Sign Up Form - YouthAdvance

NEW TO YOUTH ADVANCE?

Get started on your award today

If you’ve completed a level with YouthAdvance already, and want to start the next one – please contact your award leader.

If you’re mid-way through a level and want to transfer to YouthAdvance, go to more option on our website and select the Mid-level Transfer form

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"*" indicates required fields

Participant Name*

First Last

Participant Date of Birth*

Participant Email*

Please use this email address for the Online Record Book and YA Portal.

Participant Address*

Address Suburb State Postcode

Participant Mobile Phone Number*

Which school or university do you attend?

Membership Registration

YouthAdvance School Partner*

If your school is not listed, please select your state and YouthAdvance Open Award Centre.

Duke of Ed Level*

State Registration Fee*

Parental Consent

Is the Participant under the age of 18? If the Participant is under the age of 18 at the date of registration, this section must be completed by the participant's parent or guardian.

Is the Participant over 18 (at the date of registration)?*

YES - The Participant is over the age of 18

NO - The Participant is under the age of 18 (Please have a Parent or Guardian complete the below)

Parent Name*

First Last

Parent/Guardian Mobile Phone Number*

Parent/Guardian Email*

PARENTAL/GUARDIAN CONSENT*

YES - I confirm that I am the parent/ guardian of the Participant named in Section 1 and consent to the Participant named in Section 1 participating in the Award under the guidance of YouthAdvance (the “Award Unit”) and undertaking activities to fulfil the requirements of the Award.

PARENTAL/GUARDIAN AUTHORITY*

YES - I confirm that I am comfortable with the assessors my child has chose or chooses to engage to supervise their activities. I have or will performed any parental requirement as per the State required WWCC.

Media Release

The participant agrees to the terms of the Media Release.

I agree to the terms of media release*

FOR PARTICIPANTS UNDER 18 YEARS OLD: I confirm that I am the parent/guardian of the Participant named in Section 1. Do you agree to the the terms of the media release stated above: