Register Your Interest – School Holiday Consent Form

Please complete one form per child.

Please note when you register your child’s interest, their attendance is not yet confirmed. Due to the high interest in our School Holiday Program, we will only contact you if your child is accepted or waitlisted for a workshop.

Bookings close one week before the start date of the program.

Parent or Guardian's First Name*
Parent or Guardian's Last Name*
Email*
Phone*
Child's First Name*
Child's Last Name*
Child's Date of Birth*
Please select the program you would like to register your interest for*
Does your child have a family member or a friend living with mental ill-health?*
- Yes
- No
Does your child have emotional difficulties or is at risk of developing mental ill-health?*
- Yes
- No
How did you hear about the program?*
Would you like to receive updates about future School Holiday Programs?*
- Yes
- No
All our workshops have an maximum capacity to ensure our counsellors can provide adequate professional support for all children attending. Due to the high interest in our School Holiday Program, we will only contact you if your child is accepted or waitlisted for a workshop. Please ensure your child is eligible for the workshop before enrolling – refer to the “Who” statement above for eligibility criteria. To give everyone in the community a fair chance, each child can enrol in a maximum of two workshops.
- I have read and understand the above disclaimer.
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HelpingMinds^® respectfully acknowledge that we work on Aboriginal land and pay our respects to community members and Elders, past and present. Individuals pictured are models and are used for illustrative purposes only.

HelpingMinds^® is committed to embracing diversity and eliminating all forms of discrimination in the provision of health services. HelpingMinds^® welcomes all people irrespective of ethnicity, lifestyle choice, faith, sexual orientation and gender identity. For more information, see our Diversity Statement.

HelpingMinds^® prides itself on being an accessible and inclusive organisation, ensuring everyone who needs support is able to access the right service and receive the help they need. If you require accessible locations, an interpreter or translator services, please contact us. For more information, see our Disability Access and Inclusion Plan.

HelpingMinds^® respectfully acknowledge that we work on Aboriginal land and pay our respects to community members and elders, past and present. Individuals pictured are models and are used for illustrative purposes only.

Register Your Interest – School Holiday Consent Form

Learn more about mental health conditions