Service agreement

Thanks for adventuring with us :-)

Find below our service agreement and waiver forms to get yourself ready for your activities. This form is the second and final form that needs to be completed to fully book your activities with us and secure your spot - the first form being the booking form which you can find here.

Activity Booking Form

Please fill out the details below. The information in this form is used for the following purposes:

1. As an NDIS service agreement;

2. To ensure you are aware of the requirements of the activities you're engaging in; and

3. To ensure we have consent to talk to and update individuals you'd like us to speak to (e.g. a support coordinator) Please ensure you have the adequate funding in order to proceed with this booking. We are excited to have you join us!

Activity booking form

Please fill out the details below. The information in this form is used for the following purposes:

1. As an NDIS service agreement;

2. To ensure you are aware of the requirements of the activities you're engaging in; and

Activity booking form

Please fill out the details below. The information in this form is used for the following purposes:

1. As an NDIS service agreement;

2. To ensure you are aware of the requirements of the activities you're engaging in; and

Representative full name

Representative phone number

Representative email

I confim that I am an authorised reresentative of the participant

Participant details ('the participant')

First name

Last name

Date of Birth

Phone

Plan start date

NDIS Number:

Plan end date

I declare that the info I’ve provided is accurate & complete

I accept terms & conditions

Have you been hospitalized in the last 12 months?

Yes

Are you suffering from a medical condition, illness, or injury?

Yes

If you answered yes to any question, please elaborate

Initials

Thanks for submitting!