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Family Membership Form
First Name of Parent/Guardian
Last Name of Parent/Guardian
Name of other Parent/Guardian
Playgroup Victoria Membership Number (if applicable)
Email
Phone
Your Full Address
How many of your children attend playgroup?
What are your kids' names?
Please list your children's birth dates (dd-mm-yy, i.e., 21-Apr-2013)
When do you attend St Kilda Playgroup (Day)?
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When do you attend St Kilda Playgroup (Time)?
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What Playgroup Room?
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Would you like more information about joining the Playgroup Committee?
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Comments (add concession details here)
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