YLOT Holiday Buddies Program - Young Leader volunteer

ENTRIES OPEN SOON!

Expression of Interest: Please register your Expression of Interest to participate as a Young Leader volunteer peer mentor in our Holiday Program held at Southern Support School, Howrah. A YLOT representative will be in touch with you to discuss.

EOI's for bookings for Autumn close on the 10th April.

Our Autumn 2026 Program will operate from Monday 20th April - Friday 24th April 2026.

Child's Name: *

First

Last

Date of Birth: *

Age:

Parent/Guardian Details:

Name: *

First

Last

Address: *

Address L

City: *

State: *

Postcode: *

Phone Number: *

Email: *

Child's School: *

Emergency Contact 1

Name: *

First

Last

Relationship: *

Phone Number: *

Emergency Contact 2

Name:

First

Last

Relationship:

Phone Number:

Session Details:

Please note all days requested may not be confirmed due to a high volume of bookings. Booking requests will close two weeks before starting date-

I am requesting my child attend on the following days: *

(10:30am to 12:30pm).

Please list any allergies: *

Please list any medications taken during the day (note If your child needs medication during the program you will need to provide us with a signed medication chart from their GP):

Please list any additional info:

Media Consent

We love taking photos of our buddies and participants having fun together in our holiday activities. Please outline below if you consent for your child to be photographed, videod on the day and for these to be shared on our social media or website. *

Yes, I consent for media
No, I would prefer no media of my child/ren

Signed (Type name) *

Date: *

Message