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What Makes Wanna play the Best Playcare in Austin?

Registration

Membership Enrollment

To register and submit payment for the $35 Membership Fee, please complete the form below.

Please provide an Emergency Contact other than Mom or Dad

Parent's or Guardian's Information

 

Child Information  Child #1
Name: Male
Female
Birthday:
Allergies or Special Needs:
 Child #2
Name: Male
Female
Birthday:
Allergies or Special Needs:
 Child #3
Name: Male
Female
Birthday:
Allergies or Special Needs:
 Child #4
Name: Male
Female
Birthday:
Allergies or Special Needs:
Contact and Release

 

Give the name, address, and phone number of the person to call in case of an emergency if parents/guardian can not be reached:

 

Name Address
Phone Relationship

 

Give the names and telephone numbers of persons to whom your child may be released:

Name Phone

 

In the event that I can not be reached, to make arrangements for emergency medical attention at the time of illness or accidents, I authorize Wanna Play PlayCare to take my child to :

Name of Physician Address
Phone Number
Name of Clinic/Hospital Address
Phone Number
I give consent for Wanna Play PlayCare to secure any and all necessary emergency medical care for my child.

By submitting this form, I agree to all of Wanna Play PlayCare policies


After clicking submit, you will be forwarded to a payment screen. A receipt will be forwarded to your email address.

Current Immunization Records must be presented upon your child's first visit or a statement documenting your child has records on file at a preschool or elementary school must be signed.

Thank you

We're looking forward to meeting you and your family!

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