Member Registration

If you are already a member of Playgroup Queensland, please log in here.

Please create your own unique membership log in details below.

Membership Details

Membership Type: *

Username: *

Password: *

Confirm password: *

Attending Playgroup(s) *

Show all Playgroups near within

Selected Playgroups

Not currently attending a Playgroup

Parent/Care Giver Details

Title: *

First Name: *

Last Name: *

Gender:

Date of Birth: *

Primary Email: *

Home Language:

Do you identify yourself as:

Residental Address

Building Name:

Address line 1: *

Address line 2:

Suburb: *

Postcode: *

State: *

Postal Address

Same as residential address?

Building Name:

Address line 1: *

Address line 2:

Suburb: *

Postcode: *

State: *

Contact Details

Home Phone: *

Mobile Phone: *

Emergency Contact Name: *

Emergency Contact Number: *

Your relationship to Child: *

Concession holder:

Children Attending Playgroup

Child 1Clear child

Child's Full Name: *

Date of Birth: *

Does your child identify as:

Child Health Issues :

Child 2Clear child

Child's Full Name:

Date of Birth:

Does your child identify as:

Child Health Issues :

Child 3Clear child

Child's Full Name:

Date of Birth:

Does your child identify as:

Child Health Issues :

Child 4Clear child

Child's Full Name:

Date of Birth:

Does your child identify as:

Child Health Issues :