Adopted School Membership application

USE THIS FORM IF YOUR SCHOOL HAS IDENTIFIED A SPONSOR WHO HAS OFFERED TO FUND YOUR ANNUAL HEALTHY KIDS MEMBERSHIP FEE. YOU WILL NEED TO PROVIDE YOUR SPONSOR'S DETAILS AT THE BOTTOM OF THIS FORM AND WE WILL GET IN TOUCH WITH THEM TO ARRANGE PAYMENT.

Membership pricing

$109 per year: School with a canteen (school-run)
$109 per year: School with a canteen (run by a leasee) OR $99 if the leasee is a member
$79 per year: School with no canteen

Name of School*

Contact Name*

Position*

School Mailing Address*

Street Address City State Postcode Country

School/ Canteen Phone*

School/ Canteen Fax

Canteen Email*

School Email

Number of Students*

Type of canteen management*

Parent body
Principal-run
Leased

Leasee Name*

Leasee Contact Phone*

Is Leasee a "Leasee Member" of Healthy Kids Association?*

Yes
No

Days of operation

Monday
Tuesday
Wednesday
Thursday
Friday

Payment Options

Direct Deposit
Cheque
Credit Card

Membership option select:*

School WITH a canteen - 1 year ($109)
School with a leased canteen AND leasee is a member - 1 year ($99)
School with no canteen - 1 year ($79)

Membership Number (for existing members)*

Name of sponsor*

Business name or individual's name

Email address of sponsor*

Contact number of sponsor*

We will get in touch with your generous sponsor to arrange payment and acknowledgement of their generosity. We'll be in touch to let you know when your membership becomes active!

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Adopted School Membership application

Adopted School Membership 2019

Membership pricing

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Adopted School Membership application

Adopted School Membership 2019

Membership pricing

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