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NDIS Participant Information Form

  1. Participant Details
  1. NDIS Details
How Is The Participant's NDIS Plan Managed?
Which funding category would you prefer to use?
  1. Sessions
Which type of Rainbow Roos support are you interested in?
Does the participant already attend a Rainbow Roos session?
Yes
No
In the past, but not now
  1. About Your Child
  1. Goals
What would you most like your child to gain from Rainbow Roos sessions?
  1. Emergency Contact
  1. Anything Else?
  1. Declaration & Consent
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ABN: 59 393 027 070

We acknowledge the Traditional Owners of the land where we work, live and play;  the Widjabul people of the Bundjalung

Nation and pay our respects to Elders past, present and emerging. We celebrate the stories, culture and traditions of

Aboriginal and Torres Strait Islander Elders of all communities who also work and live on this land

Gold Credited Club
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