EmailMe Form - Join the Foundation form

Join the Foundation form

Name *

Prefix

First *

Last *

Suffix

Email *

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone number (Home)

Phone number (Work)

Phone number (Mobile)

Are you:

If a parent, please supply your child's first name, family name and age

Is there any guidance or advice we can assist with?

e.g. name of your nearest support group; schooling problems; behaviour; etc

Unsolicited Electronic Messages Act 2007

I wish to receive any correspondence by email

I DO NOT wish to receive any correspondence by email

In terms of the Unsolicited Electronic Messages Act 2007, the Cloud 9 Children’s Foundation is required to check with you to confirm whether you want to receive correspondence from us via email. We will have your email address on our database and we aim to only contact you for the purposes of keeping you in touch with activities of Cloud 9 Children's Foundation and related services. If you do not wish to be on our mailing list, you need to clearly indicate this above. However, if you wish to receive e-mail correspondence from Cloud 9 Children's Foundation, do not press the button

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