Magic The Gathering

At 9 Old Springhill Rd, Coniston (Community Space)

11AM - 2PM, Thursdays! Starting June 4th

We had multiple people reach out regarding if we could start running Trading card game events here in our community space. And based on the responses we've recieved Thursdays between 11am-2pm suited the majority

First Name *

Last Name *

Best Contact *Mobile phone, email or person you would like us to reach out to regarding your interest in attending this community group

I would like to attend *

Individually (I'll make my own way to and from site)Individually (with a support worker to myself)At a 1:3 Ratio (with a support worker to assist and support myself and 2 others)

We recommend individual supports for anyone under 18, anyone that may require assistance with feeding, toileting, medication, or anyone who does not wish to attend for the whole evening.

My Support Facilitator is: *

Amy KominkovskiDylan KlohkMacey CerasaniMitchell SmithRenee JolleyScott BrancourtTristan AgostiniAedan ChaselingMichael OxfordNicole CampbellI'm not an RLCG participantI'm not an NDIS participant

Choose 1 answer only :)

Comments

Participant Details

Full Name

NDIS Number *

Date of Birth *

Best contact *

Address

Emergency Contact *

How is your plan managed *

Self Managed Plan Managed Agency Managed

Plan Manger Details *Please include name, contact number & email.

Support CoordinatorName, contact number & email

Plan Start Date

Plan End Date

Having difficulty completing this form? If so, please contact Michael on 0499 981 728 or email fun@rlcg.org.au

Please wait, files are uploading..