RDA South West

746 Bussell Highway, PO Box 10,GELORUP,WA,6230

p:9795 7487 - 0439 923 314 - e:admin@rdaasw.org.au

Open: Tues & Wed 9am-12pm

RDAASW is a charitable organisation run by a team of highly dedicated volunteers. Since 1975, we have been supporting people living with a disability by providing access to equestrian-based activities. Our programs can help to improve physical and emotional wellbeing, provide a sense of community, and offer an opportunity to learn new skills.

Please complete this enquiry form

Name of individual completing form *

Relationship to participant (e.g. self, parent, support coordinator etc.)

Email Address *

Phone *

Participant details

Participant First Name *

Participant Last Name (optional at the initial enquiry stage)

Participant Age *

Participant Height *

Participant Weight *

What type of RDA program are you interested in?

Mounted Program (Horse Riding)Hippotherapy

What days and times are you available to participate in a program?

Tuesday

Morning

Wednesday

Morning

I have read and understood the Privacy Collection Notice *

Is there anything else that you would like us to know at this intial enquiry stage?

Please describe 'other' *

I'm Not a Robot *

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