If subject is under 18 years, parents should complete in cooperation with their child.
PRESIDENT: Steve Stanley PO Box 4499, Myaree B/C, WA 6960 Phone: 08 9330 4922 Email: steve@irlenwa.com.au SECRETARY: Graeme Starke PO Box 820, Bunbury, WA 6231 Phone: 08 9791 8714 Email: gstarke@aaic.org.au