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Telethon Holiday Makers Expressions of Interest – Cockburn

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Please Note:
While the visual schedule highlights the main structure of our day, each session includes activities that are thoughtfully shaped around the daily theme. In addition to these, there will be a variety of smaller activities available throughout the session.

While we do our best to adhere to this schedule, unforeseen circumstances may require changes. You will be notified of any updates.

There’s always more happening than what’s shown—plenty of fun and engaging experiences await!

Cockburn Holiday Expression of Interest Form

"*" indicates required fields

Section 1 – Participant's Details

Name*
Select date DD slash MM slash YYYY
Which suburb do you live in?
Does the participant have any of the below cards? If so please bring these for each day attending*
Please tick all that apply.
If participant does not have a SmartRider, exact change for public transport will be required.
Age of Participant*
Has the participant attended a social support program at Spectrum Space?*
Either in the past or current.

Section 2 – Session Details

This section will appear when you select the Age of Participant above.

Section 3 – Funding

NOTE: You may be able to use your NDIS funding to access our services, however it is your responsibility to ensure that your NDIS funds can be used for this program.
Funding*

Section 4 – Contact Details

Name*

ALERT

It appears you have not selected which days you would like to attend, please go back to Section 2 before you submit the form.
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Waitlist Alert!

You have selected at least one day which is at capacity, you will be added to a waitlist for these days.

Safety Disclaimer and Liability Waiver*
Please note that these areas are not fenced. Enrolment may be limited if there are concerns about your child’s potential to leave the program unexpectedly. We aim to ensure a stable and secure environment for all participants, and this policy is in place to protect both the individual child and the overall group dynamic.
When enrolling your child in Telethon Holiday Makers activity, you must be aware of all possible risks associated with participation in that chosen activity, particularly those involving physical activity. It is entirely your responsibility to decide whether or not the activity offered as part of the Program is appropriate for your child/children’s capabilities, aptitude, fitness and health. Despite all attempts to keep your child/ren safe while in our care, Spectrum Space is not liable for any accident or injury that may occur in the course of participation scheduled activities. Your enrolment/registration serves as an acknowledgement of these risks. All participants will be required to adhere to the strict terms and conditions and safety conditions as individually prescribed in relation to the activity they are attending. We would encourage you to explore these conditions in depth through any external provider websites in advance of attending and discuss the matter of safety with your child. The limitations and exclusions in this paragraph only apply to the extent permitted by applicable law.
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