Play and Connect Registration Form

Parent/Carer Details
Child(ren) Details
Emergency Contact Details
Emergency Contact’s Relationship to Parent/ Carer
Any additional family members/ carers who may accompany you or your child to Playgroup regularly
Additional Information Required (For Statistical Reporting Purposes to our Funding Bodies)

In order to provide the programs we offer, we are required to report summarised (non-identifying) participant data to our funding bodies. The following information is required by these groups, and will be used for statistical purposes only. Your personal information will be kept confidential and not reported, according to our Privacy Policy, which is available on our website.

What language do you speak at home?
Miscellaneous Questions
Your personal information (confidentiality, consent and data collection)

We value your personal and private information and strive to protect it. In the collection, handling and storage of your personal information, The Family Co. complies with legislative requirements of the Commonwealth and NSW Governments in accordance with the Privacy and Personal Information Protection Act 1998. Personal information collected will be entered into a secure database and reported, de-identified, to funding bodies for statistical data purposes.

The Family Co. will not share any personal information with third parties without your written consent, except in instances where:

- The Family Co is subpoenaed by a court, which it is legally obliged to comply with,
- Immediate risk of harm concerns for yourself or another person,
- A disclosure of a criminal offence that has allegedly been committed or is disclosed as intending to be committed,
- A child or young person is identified as being at-risk of harm – All staff at The Family Co are mandatory reporters and are required by legislation to report any concerns for child wellbeing.

If you have any concerns about the use of your private and sensitive information you can speak with your worker for further clarification or contact the Operations Manager at the following address:

Operations Manager
90 Soldiers Road Jannali, NSW 2226
(02) 9528 2933

Thank you