Registration - Play Active

Basic Information

First Name *

Last Name *

Please Note: If you are registering as a Director, please use your work email address. A directors account is associated with their current Education Service/Employer and is non-transferrable to other organisations.

Email *

Confirm Email *

Password *

Confirm Password *

Your Work

Education Service *

My service is not listed

If you have been unable to locate your service please enter your service details using the form below. You will be able to register for an account, however, you will need to await confirmation from the Play Active team that the service has been added and you can then start the Play Active programme.

Service Name *

Service Telephone *

Service Address *

Service Postcode *

Is this service ACECQA approved? *

Yes

No

I'm not sure

Service Approval No *

Position Title *

Other Position Title *

Employment Type *

Time worked in your current education service

Months *

Years *

Time worked in early childhood education and care sector

Years *

Position Title *

Other Position Title *

Communication

Communication Preferences *

Both Email & SMS (Recommended)

Email Only

Mobile Telephone *

Please enter your full mobile number, including country code (+61). For example: +61412345678

Newsletter Signup

I would like to sign up to the Play Active Newsletter

Feedback

How did you hear about Play Active? *

Other - Please add *

Confirmation

I have read the Participant Information and I agree to participate in this research project, realizing that I may withdraw at any time without reason and without prejudice.

I confirm that I have read and accept the Terms & Conditions

Register with Play Active