Contact Details Service Enquiry

Enquire about a service or course

Make an enquiry about getting involved in a service or course. Please fill out the form below and a staff member will contact you.

Providing your full details here will save time on the phone.

You can also call us between 9am–12.30pm Monday to Friday on
(07) 5524 8711 and speak directly with a staff member.

What services, courses, or activities are you enquiring about?

Child and Family support

Youth and Family support

Relationship Consultation

Connecting Home (Youth Homelessness Services)

Parenting Course

Playgroup

Other

Relationship Course

Details about your enquiry (optional)

First Name

Preferred name (if different)

Last Name

Are you using a pseudonym (alias)?

Yes No

Phone (include area code if not entering a mobile phone)

I would prefer to be contacted by

Phone Email

Street Address

Suburb

Post Code

State

What region do you live in?

Gender pronoun (optional)

Date of Birth

Are you of Aboriginal and/or Torres Strait Islander origin? (click and select)

What is your country of birth? (click and select to change)

What is the make-up of your household? (click and select)

What is the main language you speak at home? (click and select to change)

Do you have a disability, impairment or condition?

None

Intellectual learning

Psychiatric/mental health

Sensory/speech

Physical/diverse

Not stated/Inadequately described

Are you homeless or at risk of becoming homeless?

Yes No At Risk

I also give consent to be contacted in future for feedback, research or evaluation on The Family Centre's services

Yes No

You need to be over 18 years old to subscribe to our newsletter and updates. Are you aged 18 years and over?

Yes No

I would like to subscribe:

Yes No Please subscribe to receive our newsletter and updates on services, courses, employment and volunteering opportunities and community fundraising activities.