NDIS Construction Club Interest Form

NDIS Construction Club Interest Form
Welcome to the NDIS Construction Club - Schedule Planning Form!

Thank you for your interest in our therapeutic construction program. To create the most effective, age-appropriate groups, we need your feedback on age group, goals, and scheduling. Your input will directly influence our 2026 weekly timetable.
Parent & Child Details
Parent/Carer Full Name:

First NameLast Name
Parent/Carer Email Address:
example@example.com
Parent/Carer Phone Number:
Please enter a valid phone number.
Child's Name:

First NameLast Name
Child's Date of Birth:

MonthDayYear
Date
NDIS Participant Number:
Tell Us About Your Child's Building Goals
Which age group is your child in?

Toddler / Preschool (Ages 2-5)Primary School (Ages 6-12)Teen / Adolescent (Ages 13-17)Young Adult (Ages 18+)
What NDIS Goal/s are you hoping this program will address?

Improved Fine Motor Skills / CoordinationSocial Participation / CollaborationPlanning and Problem-Solving SkillsLeisure Skill Development
Vote for Your Preferred Schedule!
Which day/s are you most available for the 2-hour session?

MondayTuesdayWednesdayThursdayFridaySaturday
Which time slot generally works best for your child's session?

Weekday Morning (9 AM – 1 PM)Weekday Afternoon (3 PM – 6 PM)Saturday MorningSaturday Lunch Time
Is there anything else we should know about your child's passion for building or specific support needs?
Consent:

I consent to Play Move Improve contacting me to discuss my child's NDIS funding and finalise enrolment.
Thank you for your time.
Should be Empty:

NDIS Construction Club Interest Form

Parent & Child Details

Tell Us About Your Child's Building Goals

Vote for Your Preferred Schedule!