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Home
About
About Open Camps
Meet our Team
Toc H SA Inc
Cooinda
Cooinda Bunks
Cooinda Tents
Programs
GLOW Kids Camp
Camp 38
The Shift
Open Communities
Get Involved
Blog
Contact
Open Camps
Camp 38
Expression of Interest
Participant Details
Name
Date of Birth
Gender Identity
Select
Female
Male
Other
Does the participant identify as Aboriginal or Torres Strait Islander?
Yes
No
Parent / Guardian Details
Parent / Guardian One Name
Parent / Guardian Two Name
(optional)
Email Address
Mobile Phone
Home Phone
Home Address
Postal Address
Siblings Details
Sibling One
Name
Age
Sibling Two
Name
Age
Sibling Three
Name
Age
Language Details
Is there a language other than English spoken in the home?
Yes
No
If yes, which language?
NDIS Details
Does the participant have a current NDIS plan?
Yes
No
If yes, what is the Participant Reference Number?
How is the client's NDIS plan managed?
Agency-managed
Plan-managed
Self-managed
If plan-managed, please include name and contact details of plan manager:
Please outline the client's NDIS goals:
