Book the PRogram

If you would like to include the YOU CHOOSE program in your school or organisation’s wellbeing/pastoral care schedule please complete the following form.

We will be back in touch with you asap about your enquiry…thanks!

Your Details

First name*

Last name*

Email*

Phone

What Best Describes Your Role*

School Details

School Name*

School Contact (if different to referral contract)

School Address

Address

Suburb

State

Postcode

Country

School Contact Details

School Email

School Phone

Session Details

School resources required: audio visual screen, laptop, clicker, lectern, assistance to check the school technology on the day.

No. of Students Attending

Year 9

Year 10

Year 11

Year 12

School Type

Preferred Dates

Option 1

Option 2

Option 3

Preferred Session

Please Select the best session option to conduct the presentation. Presentation is approx. 75mins.

Morning Session

Middle Session

Afternoon Session

Evening Session

We are also happy to present after-school or at parent/student evenings

It's valuable for our mission objectives to take some photos on the day for our social media. We'll comply with any permission protocols (or similar), so please let us know about these in advance.

Yes

We agree that local road safety stakeholders such as road safety police or the local member may be invited to attend the presentation.

Yes

SUPPORT YOU CHOOSE

DONATE

bottom of page