1 Start 2 Page 1 3 Preview 4 Complete 3-5 Information When applying for a new three year old place the funding will be allocated for a 2 year period. Please see FAQs on how to make amendments. if you are applying for the additional funded time between March-July, you must also re-apply next year using this same form to receive your child’s two-year funded three and four year old place Are you a returning 4 year old requesting a change of centre provider ? Please selectYesNo What Centre do you currently attend? read and understood I have read and understood the early learning and childcare ‘how to apply’ guidance on the East Dunbartonshire website i have read guidance * Declaration I agree that the information I give on this form is complete and correct.I understand if I give wrong or incomplete information I may be prosecuted.I understand that the Council will withdraw an offer of a place if it was obtained through a fraudulent or intentionally misleading application.I understand that my child’s early learning and childcare place can be withdrawn even if he/she has started at the centre if the place was obtained through a fraudulent or intentionally misleading application.I understand that I must promptly advise the Council of any change of address details after the submission of my child’s application either by emailing the relevant early years centre or earlyyears@eastdunbarton.gov.uk.I understand that places are allocated in accordance with the East Dunbartonshire Council Admission Policy and there is no guarantee that I will receive the session or centre requested. Parent/Guardian/Carer Name * We will use your data to provide the following service: Early Years. For full details of how we will use your data please visit the Education - Early Learning & Childcare Privacy Notice. Next Page > Start Page 1 Preview Complete Next Page >