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MERRY-GO-ROUND - Application Form

Applicant Details
Guardian/Alternative (if applicable)
Support Person (if applicable)


Your application will not be processed if you answer ‘no’ to any of the following questions.


I certify that:

The statements in this application are true and correct to the best of my knowledge.

If successful,

  • • I consent to the CPL Group releasing information about my participation in the program to the media for promotional purposes
  • • I consent to the CPL Group using photographs and video footage taken of me during MERRY-GO-ROUND
  • • I consent to taking part in an evaluation of MERRY-GO-ROUND.