YouthCARE Extranet

Please ensure this form is submitted at least 4 weeks prior to your upcoming event. Should something unexpected occur which impacts the scheduling / requirements of your event, please reach out and we will do our best to help. YouthCARE requires at least 4 weeks to ensure that all materials and scheduling requirements are met.

Should you have any questions or queries please contact Robyn Waddingham on robyn.waddingham@youthcare.org.au or call 08 9376 5011.

Your Information

Enter your contact information below:

Your Name

Your Email Address

Contact phone

Event Details

Enter the details about your event below:

Event Type

Date of Event

Event Name

Event Location

Event Description

No. People Interested

No. People Attending

Estimated Income

Event Budget

RSVP Date

Is there any sort of cost?

Promotional Details

Enter promotional details regarding your event below.

What promotional material would you require?

Other Promotional Material (Specify)

Other Promotional Material Size (Specify)

Do you require the promotional material to be printed? If so, how many?

No. of Printed Physical Copies

Do you require a digital copy of the promotional material?

Date you require the promotional material by

Additional promotional material you require for your event? Please indicate if you require any additional promotional material that is not listed above

Event Advice

Define important criteria and legal requirements concerning your event below:

Insurance Cover

Certificate of Currency Issued to YCC or YCSN

Submit an Event Request