Pymble Playgroup Fees

Secure your Session Spot | Term 1 2021

Every term EVERYONE must apply for a Session Spot.
Attending Adult *

First Name Last Name
Phone *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

Suburb State
E-mail *
Emergency contact *

First Name Last Name
Emergency Phone Number *

Area Code Phone Number
PGNSW membership ID *
To obtain a FREE membership visit www.playgroupnsw.org.au Member ID # will be emailed by Playgroup NSW.
Where did you hear about Pymble Playgroup? *
e.g. friend, early child centre, google, social media etc.
Preference for session *
Spaces will be allocated on date and time we receive this form and payment - 'first come first served' basis until the Session reaches MAX 30 (includes adults, children and babies) and is declared full.
Number of Spots required *
Only the number of Spots you secure are the number of people your family is allowed on site during your selected Session. Please list names below.
EFT Fees: $60 for Term 1, 2021 (Wednesday, 27th January to Thursday, 1st April)
*Annual payments are no longer applicable.

NAME: Pymble Playgroup
BSB: 082309 ACC: 509501246
REF: Surname + Session Preference
Attach proof of payment (remittance advice) *

Browse Files
Take a screenshot or receipt or download the payment receipt. Cancel of
Attending (child1) *

First Name Last Name
DOB (child1) *

Month Day Year
Date
Immunisations up to date (child1) *

Yes No
Allergies? (child1) *
If yes, pease specify allergy and any reaction child may have if known.
…Add more Parent/Carers or Children below the submit button…

+ Additional parent/carers attending
Each Parent/Carer must be named. The number of Spots you request are the MAX. number of people your family is allowed on site during your selected Session.
Attending (parent or carer 2)

First Name Last Name
Phone (parent or carer 2)

Area Code Phone Number
Attending (parent or carer 3)

First Name Last Name
Phone (parent or carer 3)

Area Code Phone Number

Secure your Session Spot | Term 1 2021