2026 Vision Australia family Christmas fun day Victoria registration form Vision Australia. Blindness and low vision services

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Please register your family by Monday, November 23, 2026.

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Child details

Child's first name*

Child's last name*

Child's age*

Child's first name*

Child's last name*

Child's age

Adult details

Adult's first name*

Adult's last name*

Relationship to client*

Adult's phone number

Adult's email address

Adult's first name*

Adult's last name*

Relationship to client*

More information

Does your child use any mobility aids (for example, a wheelchair or cane)?

Does your child require alternate formats? e.g. Braille, large print

Please provide details on the alternate format required:

Please list any other requirements or information that may assist us to support your child

Please note any dietary requirements

Vision Australia regularly reproduces photographs and/or videos of people in their publications, promotional and marketing materials and on their websites and social media channels (and/or works with media outlets to promote via editorial channels).

I voluntarily give consent to Vision Australia (and other third party media outlets) using, reproducing and disclosing photographs and/or video footage of all persons listed for use in promotional and marketing materials, including but not limited to:

Websites
Intranet
Emails
Newsletters
Radio
Annual reports
Publications/flyers
Digital promotions
Events and conferences
Printed banners

How we use your information

By submitting this form, you confirm that you agree to the storing and processing of your personal data by Vision Australia as described in our Privacy Policy.

The information you have submitted will be used to provide you with the most relevant content on Vision Australia services, news & events, and other opportunities for support.

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2026 Vision Australia family Christmas fun day Victoria registration form

Child details

Adult details

More information

Photo/Filming consent

How we use your information