4 The 1 Supports Holiday Program Booking Request

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Please complete this form to request a spot in our June/July School Holiday Program.

Submitting this form does not guarantee a place. Spots are limited, and our team will contact you to confirm availability, final costs, and booking details. Please also note that participants must have Category '04' in their funding to accommodate for these activities.

Participant Details

Please tell us a little about the participant.

Participant’s full name *

Participant’s age *

Is the participant an NDIS participant? *

Yes

How is the participant’s plan managed? *

Plan-managed

Self-managed

Parent/Guardian Details

Who should we contact regarding this booking?

Parent/Guardian full name *

Phone number *

Email address *

Program Days

Which program day/s would you like to request? *

Wednesday 1st July – Limelight Cinemas Morayfield

Saturday 4th July – Australia Zoo

Wednesday 8th July – Bounce Morayfield

Saturday 11th July – BBQ at Bribie Park

Required

Support & Costs

Does the participant have a companion card? *

Yes

Acknowledgement *

I understand that activity entry fees apply, except for the BBQ.

I understand that if the participant does not have a companion card, support worker entry costs may also need to be covered.

I understand that final costs will be confirmed before the booking is secured.

Required

Additional Information

Does the participant have any medical, behavioural, sensory, accessibility, or support needs we should be aware of?

Is there anything else you would like us to know?

Submit

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