Eclipse - Expression of Interest

Please register your interest here for the upcoming group, or let us know if you would prefer to be contacted about future groups.

Our next group is scheduled on Tuesdays from 4.00–6.00 pm, running from 28 April to 16 June. This will be a closed group, held virtually via Zoom.

You can also request a call back or email if you would like more information about Eclipse.

Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: 0000 000 000.

I would like to:

Other

What days/times would work best for you for future Eclipse groups: (select all that apply)

Rows	Morning	Midday	Afternoon	Evening	Anytime	Unsure/Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Weekend

Would you prefer future groups to be face to face or online?

What days and times are best to contact you?

Referral Agency (OPTIONAL)

For any questions or more information please email - programs@llsc.org.au