Application Form Application for Noah’s Ark Pre-school Child's Name Home Address Date of Birth Telephone/Mobile Email Parent/Guardian's Full name (Mr/Mrs/Miss) Date for which entry is sought (Jan, Apr or Sep) main intake is Sep. Please tick: 15 hour funded place (2 year or 3-4 year olds) 30 hour funded place Non-funded sessions (£19.00) how many? I enclose a copy of my child’s birth certificate. Yes No I enclose a copy of my child's baptismal certificate Yes No Non-funded children require a non-refundable deposit of £20 I have read Noah’s Ark’s admission policy (available on Noah’s Ark website) and will inform the setting if I no longer need the place. Signed Date Noah's Ark, The Bungalow, 401-403! Ewell Road, Tolworth KT6 7DG. Phone: 02083900011 You can also send this application from via Email: info@noahsark-preschool.org.uk SUBMIT Download Application Form
