Activate Group Expression of Interest
Parents/Guardians please fill out the form below if you are interested in your child participating in a HUMIFORM Activate Group. We will contact you with more information soon. Please fill out one form per child.
Email address *
Parent/Guardian Details
Full Name: *
Your answer
Why are you interested in enrolling your child in the Activate Program? *
Your answer
Young Person Details
Full Name: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Year Level in 2020: *
Your answer
Preferred Pronouns: *
Activate will be run on a weekday after school. Which time/s and day/s works best for you and your child? Please select as many options as possible. *
Monday
Tuesday
Wednesday
Thursday
Friday
4:30-5:30
5:30-6:30
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy