Simple Registration Form

Children and Youth Advisory Council Information Session 4pm - 5pm | Thursday 29th October 2026 |

Registration Form
Please note that this information session will be held online.

Parents and guardians are welcome to attend with their child or on behalf of their child, however children under 18 years of age will not be permitted to attend the session without a parent or guardian.

This form is to register your interest to attend. We will then send you further information regarding the event once we have received your form.
Name of Parent or Guardian Attending

First NameLast Name
Preferred Pronoun (Optional)
Email (Required)
example@example.com
Phone Number (Optional)
Format: xxxxxxxxxxxx.
Will you be attending with your child/ren?
If yes, how many children will be attending?
Name of Child 1 Attending

First NameLast Name
Preferred Pronoun (Optional)
Date of birth (Child)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Child 2 Attending

First NameLast Name
Preferred Pronoun (Optional)
Date of birth (Child)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Thank you for your interest in attending this event. We will be in touch soon with further details!

The Barking Gecko Team
Should be Empty:

Children and Youth Advisory Council Information Session 4pm - 5pm | Thursday 29th October 2026 |