St Johns Swapnplay Enrollment Form
Thank you for your interest in joining the St. Johns Swapnplay located at 7535 N. Chicago Ave. Portland, OR 97203. Please be sure to scroll down to complete this form. Enrollments are processed on an ongoing basis, please allow a minimum of five business days to receive confirmation of your enrollment. Email info@swapnplay.org with questions or to report any errors.

Please Note: This form must be completed in one session. If you leave the form, it will force you to start again.

Primary Member Information
The primary member is our main contact person and is responsible for payment and communicating all Swapnplay information and guidelines to children in their care, guests, and caregivers.
Date *
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First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number *
Your answer
Email *
Your answer
Additional Email Addresses
Please list any additional email addresses you would like to include in member communications, please use commas to separate each address
Your answer
Additional caregivers
Please add any person that may bring your child to Swapnplay, separated by a comma.
Full names of all caregivers
Your answer
Child's Name *
Your answer
Child's Birthday *
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Child allergies or health information to share if any
Your answer
Additional Child's Name
Your answer
Additional Child's Birthday
MM
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DD
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YYYY
Child allergies or health information to share if any
Your answer
Additional Child's Name
Your answer
Additional Child's Birthdate
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DD
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YYYY
Child allergies or health information to share if any
Your answer
Additional Child's Name
Your answer
Additional Child's Birthdate
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YYYY
Please list any additional adults and children/allergies/birth dates here
Your answer
Enrollment Fee
We charge a $20 enrollment fee.
https://www.paypal.com/home
Pay to payments@swapnplay.org and select Goods or services button.
PLEASE NOTE:
If you have attended Drop In Play in the last 30 days your Drop In Play fee is to be subtracted from your Enrollment Fee. Just pay the difference via paypal to payments@swapnplay.org.
Play Space Orientation *
Please let us know if you've had an orientation (tour) of the space.
Required
Membership Types (Please select one)
Please select the membership option that works best for your family. Please note you may change your option by emailing payments@swapnplay.org at any time should your family's finances and/or usage level change. If you are set up on autopay you may change your payment by deleting your autopay and setting up a new monthly autopay.

We ask that you consider your families finances and expected usage when selecting what level to contribute at. The estimated value of a ONE time visit to Swapnplay is $7/child.

Unlimited Family Membership
Sliding Scale
Financial Hardship Membership
For families who are unable to financially make the $25-$40/month commitment. Please check in with our director about work trade memberships, partial and full scholarships. somai@swapnplay.org
New Parent or Foster Parent Membership
This sliding Scale offered to pregnant through the first birthday of first child or caregivers of foster children.
Once a month/Alumni Membership
This Sliding Scale is limited to one visit per month, no playspace job required.
Play Pass Membership
Play Pass Memberships have no volunteer requirements and are a great option for people who want to try out the space or those who don't think they will come to the space very often. Please pay enrollment fee for your first Play Pass and it will count towards membership if you join in the future.
Gift Certificate
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