*** Activity Registration***
Date: Saturday 26th May 2018

Roadies Latrobe Baw Baw are heading down to Inflatable World Dandenong for a day of bouncing fun!

Cost: $15
Venue: Inflatable World - 5b/30 Green Street, Doveton VIC

What to Bring:
- Medication Book & Medication
- Lunch, snacks & water bottle
- Comfortable clothing
- Socks

NDIS Benefits & Outcomes:
- Social participation in the community
- Meeting new people and developing friendships
- Improve and develop your communication skills
- Opportunity to access new activities and try new things
Register Now
Are you already registered for the Roadies Latrobe/Baw Baw 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 Roadies Baw Baw 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 as 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 payment 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 during the activity time if there is an emergency? Please write Name & Mobile number...

Transport Departure *

Where would you like to catch the bus from?

Transport Return *

Where would you like the bus to drop you on the way home?

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 registration - you will receive an email shortly to confirm a spot for {{answer_m6D8wv3nlYkr}} on the activity.

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

Have a great day!
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