WRTS PRESTON WEEKEND GROUPS TERM 2 - 2026

WRTS PRESTON WEEKEND GROUPS TERM 2 - 2026

Expression of Interest & Preferences Agreement
Participant's Name

First NameLast Name
Parent/Carer's Name:

First NameLast Name
Phone Number
Email
example@example.com
Participant's Date of Birth

DayMonthYear
Date
Please tick the level of support your child requires at the Kids Gym
Has this child attended a WRTS Drop Off Group Session before?
Please select your preferred Gym-Only Session Time
Please tick any date you are interested in your child attending for the above timeslot (no limits on preferences)
Please select your preferred Gym Only Session Time
Please tick any date you are interested in your child attending for the above timeslot (no limits on preferences)
Please select your preferred Session Time
Please tick any date you are interested in your child attending for the above timeslot (no limits on preferences)
Please select your preferred Session Time
Please tick any date you are interested in your child attending for the above timeslot (no limits on preferences)
Please select your preferred Session Time
Please tick any date you are interested in your child attending for the above timeslot (no limits on preferences)
FRIDAY/SATURDAY EVENING TEEN GROUP PROGRAM
Please tick any date you are interested in your child attending for the above timeslot (no limits on preferences)
MEDIA CONSENT We occasionally post photos from the day on our Instagram and Facebook page to show the daily activities. No names are listed. Are you ok for your child’s image to be posted?
CANCELLATION POLICY I am aware of and agree to adhere to WRTS Australia's Cancellation Policy, as outlined below and agree to adhere to its terms. • 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. • Cancellations must be made in writing via email ________ 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.
NDIS GROUP PRICING GUIDELINE I understand that new NDIS Pricing Guidelines require WRTS to outline our costs in our invoicing and separate out fees for Support hours, Gym Capital Costs, Non Face to Face Planning time and Travel Costs (where required). These new Line Items will be outlined in our Group Invoices and will only slightly alter the pricing. LACs, Plan Managers and Support Coords will be expecting these changes.
OUT-OF-POCKET ACTIVITY FEE. I understand that all COMBO Days, Teen and Community Excursions incur an out-of-pocket fee to cover excursion activities and costs that the NDIS do not cover eg. tickets, supplies. Each Excursion Out of Pocket Fee will now vary. The Out of Pocket fee for each day is indicated with a colour code on the program's flyer. This will be invoiced for separately and must be paid personally, not through funding, in a timely manner.
OUT-OF-POCKET ACTIVITY FEE Cancellation Please note the Out of Pocket Fee follows the same 48 Hour Cancellation Policy as bookings are made to secure spots for our groups. If we have been able to hold off purchasing tickets or if your child's spot can be replaced, you will not be charged.
2026 PRICING

See Below the updated 2025/2026 WRTS NDIS Pricing Arrangements
COMPANION CARD Children Going on Excursions will require a Companion Card or the cost of the Carers' entry fee (were applicable) will need to be added to the Participant's Out of Pocket Fee. If your child has a Companion Card, please send a photo of it to WRTS Preston by email or text to 0438369077 for us to keep on file. To apply for a Companion Card visit: https://www.companioncard.vic.gov.au/
DIETARY REQUIREMENTS & ALLERGIES Some activities have a food element to them. Does your child have any allergies/intolerances? If so, please provide details.
MEDICAL ALERT Please outline if your child has any medical conditions requiring an action plan or similar.
MEDICATION My child(ren) will require Medication to be administered by WRTS Preston during School Holiday Sessions:
Additional notes:
BOOKING CONDITIONS

I understand that by submitting this EOI Form, I am confirming my interest for We Rock the Spectrum - Preston's Weekend Group Program for the days and programs I have indicated above.

I understand that by submitting this Expression of Interest Form, I will be allocated as many sessions as possible, according to my wishes. I will receive a Booking Confirmation email outlining these sessions. It will be my responsibility to note the dates and I will receive a reminder email 48 ours before te service.

After my participant receives the services, I will be charged for each session.I will also be charged if the booking is cancelled less than 48 hours before the session's start time or if the participant is a No Show.

I understand that this EOI form will serve as a Service Agreement & Support Plan for the WRTS Preston Weekend Group Program, 2026.
By Signing this I agree to all Booking Conditions stated above:
Should be Empty: