M&B Playgroup form

1

What's your name?* This field is required.

First Name

Last Name

2

Your email?* This field is required.

example@example.com

3

Your phone number?* This field is required.

Please enter a valid phone number.

4

Have you been to Mum's & Bub's Playgroup before?* This field is required.

YESNO

5

Would you like you be added to our WhatsApp group?* This field is required. Here we communicate what activities we have planed for each session and you can book you spot as well.

YESNO

6

What's your date of birth?* This field is required.

Date

7

What's your cultural background?* This field is required.

8

What session are you interested in coming to?* This field is required.

Morning session (10:30 am to 12:30 pm)

Afternoon session (1:00 pm to 3:00 pm)

9

Almost there, just a couple details about your children* This field is required.

How many children?

Of what age?

10

What activities/excursions would you be interested to do at Mum's & Bub's Playgroup in the future?

11

Finally, do you want to join our newsletter to keep up to new programs and other useful information from us?

YESNO