Storm Waka - April Week 2

The Storm Waka School Holiday program focuses on education workshops, Pasifika cultural celebration and expression, and Rugby League skills and activities.

When - Tuesday 15th April - Thursday 17th April
Where - State Rugby League and Community Centre, Seabrook Reserve Broadmeadows
Who - Ages 15 - 18 years old

Program registration is free, however places are limited. Completing this form doesn't guarantee registration, we will contact you to confirm your registration in the program.

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* 1. Full Name

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* 2. Parent/guardian name

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* 3. Parent/guardian contact phone number

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* 4. Parent/guardian contact email

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* 5. Suburb & postcode

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* 6. Date of birth

Date

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* 7. Gender

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* 8. What are your preferred pronouns?

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* 9. Do you live, go to school, play or pray in the City of Hume?

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* 10. What is your cultural background?

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* 11. Are you available to attend all three days of the Storm Waka holiday program at Seabrook Reserve on the 15, 16, 17 April 2025?

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* 12. What is your t-shirt size?
Best to go one size up

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* 13. How do you plan on getting to Seabrook Reserve, Broadmeadows?

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* 14. Do you have any accessibility or support needs that we should be aware of to assist with your participation in the program?

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* 15. Do you have any allergies our program facilitators should know about?

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* 16. Do you have any dietary requirements?

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* 17. Do you have any disabilities, medical requirements or plans that our program facilitators should know about?

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* 18. Do you consent to the Melbourne Storm Rugby League Club and Centre For Multicultural Youth Le Mana taking photos and videos of your child during the program and sharing their image on Melbourne Storm's and Centre For Multicultural Youth Le Mana sites and social media channels?

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* 19. Do you give Melbourne Storm Rugby League Club and Centre For Multicultural Youth Le Mana permission to contact you about future Melbourne Storm and Centre For Multicultural Youth Le Mana community program opportunities?

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* 20. Storm Waka will run from 10:00 AM to 3:00 PM on all three days. Melbourne Storm or any external provider will not be responsible for any care after hours.

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* 21. Do you have any other questions?