8 Session Program Booking Form
Organisation Name
*
Campus (if applicable)
First Name
*
Last Name
*
Email
*
Phone
*
Secondary Contact Name
*
Secondary Contact Email
*
Which program best suits the needs of your students?
Communication on the Inside and Out
Friendship and Responsibility
Embrace Change
Flexible Thinking
Grief and Loss
Transition from Primary to Secondary
Reading Tails
Our Library Community
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Calendar Year
*
2024
2025
2026
2027
2028
Term
*
Term 1
Term 2
Term 3
Term 4
If you are booking for other terms in the year please add the information here and we will take care of the bookings for you.
*
What are your school recess and lunch times (If applicable)
*
Day and Time Preference
*
Preference 1
Preference 2
Preference 3
Please add any additional information we need to know about the number of programs for each term?
*
What year level will be participating in the program?
*
Who will be responsible for funding the program?
*
SFYS
School Mental Health Munu
Other Funding
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Is there parking available? If not where will the tutor park? (Please keep in mind our tutors carry equipment and have a dog)
*
Is there anything else we need to know?
*
How did you hear about us?
*
Current Client
Facebook
Website
Newsletter
Word of Mouth
School Mental Health Menu
SFYS
Past Client
Other
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Submit and Book My Program