Mindful MOKOS NZ Cultural Playgroup – Wednesdays – Warnbro Community and Family Centre

Mindful Moko NZ Cultural Playgroup

Every Wednesday @ 9:30am to 11:30am

Mindful Moko is a NZ Maori cultural playgroup that helps educate our Tamariki on Maori traditions, language, stories, Waiatas and traditional dance.
Registrations can be done on the day, but we prefer you complete it ahead of time.

Please bring a hat and sunscreen and a piece of fruit to share.

$3.00 per session for one child, for families with more than one child $4 per session..
or BUY A 10 VISIT CARD AND ONLY PAY FOR NINE!

Mindful Moko Traditional Values

We hold our VALUES

Maori Language

Mindful Mokos NZ Cultural Playgroup Registration

Form is successfully submitted. Thank you!

Mindful Mokos Playgroup Registration

New Zealand Cultural Playgroup

First Name*

Last Name*

Phone Number*

Date of Birth*

Facebook name that appears on the account

Email*

Address*

City*

State*

Postal Code*

Parent/Guardian to sign this form electronically*

Date*

About your Children*

Childs Name*

Any allergies we need to know about?

Childs Name

Any allergies we need to know about?

Childs Name

Any allergies we need to know about?

Childs Name

Any allergies we need to know about?

Any comments or questions you may have for us!

Is it ok for us to contact and keep you updated via Email / Facebook?*

Yes

Is your child/children up to date with immunisations?*

Yes

Emergency contact person*

Emergency contact number*

Name of family member that may occasionally attend

Name, Address and Telephone number of family doctor (in case of emergency)*

Privacy

All information is strictly confidential and will not be passed onto third parties.  As such, the information contained will only be used or referred to when there is a need to inform you about playgroup or other WCFC user group info.

Payment Details

Bank Details for EFT ANZ Bank - Account Name: Warnbro Community and Family Centre - 
BSN 016-375 - Account Number 4781-75096 - 
Reference please use code 'MMPG plus your Name'. Payment is per term in advance if you wish to pay cash please arrange this with the Centre Manager.

COSTS

The cost per visit is $3 for 1 child, accompanied babies under 12 months are free, or $4 for families with more than one child over 12 months. NEW DISCOUNTS - The cost for a 10-pass loyalty card (T&C apply) you will only pay for 9 visits, receiving the 10th one for FREE. The cost for a single child family will be $27. And $36 for a multi-child family. You can pay by Bank Transfer (see above for details, please use Reference Code MMPG plus your Name), or by credit card at the office or over the phone. Or simply complete your card details at the bottom of this form.

Cardholder Name*

Card Number*

Expiration Month*

Expiration Year*

CVC*

Family Type

Single Child $27

Please Check a box

Multi Child Family $36

Date to take your payment

Authorisation to take payment Signature

Mindful Mokos Playgroup Registration

More Information

For further information please call us on

Phone 9593 3027 or email: mindfulmoko@gmail.com or admin@warnbrocfc.com.au

Where: Warnbro Community and Family Centre

1 Moreton Crescent, WARNBRO WA 6169

Find Mindful Moko's on Facebook

Find Mindful Moko's Closed Group Facebook

SUBSCRIBE HERE

Form is successfully submitted. Thank you!

Toddler Time Sing & Grow 2021

REGISTRTION FORM - Please complete this registration for TERM 1

First Name*

Last Name*

Phone*

Date of Birth

Facebook name that appears on the account

Email*

Address*

City*

State*

Postal Code*

Childs Name

Childs Age

Any allergies we need to know about?

Which Program are you interested in*

Any comments or questions you may have for us!

Is it ok for us to contact and keep you updated via Email / Facebook?

Yes

Is your child/children up to date with immunisations?*

Yes

Emergency contact person

Emergency contact number

Name of family member that may occasionally attend

Name, Address and Telephone number of family doctor (in case of emergency)

Photograph Permission

I give permission for Warnbro Community and Family Centre Incorporated to take photographs of my above-named children, which may be used for promotional purposes ONLY. The photographs may be displayed at shopping centres, the newspaper, or at community events within Australia or posted on the Warnbro Community and Family Centre/Warnbro Playgroup website or Facebook page.

Yes

I the above mentioned Parent/Guardian Sign this form electronically

How did you hear about our playgroup or community centre?

Bank Details for EFT

Bank Details

Please enquire to purchase these in the centre mangers office if you do not wish to do it online

Payment is per term in advance if you wish to pay cash please arrange this with the centre manager. You can pay by Bank Transfer (see above please use the initials 'TTSG and your name' as the reference on the bank transfer), or by credit card on the form, over the phone or at the centre.

Cardholder Name

Card Number

Expiration Month

Expiration Year

CVC

I Authorise to take payment on the following Date

Amount to pay

Privacy

All information is strictly confidential and will not be passed onto third parties.  As such, the information contained will only be used or referred to when there is a need to inform you about Toddler TIme or other WCFC user group info.

Signature

Date

OFFICE USE ONLY

PAYMENT TYPE

PAID AMOUNT $

DATE PROCESSED

PAYMENT PROCESSED BY

TERM

Term 1

PAYMENT CHECKLIST

Receipt

Database

Stripe

MEMBER CHECKLIST

Subscribed

Database

Attendance Sheet

OFFICE USE ONLY

PAYMENT TYPE

PAID AMOUNT $

PAYMENT PROCESSED BY

DATE PROCESSED

TERM

Term 2

PAYMENT CHECKLIST

Receipt

Database

Stripe

MEMBER CHECKLIST

Subscribed

Database

Attendance Sheet

OFFICE USE ONLY

PAYMENT TYPE

PAID AMOUNT $

PAYMENT PROCESSED BY

DATE PROCESSED

TERM

Term 3

PAYMENT CHECKLIST

Receipt

Database

Stripe

MEMBER CHECKLIST

Subscribed

Database

Attendance Sheet

OFFICE USE ONLY

PAYMENT TYPE

PAID AMOUNT $

PAYMENT PROCESSED BY

DATE PROCESSED

TERM

Term 4

PAYMENT CHECKLIST

Receipt

Database

Stripe

MEMBER CHECKLIST

Subscribed

Database

Attendance Sheet

Toddler Time Sing & Grow 2021

Mindful MOKOS NZ Cultural Playgroup – Wednesdays

Mindful Moko NZ Cultural Playgroup

Mindful Moko NZ Cultural Playgroup

Every Wednesday @ 9:30am to 11:30am

Mindful Moko Traditional Values

Mindful Mokos NZ Cultural Playgroup Registration

More Information

For further information please call us on

Where: Warnbro Community and Family Centre

Find Mindful Moko's on Facebook

Find Mindful Moko's Closed Group Facebook

OFFICE USE ONLY

OFFICE USE ONLY

OFFICE USE ONLY

OFFICE USE ONLY

Contact Us

Subscribe now

SPECIAL DEAL

Toddler Time

SING & GROW

REGISTER ONLINE with a friend before 11th March & receive one extra free visit

USE code TTFriend on your registration