Thriving Inc. Exercise for Young People - New Enquiry Form
Please complete the family interview form below to give us a bit of an idea of your child's strengths, challenges and goals. If you would prefer to discuss the questions with a team member via phone instead, please indicate this below and the best time to contact you.
If you are interested in enrolling multiple children, please complete a separate form for each.
Thank you :)
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Child Preferred Name
Prefer to self-describe (please select 'Other' and provide preferred identity)
Which of our services are you interested in?
"Afterschool" - in person programs at the University of Western Australia (Nedlands) including 1-on-1, group and strength + conditioning
"Connect" - live online exercise sessions with an instructor
Phone number & preferred contact time
How did you find out about Thriving?
Health professional or support service referral (please provide details below)
Thriving family (current or previous)
Recommended/referral from school
Just found you online or when searching for a service!
If relevant, please provide details of referral (i.e. who, clinic/service details, reason for referral)
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