Marmion Warwick Playgroup Inc Enrolment Form 2024

Please complete ALL sections of this form. Please note: fees are due within 2 weeks of enrolment. 

Payment can be made via Electronic Funds Transfer (EFT) as per the instructions at the end of this form.

For enquires, contact mwnewmembers@gmail.com
Sign in to Google to save your progress. Learn more
Playgroup Fees
Parent / Carer
(if you use two surnames please list both with lesser used name in brackets after your main name)
Your First Name *
Your Surname *
Your Date of Birth *
MM
/
DD
/
YYYY
Your Gender *
Required
Your Address, including Suburb and Postcode *
Your Phone Number
Your Email Address *

Child / Children

(list only those who will be attending Playgroup)

Full name of child 1 *
Date of Birth of Child 1 *
MM
/
DD
/
YYYY
Gender of Child 1 *
Required
Full name of Child 2
(If Applicable, leave blank if no other children attending)
Date of Birth of Child 2 
(If Applicable, leave blank if no other children attending)
MM
/
DD
/
YYYY
Gender of Child 2
(If Applicable, leave blank if no other children attending)
Full name of Child 3
(If Applicable, leave blank if no other children attending)
Date of Birth of Child 3
(If Applicable, leave blank if no other children attending)
MM
/
DD
/
YYYY
Gender of Child 3
(If Applicable, leave blank if no other children attending)

Playgroup Session

Please select your preferred day and session time.
9 to 11am
10am - 12pm (Fri only)
11 to 1pm
12.30pm - 2.30pm (Mon only)
1 to 3pm
Mon
Tues
Weds
Thurs
Fri
Clear selection
Where did you hear about Marmion Warwick Playgroup?
*
Have you previously been a member of another playgroup affiliated with Playgroup WA?
 *
Required
If you answered Yes to the above, please provide your PGWA membership number if possible (this number starts with a 2 and would have been emailed to you by Playgroup WA when you previously enrolled in a playgroup).
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms