Person Completing This Expression of Interest
Participant's name
Suburb
Age of Participant
Contact Number *
Contact Email *
Which Program are you interested in?Kids Adventure CampKids & Family Camp
Do you have NDIS Funding? *YesNo
Details of Funding? *NDIS Plan ManagedNDIS Self ManagedNDIS Agency ManagedOther Funding Type (Private, NGO, School, Govt Dept etc)Unknown
Any other information?