Does the participant have any medical history or allergies we need to know about?
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Does the participant have any medical conditions or disability which may affect safe participation?
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Does the participant take any medication we need to know about in case of an emergency?
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Does the participant have any additional needs program staff need to be aware of?
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Has your child participated in a Melton Learning Directory program before?
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What is your gender?
What is your child's gender?
Do you speak any language other than English at home?
Which language?
Do you identify as Aboriginal or Torres Strait Islander?
Melton City Council will not be responsible for any loss, damage or injury to my person or property. Information on this form will be kept private and used only to help provide access to better services in the community.
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