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Brimbank Youth Services Show Bag Ballot Registration

SHOWBAGS

Please read and understand the information below, then press "OK" and scroll down to complete the form.

Our Show Bags program runs every school holiday, it’s a chance for young people to enter a ballot for a chance at being selected for a low-cost activity packs.

All activity packs come with 2x vouchers to the activity (so you can go with a friend!) and 2x free entry passes to Brimbank Leisure Centres.

Please complete this survey monkey link by Monday 23 March to enter the ballot.

Check out our calendar of events for what's happening for young people across Brimbank here.

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1.First Name:(Required.)
2.Family Name:(Required.)
3.Age:(Required.)
4.Gender(Required.)
5.Country of Birth(Required.)
6.Are you of Aboriginal or Torres Strait Islander origin?(Required.)
7.Language Spoken at Home (Select all that apply and please feel free to add any that are not listed in 'other')(Required.)
8.Suburb(Required.)
9.Contact number: (Required.)
10.Email Address (Please do not give your school email address):(Required.)
11.Do you? (Select all that apply)(Required.)
12.Is this your first time registering for the Show Bag Ballot?(Required.)
13.If you are selected, what library would you like to pick up your show bag from?(Required.)
14.What is your FIRST (#1) show bag preference?(Required.)
15.What is your SECOND (#2) show bag preference?(Required.)
16.How will you travel to the venue?(Required.)
17.Who will you do the activity with?(Required.)
18.How old is the friend/family member/person you'll take with you?(Required.)
19.Where did you hear about the ballot? Select all that apply.(Required.)
Current Progress,
0 of 19 answered