NDIS Dreamscaping Enquiry Form

Where Nature Meets Nurture

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Dreamscaping Enquiry Form

Your personalised retreat starts here! Fill out the Dreamscaping Enquiry Form below to help us tailor your STA or day retreat to your needs, preferences, and NDIS goals. Let’s create an experience that truly supports you.

First name*

Last name*

Email*

Phone*

Address*

Birthday*

Day

Month

Year

Preferred Arrival Date*

Preferred Departure Date *

What is your NDIS number?*

What are you looking for?*

Glamping STA/ respite

Glamping STA/ respite accomodation with Wellness Experiences

A 1:1 day retreat

A day retreat where I can meet others

Do you have STA/respite included in your plan?*

Yes

How is your NDIS package managed?*

Self-Managed

Plan-Managed

Where shall we send your invoice?*

If plan managed, what are your plan managers contact details?*

What are your support needs?*

I do not require a support worker

I would like to bring a support worker with me

I would like to be provided with a support worker

If you would like to bring a support worker, what is their name and contact details

If you'd like us to provide a fully qualified and experienced support worker, what are your support needs?

Do you want meals included during your stay?*

Yes

Some

Do you have any dietary requirements/ allergies?*

Do you have any special needs?*

Would you like any special touches? Details of these can be found on our website under - NDIS - NDIS Retreats - Add Special Touches

Personalised Welcome Basket

Special Occasion Decore

Fire Pit Setup

Meal Service

Guided Tour

Outdoor Games

Personalised Scavenger Hunt

Secret Picnic

Special Sensory Experience

Early Check-in/ Late Check-out

What Wellness Experiences would you like to include?

Yoga

Gentle Exercise

Self-compassion Workshop

Nature walk

Beach

Macrame Workshop

Anything else you wish to share with us?

Where Nature Meets Nurture

namahstay.com.au

connect @namahstay.com.au

0423638739

Social Media

Wonthaggi, VIC

Australia 3995

Namah-Stay welcomes people of all ages, backgrounds, genders, abilities, and identities. We embrace diversity, including LGBTQIA+ communities, neurodivergent individuals, and all spiritual and cultural beliefs. With deep respect, we honor the Traditional Custodians of this land, the Bunurong people, their wisdom, and their enduring connection to Country.

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