Op Shop Til You Drop - 8th January

Op Shop til you Drop

Starting at Real Life Assistants

8 am - 3 pm

Monday 8th January 2024

First Name *

Last Name *

Mobile Phone Number *

This session will be run at a cost of approx. $169.84 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) *