Playtime Registration Form

This form is for those who are attending Playtime for their first time, or who attended Playtime recently for the first time. If you have been to Playtime during a previous term, please fill out this form here.

Parent of Child(ren)

First Name *

Last Name *

Mobile Number *

Email Address *

Home Address *

Home City *

Adult bringing child along

Is the person bringing the child: *

Name of carer

Phone of carer

Email of carer

Relationship of carer to child

Name of other parent

Mobile of other parent

Email of other parent

Emergency Contact

Someone different from adult coming to Playtime

Full Name *

Phone *

Relationship to child *

Child 1

First Name *

Last Name *

Gender *

Date of Birth *

Child 2

First Name

Last Name

Gender

Date of Birth

Child 3

First Name

Last Name

Gender

Date of Birth

Child 4

First Name

Last Name

Gender

Date of Birth

Allergies or other illnesses we should be aware of:

Photograph permission

I acknowledge that my child/ren's photo may be taken by others who are primarily taking photos of their children

By checking this box, I give permission for leaders to photograph my child/ren within Playtime and to use these photos for the purpose of Playtime activities

How did you hear about Playtime?

Thank you for registering your child(ren). We look forward to seeing you soon at Playtime :).