Romsey Playgroup Membership Form

Registration Form

Complete the form below to join Romsey Playgroup
Section 1

Caregiver Details (the adult that usually brings child to playgroup)
Full Name

First NameLast Name
Relationship to Child/Children
Parent, Grandparent etc.
E-mail
example@example.com
Phone Number
Mobile preferredFormat: 0000000000.
Address:

Street Address

Street Address Line 2

CityState

Post Code
Emergency Contact Details

Full Name

Street Address

SuburbPhone Number

Relationship to Caregiver
Section 2

Child's Details
Child 1

Full NameDate of Birth
Child 2

Full NameDate of Birth
Child 3

Full NameDate of Birth
Child 4

Full NameDate of Birth
Allergies
Please list child's name and allergies for each child
Section 3

Guardian's Details (if different to section 1)
Guardian's Contact Details

Full Name

Street Address

SuburbPhone Number

Email Address
Section 4

Membership Fees and Payment Details
1. Romsey Playgroup membership fees can be paid via bank transfer either annually, per term, or per week.

All fees are per family, not per child.

Annual fees are only available if paid by 15th April 2026.

Concession members must have valid concession card sighted by Treasurer/Secretary.

Details will also be sent in an email once form is submitted.

Romsey Playgroup
BSB: 633 000
Acc: 119 282 895
Please select membership below
2. Playgroup Victoria family membership is optional. This is free and provides you with discounts and special offers. Use the following link to join.

https://www.playgroup.org.au/become-a-member/
Section 5

Photography and Advertising Consent
Please select the appropriate options
Where did you hear about Romsey Playgroup?

Other
To keep up to date with everything that's happening at Playgroup, please follow our facebook page, and add to your favourites
Once you submit your registration, we will contact you shortly to confirm your membership.

If you have any questions, please email romseyplaygroup@gmail.com

Thank you!
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Registration Form

Section 1

Section 2

Section 3

Section 4

Section 5