Membership Application
All information provided is confidential, and is used for the sole purpose of Playtyme only. All fields are required for your application to be considered, if something doesn't pertain to you or your family, please specify with N/A.
Personal Information
First & Last Name:
Your Birthday:
Current Age:
Spouse / Significant Other's Name:
Spouse's age:
Home Number:
Cell Number:
Email Address:
Street Address:
City:
Zipcode:
Playtyme Division Information
Are you currently pregnant:
If pregnant when is your due date:
How many children do you have:
What are your children's names:
Children's current ages & Birthday's:
Common Interest
What does your Spouse / Significant Other do for a living:
What do you do for a living:
If your a stay at home Mom / Dad, what did you do before:
What are some of your hobbies:
What are some of your spouse's hobbies:
What do you and your family like to do together:
Personality
Does your family prefer the beach or the mountains:
Does your family prefer cats or dogs: *
Does your family prefer dinning in or out:
Things to be considered
Why do you and your family want to join Playtyme:
Is there anything else we should know about you or your family while considering your proposal:
How did you hear about us:
If from a postcard, postcard location:
Have you ever applied for a membership with Playtyme, or been a member of Playtyme before:
Are you currently involved in another playgroup, and if so which one:
Playtyme Account
Desired User Name:
Desired Password:
Re-type Password:
I understand that if I am approved for a temporary membership with Playtyme, I must provide a picture and introduction for my member profile before my membership will be activated:
I have read and agree to Playtyme's Terms and Guidelines:
* User name and password are subject to availability & approval.