Back to home

New Client Registration

1
Preferred Centre
2
Primary Organisation
3
Client Details
4
Client Address
5
Connection to Defence
6
Emergency Contact
7
Dependant Information

Preferred Centre

All fields are required unless marked as optional.

You must complete all required fields to continue to the next step.

Please read the Terms and Conditions below:

To access the Veteran & Family Wellbeing Centre you must first read, understand, and accept the Terms and Conditions. The conditions contain the rules of the Centres, collection, use, and disclosure of your personal information, and consent. Please note, the Terms and Conditions are a legally binding agreement, so please ensure that you read and understand the Terms and Conditions before accepting the agreement terms below.


Centre Terms and Conditions


By ticking ‘I accept’ you declare that you have read and understood the Terms and Conditions.

You must accept the terms & conditions to continue