Get My L's Program Registration Form

1
Choose which Get My L's program suits you
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December 2025 - Melton
January 2026 - Ringwood
February 2026 - Dandenong
March 2026 - Broadmeadows
April - 2026 - Ringwood
Your town waitlist
4-day classroom based program
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1-1 Customised learning program tailored to participant’s needs
1-1 Customised learning program tailored to participant’s needs
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Participant's name* This field is required.
First name
Last name
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Date of birth
Day
Month
Year
4
Post code* This field is required.
5
Participant email
example@example.com
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Participant mobile number
7
NDIS number
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NDIS plan expiry date
Date
Day
Month
Year
9
Support Coordinator's name* This field is required.
If no support coordinator, then the nominee's name if under 18
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Support Coordinator's mobile number* This field is required.
11
Support Coordinator's email* This field is required.
12
NDIS Goals
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Upload NDIS Plan
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Got a question?
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As part of the NDIS provider responsibilities Changing Gears is required to provide participants with adequate information to allow participants to access, engage with and navigate our service. Information regarding the following topics can be found in our NDIS Orientation Pack;

- NDIS speciﬁc registration form
- Consent to share information
- Information storage
- Service agreements
- Complaint policy
- Program delivery guidelines

Further information can be found on our website changinggears.org/ndis
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I have accessed and viewed the Changing Gears NDIS Orientation Pack
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Yes
No
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