PlayConnect Playgroup Expression of Interest
Thanks for taking the time to complete this Expression of interest in PlayConnect Playgroups. Including your contact details will allow us to contact you and/or forward any relevant information.
1. My interest in PlayConnect Playgroups is as a:
Speech Pathologist or Occupational Therapist
Social Worker or Development Worker
Representative of an organisation providing ASD services
2. How did you first hear about PlayConnect Playgroups?
Please select one or more selections below.
Playgroup Australia Website
Reccommended by ASD service
Word of Mouth
3. I would like to receive further information about PlayConnect Playgroups
4. Please include me on the PlayConnect online mailing list.
Newsletters on relevant issues will be emailed to you on a regular basis.
I am already subscribed
5. Additional Information
Include any questions you may have about PlayConnect Playgroups.
Street or postal address
City / Town / Suburb
State / Territory
All information above is true and accurate.
Terms of Service