Register Your Child

Please fill in the form.

Or if you prefer, you can call Customer Care on 1800 819 140 to provide your details.

Child's First Name

Child's Last Name

Child's Parent's First Name

Child's Parent's Last Name

Referrer's First Name (if applicable)

Referrer's Last Name

Referrer's Email Address

Referrer's Phone Number

Child's Date of Birth

We only deliver up to 12 years of age.

Child's Gender

NDIS Plan Number

Address 1

Address 2

Suburb

Post Code

State

Email Address

Phone number

Do you need an interpreter?

Yes

What is your main concern?

Let's check a few things first...