Welcome to Grad Club

Join the Top Blokes Grad Club

You will have opportunities to stay connected with Top Blokes mentors, enjoy team-building excursions, take part in personal and professional development experiences, gain qualifications, and network.

The Grad Club is open to High School students who have graduated from the Top Blokes program.

If you are under the age of 18, your parent/carer is required to fill out the final page of the form.

If you have any questions, please email: [email protected]

Step 1 of 3

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Young Man / Participant Information

Please enter the details of the young man who will be joining the Grad Club.

Name(Required)

First Last

Date of Birth(Required)

DD slash MM slash YYYY

DD/MM/YYYY

Email(Required)

Mobile(Required)

State(Required)

– Select State –NSWQLD

School Name(Required)

Please enter school name in full. e.g. “Marrickville High School”

When did you complete the Top Blokes program?(Required)

Term 2 – 2025Term 4 – 2024Term 2 – 2024Term 4 – 2023Term 2 – 2023Other

Leadership Opportunities

Yes, I’m interested in hearing about leadership opportunities through Grad Club.

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Would you like to be included in our current Grad Club competition?(Required)

Yes

No

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Name of competition:(Required)

– Select Event –NSW: Boxing Experience with Harry Garside

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Name of competition:(Required)

Sunny Coast: Weightlifting

Parent/Carer Details

Please have your parent/carer fill out this remainder of the form.

Name(Required)

First Last

Relationship(Required)

e.g. Mum, Dad, Carer, Grandparent, Aunt

Email(Required)

Mobile(Required)

Signed by carer/parent if under 18

Image Consent

Yes, I give consent for Top Blokes Foundation to take and use images of the Graduate Club applicant named in this application form.

I understand that such use includes the display, distribution, publication, transmission or otherwise use of photographs, images and/or videos taken for use in materials, campaigns and events at the discretion of Top Blokes Foundation. I understand I can withdraw consent at any time by emailing [email protected], however I understand that this only pertains to the future use of images.

Permissions(Required)

Yes, I give my child permission to join the Top Blokes Grad Club.

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Event Consent(Required)

Yes, I give my child permission to participate in weightlifting at Bribie Island Weightlifting Club

Signature

Phone

This field is for validation purposes and should be left unchanged.

*Terms and Conditions for Grad Club competitions