Programs Galore Package Booking Form
Organisation Name
*
Campus (if applicable)
First Name
*
Last Name
*
Email
*
Phone
*
Secondary Contact Name
*
Secondary Contact Email
*
Calendar Year
*
2024
2025
2026
2027
2028
Term
*
Term 1
Term 2
Term 3
Term 4
What are your school recess and lunch times?
*
Program choice 1
*
Communication on the Inside and Out
Friendship and Responsibility
Embrace Change
Flexible Thinking
Grief and Loss
Transition from Primary to Secondary
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Program Choice 2
*
Communication on the Inside and Out
Friendship and Responsibility
Embrace Change
Grief and Loss
Flexible Thinking
Transition from Primary to Secondary
No elements found. Consider changing the search query.
List is empty.
Program Choice 3
*
Communication on the Inside and Out
Friendship and Responsiblity
Embrace Change
Grief and Loss
Flexible Thinking
Transition from Primary to Secondary
No elements found. Consider changing the search query.
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Day Preference
*
Preference 1
Preference 2
Preference 3
What year level will be participating in each 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?
*
Have you booked a chat with Sarah or Louise to discuss the package
*
Yes
No
Previous Client - Don't need to
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 Programs Galore Package