ESS Sign Up Form – Epilepsy Foundation

Welcome to Epilepsy Smart Schools. Thank you for joining the growing number of Australian schools, who are working towards becoming Epilepsy Smart.
Let's get some details:
Your details:
Your school details:
Your First name*
State
State
Your Last Name*
Organisation Type*
School Name*
ACT schools
NSW schools
NT schools
QLD schools
SA schools
TAS schools
VIC schools
WA schools
Your Preferred Phone Number*
Organisation Name*
School Address
Your Preferred Email*
Organisation Address*
School Postcode
Position
Organisation Postcode*
Can't find you school or organisation? Check here to continue
- Can't find your school or organisation? Check here to continue

Let's get some details: