Earlybirds Membership Application Form 2026

Membership Application Form 2026

Annual Membership Feb 1 2026 to Jan 31st 2027
Family Membership - $135Family Member Concession Card Holders - $100 (Concession card must be provided upon request)Family Membership - Committee Member - $0 (must be Elected Committee Member)
I want to:*
Preferred Session
(i.e. Monday 11am-1pm)
Choose a time slot
Choose a time slot for starting own group
Please note; EBPG has 'open sessions' Mon-Fri 3pm-5pm. Theses are open to any EBPG members to attend.
Parent Name*

First NameLast Name
E-mail*
example@example.com
PlaygroupWA Family ID (if known)
Address*

Street Address

Street Address Line 2

SuburbState

Post Code
Phone Number*

Area CodePhone Number
Country of Birth*
(Required info by PlaygroupWA)
Main language spoken at home*
(Required info by PlaygroupWA)
Indigenous status*
(Required info by PlaygroupWA)
Disability, impairment or allergies?*
(Required info by PlaygroupWA)
Yes
Child No. 1 Name*
(Required info by PlaygroupWA)
Child No. 1 Date of Birth*

MonthDayYear
(Required info by PlaygroupWA)
Child No. 2 Name
(Required info by PlaygroupWA)
Child No. 2 Date of Birth

MonthDayYear
Date
Child No. 3 Name
(Required info by PlaygroupWA)
Child No. 3 Date of Birth

MonthDayYear
(Required info by PlaygroupWA)
Child No. 4 Name
(Required info by PlaygroupWA)
Child No. 4 Date of Birth

MonthDayYear
(Required info by PlaygroupWA)
If you have you already paid your PGWA Fee for 2026 with another playgroup enter your registration number here.
If you have paid the Playgroup WA fee already for 2026 with another playgroup. Please use coupon code : PGWA24 for standard family membership or concession card holders use PGWA24CC . Please provide your registration number if known.

Annual Membership Payment Form*

Family Membership until Jan 31st 2027$135AUD

Family Membership - fee $135 (Additional $35 Playgroup WA fee is no longer paid to Earlybirds. Register at Playgroup WA website)

Family Member Concession Card Holders $75AUD

Family Member Concession - $100 (Concession card must be provided upon request) The $35 Playgroup WA fee is no longer paid to Earlybirds. Register at Playgroup WA website

Family Membership - Committee Member - $0 (must be Elected Committee Member)$ FreeAUD

Family Membership - Committee Member - $0 (must be Elected Committee Member) Want to volunteer? The more the merrier. Get in touch earlybirdsplaygroup.president@gmail.com

Enter coupon

Total $0.00AUD

Credit Card

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