Become a Move Well Eat Well - Early Childhood Member service!

To become a Move Well Eat Well - Early Childhood Member service, the below form will need to be completed:

Membership form (Click on the image to open and download the Membership Form)

Instructions for completing and sending this form:

Online completion and sending the form via email:

  • Click the image above to open
  • Save the PDF as your service name to your computer
  • The form has two pages that require completing
  • The fields to complete are in grey
  • Those with red are required fields (if you do not complete these fileds your form will not be valid)
  • When suggesting a date or month for orientation please allow up to two hours
  • Don't forget to complete the Award checklist as best as you can
  • 'Save' the PDF
  • Email us your Membership Form
  • Attach the saved PDF to this email
  • Please detail any information about orientation suitability in this email
  • Click SEND!

Complete the form by hand:

  • Click on the image above to open:
  • Print the form
  • Complete by hand and save a photo copy
  • Post or fax!