Application Form Application for Noah’s Ark Pre-school Child's Name *Home AddressDate of BirthTelephone/MobileEmailParent/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 placeNon-funded sessions (£19.00) how many?I enclose a copy of my child's birth certificate.YesNoI enclose a copy of my child's baptismal certificateYesNoI enclose a copy of my child’s birth certificate. 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 *DateSUBMIT Download Application Form Noah’s Ark, The Bungalow, 401-403: Ewell Road, Tolworth KT6 7DG. Phone: 02033900011 You can also send this application from via Email: info@noahsark-preschool.org.uk