Community Playgroup Closure Form
Playgroup Details
Playgroup Name
*
Date of Closure
*
/
Day
/
Month
Year
Date
Session Day
*
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Session Time
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Closure Information
What is the reason for the closure? (Please include as much detail as possible)
*
What help was sought from your Community Coordinator and/or Playgroup NSW to keep the Playgroup open?
*
What further help could your Community Coordinator and/or Playgroup NSW provide in order to prevent the closure of Playgroups in the future?
*
Closing Checklist
Have you paid all outstanding monies?
Please Select
Yes
No
Have you closed your bank account and distributed funds to PGNSW?
Please Select
Yes
No
Have you provided PGNSW with day books and relevant financial documents?
Please Select
Yes
No
Have you advised your venue of closure?
Please Select
Yes
No
Have you distributed your toys and resources?
Please Select
Yes
No
Submitter Details
Name
*
First Name
Last Name
Role in Group
*
Date Form Completed
*
-
Day
-
Month
Year
Date
Signature
*
Submit
Should be Empty: