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Registration Details

Please select from one of the registration types below:

Join our mailing list

Stay informed with YLB news, updates, and educational event information by joining our mailing list. Be the first to know about exciting announcements and never miss out on important updates, no matter where you around the world.

PARENT DETAILS

I identify as Aboriginal and/or Torres Strait Islander origin :

*Username/Email :

*Password (minimum 6 characters) :

*Confirm Password :

Secondary Email (optional) :

* Parent First Name :

*Parent Last Name :

*Phone :

*Address :

*Suburb :

*Post Code :

*State :

*Region :

CHILD DETAILS

*Child First Name :

*Child Last Name :

*Child DOB (dd/mm/yyyy) :

/ /

Please enter a valid date

*Is your child autistic or seeking diagnosis?

Food Allergies

*Childs Interests :

Does your child identify as Aboriginal and/or Torres Strait Islander origin :

If/when attending Yellow Ladybugs events, do you and your child give permission for their photo to be used for Yellow Ladybugs marketing purposes (eg website)? :

ADDITIONAL CHILD DETAILS (if applicable)

(not mandatory)

Child First Name :

Child Last Name :

Child DOB (dd/mm/yyyy) :

/ /

Please enter a valid date

Food Allergies :

Childs Interests :

Does your child identify as Aboriginal and/or Torres Strait Islander origin :

If/when attending Yellow Ladybugs events, do you and your child give permission for their photo to be used for Yellow Ladybugs marketing purposes (eg website)? :

ADDITIONAL CHILD DETAILS (if applicable)

(not mandatory)

Child First Name :

Child Last Name :

Child DOB (dd/mm/yyyy) :

/ /

Please enter a valid date :

Food Allergies :

Childs Interests :

Does your child identify as Aboriginal and/or Torres Strait Islander origin :

If/when attending Yellow Ladybugs events, do you and your child give permission for their photo to be used for Yellow Ladybugs marketing purposes (eg website)? :

YOUR DETAILS

*Reason for joining :

*Email :

*First Name :

*Last Name :

*State :

Please enter a value in all fields.

We have a range of security controls in place designed to protect your personal information from unauthorised use and disclosure.
Your data will not be shared with any third parties in accordance with the Australian law.