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Play Group Online Enrolment

 

A condition for membership with Playgroups Australia (Victoria) is that Kimmba keeps up-to-date records of all children enrolled in our groups. Thank you for entering all details, especially contact details, clearly and in full so that we can contact the right people in case of emergency, etc.

Prior to filling out the Play Group Enrolment form, please read the Play Group policies here.

Child/Carer Details

*

*

*

*

Parent Details
Mother

Father

Child(ren) Details
Child 1

Child 2

Child 3

Roster Playgroup Children Only
Person to collect your child/ren in case of emergency

Family Doctor

*

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