Social/Cooking/ Dining Group - Including You

march, 2019

21mar4:00 pmSocial/Cooking/ Dining Group4:00 pm Including You office, 158 Roycroft Ave MIllpark

Event Details

Come and join us in creating delicious meals as well as socialising with other people with similar interests.

Group run by a qualified food technician

all food prepared can be shared by the group for dinner

Time: 4.00pm – 7.30pm

Activity Referral Form

Client Details
Which group would you like to join?
First name
Last name
Address
Phone number
Date of Birth

MM slash DD slash YYYY
Gender
NDIS number
Plan start date

MM slash DD slash YYYY
Plan end date

MM slash DD slash YYYY
Primary disability
Mobility (Include details)
Communication
- Verbal
- Non-Verbal
Funding allocated for service and type (i.e Core, Improved Daily Living)
Behaviors of concern
Supports
Will you have a support worker with you?
How did you find out about us?
What other groups would you be interested in joining?
Referred by:
First name
Last name
Organisation
Mobile number
Office number
Email address
CAPTCHA

more

Time

(Thursday) 4:00 pm

Location

Including You office

158 Roycroft Ave MIllpark

Calendar GoogleCal

X