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Enrolment form
Playgroup Enrolment
Date of Birth
Start date
Gender
Female
Male
Playgroup Enrolment
Date of Birth
Gender
Female
male
Ethnicity
Aboriginal/Torres Strait Islander
Culturally & Linguistically Diverse
Other ethnicity
Disability
Yes
No
Unknown
How did you hear about us?
Internet search
Recommended by a friend
Positive media review
Acknowledgement:
I agree to participate in sessions, supervise my child/ren, and help clean up the activity space after the session
Yes
No
I agree for the Centre to use these details towards my Ordinary membership at the Centre for a cost of $10 per calendar year