Teen Talks Safety Form

Please enter your personal details and parent’s contact info. If you are aged under 18, we will send an email to your parents to confirm your participation in Teen Talk.
If we feel you need urgent support that we cannot provide at Teen Talk, then we may decide to contact your parent or guardian.

    Discord Username (required)

    Your Date of Birth (required)

    Your Email (required) – this is the email the Discord link will be sent to

    Country of Residence (required)

    Condition (required)

    Emergency Contact

    For safety reasons, we would like a record of a parent/guardian we can contact in an emergency.


    Emergency Contact Name (required)

    Emergency Contact’s Relationship to User (eg. Mother, Father, Legal Guardian) (required)

    Emergency Contact Number (required)

    Emergency Contact Email (required)


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    Musculoskeletal Health Australia (or MHA) is the consumer organisation working with, and advocating on behalf of, people with arthritis, osteoporosis, back pain, gout and over 150 other musculoskeletal conditions.

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