Kick off the Conversation - Forms

EOI: Kick Off The Conversation Program 2024

Football West and Healthway together are proud to launch 'Kick off the Conversation', a program designed to support and educate clubs on mental health and wellbeing practices.

Through education and support, clubs involved in the program should become better equipped to foster the mental health and wellbeing of their members and create a positive reputation within the sport. Plus, your club will be eligible to win a share of $15,000 in cash prizes.

Complete this EOI form today to get your club or association involved with the program in early 2024.

"*" indicates required fields

Club or Association Name*

Contact Name*

First Last

Contact Position Title*

Email*

Phone*

Club or Association Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Postal address*

Same as Club or Association address

Different to Club or Association address

Postal Address*

Street Address City State / Province / Region ZIP / Postal Code Country