Name of Person Submitting Form: (required)

Phone number: (required)

Email address: (required)

Name of parent or caregiver attending: (required)

Number of children attending: (required)

Select your preferred day: (required)
—Please choose an option—Parkgate Playgroup MondayParkgate Playgroup TuesdayParkgate Playgroup WednesdayParkgate Playgroup ThursdayParkgate Playgroup SaturdayLynnmour Playgroup WednesdayCates Park Outdoor Playgroup Monday

Comments (please include an alternate day in case your first choice is not available):