ROADIES EAST
MOVIE FUN DAY!
*** Activity Registration ***
Date: Monday 8th January 2018

Roadies East are going to enjoy a day out in Lakes Entrance. The day will include a trip to the cinemas, followed by a visit to Griffiths Sea Shell Museum.
Note: the movie will be chosen closer to the date.

Venue: Lakes Movie Centre & Griffiths Sea Shell Museum
Cost: $19

What to Bring:
- Medication Booklet & Medication
- Companion Card
- Lunch, Snacks & Water Bottle

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
Register Now
 
Are you already registered for the Roadies East 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 East program with Interchange Gippsland. We would love to help you in any way we can...
Please enter your details below and one of our Program Coordinators will contact you shortly to arrange an 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 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 *

Please select where you would like to catch the bus...

 
Travel Options - Return *

Please select where you would like to pickup from...

 
Does the participant have any dietary requirements?

Please select which are applicable...

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_v4U4a2E097c8}} on the activity.

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

Have a great day!
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