NGV Teens Registration Form

Thank you for booking Art-Making for Neurodivergent Teens.

This form should be completed by the participant’s parent or guardian.

Collection Notice

Contact Us

If you have any questions about the registration process, please contact us via our online form or 03 8620 2222.


Parent and Student Details

Parent/Carer’s Full Name 
Student’s Full Name

Parent/Guardian Permission

 I have read and agree with the following conditions:

NGV Teens: Art-Making for Neurodivergent Teens workshops are supervised by NGV Audience Engagement and Learn staff at appropriate adult/child ratios; therefore, parents are not required to attend the session (unless acting as a companion).
To ensure your teen has the best possible experience we ask that a parent or carer accompany them if they require one-on-one support, as our staff are unable to provide individual supervision.
Students will remain in the program for the duration of the session and must be signed in by a parent/guardian.
Medical Consent

Adult family or carers are welcome to attend alongside their teen if they would feel more comfortable or need one-on-one support. Please let us know if you (or another adult) will be attending alongside your teen.

Emergency Contact Details

Is primary emergency contact same as above parent/guardian details?

Please provide second emergency contact

Second Emergency Contact Name