White Card Course - CPCWHS1001

This course is for young people aged 15 -24 years

Date: Monday 26 October 2026
Location: Rockingham Youth Centre

Question Title

1. Name of participant (Required.)

Question Title

2. Date of birth of participant (Required.)

Question Title

3. Participant's email address (certificates will be sent here) (Required.)

Question Title

4. Contact number for participant (Required.)

You can find your USI via the website https://www.usi.gov.au/students/find-your-usi

Question Title

5. Unique Student Identifier Number (USI) for participant (Required.)

Question Title

6. Provide additional contact information for the registration if required
(e.g. parent, teacher, case worker, youth worker, support worker etc.).

Question Title

7. Outline any accessibility or support needs of the participant. Please provide further details below. (Required.)

Question Title

8. Does the participant have any dietary requirements? (Required.)

A confirmation email will be sent to registered participants and the additional contact within 3 business days of the course date.

Please note this course has limited places and is in high demand.
We request that you contact youthcentre@rockingham.wa.gov.au should you need to cancel or have further questions.
CITY PRIVACY NOTICE
The City of Rockingham is collecting the personal information provided on this form for the purposes of registering for a place on one of the Level Up Certified Courses at the Rockingham Youth Centre. It may also be used for secondary purposes which would be reasonably expected.

We will share this information with the facilitator to administer the course.

If you choose not to provide the personal information, you will not be able to register for the course.

To access, correct or learn more about how we handle personal information please contact privacy@rockingham.wa.gov.au or visit rockingham.wa.gov.au/privacy.
( Privacy & Cookie Notice

T