Warm Embrace Support Services Community Group Sessions Enquiry Form
Please fill out this form to secure your spot for our free weekly community group sessions in Caboolture and Morayfield. Sessions start on 23 June 2025 and focus on fun activities like board games, arts and crafts, and community connection. Spots are limited, and each participant can attend only one session per week.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Are you an NDIS Participant?
*
Yes
No
Participant's NDIS Number
*
Preferred Session Date (Monday)
*
-
Month
-
Day
Year
Date
Any Special Needs or Accommodations
I consent to participate in the community sessions and agree to the use of my data and any photos taken during the sessions for program purposes.
*
I Consent
Additional Attendance Information
If you wish to attend more than one session per week, an extra cost will be billed to your NDIS plan. Note: Travel costs are not included in the free sessions. However, if you attend a session with a Warm Embrace Support worker, travel costs are included.
I understand and agree to the extra cost condition for attending more than one session per week.
*
I Agree
Submit Enquiry
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