Contact email address for Parent or Primary Care-giver
Your answer
Your Contact Phone *
Best contact phone number for Parent or Primary Care-giver
Your answer
Your relationship to the participant *
eg. Mother, Appointed Legal Guardian etc.
Your answer
Attendee's Details
Fill in the details of the Child or Young Person you are registering to attend.
Attendee's First Name *
Your answer
Attendee's Last Name *
Your answer
Attendee's Date of Birth *
MM
/
DD
/
YYYY
Attendee's School
eg. Footscray Primary, Homeschooled etc.
Your answer
Attendee's School Grade Level
Choose
1
2
3
4
5
6
Attendee's Residential Suburb
Your answer
Does the Child/Young Person have any medical conditions or allergies? *
eg. Asthma, mental health, anaphylaxis, fruit or nut allergies etc. If not, then write "no"
Your answer
Recording, documenting and sharing
100 Story Building's programs are supported by grants and other funding from a number of community partners.
We would like to share some of the stories and images that have been created in our programs with these funders in order to let them know about the amazing work their support has made possible.
I give permission for my child and child's work to be photographed and recorded. *
If you would like more about how and why we document our participants and their work then select the "More Information" option.
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