Yara Family Connections
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About
Fees
Outreach Zones
Booking Request
Downloads
Yara Basketball: In-School Registration Form
Yara Basketball After School registration form
Yara Basketball Juniors
Yara Basketball After School registration form
Yara Basketball After School Group 2024
Complete this form to book your spot!
Young Persons Name
(Required)
First
Last
Young person's Date of Birth
(Required)
DD slash MM slash YYYY
Do you identify as Aboriginal or Torres Strait Islander (young person)
Aboriginal
Torres Strait Islander
Aboriginal and Torres Strait Islander
Caregivers Name
(Required)
First
Last
Phone
(Required)
Email
Fees
(Required)
Please select if you are paying your fees or would like to apply for a scholarship (no cost)
I can pay the fee myself or am a NDIS client
I would like to submit for a PART scholarship and I will pay the remainder myself
I would like to submit for a FULL scholarship – No Fees
NDIS, Fee-for-service and sponsored positions available
Fees cover the 11 week group with each session running for 1.5hrs.
I am self-managed, please invoice me directly
I am plan-managed, please invoice my provider
I am paying the fees myself
I would like to be considered for sponsorship
NDIS
We are able to support young people who have NDIS which is Self-Managed or Plan-Managed. Please enter your NDIS number here and provider details.
Phone
This field is for validation purposes and should be left unchanged.
