Apply to Join the Friend Match Program!

Fill in the details below and one of our friendly team members will get back to you with more information about our social club sessions and how you can join our incredible program.

First Name of Participant *

Last Name of Participant *

Date of Birth (Participant) *

Guardian/Carer First Name

Guardian/Carer Last Name

Phone *

Email *

Do you have a current NDIS Plan?

Yes

No

How are your NDIS funds managed:

Self-Managed

Plan-Managed

NDIA-managed (Agency-managed)

Privately Funded

Anything else you'd like us to know?