Once this form is completed and received by the team we will send you a zoom link

If you are registering two parents you will need to fill out a survey for each parent. 

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* 1. Participants details:

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* 2. Date of Birth

Date

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* 3. What age is your young person/people? You can pick more than one

(If your young person doesn't fit within any of the ages below then this webinar will not be suitable for you)

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* 4. What area are you interested to learn about for your situation with your young person?

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* 5. Do you identify as Aboriginal or Torres Strait Islander?

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* 6. Do any of your young people identify as Aboriginal or Torres Strait Islander?

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* 7. Where you born in Australia or Overseas?

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* 8. Do you speak another language?

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* 9. Are you a sole parent?

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* 10. Do you have a disability?

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* 11. Do any of young people have a disability?

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* 12. How will you be tuning into the online zoom program?

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* 13. Do you consent to being contacted by CatholicCare for survey/research/evaluation purposes?

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* 14. Do you consent to the following:

I understand that as a funded organisation CatholicCare gathers pertinent information to meet it's reporting requirements. I hereby give CatholicCare permission to collect and collate relevant information about my family and me to be used for statistical reporting purposes for both the organisation and our State and Federal Government funders. 

I am aware that this consent shall remain valid for a period of 12 months or until such time that I am no longer a client of CatholicCare. 

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