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Childcare
Youth Services
Y School
Community Support
Recreation & Fitness
- Serpentine Jarrahdale Community Recreation Centre
- Kalgoorlie Recreation Centre
About The Y

Work with us
Partner with Us
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Contact

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Home Programs & Support DRIP Registration Form

DRIP Registration Form

DRIP Registration Form

Name

Age(Required)

Gender

Female

Male

Prefer not to say

Other

Phone Number(Required)

How do you culturally identify?(Required)

CALD (Culturally and Linguistically Diverse)

ATSI (Aboriginal and Torres Strait Islander)

Other

Parent/Guardian Name and Mobile Number

Required if participant is under 18

Address:

201 Star St, Welshpool WA 6106

Contact:

08 9473 8400 enquiries@ymcawa.org.au

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Acknowledgement of Country
The Y WA acknowledges and pays respect to all Aboriginal and Torres Strait Islander Peoples, the Traditional Custodians of this nation and all lands on which the Y WA team work and live and recognise Elders past, present and future. We acknowledge the continuation of cultural, spiritual and educational practices of Aboriginal and Torres Strait Islander Peoples and their connection to land, sea and community.

The Young Men’s Christian Association of Western Australia Incorporated – ABN 37 276 356 812
YMCA of Western Australia Youth and Community Services Incorporated – ABN 43 141 458 240
YMCA of Western Australia Education Incorporated – ABN 68 329 427 843

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Complete the form below and our team will be in touch to discuss your enrolment.

First name*

Last name*

Email*

Phone number*

How did you hear about us?*

Is your child under the care of DCP (Department of Communities)?*

Does your child have a currently enrolled sibling?*

Enquiry message*

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