Tower Hamlets

The London Borough of Tower Hamlets have now issued 300/300 cards. New applications will go on a waiting list.

All fields which are marked with * are mandatory fields. Young people aged 16 and under, will need to download this Parent Consent Form; print, complete and send back to COO-L, to take part in the scheme. This form should  to be completed with a youth worker, social worker or agency of the London Borough of Tower Hamlets.

Pre-Pay Card Application Form
State the name and job title of the Youth worker, social work referring the young person (*)
Invalid Input
State the contact number for the referring agent (*)
Invalid Input
State the e-mail address of the referring agent (*)
Invalid Input
First Name (*)
Enter your first name.
Surname (*)
Enter your surname
Date of Birth (*)
Enter your date of birth.
Age (*)
Enter your age.
Gender (*)
Select your gender.
Email (*)
Enter your email address.
Address (*)
Enter your home address
Post Code (*)
Enter your post code.
Mobile Phone Number (*)
Enter your mobile phone number.
School (*)
Enter your school name.
Home Number
Invalid Input
My Photo
Invalid Input
Are you entitled to free school meals? (*)
Select YES or NO
Are you aged 11-17? (*)
Select YES or NO
Are you a resident of Tower Hamlets? (*)
Select YES or NO
You can use my details to send me information about COO-L, including telling me about new activities and upcoming events. (*)
Select YES or NO