• The Studio Social Outing Group - Expression of Interest 

  • Participant Details

  • Date of Birth *
     - -
  • Do you live in Bendigo?*
  • Preferred Contact Method*
  • Does participant have a Support Coordinator?*

  • Support Information

  • Support Needs*

  • Social Group Preferences

  • Preferred Activities*
  • Preferred Days*
  • Preferred Time*
  • Frequency Preference*
  • Does the participant require transport?*
  • Should be Empty: