Membership Application – Elsternwick Toddlers Playgroup

We require all ETP members to first be a member of Playgroup Victoria. This ensures you and your family are covered by Playgroup Victoria insurance. You can join PGV here: Playgroup Victoria Family Membership. To join PGV you will require our PGV number which is 14976. Once you receive your PGV membership number, keep this handy to add to your membership application.

For more information regarding our memberships and fees, click here: Membership and Fees

Checkout Options

2018 Family or family carer membership October Rate - $105

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First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Family name *

Family Details

Parent Names

Mobile

Street Address *

Suburb *

Postcode *

Child's name *

DOB *

Child's name

DOB

Child's name

DOB

In case of emergency (name) *

Mobile *

Relationship to child

If a grandparent/carer will be regularly attending ETP with your child/ren please provide their details below:

Full name

Mobile

Do you or your children identify as Aboriginal or Torres Strait Islanders?
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Playgroup Victoria Member Number

Concession number

I have read and agree to the terms and conditions

Billing Method

Tax Location

State / Province *

Postal / Zip Code *

Country *

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Yes, I want to receive occasional updates and important messages regarding my account via email (required).