Little Explorers Playgroup Registration
Register to join our weekly playgroup in Term 2 at St John's Campus ELC, Highgate
Join our Little Explorers Waiting List for Term 2
Please Note: Little Explorers playgroup is currently at capacity for Term 2, but we would still love to have you join us in the future. Please complete the form below to register to join our waiting list so that we can contact you if/when a place becomes available.
Child Information
Number of Children
*
Please Select
1
2
3
4
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Day
-
Month
Year
Date
Child's Allergies/Medical Conditions (if applicable)
Child 2's Name
*
First Name
Last Name
Child 2's Date of Birth
*
-
Day
-
Month
Year
Date
Child 2's Allergies/Medical Conditions (if applicable)
Child 3's Name
*
First Name
Last Name
Child 3's Date of Birth
*
-
Day
-
Month
Year
Date
Child 3's Allergies/Medical Conditions (if applicable)
Child 4's Name
*
First Name
Last Name
Child 4's Date of Birth
*
-
Day
-
Month
Year
Date
Child 4's Allergies/Medical Conditions (if applicable)
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Submit
Should be Empty: