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Apply for an iPad
Achievements & Awards
2021 Young Australian of The Year Nomination
Autism Awareness Month
Lions Clubs Australia
Out of Uniform Day School Registration
Name of School
Type of School
Please select one of the following that describes your school:
Address Line 2
What date is your school participating in Out of School Uniform Day to assist Keeley's Cause fundraising efforts?
How many children attend your school? (Approximately)
Up to 200
1000 or more.
Who will be responsible for the deposit of raised funds to Keeley's Cause bank account?
Parents and Friends Club President
Do you require Keeley’s Cause DL Flyers to bring awareness of what children are raising for ?
Please note :
All funds raised must be deposited to Keeley's Cause
Limited within 7 days of your fundraising event.
Funds are to be deposited to
Keeleys Cause Limited
BSB : 633-000
By Cheque payable to KEELEYS CAUSE and sent via express
P.O. BOX 169
BALLAN VIC 3342
Please select your preferred payment:
Direct Deposit to Keeley's Cause Bank Account
Cheque Payable to Keeley's Cause Forwarded by Express Post
Do you currently have any children with Autism or an Intellectual Disability at your school?
If yes, then how many children attend your school with Autism or an Intellectual Disability?
10 or more
How many of them have an iPad at your school?
10 and over
Thank you for your time in filling out this form.
© 2020 Keeley's Cause.