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Need support or an NDIS Plan? We can help you! Get free 1 hr one-on-one consultation. Call us today! 1300492214
Need support or an NDIS Plan? We can help you! Get free 1 hr one-on-one consultation. Call us today! 1300492214
Need support or an NDIS Plan? We can help you! Get free 1 hr one-on-one consultation. Call us today! 1300492214
Need support or an NDIS Plan? We can help you! Get free 1 hr one-on-one consultation. Call us today! 1300492214
Need support or an NDIS Plan? We can help you! Get free 1 hr one-on-one consultation. Call us today! 1300492214
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Support and a Fun Environment
October Activity: Werribee Open Range Zoo
Participant’s Name
Contact Person (if different from participant)
Email
Contact Number
How would you like to be contacted? *
Email
Phone
Who is your NDIS provider (i.e. Hi Five Community Services)
Will you require a support worker to attend the activity?
Yes
No
Do you have any specific requirements to be able to participate in this activity? (i.e. wheelchair accessible)
Would you like to be informed about our upcoming group activities?
Yes
No
Agreement & Consent
I understand that I will be contacted by Hi Five Community Services to confirm all requirements needed to be able to attend this workshop.
Your privacy matters. We assure you that any information you provide is solely for the purpose of our services and will not be used for any other purpose or shared with any third parties without your consent
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Time & Location
4th October From 10:30am
