BAU. Dungeons and Dragon Social Program - New Registration

Step 1 of 8 – Age Group

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DnD Age Group*

* What age group are you currently in? Click on the age group and then ‘next’ to view the Days and Times available

Children 8-12

Teenagers 13-15

Young Adults 16-18

Adults 19+

What is your session preference?*

Children Times

Choose your preferred day and time slot for participation

Please note that we run our sessions based on the NSW time zone.

Tuesday 4:45pm-6:45pm

Friday 4:30pm-6:30pm

Saturday 1:00pm-3:00pm

Tuesday 5:00pm-7:00pm(Intermediate)

What is your session preference?*

Teenagers Times

Choose your preferred day and time slot for participation

Please note that we run our sessions based on the NSW time zone.

Tuesday 5:15pm-7:45pm(Advance)

Wednesday 1:30pm-4:00pm(Advance)

Saturday 3:00pm-5:30pm (Intermediate)

What is your session preference?*

Young Adult Times

Choose your preferred day and time slot for participation

Please note that we run our sessions based on the NSW time zone.

Tuesday 5:15pm-7:45pm (Advance)

Wednesday 1:30pm-4:00pm(Advance)

What is your session preference?*

Adult Times

Choose your preferred day and time slot for participation

Please note that we run our sessions based on the NSW time zone.

Saturday 3:00pm-5:30pm

Participant Details

Please tell us a bit about the noble hero who wants to participate in Dungeons and Dragons Social Program with Minds At Play!

Name*

First Name Last Name

Preferred Name

Email*

Phone*

Date of Birth*

DD slash MM slash YYYY

Gender*

Cool – Let us know*

Postal Address*

Minds At Play may send you physical resources in relation to this program.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent \ Carer Details

Please tell us about the person who has the pleasure of looking after the noble hero.

Name

First Name Last Name

Phone/Mobile

Relationship to Participant

Which email address should we send any invoices to?*

Parent \ Carer’s email address

Participant’s email address

Other (I.e. NDIS Plan Manager)

Which email address should we send any invoices to?*

Participant’s email address

Other (I.e. NDIS Plan Manager)

Email address for invoicing*

What level of experience do you have with role playing games (like Dungeons & Dragons) ?*

None

I have played once or twice before

I play every now and then

I play regularly, live in a dungeon and have a pet dragon

Do you already own a copy of the D&D 5th Edition Players Handbook?*

Yes

Please note that a Dungeons and Dragons 5th Edition Players Handbook is highly recommended for you to be able to participate in the Minds At Play Dungeons and Dragons Social Program.

To help us provide the best experience for our participants, we would love for you to let us know the following:

Any interests we should know about? – DnD

Anything they dislike we should know about? – DnD

Any medical conditions we should know about and suggested communication strategies? – DnD

Please enter anything else you would like to include as part of your registration – DnD

NDIS & Service Agreement

Please enter your NDIS number (if you have one)

NDIS Goals

I/my Participant require Social and Community Participation Supports and these are aligned to my/their NDIS Goals and Objectives

Minds at Play Service Agreement

Link to Service Agreement

Click HERE to view the Minds at Play Pty Ltd Service Agreement.

Service Agreement*

I agree to the terms of the Minds at Play Pty Ltd Service Agreement. I also acknowledge that this service agreement will start on the Start Date set out in the Registration Form and will continue for a period of 1 year, unless otherwise agreed in writing or terminated with at least two weeks’ notice in accordance with clause 15.

Please enter your full name:*

By entering your name below, you are ‘signing this agreement with Minds at Play Pty Ltd’. You must have authorisation to sign this agreement on the participant’s behalf.

We'd love to know how you found out about us

Please let us know who or which organisation referred you so we can say thanks!

Thanks – would you mind letting us know how you heard about Minds At Play?

Terms and Conditions*

I have read and agree to the Minds At Play website Terms and Conditions and Privacy Policy

Consent

I agree to the privacy policy.

Name

This field is for validation purposes and should be left unchanged.

D&D Registration

Children Times

Teenagers Times

Young Adult Times

Adult Times

Participant Details

Parent \ Carer Details

NDIS & Service Agreement

Minds at Play Service Agreement