Register for Go4Fun

Register to be a facilitator

Facilitators will be contacted by the Local Health District Program Manager.

If you require assistance using this form, please contact Go4Fun during business hours (Monday - Friday 9am - 5pm) for phone or email support.

View the map to see what health district you are in.

Please enter your details.

First Name

Last Name

Email Confirmation

Mobile Number

Qualifications

Health District you are interested in

Register your childpatient for the Go4Fun Program

Follow the steps below to register your childpatient. Please ensure you have your childpatient's weight and height measure. If you have multiple patients' details to input, consider using the bulk registration form.

If you require assistance using this form, please contact Go4Fun during business hours (Monday - Friday 9am - 5pm) for phone or email support.

Are you residentsIs your patient a resident of NSW? (Go4Fun is not available outside of NSW.)

Enter your childpatient's details to register for Go4fun

First Name

Last Name

Date of birth

Sex at Birth

PRONOUNS (optional)

COMMENTS/RELEVANT HISTORY/CONDITIONS

Height

cm _{To nearest 0.1cm}

Weight

kg _{To nearest 0.1kg}

Date of measurements

if you are concerned about your child's growth, it is best to discuss with your GP or healthcare provider who knows your child and family

Please fix the issues above and try again.

based on an year old at kg and cm.
for the program.

A registered parent or guardian must attend each session.

Parent/Carer First Name

Parent/Carer Last Name

Phone Number

Postcode

Street Address

*Please tick to confirm the participant has consented for this information to be sent to the Go4Fun team, and consents to be contacted

Health professional details

First Name

Last Name

Occupation/position title:

Name of service/practice/facility

Phone Number

All referral and participant outcomes will be sent to the above email address. If you require updates via post or fax, please provide details below

Please tick if you do not wish to receive referral and participation outcomes

For NSW Health Facility Staff Only
Please select the referring setting.

FOR SYDNEY CHILDREN'S HOSPITAL NETWORK STAFF ONLY
Please select the referring campus.

Disclaimer: By completing this form, the participant is consenting to this information being sent to the Go4Fun team, and consents to be contacted.

Unfortunately, your childpatient doesn't qualify for the Go4Fun program. If your childpatient doesn't qualify we recommend heading to the Healthy living NSW for info, recipes and lots of tips to help you get healthy together.

Thank you for registering to Go4Fun. A Go4Fun team member will be in contact shortly. If you have any further questions, please call 1800 780 900 or SMS 0409 745 645 for a call back.

Thank you for referring your patient to Go4Fun. A Go4Fun team member will contact the family to help them get started. If you have any further questions, please call 1800 780 900.

Thank you for registering to Go4Fun.

A Go4Fun team member will be in contact shortly.
If you have any further questions, please call 1800 780 900 or SMS 0409 745 645 for a call back.