YOUNG CARER DETAILS

Please work with the young person to complete to this part of the application.

Parent or guardian contact details

Emergency contact details

REFERRER DETAILS

ABOUT YOUR CARING ROLE

SUPPORT OPTIONS

We offer a range of different support programs at Little Dreamers. A member of our Programs Team will contact you once you have submitted your application to work out which programs are best suited to you!

Please note, while Little Dreamers operates nationally, some programs are only available in certain regions.

PERMISSIONS AND APPROVALS

Our Privacy Policy at https://www.littledreamers.org.au/privacy-policy/ explains: what we do with this information; how it is handled; how it may be shared; how to access or correct it; and our procedure for complaints.

I agree to the following:

• receiving correspondence from Little Dreamers;
• no promises have been made to me by Little Dreamers, regarding my Dream Experience;
• all Dream Experience requests are at the discretion of Little Dreamers, and must meet all current guidelines.
• I have read and understood the Privacy Collection Notice. I consent to the collection, use and disclosure of personal information in line with the Privacy Statement;
• where I have provided information about another individual, I declare that the individual has been made aware of that fact and of the contents of the Privacy Statement;