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(08) 9842 3855 Feedback & Complaints

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Drive Forward Registration Form

HomeDrive Forward Registration Form

Drive Forward Registration

Register for our Drive Forward program by filling out the form provided below. Our team of friendly and qualified staff are ready to assist you.

"*" indicates required fields

Name

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

About you

Name*

Date of birth*

MM slash DD slash YYYY

Address*

Street Address Suburb State Post Code

Email*

Phone*

About the program

To take part in this program you must be a person with disability with an NDIS number or a current Disability Support Pension Card (DSP) or a person from a culturally and linguistically diverse (CALD) background Australian citizens or permanent residents of Australia.

Please select*

I am a person with disability

I am culturally and linguistically diverse

I have a NDIS number or a current Disability Support Pension Card (DSP)*

Yes

No

Please tell us what is your background and what language do you speak?*

Please tell us your learner driver status*

I haven’t started yet

I have started the journey but have not achieved my L status yet.

I have achieved my L status.

When did you acquire your L

MM slash DD slash YYYY

What days are you available to undertake lessons?*

Monday

Tuesday

Wednesday

Thursday

Friday

I am an Australian Citizen or permanent resident of Australia.

Yes

No

How did you find out about the Drive Forward Program?

Please select from the list

Cancellation Policy*

I agree to the cancellation policy.

If you cancel three consecutive appointments, you will forfeit your priority status and be placed at the end of the scheduling list.

Privacy*

I have read and agree with CLA’s Privacy Policy

Declaration*

I declare I have read the requirements and I qualify for this program.

Prove you're human

Central office

36 Cockburn Road
Albany, WA, 6330

P: (08) 9842 3855

Training office

56 Cockburn Road Albany, WA, 6330

P: (08) 9842 3855

© 2026 Community Living Association Inc.

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