Sport Group

Location: Burragah Recreation Centre Modbury

Days: Friday

Time: 4:00pm-5:00pm

Contact information.

If you would like to book in for our sports group or request more information. Please complete the below form and one of James (Operations Manager) or Rob (Client Service Manager) will be in contact with more information or to confirm your booking.

Referral Details

Your name: *

Relation to Participant: *

Email Address: *

Your Phone number *

Preferred form of contact: *

Participant's Details

Participants Full name: *

Participants Phone Number:

Participants email address

Preferred form of contact *

Participants NDIS Number: *

Participants plan manager: *

Booking information

Please select the Sport that you would like to book in for, You can select multiple sports

Any additional information

We will be in touch with you as soon as possible to confirm your sessions