MyRiver Coffs - Youth Registration Form
A whole river basin youth engagement and environmental education program for schools
First Name *
Your answer
Surname *
Your answer
Phone number *
Your answer
eMail *
Your answer
Street Address *
Your answer
Suburb *
Your answer
Postcode *
Your answer
School *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Please describe why you would like to participate in OzGREEN's MyRiver Program
Your answer
How have you been active in your school or community in the past? What other youth programs have you been involved with?
Your answer
What actions have you already taken to develop a more sustainable lifestyle?
Your answer
What do your parents think are the benefits of your participating in MyRiver Coffs?
Your answer
What do you hope to gain from participating in MyRiver Coffs?
Your answer
Do you have a current first aid certificate? *
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