program entry form

Saturday October 21 to Sunday October 29, 2017

Queensland Patron

His Excellency
The Honourable Paul de Jersey AC
Governor of Queensland

National Ambassador

Megan Mitchell

Australian Commissioner for Children

State Ambassador

Ms Cheryl Vardon

Principal Commissioner Qld. Family & Child Commission

Junior Ambassador

Rosie Sellars


Michael Trizard & Stephen Alderman


Jane Reid


“Article 17 Children have the right to reliable information from the media.”

Mass media such as television, radio and newspapers should provide information that children can understand and should not promote materials that could harm children.

2016 was so much fun. We can’t wait to celebrate with everyone in 2017

Promote the work you do for children – Publish in the Children’s Week 2016 Program

HOW? Complete the following details & forward this to the address below or email by Friday September 1st.

Contact Person :

Name of Organisation :

Postal Address :

Telephone :

Mobile :

Fax :

Email :

Website :

Quantity :

Stickers :

Posters :

Balloons :

Event : ( Brief Outline of activities/events planned during Children's Week: More than 5 lines please use a separate sheet.)



Name & Address of Venue :

Contact number :


 Activities open to public Booking Required In-house activity only

(Please mark with X)

Terms & Conditions of CW Name and logo consent: To use the Children's Week Logo you must accept the conditions for the use it on any flyers, publicity etc.

I accept the conditions for using the Logo on your advertising to do with your even

 Yes  (Please mark with X)

Please indicate below if your organisation has Public Liability Cover:

 Yes  (Please mark with X)

Renewal Date:

Please indicate below if your organisation has Public Liability cover :

 Yes No(Please mark with X)

Name of Company:

Amount :

Renewal Date:


Please e-mail back to or print the form and post to QCWAI, 29 Somerton Street Bracken Ridge 4017