Transformation Kids and Youth Online Registration Form

Choose Event

This information must be completed by a parent or guardian of the child/ren. All information collected is used within the guidelines of our privacy policy, which can be viewed online at www.transformationcentre.org.au/policies

Parent/Guardian Details

First Name

Last Name

Date of Birth

Reason for Filling this form

I am just visiting

I would like to be added to the Transformation Centre database

I'm already on the database and now provide updated information

Email Address

Mobile Number

Phone Number

Home Address

Mailing City

Mailing Postcode

Your Partner's Details (if applicable)

Partner's First Name

Partner's Last Name

Partner's Date of Birth

My Partner is Attending Transformation Centre

Yes

Partner's Mobile

Partner's Email