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Cooking Program Booking Form

Participant Information

Participant First Name*

Participant Last name*

Birthday*

Day

Month

Year

Address*

Phone*

Plan Details

Plan Type*

Self Managed

Plan Managed

NDIS Number*

Email address for invoices (or plan manager name) *

Parent/Guardian/Nominee (if applicable)

Name

Relationship to participant

Phone

Support Coordinator (if applicable)

Name & Organisation

Phone

Program Selection

Please select your preferred day*

Monday (10am -1pm) - Start date: 1st June 2026

Wednesday (10am - 1pm) - Start date: 3rd June 2026

Friday (10am - 1pm) - Start date: 5th June 2026

Transport

Do you require transport*

Yes, I will need to be picked up (I understand this may incur additional charges)

No, I will make my own way

Support Needs, Risks & Medical Information

What level of support is required*

1:2

1:1

Diagnosis/es*

Behavioural considerations & triggers (if none, you can type No)*

Does the Participant have any of the following risks (select all that apply):*

No risks

Seizures

Risk of absconding

Choking/swallowing concerns

Other

Does the participant have any allergies or dietary requirements? (please list all including food and environmental), if there are none, you can type No. *

Cooking Information

Does the participant have any food aversions or sensory sensitivities? (if no, please type no)*

Participant cooking experience*

None

Basic

Moderate

Independent

Goals

What would the participant like to gain from attending this program? *

Acknowledgements

I understand this is a structured group cooking program (12 weeks)

I understand a Service Agreement will be provided prior to commencement

I confirm the information provided is accurate to the best of my knowledge

Contact us!

Name

Phone

What NDIS Support are you looking for? * Required

1:1 Support

Group Programs

Both

Unsure

Message

Which location are you enquiring about?

Thanks for submitting!

Locations

Gold Coast NDIS Hub: 2/9-11 Price Street, Nerang QLD 4211

Sunshine Coast NDIS Hub: 2/147 Grigor St West, Moffat Beach QLD 4551

Brisbane NDIS Services: Coming Soon!

NDIS Support Services Gold Coast

1:1 NDIS Disability Support Gold Coast

NDIS Social Groups Gold Coast

NDIS Day Programs Gold Coast

Phone

Gold Coast: 0437 903 866 (Carli)

Sunshine Coast: 0437 170 386 (Angela)

Brisbane: 0421 223 882 (Aaron)

Autism Support

Intellectual Disability Support

Down Syndrome Support

NDIS Provider Directory

Helpful Articles

Loving Life Support Services is a trusted NDIS provider on the Gold Coast and Sunshine Coast, delivering personalised disability support tailored to each participant. We provide flexible NDIS support including 1:1 support, School Leaver Employment Supports (SLES), group programs, and day programs for teens, young adults, and adults across both regions.

Our experienced support workers support participants to build confidence, independence, and real-world life skills through meaningful community engagement and personalised care.

We provide NDIS services across the Gold Coast and Sunshine Coast, including Nerang, Southport, Helensvale, Robina, Coomera, Moffat Beach, Caloundra, Maroochydore, Kawana, and surrounding suburbs.

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