Clone of KinHub Registration

1
UNDER 12yo - CURRENTLY WAITLISTED

OVER 12yo - ACCEPTING REGISTRATIONS
2
WHAT'S INCLUDED

10 x 3hr facilitated group sessions

Professionally facilitated programs led by experts in areas such as drama, visual arts, music, film making, photography, basketball, OT and more (2-3/session)

All materials

First access to KinHub offsite activities + opportunities

Access to the KinHub community/networks

Connection and informal support for parents/carers

Supported group environment to help young people build positive peer connections

Access to outdoor park space for movement, sensory breaks + informal play
3
SHARED RESPONSIBILITIES

KinHub works best when families help create the kind of community we all want to be part of. Participation in the program includes:

• upholding KinHub’s values and contributing to a respectful, inclusive community
• actively supervising and supporting your child where needed, helping maintain the safety and wellbeing of the group
• following KinHub’s Constitution, Code of Care and relevant policies, available at kinhub.org.au
• ensuring any attending adult attending with your child holds a valid Working With Children Check
• letting KinHub know about any important changes to your child’s participation, support needs or contact details
• paying program fees within the required timeframe
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When does your registration start from?* This field is required.KinHub plans staffing, materials and group continuity in advance. Enrolment is ongoing from term to term unless two weeks written notice is given before the next term.
Please Select
Please Select
Term 1, 2026
Term 2, 2026
Term 3, 2026
Term 4, 2026
5
Parent/Carer Full Name* This field is required.
First Name
Last Name
6
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Parent/Carer Mobile* This field is required.
Please enter a valid phone number.
8
Parent/Carer Email* This field is required.
example@example.com
9
Parent/Carer working with children check (WWCC) number* This field is required.This is an essential requirement for all adults attending KinHub in order to uphold our commitment to child safety.
10
Parent/Carer Date of Birth* This field is required.Required to verify WWCC
Date
Month
Day
Year
11
Emergency Contact* This field is required.
First Name
Last Name
12
Emergency Contact Phone Number* This field is required.
Please enter a valid phone number.
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Child 1 details* This field is required.Please provide details of any child attending (regardless of age).
Full Name
Please Select
Please Select
Female
Male
Non-Binary
Prefer Not To Say
Gender
Date of Birth (DD/MM/YYYY)
Does this child have any allergies? If so, please list them.
Please Select
Please Select
Sibling
Homeschooling by choice
Homeschooling because no suitable alternative
Homeschooling due to unmet needs at a public school
Homeschooling due to unmet needs at a private/independent school
Experiencing "school can't"
Current situation
NDIS Participant Number (9 digit number)
Please Select
Please Select
Privately
NDIS (self managed)
NDIS (plan managed)
NDIS/Privately funded
Please Select
Building friendships and positive peer connection
Increasing confidence in groups and community settings
Strengthening communication and self expression
Supporting wellbeing and participation without overwhelm
Increasing independence and trying new activities
Optional NDIS goals (can choose multiple)
14
Child 2 detailsPlease provide details of any child attending (regardless of age).
Full Name
Please Select
Please Select
Female
Male
Non-Binary
Prefer Not To Say
Gender
Date of Birth (DD/MM/YYYY)
Does this child have any allergies? If so, please list them.
Please Select
Please Select
Sibling
Homeschooling by choice
Homeschooling because no suitable alternative
Homeschooling due to unmet needs at a public school
Homeschooling due to unmet needs at a private/independent school
Experiencing "school can't"
Current situation
NDIS Participant Number (9 digit number)
Please Select
Please Select
Privately
NDIS (self managed)
NDIS (plan managed)
NDIS/Privately funded
Please Select
Building friendships and positive peer connection
Increasing confidence in groups and community settings
Strengthening communication and self expression
Supporting wellbeing and participation without overwhelm
Increasing independence and trying new activities
Optional NDIS goals (can choose multiple)
15
Child 3 detailsPlease provide details of any child attending (regardless of age).
Full Name
Please Select
Please Select
Female
Male
Non-Binary
Prefer Not To Say
Gender
Date of Birth (DD/MM/YYYY)
Does this child have any allergies? If so, please list them.
Please Select
Please Select
Sibling
Homeschooling by choice
Homeschooling because no suitable alternative
Homeschooling due to unmet needs at a public school
Homeschooling due to unmet needs at a private/independent school
Experiencing "school can't"
Current situation
NDIS Participant Number (9 digit number)
Please Select
Please Select
Privately
NDIS (self managed)
NDIS (plan managed)
NDIS/Privately funded
Please Select
Building friendships and positive peer connection
Increasing confidence in groups and community settings
Strengthening communication and self expression
Supporting wellbeing and participation without overwhelm
Increasing independence and trying new activities
Optional NDIS goals (can choose multiple)
16
Child 4 detailsPlease provide details of any child attending (regardless of age).
Full Name
Please Select
Please Select
Female
Male
Non-Binary
Prefer Not To Say
Gender
Date of Birth (DD/MM/YYYY)
Does this child have any allergies? If so, please list them.
Please Select
Please Select
Sibling
Homeschooling by choice
Homeschooling because no suitable alternative
Homeschooling due to unmet needs at a public school
Homeschooling due to unmet needs at a private/independent school
Experiencing "school can't"
Current situation
NDIS Participant Number (9 digit number)
Please Select
Please Select
Privately
NDIS (self managed)
NDIS (plan managed)
NDIS/Privately funded
Please Select
Building friendships and positive peer connection
Increasing confidence in groups and community settings
Strengthening communication and self expression
Supporting wellbeing and participation without overwhelm
Increasing independence and trying new activities
Optional NDIS goals (can choose multiple)
17
Is there anything important you would like us to know to support participation for any of your children?Any special interests or things that helps them feel safe, settled or able to participate? Do they have any safety risks or behaviours of concern?
18
Invoice Recipient Name* This field is required.
First Name
Last Name
19
Invoice Recipient Email* This field is required.
example@example.com
20
Acknowledgement that invoices are payable within 14 days* This field is required.
I acknowledge
21
Photo Consent* This field is required.Photos will only ever be of the back of heads and there will always be the option to opt out totally on any given day with a red wristband on arrival at KinHub.
Yes
No
22
Permission to Contact* This field is required.
Email
SMS
KinHub WhatsApp Channel
23
Signature* This field is required.By enrolling, I agree to uphold KinHub’s policies and procedures and understand that KinHub is a family participatory, term based program. Parents/carers/support workers remain onsite and are responsible for individual supervision where needed. Enrolment secures a place for the full term, non attendance does not reduce fees and invoices are payable within the required timeframe. All attending adults require a valid Working With Children Check (WWCC).
24
Date* This field is required.
Should be Empty: