GROUP Social Skills Groups Registration Form PLANET 2025

Social Skills Groups Registrations 2025

Program *

PLANET maximum cost *

Ashgrove, Brisbane

Dates: Monday, 7 July - Tuesday, 8 July 2025
Location: Hear and Say, 29 Nathan Avenue, Ashgrove Qld 4060 *

Parent / carer first name *

Parent / carer last name *

Email address *

Phone number *

Child's first name *

Child's last name *

Child's date of birth *

Child's school *

What grade is the child in this year? *

Please list any dietary requirements below

Street address *

Suburb *

State *

Postcode *

Pricing

The price of the program is determined by the number of participants. Hear and Say will confirm the cost following the close of registration. The maximum amount per participant is $1200. This can be claimed under your NDIS Capacity Building supports.

The price includes all resources and individual reports for the program. Payment is preferred at the time of service but must be paid in full no later than seven days from the date of invoice.

Do you have a NDIS plan? *

YesNo

NDIS plan start date *

NDIS plan end date *

NDIS plan number *

How manage NDIS plan *

Self managedAgency managedPlan managed

NDIS plan manager name *

By registering you agree to pricing conditions above and confirm that you have sufficient funds in your NDIS plan for this social and life skills group. You acknowledge that NDIS prices are subject to change, and recognise the price listed in your Service Agreement may not reflect the updated price listed on our website. *

I agreeI don't agree

Photo and video consent

I give permission for Hear and Say to take photographs and/or video recordings of my/our child and myself/ourselves during events and activities organised or provided by Hear and Say. I understand that the photographs and/or video recordings may be used and published by Hear and Say on our platforms which may include our website, social media, press releases, reports, resources and collateral, and funding agreements. I also understand that these photos/videos may be shared with other organisations outside of Hear and Say.I do not give consent.

Subscribe

I want to receive information about offers, services, products, events, and fundraisers that Hear and Say thinks may be of interest to me or surveys including by mail, email, SMS, social media, or other forms of communication. I understand I can unsubscribe from these communications at any time.

Privacy Policy

I acknowledge that I have read the Privacy Policy. *