NDIS Application Form

PART 1: PARTICIPANT DETAILS

First name *

Last name *

Preferred name (if any)

Please enter the participant's date of birth *

Year
Month
Day

Sex *

Male

Female

Home address *

Suburb *

State *

Postal code *

Your email *

Your phone number *

What sort of things are you hoping to learn or experience during your time with Thing Adventures? (please be as specific as possible)

Please tell us a little bit about yourself. (Your background, education, work experience etc.)

Do you have any personal goals (things you would like to achieve) that you would like to share with us?

Please tell us about your likes and dislikes. (This could be hobbies, interests, favourite activities, or what makes a good or bad day for you)

PART 2: PRIMARY CONTACT DETAILS

The Primary Contact will receive and respond to all email communications on behalf of the participant from Thing Adventures. This includes program updates, service agreements, invoices, receipts etc.

If the Primary Contact is the participant, please select the "Self" option below.

What is the primary contact's first name *

What is the primary contact's last name? *

If other, please state

The Primary Contact's address is *

The same as the participant

A different address to the participant. (Please state)

Address (of primary contact)

Suburb (of primary contact)

Postcode (of primary contact)

State (of primary contact)

Primary contact's phone number

Email (of primary contact)

NOTE: The Primary Contact will receive and respond to all email communication from Thing Adventures.

Do you want the PARTICIPANT to receive all email communication as well? (e.g. course updates, service agreements, invoices, and receipts) *

Yes

PART 3: SECONDARY CONTACT DETAILS

The following Secondary Contact will be contacted in the event of an emergency if we cannot reach the Primary Contact.

What is the secondary contact's first name? *

What is the secondary contact's last name? *

What is the secondary contact's relationship to the participant?

Parent

Carer

Guardian

Other (please state)

What is the secondary contact phone number?

PART 4: MEDICAL INFORMATION

What is the participant's formal diagnosis / disability? *

Does the participant have any of the following conditions? *

Seizures

Anaphylaxis

Asthma

None of the above

Are there any other medical conditions or concerns we should be made aware of?

Yes

Details of additional medical concerns:

If the participant takes any medications, please list the medications and dosage currently being taken:

Does the participant have any allergies? (If none, type "Nil")

Does the participant have a Mealtime Management Plan in place?

Yes

Does the participant require any assistance with daily activities? (Mobility, manual handling, toileting, showering etc.)

Yes

If yes, please detail the specifics and level of assistance required

Some NDIS participants use assistance animals (most commonly guide dogs) as a disability support. In line with NDIS policies, Thing Adventures would welcome participants who join our Respite Tours and Programs with their assistance animals, if this is a reasonable and necessary support that is already in place for a participant. Thing Adventures does not have provision to accommodate pets and companion animals.

Does the participant require the use of an assistance animal?

Yes

PART 5: YOUR NDIS PLAN

Does the participant have an approved NDIS plan? *

Yes

Participant's NDIS number *

NDIS plan start date

Year
Month
Day

NDIS plan end date

Year
Month
Day

Regarding your NDIS plan management, are you: *

Self managed

Plan managed

NDIA managed

What is the NDIS plan management's company name? *

NDIS plan manager full name (your main contact at the organisation, if known)

NDIS plan manager email (for invoices / accounts) *

Note: Please provide the email address to send invoices to, not the plan manager's general enquiries or admin email.

NDIS plan manager phone

Do you have a Support Coordinator? *

Yes

If yes...

What is your Support Coordinator's organisation?

What is your Support Coordinator's full name?

What is your Support Coordinator's email address?

What is your Support Coordinator's phone number?

PART 6: BASELINE PARTICIPATION GUIDELINES

At Thing Adventures, our priority is to create safe, enjoyable, and inclusive experiences for all participants. These guidelines outline the general baseline for participation in our activities, ensuring every adventure is as smooth and enriching as possible.

We understand that some participants may have higher or more complex needs, and we are committed to working with you to tailor support accordingly. These guidelines are a starting point, not strict requirements, and we’ll do our best to accommodate everyone’s unique abilities.

