RRK Youth Registration Form

If you need to add another child, please submit this form, then reload the page and complete a second form.

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I agree for the Robe River Kuruma staff to provide support to my child/ren.

I understand my child/ren may disclose personal information when being assessed to identify their needs and aspirations. This information is protected by Privacy laws and RRKAC ensures to adhere to these laws, securely storing all information and only sharing confidential information as this law permits and in accordance with the Children and Community Services Act 2004 (WA).

I understand at times support may be provided externally from the RRKAC office, i.e. at their school, or other required appropriate locations. I agree for Robe River Kuruma Aboriginal Corporation to work with other providers supporting my child/ren or refer my child/ren to other support providers as required.

I give consent for other personnel i.e. teachers, support workers or other providers supporting my child/ren’s to share and discuss personal information i.e. academic results, attendance records or any concerns with Robe River Kuruma Aboriginal Corporation as required to support my child.

I agree for my child/ren to be provided transport, if and when required i.e. to and from appointments, school, programs etc.

In the event of an accident or illness, I agree for my child/ren to obtain or be administered any medical assistance or treatment reasonably required. I understand I may be liable for any medical expenses incurred as a result.

Should you have any questions or wish to discuss any concerns about your child/ren please contact:

Communities Team
5/9 Hedland Place, Karratha 08 9185 5005
memberservices@rrkac.org.au
By signing this form, I agree I have read and understand all the information contained in this form.