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Star Compass Program Signup
If you wish to attend our Creative Program, please fill out this form to register:
What is the participant's full name?
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Participant NDIS number:
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Please provide your name:
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Your relation to the participant:
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Your contact number:
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What date are you planning to attend?
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Your contact email:
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NDIS plan manager contact details: (name, telephone, email, company)
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Does the participant have any dietary requirements?
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Does the participant have any other special requirements?
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Does the participant have any other special requirements?
Wheelchair Access Required
Assistance With Walking or Mobility
Sensory Preferences (eg. visual, hearing, textures, easily overwhelmed)
Communication/Translation Support
Medical and Health Considerations (eg. medicine, epilepsy support, allergies, personal care)
Behavioural or Psychological Support
Other
Please specify:
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Does the participant require transport?
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Does the participant give consent to attend?
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Does the participant give media release consent?
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Signature
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Signature
Submit