Make a Booking

For all Bookings and information regarding the cost of courses and availability of rebates simply phone Pathways on (07) 3391 6866 or 0439 754 202. Alternatively, fill out this form and submit it to us.
We'll get back in touch with a confirmation ASAP.

Your Name

I would like to register my child for participation in the following Program:
 Fun FRIENDS (4-6y) Early Primary (7-9y) Junior Youth (10-13) Senior Youth (13-17) Adult FRIENDS
 Learning to Learn (school age) Steps 2 Manhood (10 -17)

Term

Day  Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Time (Please specify your preference/s)

Please Note: Pathways will ring you to confirm that this registration has been processed, but feel free to ring us to confirm. If a particular group has become fully subscribed we will discuss options with you.

Child's Details

Child Name

Age (at time of participation)

Date of Birth

School Attended

School Year (at time of participation)

Mother's Name
Home Phone Mobile

Father's Name
Home Phone Mobile

Marital Status

Will both parents be involved?  yes no

Postal Address

Email Address

I would like to receive emails about upcoming programs / workshops for children/ parents  yes no

How did you hear about the FRIENDS program?

Does your child have any allergies?

Rebates
Private Health Insurance  yes no
Who with? or Medicare  yes no

Payment Details for Friends Group Registration

Payment Method  UPFRONT (10% discount) WEEKLY

Amount - Options  Deposit Full Upfront Amount

Discount/s  Sibling Discount Extra Parent Other $
TOTAL $

Credit Card Details
Number Exp Date CCV

Name on Card

Or  I will pay by Direct deposit Cheque is enclosed

Security, input this code:

Please make cheques payable to Pathways Health & Research Centre

Direct deposit details: