Get Work Ready Sign Up Form
Please complete this form with your Parent / Guardian to come along to the Get Work Ready Workshop at Nambour Community Centre on July 8th at 1pm - 4pm.
Participant Name
*
First Name
Last Name
Parent / Guardian Name
*
First Name
Last Name
Email Address (Parent / Guardian email if under 16 years)
*
example@example.com
Phone Number (Parent / Guardian number if under 16 years)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Participant Age
*
Suburb
*
Emergency contact name and number
*
Name
Phone Number
I Consent to my child leaving the drop in space without an adult present
*
Yes
No
I Consent to my child being transported in a Nambour Community Centre mini van, with two adult staff present (only if transport arranged prior)
*
Yes
No
Does the Participant have any allergies?
*
Yes
No
If yes, please note here
Do you Consent to your child's photo being used in Social Media &/or other marketing for Nambour Community Centre?
*
Yes
No
Are you wanting to chat with Lise & Amy at JOIN about linking in with your community in other ways? (ie. connecting with free groups, mental health support, sporting groups, etc)
*
Yes
No
Not sure
If there is anything else that might make your time in the drop in space a positive experience, please let us know!
Parent / Guardian Signature
*
I am from another organisation signing with verbal Parental / Guardian consent on behalf of this Participant
Tick if yes
If Yes to the above; Please enter your name, organisation and contact number:
Register
Register
Should be Empty: