REGISTRATION FORM

Do you work with children / young people in the Central Coast/Hunter?

While we do not work directly with children, young persons or their families in need– we do provide free practical help working through the professional interface of community centres, family support agencies, health workers, neighbourhood centres, pre-schools, schools, supported play groups, and similar.

If you would like to use our service, please:

1. 1. 1. 1. firstly read our Service Policy_1.5 We Care Connect
        then complete the registration form

After we validate your details, you will be able to open your Dashboard and submit requests.

We will email you shortly to confirm your registration. For urgent situations, please email us at requests@wecareconnect.org.au

Your Name(Required)

First Last

Your Preferred First Name (nickname)(Required)

Your Agency Name(Required)

Your Program Name(Required)

Phone(Required)

Whenever possible please give us a mobile number

Your Office Suburb Location(Required)

Your Professional Email(Required)

Enter Email Confirm Email

Password(Required)

Enter Password Confirm Password

Which collection centre is best for you?(Required)

East Maitland (9/8 Young Street)

Wyong (55 Howarth Street)

Belmont Belmont Neighbourhood Centre (Caseworker Collections only) : 359 Pacific Hwy, Belmont North

West Gosford Coastwide Child and Family Services (Caseworker Collections only) : 21 Jusfrute Dr, West Gosford

Other - as previously arranged