Bulk Registration Tool

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

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.

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.