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Family Membership Form
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Playgroup Victoria Membership Number (optional)
First Name of Parent/Guardian
Last Name of Parent/Guardian
Name of other Parent/Guardian
Email
Phone
Full address
How many of your children attend playgroup?
What are their names?
List your children's birth dates
List sessions you wish to join
How did you pay Family Member Fee?
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Specify, if other
When did you pay the Family Member Fee?
Bank Receipt/ Confirmation Number
Comments (e.g. concession details)
SUBMIT FORM
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