Adult Presentation Booking Request

Our Adult Presentations cost $99 (including GST).

We plan all of our visits to incorporate as many requests as possible. It may be some months before we can confirm this year’s travel schedule but we will contact you as soon as we can.

Complete this form to request a presentation at your aged care facility. It is a condition of booking that at least one support staff member from the centre attends the presentation.

Please note: if you submit this form, your details will be entered into the Outreach Program client database so that we can contact you in future.

Enter your details (all fields are required unless stated otherwise)

Organisation details
Invoicing details (if different from above)
Contact details
Presentation and venue details
  • Will there be anyone with Alzheimer’s disease or dementia in attendance?
Timetable (please complete with the full timetable for your groups)