CASS Get Vaccinated "Family Fun Day" Booking Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

CASS Get Vaccinated "Family Fun Day" Booking Form

Thank you for your interest in Get Vaccinated “Family Fun Day” event.

Please complete this form to secure your spot in one of the 10 sessions.

Booking is limited to one session per child.
Kids Age : 5-11
This event is FREE and light refreshments will be provided.
Parents or carers must supervise their child during the event.

For enquiries: Please contact Kyong Lee: KyongRan_Lee@cass.org.au or Call CASS

English/Chinese/ Korean: (02) 9063 8808
Vietnamese : 0421 531 472
Indonesian: (02) 9063 8828 / 0427 708 960

* Program funded by Central and Eastern Sydney PHN

Email *

Name (First and Last Name, Parents or Carers) *

Mobile Number *

Post code

Child's Name (First and Last Name).Please use a separate form for additional children. *

Child's Age
*

Under 4

5 years old

6 years old

7 years old

8 years old

9 years old

10 years old

11 years old

Over 12

Language spoken at Home *

English

Mandarin or Cantonese

Korean

Vietnamese

Indonesian

Other:

Which sessions would you like to attend? Booking is limited to one session per child.

Session 9: 10am-12pm on 05/10 at Yagoona Community Centre

Session 10: 10am-12pm on 06/10 at Kensington Park Community Centre

Keep me updated on more events and news from CASS *

Yes

Please note that your image may be digitally recorded. These images may be used for promotional purposes on CASS website, social media platforms, or other channels. By attending this event, you consent to this condition.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms