NDIS Connecting Through Craft Club Interest Form

NDIS Connecting Through Craft Club Interest Form
Thank you for exploring our inclusive craft program at Play Move Improve. We believe that building skills through creation should be fun and low-pressure for children of all ages with NDIS plans.

Please use this form to register your details, tell us the age group your child is in, and vote for the best days/times to run the group. Your feedback helps us structure the perfect club for your child!
Your Details
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Child's Details
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Child's NDIS Number
Tell Us About Your Child's Needs
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+)
Which NDIS Goal/s are you hoping this program will address for your child? These goals need to be listed on your child's NDIS plan.

Improved Fine Motor Skills / CoordinationSocial Participation / Peer ConnectionEmotional Regulation / Self-ExpressionDeveloping Leisure or Life Skills
Vote for Your Preferred Schedule!
Which weekday/s are you most available for your child's session?

Weekday Morning (9 AM – 11 AM)Weekday Lunch Time (12 PM - 2PM)Weekday Afternoon (3 PM – 6 PM)Saturday Morning
Is there anything else we should know about your child's sensory sensitivities (e.g., dislikes glue, paint, etc.) 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 Connecting Through Craft Club Interest Form

Your Details

Child's Details

Tell Us About Your Child's Needs

Vote for Your Preferred Schedule!