South Coast Changemakers Forum 2025

Full Name*

Age*

Preferred Pronouns

School*

Mobile

Email*

example@example.com

Current Address

Do you identify as First Nations or Torres Strait Islander?

YesNo

Do you have any dietary requirements?*

YesNo

If yes, please provide details.

Are you taking any medication that will need to be administered during the event?*

YesNo

If yes, please provide details.

Do you have any additional needs or require assistance to make your experience safe and enjoyable?*

YesNo

If yes, please provide details.

Do you have any mental health or wellbeing concerns? (If yes, we will get in touch for further details)*

YesNo

Full name*

Relationship to Participant*

Email*

example@example.com

Phone*

Address

What are you hoping to get out of the Sonder Wellbeing Day?*

I give permission for my child to attend Sonder’s Wellbeing Day from 10:00am - 4:00pm Wednesday 8th October 2025.

Parents/guardians are required to arrange participant transport to and from the event. Participants are required to arrive at Bundanon Art Museum 170 Riversdale Road, Illaroo NSW 2540 by 10:00am and are to be picked up by 4:00pm on Wednesday 8th of October.

Please note Sonder’s Wellbeing Day is an alcohol and drug free event. There is a zero-tolerance policy for consumption of drugs and/or alcohol, or anti-social behaviour. Students are expected to respect the views of other participants and act within the rules of the community.

Parents/guardians will be required to collect participants who breach these guidelines. Sonder Youth Ltd reserves the right to refuse participation in its programs if Sonder Youth Ltd considers that such refusal is reasonably necessary to protect the safety and welfare of other program participants.

By signing below, you agree to the above terms and conditions.

Signed*

Date

Signed*

Date

I give permission for my child to be interviewed/photographed/filmed during the event and understand and agree that any interview/photography/film may be used when publishing and/or promoting the event.

Signed*

Date

Sonder Wellbeing Day 2025

PERMISSION FORM

PARENT / GUARDIAN EMERGENCY CONTACT INFORMATION

PARTICIPANT QUESTIONS

PARENT / GUARDIAN PERMISSION AND SIGNATURES