APRIL School Holiday Program - Expression of Interest

APRIL School Holiday Program - Expression of Interest

Please register your interest to attend our School Holiday Program at WRTS Kilkenny!
Social group drop-off sessions offered Monday to Friday between 8am - 6pm during the School Holidays.

YOUR CHOICE OF DROP OFF AND PICK UP TIMES

TRANSPORT AVAILABLE UPON NEGOTIATION

Offering social opportunities, community access, emotional and sensory regulation, structured sensory activities, structured big movement activities and respite for families.

1:3 Ratio or 1:1 Ratio support available.

WEEKLY SATURDAY EXCURSIONS ARE ALSO AVAILABLE (WRTS Kilkenny only)
Parent / Caregiver's Name

First NameLast Name
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How many participants?
Name, Gender and Age
YesNo
YesNo
One We Rock Support staff to 3 Children Ratio (1:3)One We Rock Support staff to 1 child ratio (1:1)
SAT 11TH Excursion to Adelaide Aquatic Centre: 10am to 2pmMON 13TH: 8am to 6pmTUES 14TH: 8am to 6pmWED 15TH: 8am to 6pmTHURS 16TH: 8am to 6pmFRI 17TH: 8am to 6pm
SAT 18TH Excursion to Zone Bowling and Arcade: 10am to 2pmMON 20TH: 8am to 6pmTUES 21ST: 8am to 6pmWED 22ND: 8am to 6pmTHURS 23RD: 8am to 6pmFRI 24TH: 8am to 6pm
Please indicate the hours you would like for each day- e.g. Mon 29/09 11am-4pm.
We will call to confirm these times so don't worry if you need to switch things around.
Cancellation Policy

• Cancellations more than 48 hours before the Service – Full Refund/No Charge

• Cancellations within 48 hours or NO SHOW - 0% Refund/Full Payment Required if participant's session can not be filled by another participant.

Please note: WRTS’s Accounts Receivable Team will follow up any non payments in line with NDIS Policy and non payments will be reported to the NDIA. A re-fund can be left as a credit on a client’s account for future services. Refunds or Credit can not be used for Rock Shop Products.
Yes
Under NDIS pricing structure for group programs, Non-Face-to-Face costs (eg. preparation, administration, activity set up) are required to be itemised separately on the invoice. Previously this cost was incorporated in the Face-to-Face session time. We estimate the Non-Face-to-Face time to be approximately 0.5 hours per session, but is subject to variation dependent on the day's activities. Please indicate your acceptance of this component below.

YesNo
Some activities have a food element to them. Does your child have any allergies/intolerances? If so, please provide details.
YesNo
Yes (I would like to complete the social media waiver)No (I do not consent to my child being posted on social media)
Complete the waiver here:

https://form.jotform.com/231657646057867
Additional Notes:
Should be Empty: