Membership Form

Family Information
ALL FIELDS REQUIRED

Parents Name

Address

Telephone

Your Email

Child 1: Name

Child 1: DOB

Child 2: Name

Child 2: DOB

Child 3: Name

Child 3: DOB

Child 4: Name

Child 4: DOB

Membership Type

Existing MemberNew Member

Session Information

Session attending/requested - please select:

Your Message

Allergies

Does your child have a severe allergy? Please provide any relevant information to assist with awareness.
YesNo

Volunteers

Please let us know if you have any professional skills in your family that you can volunteer to our playgroup.

Photo Permission

Occasionally we would like to use photographs from our sessions and events on the Hackett PG website and to promote Hackett PG. Please check the box if you are happy for us to use photos which may include your child/children.
YesNo

Payment

Please make your payment to: BSB 036 063 A/C 138 650. Please reference your payment with your surname and session day.

Also note the date fees were paid in the comment box above.

Fees

Annual Fees for 2019 (including the Playgroup WA membership fee of $35) are $195 per family.

The fee structure throughout the year is as follows:

$185 – Early-bird discount is offered until 10 January each year

$195 – Full price from 11 January until 31 May

$147 – 30% discount from 1 June until 30 September

$101 – 60% discount from 1 October until 31 January

In accordance with Playgroup WA regulations, new members may have up to 3 trial visits to Hackett PG after which enrolment must be completed (fees paid and enrolment form received). Families who have not paid their fees and submitted the enrolment form in a timely manner will be unable to attend Hackett PG as they are not insured until both are received.

Playgroup WA Insurance levy

Insurance levy is included in your fees and is COMPULSORY. If you have paid the Playgroup WA insurance elsewhere for 2019 please provide your member number and the name of the Playgroup you are registered with and subtract $35 from the fees.