Lego Legends

Lego Legends - Lego Therapy Group

Participant First Name *

Participants Surname *

Participant Date of Birth *

Participants Address *

Participants NDIS Number

Contact Name *

Contact Phone *

Any medical conditions that may impact participation *

Available times *

Monday 4 - 5pm WeeklyMonday 4 - 5pm FortnightlyTuesday 4 - 5pm WeeklyTuesday 4 - 5pm Fortnightly Wednesday 4 - 5pm WeeklyWednesday 4 - 5pm FortnightlyThursday 4 - 5pm WeeklyThursday 4 - 5pm FortnightlyFriday 4 - 5pm WeeklyFriday 4 - 5pm Fortnightly

Please comment if there is a group you would like to attend, but at a different time. Please nominate available times and days.

Each Lego Legends group (once per week or fortnight) will be 1 hour long and billed at $45 per session per child. If you are late to collect your child there will be additional fees at $25 per 30min.

Cancellations

Fees for Cancellation of Groups

Due to the nature of the group work, we require 5 working days' notice of cancellation or it will be paid cancellation. If we are able to fill your spot in the group there will be no charge.

If you consent to the above conditions, please type YOUR name here *

If you consent to the above conditions, please type CLIENT name here *

If you consent to the above conditions, please sign *

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