Little B’s Community Hive: Playgroup Enrolment Form St Brendan’s Community Hub, 18 Cambridge Ave Bankstown NSW 2200.

Child’s information

First name: ...... Family name: ......

Date of birth(dd/mm/yyyy): ......

Is your child attending any other early childhood service? Yes/ No

Is your child starting kindergarten next year? Yes/No

If yes, will he/she be attending: St Brendan’s Yes/ No or

Other (please specify): ......

Allergies (or any medical condition we need to be aware of):

......

Parent/Carer information

First name: ...... Family name: ......

Date of Birth(dd/mm/yyyy): ......

Address: ......

Suburb: ...... Postcode: ......

Days you will be attending the playgroup: Monday or Wednesday or both

Contact Details

Mobile: ...... E-mail: ......

Language(s) spoken at home: ......

Number of children in your care: .....

Name of sibling / Age / Is he/she attending St Brendan’s?

Are you:

(1)A parent at the school

(2)A community member accessing PLAYGROUP at the hub

(3)New to the school and the HUB

(4)A parent accessing SERVICES/WORKSHOPS

(5)New to Australia/ Sydney/ Bankstown

Would you be interested in volunteering at the playgroup or Hub? : Yes/ No/ Maybe

Services and Workshops for parents & families:

Circle the services you want to access

  • Housing
  • Migrant settlement issues
  • Financial counselling
  • Health Services (specify)......
  • Family Relationship Support
  • Employment support services
  • Education & Training Courses
  • Substance Abuse
  • Gambling support
  • Domestic violence
  • Disability Services

Other (please specify): ......

Circle the workshops you may be interested in:

  • Parenting workshops
  • English conversation classes
  • Computer skills classes
  • Resume & Cover Letter writing/ Interview skills workshops
  • Fitness classes / Self-defence

Other (please specify): ...... In case we organize workshops when is the best time to contact you?:......

Playgroup agreement and Media consent

I agree to be responsible for my child/children and their behaviour during the playgroup. I am happy to donate a gold coin each week which will go towards resources.I understand that I will need to bring morning tea for my child (please do not bring nuts and eggs due to allergies) and any other item he/she may require e.g. nappies etc.

I ...... also give permission to the Community Hubs Program, (parent/ carer’s full name)

Little B’s Community Hive Playgroup and St Brendan’s Catholic Primary School, Central Bankstown to publish photograph(s), video footage, audio recordings for me and my children to promote programs provided to better support families and children in the Bankstown area.

Signature: ...... Date (dd/mm/yyyy): ......