Online Form - 2024 GRAMS NAIDOC Youth Ball Registration Form

Join us for the 2024 GRAMS NAIDOC Youth Ball

Registrations now open

Event Details

Date: Friday 27 September 2024
Time: 6 pm to 9 pm
Venue: Batavia Hall, 134 George Road Geraldton
Ages: 13 - 17

Navigation

Introduction
Children's Details
Guardian's Details
Emergency Contact Details
Confirmation
Submit Response

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Children's Details

Child 1 Name*

Child 1 Date of Birth*

Child 2 Name

Child 2 Date of Birth

Child 3 Name

Child 3 Date of Birth

Child 4 Name

Child 4 Date of Birth

Guardian's Details

Guardian's First Name*

Guardian's Last Name*

Email Address*

Phone Number*

Emergency Contact Details

Please ensure that this contact will be available if required on 27th September

Name*

Phone Number*

Address

Find by Street Address:

Confirmation

By checking the box, I confirm that my children are between the ages of 13-17 and I give consent for them to attend the GRAMS NAIDOC Youth Ball. I understand and acknowledge the nature of the event and that appropriate supervision will be provided.*

I understand and consent

By checking the box, I give permission for GRAMS to take photographs or videos of my children during the GRAMS NAIDOC Youth Ball on Friday 27 September 2024. Any photos or videos taken may be used by GRAMS for educational and promotional materials. These photos and videos may be used on GRAMS website and social media platforms.

I understand and consent

Validate and Submit Form

Type the code from the image:

The code you entered is not valid.

Get Audio Code

Type the code from the image