Snow Fun at Snowy Mountain

NDIS Snow Trip
Participant Registration Form

Yuvan Care Provider – Snow Fun at Snowy Mountains (28th & 29th July 2025)

Please complete this form to confirm your interest and eligibility for the Snow Trip. All details are required for planning, safety, and NDIS compliance.

Participant Details:

Participant Details

Full Name

NDIS Number

Date of Birth

Contact Number

Address

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Next of kin Details:

Next of Kin / Emergency Contact Details

Full Name

Relationship to Participant

Contact Number

Alternative Contact Number (If Any)

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Additional Information

Additional Information (Optional but helpful)

Support Needs or Accessibility Requirements

Allergies or Medical Conditions

Consent

Please tick the boxes below:

I give permission for the above participant to join the Snow Trip on 28th & 29th July 2025 and I understand that Yuvan Care Provider will take all reasonable steps to ensure participant safety.

I give permission for photos/videos taken on the trip to be used for Yuvan Care Provider promotional purposes. (Optional)

Snow Fun at Snowy Mountain

NDIS Snow Trip
Participant Registration Form

Participant Details

Next of Kin / Emergency Contact Details

Additional Information (Optional but helpful)

Consent

Address

Work hours

Phone

Snow Fun at Snowy Mountain

NDIS Snow TripParticipant Registration Form

Participant Details

Next of Kin / Emergency Contact Details

Additional Information (Optional but helpful)

Consent

Address

Work hours

Phone

NDIS Snow Trip
Participant Registration Form