Warnbro Playgroup – Tuesday’s – Warnbro Community and Family Centre

Warnbro Playgroup - Tuesday's

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

Warnbro Playgroup runs on a Tuesday mornings (term time only) from 9.30 – 11.30 am. Our Playgroup Leader Johanna is on hand for the morning just come along. You can register online or on the day.

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!

Warnbro Playgroup Registration

Form is successfully submitted. Thank you!

Warnbro Playgroup Tuesday Registration Form

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*

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.

Photograph Permission

Yes, 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.

Signature

Date

PAYMENT DETAILS

COSTS

NEW DISCOUNTS - The cost for a 10-pass loyalty punch card (T&C apply) you will only pay for nine visits, receiving the tenth one for FREE. The cost for one child is $27 and for more than one child in the same family is $36. These cards will be valid for 2 terms and are transferrable. You can pay by Bank Transfer (see below for details, please use Reference Code WPG plus your Name), or by credit card. Just complete your card details on this form and we can process the payment on the date you require. Or you can pay by card or cash at the office.

Cardholder Name

Card Number

Expiration Month

Expiration Year

CVC

Signature to Authorise payment

Date to take payment

Select which card you want

$27 Single Child Family Card

$36 Multi Child Family

OFFICE USE ONLY

PAYMENT TYPE

PAYMENT AMOUNT

DATE PROCESSED

PAYMENT PROCESSED BY

MEMBERSHIP EXPIRARY DATE

INVOICE NUMBER & RECEIPT SENT

MEMBER CHECKLIST

DATABASE

WEBSITE

PAID RECORD SHEET

ATTENDANCE SHEET

OTHER INFORMATION

Warnbro Playgroup Tuesday Registration Form

More Information

For further information please call us on

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

Where: Warnbro Community and Family Centre

1 Moreton Crescent, WARNBRO WA 6169

Find Warnbro Playgroup on 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

Warnbro Playgroup – Tuesday’s