Preschool Group Interest and Scheduling Form

Preschool Group Interest and Scheduling Form
Welcome to the Play Move Improve Group Scheduling Survey!

Thank you for your interest in our LITTLE MOVERS and Preschool Group Programs.

We know that finding therapeutic activities that fit into your busy life can be tough. That's why we're building our 2026 weekly schedule based directly on your family's availability!

By completing this short form, you are casting your vote for the best weekday and time for your child's group.

What Happens Next?
1. We will collect all family preferences for our 2-hour sessions (running during school hours).
2. We will notify you immediately once the final schedule is locked in and enrolment opens.
Please fill in your details and let us know which days and times work best for you!
Your Details
Primary Parent/Guardian Name:

First NameLast Name
Child's Full Name

First NameLast Name
Child's Preferred Name / Nickname:
Date of Birth:

MonthDayYear
Date
Current School Year Level: (e.g., Grade 3)
Are you currently using NDIS?

YesNoPending
Help Us Build the Best Schedule for Your Family
Preferred Day - Please select all weekdays that your child is available to attend a 2-hour session

MondayTuesdayWednesdayThursdayFridaySaturday
Preferred Time Slot/s

Early Morning (9:30 AM – 11:30 AM)Mid-Morning (10:00 AM – 12:00 PM)Mid-Day (11:00 AM – 1:00 PM)Afternoon (12:30 PM - 2:30 PM)Late Afternoon (4:00 PM - 6:00 PM
Here you're welcome to share your preferred days and times if for example, you prefer mornings on a Monday, but afternoons on a Thursday.
What are your child's "Superpowers"? (What are they naturally great at? e.g., Lego building, remembering facts about dinosaurs, being kind to animals)
Where do you see them struggle most with focus?

Getting started on a taskStaying on task until it's finished.Sitting still long enough to listen to instructionsOrganising their belongings/thoughtsOther
What is your #1 goal for them at Play Move Improve?
If possible, ask your child these questions and write down their exact answers.
What are 3 things you LOVE doing when you have free time?
Is there anything else we should know about your child's goals or availability?
Consent to be Contacted:
Please tick below if you consent to being contacted by us so we can provide you updates about our program schedules, etc.*

I consent to Play Move Improve contacting me about group scheduling, program enrolment, and future workshops.
Preferred method of communication

EmailPhone
Should be Empty:

Preschool Group Interest and Scheduling Form

Welcome to the Play Move Improve Group Scheduling Survey!

What Happens Next?

Your Details

Help Us Build the Best Schedule for Your Family

If possible, ask your child these questions and write down their exact answers.

Consent to be Contacted: