Participant Registration Group

July School Holidays Program

Direction Detectives

Overview of the Activity

Imagine a scavenger hunt, the group will begin at the clinic, where children will be briefed on the activity and divided into small groups. Each group will work together to solve clues and determine their next location. Using a map, participants will collaborate to navigate on foot to each location, building teamwork, problem‑solving and communication skills along the way. All groups will be accompanied by allocated Occupational Therapists for supervision and support.

Schedule:

6th July 2026 9am -11am (7-11 years old)

7th July 2026 9am -11am (12-16 years old)

Location: 128 Yarra Street Geelong VIC 3220

Fees: $237.39 per session

Fine Motor Skills Group (Squish Studio)

Overview of the activity

Squish Studio is a playful occupational therapy session where kids build fine motor skills by creating their own custom squishy. Through mixing, shaping, squeezing, decorating,and playing. Children will strengthen hand muscles, improve coordination, and explore sensory experiences. Each child leaves with a unique squishy and a boost in confidence in what their hands can do.

Schedule:

9th July 2026 9am -11am (7-11 years old)

10th July 2026 10am -12pm (12-16 years old)

Location: 128 Yarra Street Geelong VIC 3220

Fees: $237.39 per session

Payment is required at time of booking. Our reception team will call and take payment once the form is submitted.

Cancellation Policy

Full refunds can be provided if cancelled within two weeks of the group start date. If cancelled within the two weeks period, no refund will be provided.

If you are a private paying or Medicare participant, please skip to the next part of the form (emergency information)

Fees are charged under Capacity Building – Improved Daily Living this includes 3 hours face to face group session, 30 mins non contact work (including planning and written feedback notes after the program) and 30 mins phone call or face to face session plus Centre Capital Cost $2.53 per hour. If additional time is needed to prepare the group session for the participant, more non-contact time will be allocated to the individual and not the group.

15_617_0128_1_3 or 15_617_0118_1_3 Assessment Recommendation Therapy or Training - Occupational Therapist Rate $193.99

15_053_0128_1_3 Therapy Assistant - Level 2 Rate $86.79

15_008_0118_1_3 Early Childhood Intervention Therapy Assistant - Level 2 Rate $86.79

All prices will be adjusted if there is any change in the NDIS Pricing Arrangements and Price Limits during the progam of support period.

How do cancellations work for a program of support? 

A program of support is an arrangement where a group-based supports provider enters into an agreement with a Participant for up to 6 months. During this arrangement, supports in the program can be claimed against the Participant’s plan regardless of whether or not they attended.Services that are operating under a program of supports approach are not subject to short notice cancellation rules. To exit a program of support, no more than 2 weeks of notice is required. 100% of the scheduled fee can be charged for sessions taking place during the 2-week notice period. The cost of sessions due to take place after the notice period should not be charged.

Emergency Contact 1

Emergency Contact 2

Health Risk Summary

Outline any potential risks identified and strategies to mitigate them.

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