Register Join The Squad!School Holiday Program exclusively for neurodivergent girls.Learning Program, Socialisation & FUN! Art Therapy - Friday 26th April 2024 Sophia’s Paint n’sip 9:30am - 12:30pm (8-11 year olds) 1:00pm - 4:00pm (12-18 year olds) Name * Who's joining the Squad? First Name Last Name Date of Birth * MM DD YYYY NDIS Number * Plan Manager or Self Managed Email * Billing will be sent here Dietary Requirements / Special Notes * Allergies, sensory etc. Parent / Guardian * First Name Last Name Email * Phone * (###) ### #### Emergency Contact * As Above Other If other, please specify below Do you consent to you / your child's image being captured? * To be used for marketing collateral, social media etc. Yes Thank you! Your registration for the VRC Squad Holiday Program has been sent! The team at Victoria Riviere Counselling will be in contact shortly to confirm your spot via service agreement and provide further information about the day.