Enrol Here

Please fill in the enrolment form below to book your child into a KidzPlay program.

Note: only one child can be enrolled at a time.

* indicates required

Parents First Name:*

Parents Last Name:*

Email:*

Address:*

Suburb:*

Post Code:*

Home Phone:

Mobile:*

(Child 1) First Name:*

(Child 1) Last Name:*

Medical Conditions:

Gender:*

D.O.B:*

School Year / Preschool Age:*

State:*

Activity:*

Location:*

Program Type:*

Program:*

Term:

Comments:

I hereby authorise KidzPlay to act on my behalf should my child require medical attention, and release KidsPlay from any liability incurred to my child at a KidsPlay program.