Open to members all day, every day!
Parent/Guardian 2 First Name
Bank Receipt/Confirmation Number
Membership Enrolment Form
Parent/Guardian 1 First Name
Parent/Guardian 2 Last Name
Thank you for joining Gumnuts Playgroup Malvern! You are now a member and you will begin to receive emails about any Events that Gumnuts is hosting or organising to which you are invited, and any other news or updates about Gumnuts.
Specify if "Other":
Would you like to take a more active role at Gumnuts, helping out or on the Committee?
Children who attend Gumnuts - List Last Name, First Name, Date of Birth (We are required to keep this list up to date for insurance purposes).
Where did you hear about Gumnuts?
Gumnuts is a Nut-Free facility. Does you child have any allergies?
Nanny/ Carer name (if any)
Tick the appropriate Gumnuts Membership Fee you have paid:
$150 (I joined between March - July)
$110 (I joined between Aug - Oct)
$80 (I joined between Nov - Feb)
Suburb and Post Code
Parent/Guardian 1 Last Name:
Playgroup Victoria Membership No:
How did you pay the Gumnuts Membership Fee?
Direct Debit Internet Banking
Date you paid the fee (to help us track it).
Re Allergy - if Yes: please specify allergy and any reaction child may have if known.
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