & 6th Form King Athelstan Primary Knollmead Primary Latchmere Lovelace Primary Malden Manor Primary Malden Parochial COE Primary Maple Infants Our Lady Immaculate Catholic Primary King’s Oak Primary Robin Hood Primary Southborough High St Agatha's Catholic Primary St Andrew's and St Mark's COE Junior St John's COE Primary St. Joseph's Catholic Primary St Mary's COE Primary St Matthew's C of E Primary St Paul's C of E Primary St Paul's C of E Junior St Philip’s Tiffin Girls’ Tolworth Girls’ & 6th Form Tolworth Infants Tolworth Juniors

Please tell us the school your child attends if they do not attend one of the schools in the list above  

Child 3

Child 3: Surname  

Child 3: First Name  

Child 3: Date of Birth  

Please select the school that your child attends from the list below. NOTE: If your child attends any of the following schools, you must contact the school directly to apply for Free School Meals: Bedelsford, Coombe Boys’, Tiffin Boys’, Holy Cross Convent, Richard Challoner, St Luke’s COE Primary.

Select the school from the following list for Child 3: Please select... Alexandra Infants Burlington Infants Burlington Juniors Castle Hill Primary Chessington Community College Christ Church New Malden COE Primary Christ Church COE Primary Coombe Girls’ Coombe Hill Infants Coombe Hill Juniors Corpus Christi Catholic Primary Dysart Ellingham Primary Fern Hill Primary Grand Avenue Primary Green Lane Primary Hollyfield & 6th Form King Athelstan Primary Knollmead Primary Latchmere Lovelace Primary Malden Manor Primary Malden Parochial COE Primary Maple Infants Our Lady Immaculate Catholic Primary King’s Oak Primary Robin Hood Primary Southborough High St Agatha's Catholic Primary St Andrew's and St Mark's COE Junior St John's COE Primary St. Joseph's Catholic Primary St Mary's COE Primary St Matthew's C of E Primary St Paul's C of E Primary St Paul's C of E Junior St Philip’s Tiffin Girls’ Tolworth Girls’ & 6th Form Tolworth Infants Tolworth Juniors

Please tell us the school your child attends if they do not attend one of the schools in the list above  

Child 4

Child 4: Surname  

Child 4: First Name  

Child 4: Date of Birth  

Please select the school that your child attends from the list below. NOTE: If your child attends any of the following schools, you must contact the school directly to apply for Free School Meals: Bedelsford, Coombe Boys’, Tiffin Boys’, Holy Cross Convent, Richard Challoner, St Luke’s COE Primary.

Select the school from the following list for Child 4: Please select... Alexandra Infants Burlington Infants Burlington Juniors Castle Hill Primary Chessington Community College Christ Church New Malden COE Primary Christ Church COE Primary Coombe Girls’ Coombe Hill Infants Coombe Hill Juniors Corpus Christi Catholic Primary Dysart Ellingham Primary Fern Hill Primary Grand Avenue Primary Green Lane Primary Hollyfield & 6th Form King Athelstan Primary Knollmead Primary Latchmere Lovelace Primary Malden Manor Primary Malden Parochial COE Primary Maple Infants Our Lady Immaculate Catholic Primary King’s Oak Primary Robin Hood Primary Southborough High St Agatha's Catholic Primary St Andrew's and St Mark's COE Junior St John's COE Primary St. Joseph's Catholic Primary St Mary's COE Primary St Matthew's C of E Primary St Paul's C of E Primary St Paul's C of E Junior St Philip’s Tiffin Girls’ Tolworth Girls’ & 6th Form Tolworth Infants Tolworth Juniors

Please tell us the school your child attends if they do not attend one of the schools in the list above  

Equalities Monitoring

We have a policy of treating everyone equally. To ensure this is being done we record information about the people that use our service, we can then decide how to make improvements.

Please note that these questions apply to the person completing the form, not the child / children receiving the free school meals.

Other disability:  

Other religion or belief:  

Other ethnic group:  

Other sexual orientation:  

Declaration

*I confirm that the information I have given on this form is correct and complete

*I will inform the this office/team of any changes to my financial circumstances (freeschoolmeals@rbk.kingston.gov.uk)

*I understand that I may be prosecuted if I provide false information on this form or do not inform this office/team immediately if my benefit stops.

*I will repay in full the cost of any meals taken after my benefit stops

I give permission for the information I have provided to be used to assess my claim for free school meals and understand that other sources may be contacted as allowed by the law to verify my initial, and ongoing, entitlement.

• I confirm that I have read, understood and accept the terms within this declaration and that the information I have provided is correct

If you are applying for more than 4 children, please now complete an additional form. If we need any more information to support your application we will contact you shortly, by phone or email, although this may delay your application. If your application is successful we will confirm this within an email within 3-5 working days.

Please print this page for your records should you wish to do so.