Gingerbread Houses - 19th December 2023

Gingerbread House Making
Real Life Assistants Office

2pm - 6pm
Tuesday 19th December 2023

First Name *

Last Name *

Mobile Phone Number *

This session will be run at a cost of approx. $97.05 to the NDIS plan (exlcuding kilometres) *

I agree for this to be added to a Schedule of Supports for the Summer Program.

Signature

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Do you currently receive Support Work from Real Life Assistants?

YesNo

Please Include your NDIS Number, Date of Birth, Plan Dates and Plan Manager (if applicable) *