KidzRock Expression of Interest

If you have multiple children interested in registering, please complete a separate application form for each child.

First Name

Last Name

Address

Suburb

State

Postcode

Phone

Email

Name

Age

What is your child's diagnosis?

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KidzWish Place: 1 Hinchinbrook Dr Shell Cove NSW 2529

Post: PO Box 505 Unanderra NSW 2526

Head Office: 1300 260 990

Raffle Enquiries: 1300 785 213

Fax: 4295 7502

To deliver and maintain an inclusive community for families with a need.

To provide trusted and quality services with integrity, for our families.