Brain Injury SA (BISA)

Embrace life after brain injury

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Dance Group

Registration of Interest

To register your interest in participating, please complete the form below. Our team will then get back to you with more information, including expected start dates and times of the group.

Dance Group Registration of Interest
Participant Name
Participant Name
Participant First Name
Participant Last Name
Please tell us who is completing this form:
Who should we contact about this registration of interest?
I’m interested in registering my interest in the Central (City) Hub Dance Group:
Please tell us what day and time you’d like to attend the Central Group?
Do you currently need assistance when standing and/or balancing?
Do you currently need assistance when walking?
Are you a current Brain Injury SA client?
What funding source will you use to access this group?