Заведующему МБДОУ № 6 «Колосок»                                                                                      
                                                                                              Фоменко А.А.                                                                                                     
                                                                                              родителя ____________________________
                                                                                                                                             Ф.И.О.

Заявление

Прошу отчислить с «___» _____20___г. из группы платных образовательных услуг по курсу «                                                                                                                                   » моего ребенка ____________________________________________________,

                                                                 (Ф.И.О. ребенка, дата рождения)

в связи с _____________________________________________________________________
                                                              указать причину отчисления

                                                                                                                _______________ 20___г.

________________ /___________________/