ENROLMENT FORM

Joondalup Family Centre

Please call 9300 3036

Playgroup Enrolment

Playgroup runs facilitated sessions 3 days per week, Tuesday - Thursday 9am - 11am.

Fees: $10 per child

Child 1 Name

Date of Birth

Gender

Child 2 Name

Date of Birth

Gender

Attending Day(s)

Start date

Parent/Guardian Name

Address

Phone number

Email

Ethnicity

Language spoken at home (other than English)

Disability

How did you hear about us?

I agree to participate in sessions, supervise my child/ren, and help clean up the activity space after the session

Yes

No