Please click here to download the referral form file. Fill in all details clearly and send the completed form back to us
Via post, please send it to:
Ealing Child Contact Centre
St.Andrew’s Church Centre
Mount Park Road
Ealing, W5 2RS
Or via email, please send it to:
As soon as we receive the application we will be in touch via telephone or email. Both parents will be invited at the earliest possible opportunity to come on a Saturday morning to visit the centre for a pre-visit to assess eligibility and discuss arrangements.