Getting Involved
Participant Full Name
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Participant Age
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Participant Suburb
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Primary Disability
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Best Contact Name
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Best Contact Number
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Relationship to Participant
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Do you (the participant) attend any other services (or school) at the moment?
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Please list some of your hobbies / interests
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Which days would you prefer to attend?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I don't mind which days
Do you know what the support might look like?
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1:1 support
Group support
Unsure
How did you hear about us?
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