If additional assistance is required, such as a specialised carer or support worker, we are happy to work with you to arrange appropriate support.

General Guidelines for Participation

• Self-Management: Participants should manage basic self-care tasks (e.g., dressing, showering, toileting). If this is not possible, a carer or support worker can be arranged to assist. Light tidying of personal spaces is encouraged within one’s abilities, with staff available to help as needed.

• Behaviour: Participants are expected to self-regulate emotions and behaviours with support if required. If this is not the case, please notify us so we can arrange appropriate staffing.

• Communication: Participants should be able to communicate their needs respectfully and understand basic instructions.

• Program Participation: Participants are encouraged to get involved in activities to the best of their ability to maximise the experience.

• Respect for Others and Property: Shared spaces, personal belongings, and the environment should be treated with care. Any damages or excessive cleaning costs may result in additional charges.

• Prohibited Actions: To maintain a safe and respectful environment, weapons, illegal substances, harassment, and inappropriate behaviour or content are strictly prohibited.

Flexibility and Inclusivity

We welcome participants with varying support needs and will customise activities, staffing, and support arrangements wherever possible. If specific preferences or requirements cannot be met, we will work with you to find the best alternatives to ensure every participant feels valued and included.

What Thing Adventures Provides

• All meals, accommodation, and agreed activities.

• Transport and 24-hour supervision during STA/respite programs.

• A positive and supportive environment designed to foster independence, relaxation, and personal growth.

Course terms and conditions acceptance *

I accept the terms and conditions

PART 7: CUSTOM STA / RESPITE SUMMARY AND FEES

Our comprehensive charges cover all essential aspects of respite/STA experiences, including meals (breakfast, lunch, and dinner), transportation, accommodation, activities, permits, and staffing. However, please note that expenses related to personal items, such as additional snacks and food, or souvenirs, are not included, and the costs of such will be the responsibility of the participant.

According to the NDIS Pricing Arrangements and Price Limits 2024-25, our costs are invoiced according to the items listed under "Short Term Accommodation and Assistance (including the provision of respite care)" and "Additional Hours Support Items".

Our final costs will be outlined in your service agreement.

I acknowledge and agree to be charged based on the "NDIS Pricing Arrangements and Price Limits 2024-25", customised according to days and services utilised.

I accept the fee structure.

I confirm that I have STA / respite funding available.

Yes

PART 8: CANCELLATION POLICY

There is a strict cancellation policy that applies to all Thing Adventures services.

Thing Adventures is committed to providing high-quality outdoor experiences and respite services for our NDIS participants. In order to maintain this level of service and to be in line with the NDIS guidelines, we have implemented a fair and reasonable cancellation policy.

If a participant needs to cancel their booking, they must provide written notice to Thing Adventures. The following cancellation fees apply based on the notice given:

More than 7 days before the commencement date: No cancellation fee will be charged. However, participants will be responsible for reimbursing Thing Adventures for any non-refundable costs already incurred on their behalf (e.g., tour bookings, equipment rentals, etc.).
7 days or less before the commencement date: Participants will be charged 100% of the total service fee.

Our cancellation policy is designed to be fair and flexible while ensuring that we can continue to provide high-quality services for all of our NDIS participants. We encourage participants to communicate any changes in their plans or circumstances as soon as possible to minimize any cancellation fees or disruption to our programs.

