SYW Gaming Registration
Please complete the short registration form below to register for our gamers group. If you would like more information or assistance with registration please contact our lead facilitator Luke David via luke@supportyourway.com.au or via mobile 0424 160 174.
Email address *
Name of participant: *
Mobile number: *
Suburb: *
Age: *
Primary disability:
This is a list of common barriers and accessibility needs. Let us know if any of these apply to you or if you have an access need that isn't listed. *
Required
Please let us know of any other medical information we may need to be aware of:
Do you require any further support to attend our gamers group? *
As part of the group, Support Your Way will be providing support workers at 1:1, 1:2, 1:3 and 1:4 ratios. Please let us know your preference below. *
What consoles do you like to game on? *
Required
Please list the games you would like to play: *
What would you like to get out of the gaming group sessions? (E.g New friends, social interactions) *
Do you have any dietary requirements? *
Emergency contact number: *
Relationship to participant: *
Is there anything else we need to know before attending the group? *
How will you be paying for services through Support Your Way? If you are self-managed or plan-managed, we'll send you an invoice with our payment details at the end of each fortnight. *
A copy of your responses will be emailed to the address you provided.
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