2023 Term 3 Brooklyn Evening Group

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Thank you for your registration of interest for the Mothers Network Brooklyn Evening Group, running from Wednesday 26 July - Wednesday 30 August from 6.30pm-8.30pm. Please note this is not a confirmation, you will be sent a confirmation email separately.

This group is being held at the Brooklyn Community Centre, 18 Harrison Street, Brooklyn.

Please fill in all information below and we will contact you as soon as possible to confirm.

Email *

First and Last name *

Preferred name *

Best contact number *

Do you have any dietary requirements? *

Gluten Free

Dairy Free

Vegan

Vegetarian

Other*

Required

If you selected 'Other' please specify below

The course runs for six weeks and to get the most out of the group it is best (if you can!) to attend all six weeks *

I acknowledge that the group runs for 6 weeks

It is helpful for us to know if you can contribute to our group cost (NB this is not a requirement, you can still attend) *

Yes, I can contribute the full $60 ($10 per week)

Sorry, I am not able to at this time

I can contribute another amount (higher or lower)

Anything else you would like us to know? (e.g. single mother, mental health etc)

Ethnicity (Used for statistical purposes only)

What age group do you belong to? (Used for statistical purposes only)

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