MIM Playgroup Term 4 2017
MWA Felicity House 29 Orchard Rd Bass Hill NSW 2197
10am | Weekly on WEDNESDAYS starting from 18 October 2017
Cost: Gold coin donation per session
If you are not already a member of MWA, membership is $10 and you can complete the form and pay on the day.
Email address
First Name
Your answer
Last Name
Your answer
Mobile Phone Number
Your answer
I understand that registration is for all sessions.
Required
Child 1 - Name, Age, Allergies
Your answer
Child 2 - Name, Age, Allergies
Your answer
Child 3 - Name, Age, Allergies
Your answer
Child 4 - Name, Age, Allergies
Your answer
Are you a current member of MWA?
I understand that if my child is sick, I will not bring them to Playgroup, to prevent spreading any illness.
Do you have any comments or questions?
Your answer
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