CAT Experience Day
12:00pm-4:45pm | Sat 05 Apr 2025 at The Place
Participant Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Participant age
*
Home address
*
Street Address
Street Address Line 2
City
Postal Code
Postal Code
Name and address of participant's school (We are required to share this information with the Department of Education)
*
School Name
Full Address
City
State / Province
Postal Code
Participant gender
*
Male
Female
Non-binary/non-conforming
Questioning
Prefer not to say
Parent/Carer's full name (please ensure you use the same name to complete your purchase)
*
First Name
Last Name
Parent/Carer's email (please ensure you use the same email address to complete your purchase)
*
example@example.com
Parent/Carer's emergency contact number
*
Please enter a valid phone number.
Does the participant have any medical needs?
*
Yes
No
If yes, please list medical needs below and any medication they will have with them. If no, please type N/A
*
Does the participant have any allergies?
*
Yes
No
If yes, please list allergies below and any medication they will have with them. If no, type N/A
*
If the participant has an allergy, do they carry an Epi-Pen?
*
Yes
No
Participant does not have an allergy
If the participant has any other access needs please list them below. Please give us any additional information that you feel is important for us to be aware of to enable us to fully support your child (participant) whilst they are with us eg. coping strategies and mechanisms, support systems in place, personal trauma etc. This is still useful and relevant even if your child does not have any specific conditions or learning needs.
Once you click SUBMIT, you will be redirected to our ticketing system via our website to complete your booking for the CAT Experience Day. We may require you to create an account if you haven't booked with us before. Please ensure you complete the payment in order to confirm your booking
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