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Wellbeing Auslan Group Program Registration
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Wellbeing Auslan Group Program Registration
Wellbeing Auslan Group Program Registration
tobstar
2023-02-21T15:39:57+11:00
Wellbeing Auslan Group Program March – August 2023
More Information See our Program Events
Your Name
(Required)
First Name
Surname
Your Email
(Required)
Comment
Do you have a NDIS plan?
(Required)
Yes
No
Your NDIS Number
(Required)
Who manage your NDIS plan?
(Required)
Self-managed
Plan-managed
NDIA-managed
Your plan-managed name
(Required)
Your plan-managed email contact
(Required)
NDIS Funding
(Required)
Innovation Community Participation (NDIS code 09_008_0116_6_3)
Community Participation Activities (NDIS code 09_011_0125_6_3)
Community Social and Recreational Activities (NDIS code 04_210_0125_6_1)
Therapeutic Service (NDIS code 15_053_0128_1_3)
Wellbeing Auslan Group Program
Choose your date(s) for non-refundable deposit
(Required)
24 March 2023
19 May 2023
16 June 2023
21 July 2023
18 August 2023
Total
Consent
(Required)
I agree to the
privacy policy
and
cancellation policy
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