Earlybirds Membership Application Form 2026

Membership Application Form 2026

Annual Membership Feb 1 2026 to Jan 31st 2027
Annual Membership Type
I want to:
Preferred Session
(i.e. Monday 11am-1pm)
Choose a time slot
Choose a time slot for starting own group
Please note; EBPG has 'open sessions' Mon-Fri 3pm-5pm. Theses are open to any EBPG members to attend.
Parent Name

First NameLast Name
E-mail
example@example.com
I acknowledge I need to pay the Playgroup WA membership fee through the PGWA website and understand this can only be done after I have signed up to a playgroup. (You will be sent an email from PGWA separately regarding this)
PlaygroupWA Family ID (if known)
Address

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number

Area CodePhone Number
Country of Birth
(Required info by PlaygroupWA)
Main language spoken at home
(Required info by PlaygroupWA)
Indigenous status
(Required info by PlaygroupWA)
Disability, impairment or allergies?
(Required info by PlaygroupWA)
Do you agree to comply with the Earlybirds Playgroup immunisation policy (refer website)?
Child No. 1 Name
(Required info by PlaygroupWA)
Child No. 1 Date of Birth

MonthDayYear
(Required info by PlaygroupWA)
Child No. 2 Name
(Required info by PlaygroupWA)
Child No. 2 Date of Birth

MonthDayYear
Date
Child No. 3 Name
(Required info by PlaygroupWA)
Child No. 3 Date of Birth

MonthDayYear
(Required info by PlaygroupWA)
Child No. 4 Name
(Required info by PlaygroupWA)
Child No. 4 Date of Birth

MonthDayYear
(Required info by PlaygroupWA)
If you have you already paid your PGWA Fee for 2026 with another playgroup enter your registration number here.
If you have paid the Playgroup WA fee already for 2026 with another playgroup. Please use coupon code : PGWA24 for standard family membership or concession card holders use PGWA24CC . Please provide your registration number if known.

Annual Membership Payment Form

Family Membership until Jan 31st 2027$100 AUD

Family Membership - fee $100 (Additional $35 Playgroup WA fee is no longer paid to Earlybirds. Register at Playgroup WA website)

Family Member Concession Card Holders $75 AUD

Family Member Concession - $100 (Concession card must be provided upon request) The $35 Playgroup WA fee is no longer paid to Earlybirds. Register at Playgroup WA website

Family Membership - Committee Member - $0 (must be Elected Committee Member)Free

Family Membership - Committee Member - $0 (must be Elected Committee Member) Want to volunteer? The more the merrier. Get in touch earlybirdsplaygroup.president@gmail.com

Enter coupon

Total $0.00 AUD

Credit Card

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Membership Application Form 2026

Annual Membership Payment Form*

Credit Card

Annual Membership Payment Form