Cancellation Policy *

I accept the Cancellation Policy above

PART 9: APPLICATION AND ACCEPTANCE PROCESS

The steps involved to apply for our services at Thing Adventures are as follows:

A new enquiry makes contact with Thing Adventures either by submitting an enquiry online or by phone conversation with one of our staff to assess availability & participant suitability.
Participants may fill out a Respite Application Form or any other service application form as the case may be (whether hardcopy by request, or online).
A Thing Adventures team member will make contact with the participant to schedule an in-person enrolment meeting (typically around 30-45 minutes) at a convenient location with participant and parent/carer. If an in-person meeting is not possible, an online video meeting can be arranged. In this meeting, Thing Adventures will also confirm with the participant's Support Coordinator and/or Plan Manager that adequate funding is available for the respite/STA services being sought. Participants will also be required at this stage to complete a Participant Consent Form.
Before proceeding with the application, Thing Adventures will contact the participant's Support Coordinator to establish communication and ensure their involvement in the process. Support Coordinators have the option to join the enrolment meeting if desired, or at a minimum, the participant will be informed that the Support Coordinator will be included in the process and kept updated on all relevant details.
If both the participant and Thing Adventures wish to proceed with the application, Thing Adventures will start the process of "entry to services", which will include conducting a Participant Risk Assessment. Furthermore, additional meetings may be held in order to clarify information about a participant's unique needs, which would have been captured already in an application form.
NOTE: for new participants to Thing Adventures, a one-time establishment fee of $654.70, as stipulated in the “NDIS Pricing Arrangements and Price Limits 2023-2024”, will be charged. This will be billed alongside the Service Agreement.
Following this, a "Service Agreement" will be created and emailed to the Primary Contact, which must then be signed and returned.
Once a signed service agreement is received, Thing Adventures will create a Tailored Safety Plan. The Tailored Safety Plan is comprised of information that helps us to discern a participant's medication, dietary, mealtime management needs etc., and also includes emergency and disaster information.
For clarification purposes, the Tailored Safety Plan, along with the Service Agreement, becomes a participant's overall "Support Plan" with Thing Adventures.
Service details and bookings will be communicated to the Participant and Primary Contact and the services will be delivered accordingly.
At the completion of any part of a service (and typically weekly), an invoice will be emailed to the Primary Carer (self-managed NDIS plan) or emailed to the Plan Manager (plan managed NDIS plan) for payment within 7 days (and not more than 14 days) of the invoice issue date.

Regarding the application and acceptance process: *

I understand the application process

PART 10: MEDIA PERMISSION

We would love to capture special moments via photos and video of some of the exciting activities you will be engaging in whilst enrolled in Thing Adventures programs. We would love to share these with you, and also include highlights in our promotions with your permission.

I give permission to be photographed / videoed whilst engaged in Thing Adventures activities. I authorise Thing Adventures to use and publish the same in print and / or electronically for such purposes as publicity, illustration, advertising and web content.

Yes

PART 11: CONSENT & DECLARATION

We collect information about you for the primary purpose of providing quality supports and services to you. We need to collect some personal information from you to ensure our services meet your needs. If you do not provide this information, we may be unable to fully provide these services. This information will also be used for:

administrative purposes for running our service
billing you directly, through the NDIS, or other agency if required
use within our service to ensure you are provided with quality supports and services
disclosure of information to the NDIA, the NDIS Quality and Safeguards Commission, or other government agencies if needed
disclosure of information to health professionals to ensure high quality health care for you if needed
disclosure to other providers, with your consent, in order to provide appropriate services.

We have a privacy policy that is available on request. That policy provides guidelines on the collection, use, disclosure and security of your information.

To ensure the process of quality supports and services, information about you may be given to other service providers who also provide you services.

I declare that I:

have read the above information and understand the reasons for the collection of my personal information and the ways in which the information may be used and disclosed and I agree to that use and disclosure
understand that this consent is valid only for the time specified
understand that it is my choice as to what information I provide and that withholding or falsifying information might act against the best interests of the supports and services I receive
am aware that I can access my personal information and shift notes on request and if necessary, correct any information I believe to be inaccurate
understand that if, in exceptional circumstances, access is denied for legitimate purposes, that the reasons for this and possible remedies will be made available to me
have been provided with or have been given an opportunity to obtain a copy of the privacy policy.

I consent to providing Thing Adventures Pty Ltd with my personal information. This consent will be valid for 12 month (s) from the date of this submission. *

Yes

I declare that all of the above information is true and correct.

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