Sign Up Form

Please complete the form below for us to be able to provide you with a Quote and / or an Invoice for LusioMATE.
Lusio Account:
To login to the Lusio games and Hub, you'll need an account. We will use the email below to create it for you.

Main Contact Information: (Parent, carer / guardian, or main contact at business details)
LusioMATE Player Information:

Physiotherapist Details:

Occupational Therapist Details:

NDIS Information (if applicable):
If you would like to claim the cost of LusioMATE from the NDIS, please provide the information below:

How did you find Lusio?
Any additional requests?

Need more info? Check NDIS Info Sheet here or download it here.
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