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NDIS Participant Ticket Registration

First name*

Last name*

Email*

Phone*

Address*

NDIS Number*

My NDIS fund funding is*

NDIA Managed

Plan Managed

Self Managed

I require transport to and from the Disability Ball*

Yes

No

I require accomodation the night of the Disability Ball*

Yes

No

I authorise and agree that Disability Ball will claim the cost of my ticket from my NDIS Plan, and a Service Agreement will be sent for accepting prior to any claim being made.*

Yes

No

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Join the Club

Thanks for submitting!

Disability Ball acknowledges and pays respect to the past, present and future Traditional Custodians and Elders of this nation and the continuation of cultural, spiritual and educational practices of Aboriginal and Torres Strait Islander peoples.

© 2024 by Disability Ball

ABN 73 741 830 224

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