*** Activity Registration ***
Date: Friday 13th April 2018

Come to Stadium 4 Cinemas in Leongatha and see a latest release movie with your friends from HoP South and have lunch at a local café. Depending on movie session times it might be a late lunch so make sure you bring snacks or money to buy snacks at the cinema.

Venue: Stadium 4 Cinema: 14-18 Smith Street, Leongatha / Shady Oaks Cafe: 5 Young Street, Leongatha

Cost: $24.00

What to Bring:
- Snacks and drink bottle
- Optional money to buy popcorn/choc top/drink at cinema or sweets at cafe
- Companion card (if you have one)
- Medication booklet and medication
- Anaphylaxis/Epilepsy Action Plans

Note: Please leave electronics at home

NDIS Benefits & Outcomes:
- Meeting new people and developing friendships
- Social participation in the community
- Increase your capacity to access your local community
- Development of your life and independent living skills
- Improve and develop your communication skills
- Opportunity to access new activities and try new things
- Self care for carers and participants

Note: Please ensure you inform Interchange Gippsland of any changes to you/your child’s support needs, including medications, behaviours etc.
Register Now
Are you already registered for the HOP South program with Interchange Gippsland? *

Note: if you are not currently registered for this program, you will have the opportunity to contact Interchange Gippsland for and Intake Appointment with one of our Program Coordinators.
Hi there, you mentioned that you're not currently registered for the HOP South program with Interchange Gippsland.
You will need to complete an intake with us.
Please enter your details below and one of our Program Coordinators will contact you shortly to arrange your Intake Appointment.

Please note your name, the name of the participant, your mobile number, and the town/suburb where you live.
Please note that this Registration acts an Expression of Interest only... you will be contacted to confirm if the participant is eligible for the activity - this eligibility is dependent upon staff:participant ratios, priority of access, and making sure that we can best cater to the requirements of each of our participants.
Once eligibility is confirmed, you will receive a registration link to enable payment of the activity prior to the activity date.

What's your name? *

What's the name of the Interchange Gippsland Participant who will be attending the activity?

Thanks for that, what's the best phone number to catch you on?

Emergency Contact Details *

Who is the best person to contact if an emergency occurs during the activity? If other, include name & phone number.

Travel Options - Departure *

Travel Options - Return *

Lunch Order *

Please choose your lunch from the options below. Note: all meals are served with wedges & your choice of softdrink, juice or small hot chocolate.

Thank you for giving us your contact details... one of our Program Coordinators will be in touch shortly.

Have a fantastic day:)
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Thank you for your expression of interest - you will receive an email shortly to confirm a spot for {{answer_C8W10A4GJSBb}} on the activity.

If you have questions, feel free to contact us on 1300 736 765.

Have a great day!
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