Culture Dose for Kids 2026 - apply
Please answer the following questions to help us determine your child's suitability for the Culture Dose for Kids program. This brief questionnaire should take about 2 minutes to complete.
A MAMA staff member will contact you via email to confirm your interest and availability.
I am the parent or carer of a child with mild anxiety
*
Yes
No
Maybe
My child is aged 9 - 12
*
Yes
No
My child is in:
*
Primary school
other
My child can function in a group environment
*
True
False
Neither true nor false
Does your child feel worried or anxious?
*
Less than other children
About the same as other children
A little more than other children
A lot mroe than other children
I or my child has accessibility needs.
*
Yes
No
I and my child can attend all 8 sessions of Culture Dose for Kids at MAMA, starting Saturday 17 October and finishing Saturday 5 December 2026.
*
Yes
No
We will need your contact details to let you know whether your application is successful:
Parent/guardian's first and last name
Child's first name
Parent/guardian's email address
Parent/guardian's contact number
Please provide any additional information or questions about the program.
Submit
Should be Empty: