Well done on completeing your Operation Flinders Exercise on Yankaninna Station! By self-nominating to be part of the Peer Group Mentor Program, you're taking the first steps to be part of some amazing times ahead.

 

Once you have completed the form below, we will be in touch with you!

Contact Information

All information below must be of the young person who participated in an Operation Flinders Exercise unless indicated. 

Date of Birth*
Home Address*
Email*
Confirm Email*
Phone*

Participation

Which school / agency did you participate with?*
Please click BOTH BOXES to register for Duke of Ed Award. Click PGM box ONLY if you don't want to participate in the Duke of Ed Award*
Which Exercise did you participate on?*

Parent / Guardian Information

Parent/Gaurdian Name*
Parent/Guardian Mobile Phone*
Parent/Gaurdian Email*
Parent/Gaurdian Relationship to Participant*
Additional Comments

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