Youth MHFA Registration Form

The Youth Mental Health First Aid (MHFA) course equips adults who teach, care for, or support young people with the knowledge, skills and confidence to recognise, understand and respond to a young person experiencing a mental health problem or mental health crisis.

Youth MHFA teaches participants how to provide initial support to a young person (aged 12 - 18) who may be experiencing a mental health problem or mental health crisis, until professional help is received, or the crisis resolves.

This 14-hour course is delivered face-to-face as 2 x 7 hour sessions over 2 days.

Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

I would like to:*

Register myself to attend a public Youth MHFA CourseRegister myself and additional participants to attend a public Youth MHFA CourseRegister other people (not including myself) to attend a public Youth MHFA Course

NOTE: If you have 10 or more participants you would like to register, please contact us to discuss an in-house course for your workplace, school, church or community group.

Additional participants

You are Participant 1. Select the number of additional participants (in addition to yourself) you will be registering to attend a public Youth MHFA Course.

Participants

Select the number of participants you will be registering to attend a public Youth MHFA Course.

Participant 1 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 2 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 3 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 4 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 5 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 6 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 7 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 8 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 9 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

Participant 10 Full Name*

First NameLast Name

Email*

Phone Number*

Organisation & Role (if applicable, if not leave blank)

OrganisationRole

CANCELLED - NOVEMBER COURSE: Saturday 8 November 2025 & Saturday 15 November 2025

FEBRUARY COURSE: Saturday 7 February 2026 & Saturday 14 February 2026

Payment Method*

Direct DebitCredit Card - incurs additional fees

Youth MHFA Course

Face-to-face (2 full days)

Equips adults who teach, care for, or support young people with the knowledge, skills and confidence to recognise, understand, and respond to a young person experiencing a mental health problem or mental health crisis.

Course Fee ($AUD)

Per participant (GST exclusive)

Number of Participants

This figure is derived from the Course Details above as the total number of participants you are registering.

Total cost

Total ($AUD)

Total (GST inclusive)

Following submission of your Registration Form you will receive an Invoice for payment by Direct Debit via email.

Payment is requested on the day you receive the invoice.

NOTE: If payment is not received within 7 days, your place/s on the course will be forfieted.

Credit Card Fees Calculation - Percentage

Credit Card Fees Calculation - Fixed Amount

Credit Card Fees Calculation - Total Amount

Total per participant

Total ($AUD)*

AUDTotal (GST inclusive) + additional credit card processing fees

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Registration Form

Course Information

Participant Information

Course Details

Course Payment