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Registration

Register your interest below to join the Gold Foundation community. By doing so, you will also receive general communications from us about our programs and events.

Child's First Name*
Child's Last Name*
Child's Date of Birth*
DD slash MM slash YYYY
Age*
Gender*
Parent's/Caregiver's Name*
Address*
Street Address Address Line 2 City State Post Code Country
Email*
Contact Number 1*
Contact number 2 (optional)
Diagnosis
Year of Diagnosis
Where did you hear about The Gold Foundation?
What are your main concerns in regards for your child
For example: social, educational, behavioural
Any family background or other relevant information
eg: relationship between family members, medical issues
Which of the following programs would you/your child be interested in
- Cadets (ages 7–11)
- Curious Cadets (ages 5–8)
- What’s The Buzz
- Youth Group (ages 12–17)
- Not So Youth Group (ages 18–30)
- Cooking Connection (ages 13–17)
- Work Ready (ages 16+)
- Dance Diverse (ages 13+)
- Uni Ready (ages 16+)
- Barista Training (ages 14+)
- Healthy Relationships (ages 12–17)
Do you give consent for Gold Foundation to take photos of your child for advertising purposes?
- Yes
- No
Would you like to receive a phone call to discuss participation in a program?*
- Yes
- No

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