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Playgroup Enrolment

Submission Successful

Thank you for your enrolment submission. We have sent you an email confirmation of your submission details. Please contact us if you do not receive this email.

Submission Details

Name:

Email:

Submission Date:

If you entered an email address, your submission details have been sent to you in an email.

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Parent / Carer Details

Emergency Contact

Children Attending Playgroup

Child 1
(Required)
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Sessions

Please tick the session(s) we have indicated that you will be able to attend

Consent

Privacy Statement

The primary purpose of collecting this information is to enable the Wonthaggi Baptist Playgroup to adequately care for your child. All information regarding children is sensitive information within the terms of the national privacy principles under the Privacy Act. The information collected is used by the Wonthaggi Baptist Playgroup for the aforementioned purpose and from time to time it may be given to the pastoral team at the Wonthaggi Baptist Church for the purpose of providing care.

By law, those attending playgroup are entitled to ask for and receive a copy of any personal information Wonthaggi Baptist Playgroup holds about them. Should they wish to access this information, they can do so by forwarding a written request to one of the playgroup leaders. This will be arranged within 14 days of receiving the request.

I authorise the leader in charge of the Wonthaggi Baptist Playgroup, where it is impracticable to communicate with me, to consent for my child to receive such medical or surgical treatment as may be deemed necessary.

I understand that my child/ren must be accompanied by an authorised, supervising adult who is responsible for my child/ren and their safety whilst they are attending the Wonthaggi Baptist Playgroup.

I agree to indemnify and hold harmless the Wonthaggi Baptist Playgroup, and the Wonthaggi Baptist Church against all claims, demands, suits and liability of whatever arises out of any injury to my child or myself whilst at playgroup.

I have read and understood the Wonthaggi Baptist Playgroup Information. I understand that the Wonthaggi Baptist Playgroup is run by the Wonthaggi Baptist Church and there will be Christian content as outlined in the information. I agree to participate in and adhere to the Playgroup Procedures and Behaviour Policy. I have read the Privacy Statement and agree to Indemnity Statement.

Payment

Please enter the amount we have agree is due for payment.

(Enter amount in decimals e.g. 20.00 = $20)
$

Payment Method

Payment by Credit Card is MasterCard or VISA only. All major bank debit cards are also accepted. Please contact us if you have any issues. Payment by Credit / Debit Card incurs a 1.75% card surcharge.
You will receive an email with the details of how to finalise your offline payment - bank transfer, cheque etc.
Please contact us for details about how to make an alternative payment.

Payment Summary


AUD $
(Credit / Debit Card payments include a processing fee of 1.75% ($) on top of your total selected items)

Credit / Debit Card Details




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AUD $  
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