Wellness Warriors Expression of interest

Thank you for your interest in our Wellness Warriors group at Girls Connect 🌿

This weekly program is designed to support girls in building confidence, wellbeing, independence and social connection in a fun, relaxed and supportive environment.

Please complete the form below and we will be in touch to discuss the next steps.

Participants Name*

First NameLast Name

Preferred Name

DOB*

Date

Age*

Parent/Carer Name*

Contact Number*

Format: (000) 000-0000.

E-mail*

example@example.com

CallTextEmail

Best time to contact?*

YesNoUnsure

Location/Suburb

YesNoIn the process

We welcome private participants and would love to support you. We’ll be in touch to chat through options, pricing, and what might suit you best. Please continue to fill out form.

Self ManagedPlan Manged

NDIS Number*

Plan Managers Name (if applicable)

Participants Primary Diagnosis/Disability:*

(e.g. Autism, Intellectual Disability, ADHD etc.)

Additional Diagnoses (if applicable):

1:1 Ratio1:2 RatioUnsure

YesNo

Please provide details

YesNo

Please provide details

YesNoUnsure

Please upload a copy of management plan (or email to info@girlsconnect.com.au)

YesNoSometimes

If yes, please provide details and any strategies that support them:

Are there any other risks or safety considerations we should be aware of? *

Please provide details if applicable

Meet & Greet (optional)

Starting something new can feel a little overwhelming for many people (and we totally get that 💛), so we like to ease into things and offer a quick meet & greet before they attend their first group.

This is an informal, no-pressure opportunity to get to know each other, chat about their interests, supports, and needs, and help them feel safe, familiar, and more at ease when they walk through our door.

We’re flexible and can come to you, meet somewhere comfortable like a park or café, or even at your home—whatever feels easiest and most comfortable for them.

YesNo

Best day/time for a Meet & Greet

Please click below to submit the expression of interest form. One of our team members will be in contat within the next 2 days with the next steps.

If you have any questions in the meantime please feel free to email us at info@girlsconnect.com.au or call 0402 958 313.

From the Team at Girls Connect

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