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To register your school for the event, please fill in the form below. You will recieve a confirmation email when you submit your information which will include further instructions for the event.

Thank you for your support.

Name of School / Organisation: *
Postal Address:
Street Address:
Name of Student Coordinator:
Student Email Address: *
Student Coordinator's year level(s):
Name of Teacher / Representative:
Teacher Phone Number:
Teacher Email Address: *
This will become your login.
Proposed Date for your Event September 2006
Approx number of students participating:
Is your school:
Year Level(s) participating:
Brief Description of Proposed Activities for the event:

Resources purchased by your school for your Shades for AIDS Day:

A Closer Walk DVD and Study guide $125.00 + postage and handling (Click to here to buy a copy)

The Age of AIDS community resource DVD & CD Rom (TBC)

HIV +ve Teenagers - Stories of Young Australian's audio documentary (TBC)

Do you give YEAH permission to film your event for promotional purposes?:

  Yes
How will you make your donations?:

Cheque/Money Order
Online Donation

How much money did your school raise: $

Other Comments:


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ABN: 30113 170 648

Youth Empowerment Against HIV/AIDS is:
- Endorsed as a deductible gift recipient under subdivision 30-BA of the Income Tax Assessment Act 1997.
- Endorsed as a Health Promotion Charity under the subdivision 30-B: 1.1.6 as a charitable institution whose principal activity is to promote the prevention or the control of disease in human beings.
- Endorsement date of effect: 1 March 2005