Young Women's Program

We have 2 new programs starting,

You can submit your expressions of interest below.

For the older girls (12-15 years) A 10-week Young Womens Program, Arana Hills, beginning SATURDAY the 30th of May 2026

For the younger girls (9-11years) A 4-week program beginning FRIDAY 21st of May.

each group goes for 2 hours,

5-7pm

Group topics:

Puberty
Body diversity and anatomy
The menstrual cycle
How to chart the cycle
Self Love and Self-care
Assertive communication
Healthy relationships

Also included in tuition:

All craft supplies, interactive activities, & helpful resources.

you can read more about our circles here: https://tessabobir.com.au/young-womens-program

Parents recieve an update after each sessions with photos and an overview of the events of each group.

For more information, please email me at tessa.bobir@yahoo.com

call me on 0423398186

Payment options will be emailed out upon recieving your expression of interest.

Attendees Name

First NameLast Name

Birth Date

MonthDayYear

For the older girls (12-15 years) A 10-week YWP, SATURDAY 30th of May.For the younger girls (9-11years) A 4-week YWP, FRIDAY 21st of May

Grade

AboriginalTorres Strait IslanderAboriginal & Torres Strait IslanderNeither

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Name

First NameLast Name

Home Number

Format: (000) 000-0000.

Mobile Number

Format: (000) 000-0000.

E-mail

example@example.com

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Why do you want your child to attend this group, is there something you hope your child will receive from attending this group? Friendship, self- confidence, puberty and menstrual health education?

Briefly describe your child and their interests, strengths and qualities? (This helps us to get to know your child :)

Does the participant require a support person to attend with them? If yes, please provide more information.

Does the participant have any accessibility requirements?

Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe.

Is the participant prescribed an inhaler or Epi Pen? If yes, please explain any instructions, including whether they know how to self-administer or require assistance.

Is there anything else you would like us to know in order to better support and work with and meet your child's needs.

YesNo

We often send updates regarding how the group went and what topics were covered, we will also share any extra resources, and occasionaly email you about upcoming events or offers.

YES to bothPhone onlyEmail onlyOther

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Tessa Bobir during the young womans program.

I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Tessa Bobir, and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected young womens programs.

In case of injury to said child, I hereby waive all claims against Tessa Bobir, including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.

Medical Release and Authorization

As Parent and/or Guardian of the named participant, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment and x-ray examination for the named participant. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the host, Tessa Bobir and its affiliates including Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the young womens circle program.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

PRIVACY & CONFIDENTIALITY.

Privacy & Safety
Yoni Herbs Australia manages personal information in line with the Information Privacy Act 2009.

We collect and manage your personal information as described on this page, unless stated otherwise. 'Personal information' may include your name, address, phone number, email address, age, gender, your employer, and your position title.

Information we may request
We may ask you to provide personal information through this site. We will only do this:

to meet your needs (e.g. answer a question, provide a service)
to meet our needs (e.g. demographic analysis)
if required by law.

Use and disclosure of personal information
We will not add you to a mailing list, or give your personal information to third parties without your consent, unless required by law.

We may ask at times for feed back or permission to use your details to support us in applying for grant funding, in order to make these programs accessible to people of all demographic backgrounds, we will however not use any identifying information such as Name, adresses or contact details.

Emails
Our privacy principles apply to emails as well.

Our internet service provider or information technology staff may monitor email traffic for system trouble shooting and maintenance purposes only

Date

Signature

Upon finalising this form you will be contacted to discuss any further enquires either party may have, Please know that in some curcumstances further doumentation is required, Eg Photo consent relase forms and they will be provided at a later date.

Alternative payment options can be arranged where necessary including invoicing,

If you have any trouble with this form or would like the option of an alternate payment method please text, call or email Tessa on: tessa.bobir@yahoo.com or 0423398186.

I'm Looking forward to hearing from you,

Warm Regards,

Tessa Bobir

PLEASE NOTE: If you run into an error click pay via PayPal, it won't charge you, but for some annoying tech reason the firm wants the check out t be done there, We apologise for any inconvenience.

🌈Young women’s circle.

Attendees Information