Playgroup Change Notification Form

{{program name}}

Please use this form to notify us of any changes to your playgroup - venue, schedule, committee, staff, or other details.

All fields marked * are required.

Your Contact Details

First Name *

Last Name *

Email *

Playgroup Membership Number *

Phone *

Your Role in the Playgroup *

Playgroup Changes

Select Program *

Program Name

Select Playgroup *

Playgroup Record Id

This field is hidden using Condition visibility. Do no delete as it links the form response to the playgroup record in Salesforce

What changes are you reporting? *

Playgroup Session Days / Frequency / Session TimingsPlaygroup VenuePlaygroup Staffs / Facilitators / Committee MembersOther

When does this change take effect? *

Session Change Type *

Add New SessionsRemove Existing SessionsUpdate Existing Sessions

Staff Change Type *

Add New Staffs / Facilitators / Committee membersRemove Existing Staffs / Facilitators / Committee members

New Sessions

Session Day *

Session Start Date *

Session Start Time *Enter the time using the format HH:MM AM/PM (example: 10:00 AM).

Session End Time *Enter the time using the format HH:MM AM/PM (example: 12:00 PM).

Session Frequency

Session Frequency (Other) *

Age Group *

Language *Select the language the session is delivered in.

Remove Existing Sessions

Session Day *

Session Start Time *Enter the time using the format HH:MM AM/PM (example: 10:00 AM).

Session End Time *Enter the time using the format HH:MM AM/PM (example: 12:00 PM).

Reason for Removing Session *

Update Existing Sessions

Session Day *

Session Start Time *Enter the time using the format HH:MM AM/PM (example: 10:00 AM).

Session End Time *Enter the time using the format HH:MM AM/PM (example: 12:00 PM).

Session Frequency

Session Frequency (Other) *

Age Group *

Language *Select the language the session is delivered in.

Venue Changes

Name of Venue *

Is there an outdoor play area at the venue? *

YesNo

Is the venue accessible by public transport?

YesNo

Venue Contact First Name *

Venue Contact Last Name *

Venue Contact Number *

Venue Contact Email

Venue Address *

Street Address *

City *

State *

Postcode *

Add New Staffs or Facilitators or Committee Members

First Name *

Last Name *

Email *

Contact No. *

Playgroup Membership No. *

Role in Playgroup *

Remove Existing Staffs or Facilitators or Committee members

First Name *

Last Name *

Email *

Contact No. *

Playgroup Membership No. *

Other Changes

Please specify other changes in the playgroup selected *

Comments

Submission Date