EOI Form

Mum - KinKind Intergenerational Initiative

Thank you for your interest in joining KinKind. This intergenerational pilot program connects Older Australians with new mums in Forbes, NSW, for 1-hour weekly visits over 10 weeks. We’ll guide and support you every step of the way.

Your name

First Name

Last Name

Age bracket

Phone

By providing your mobile number, you consent to be contacted by The Nurtured Village about this program

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Location/Postcode

To ensure you live local to Forbes, NSW

Are you available for 1-hour weekly visits between late September and early December

Is there anything that may affect your availability during the 10 week program (e.g. travel plans, health concerns, other commitments?)

This program runs over 10 consecutive weeks, with one visit per week. It's important that participants commit to attending all sessions wherever possible

Age of your youngest baby/babies

Families must have a welcomed a baby in the last 2 years to be eligible for inclusion in this pilot program

Other children (ages)?

What makes you interested in this initiative?

Anything else we should know?

How did you hear about this initiative?

Consent to be contacted with more information

EOI Form

Mum - KinKind Intergenerational Initiative

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