Enrolment Form

Homeschool Enrolment Form

Please fill the information below to enrol and pay for your first trial session
Family Information:

Provide your contact information below
Parent / Guardian Full Name*

First NameLast Name
Parent / Guardian Email*
Parent or Guardian Mobile Number*
Example: 0412345678
How Many Children Are You Enroling?*
For groups over four children, please contact our team on: 0467704822

Child 1 Information:

NOTE: If you have additional children you would like to enrol, you will be provided additional form fields below.
Child's Full Name*

First NameLast Name
Child's D.O.B*

DayMonthYear
Birth Date
Child's Gender*
My Child's Required Ability To Participate:
Child 2 Information:
Second Child's Full Name*

First NameLast Name
Second Child's D.O.B*

DayMonthYear
Birth Date
Second Child's Gender*
My Second Child's Required Ability To Participate:
Child 3 Information:
Third Child's Full Name*

First NameLast Name
Third Child's D.O.B*

DayMonthYear
Birth Date
Third Child's Gender*
My Third Child's Required Ability To Participate:
Child 4 Information:
Fourth Child's Full Name*

First NameLast Name
Fourth Child's D.O.B*

DayMonthYear
Birth Date
Fourth Child's Gender*
My Fourth Child's Required Ability To Participate:

Homeschool Program:

Choose your preferred homeschool program below
Select Your Program Location:*
Gold Coast Programs:*
Brisbane Programs:*
Sunshine Coast Programs:*
Byron & Ballina Programs:*
Attending Your First Trial Session:

Our team will contact you to confirm your trial date
Preferred Trial Date:*

DayMonthYear
Select A Day Of The Week In Line With The Program You Selected Above.
Would You Like To Pay Through NDIS?*
Launch Program Acknowledgment:

Please read and acknowledge the terms below
Trial Payment:

This payment secures your child / children's first trial session. Sibling discount of 10% is automatically calculated below.

Trial Class Cost:*

AUDPayment is securely processed by Stripe Inc. This payment secures your trial session, allowing your child / children to experience Adventure Minds so you can see whether it’s the right fit for your family.

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Trial Class Total (Do Not Delete)

Finalise Your Enrolment

Nearly There! Just A Few More Details To Ensure We Have Everything We Need.
Emergency Contact

While we don't expect any hiccups, it's important this information is accurate.
Emergency Contact - Full Name*

First NameLast Name
Emergency Contact Phone #*
04...Format: 0000000000.
Emergency Contact - Relationship to Child*
YesNo
What child is this second emergency contact for?*
Second Emergency Contact - Full Name*

First NameLast Name
Second Emergency Contact Phone #*
04...Format: 0000000000.
Second Emergency Contact - Relationship to Child*

NDIS (Optional)

Please ensure the information below is accurate to ensure a seamless claim
Do you have NDIS funding that you would like to use for this program?*
Child's Name For NDIS Claim:*
Full Name
Please enter your child's NDIS number *
We require this for invoicing
NDIS - Important Note:

If opting in for NDIS payment, please provide the correct details below, and we will either bill you or your plan manager on a weekly or monthly basis. We typically bill under the line item listed below, though we recommend you check with your specific plan as well:

04_104_0125_6_1

Access Community Social & Rec Std-

Weekday Daytime
Are you plan-managed or self-managed?*
Please provide the contact email of your plan manager*
example@example.com
Please provide the best email for us to send invoices*
example@example.com
I acknowledge that, according to NDIS regulations, missed sessions cannot be claimed or invoiced, and the client (you) will be responsible for the cost. Adventure Minds will not reimburse clients for sessions they fail to attend.
Would you like to add NDIS details for a second child?*
NDIS - Second Child's Claim Information:
Second Child's Name For NDIS Claim:*
Full Name
NDIS - Important Note:

If opting in for NDIS payment, please provide the correct details below, and we will either bill you or your plan manager on a weekly or monthly basis. We typically bill under the line item listed below, though we recommend you check with your specific plan as well:

04_104_0125_6_1

Access Community Social & Rec Std-

Weekday Daytime
Please enter your second child's NDIS number *
We require this for invoicing
Are you plan-managed or self-managed?*
Please provide the contact email of your plan manager*
example@example.com
Please provide the best email for us to send invoices*
example@example.com
I acknowledge that, according to NDIS regulations, missed sessions cannot be claimed or invoiced, and the client (you) will be responsible for the cost. Adventure Minds will not reimburse clients for sessions they fail to attend.
Would you like to add NDIS details for a third child?*
NDIS - Third Child's Claim Information:
Third Child's Name For NDIS Claim:*
Full Name
Please enter your third child's NDIS number *
We require this for invoicing
NDIS - Important Note:

If opting in for NDIS payment, please provide the correct details below, and we will either bill you or your plan manager on a weekly or monthly basis. We typically bill under the line item listed below, though we recommend you check with your specific plan as well:

04_104_0125_6_1

Access Community Social & Rec Std-

Weekday Daytime
Are you plan-managed or self-managed?*
Please provide the contact email of your plan manager*
example@example.com
Please provide the best email for us to send invoices*
example@example.com
I acknowledge that, according to NDIS regulations, missed sessions cannot be claimed or invoiced, and the client (you) will be responsible for the cost. Adventure Minds will not reimburse clients for sessions they fail to attend.
Would you like to add NDIS details for a fourth child?*
NDIS - Fourth Child's Claim Information:
Forth Child's Name For NDIS Claim*
Full Name
Please enter your fourth child's NDIS number *
We require this for invoicing
NDIS - Important Note:

If opting in for NDIS payment, please provide the correct details below, and we will either bill you or your plan manager on a weekly or monthly basis. We typically bill under the line item listed below, though we recommend you check with your specific plan as well:

04_104_0125_6_1

Access Community Social & Rec Std-

Weekday Daytime
Are you plan-managed or self-managed?*
Please provide the contact email of your plan manager*
example@example.com
Please provide the best email for us to send invoices*
example@example.com
I acknowledge that, according to NDIS regulations, missed sessions cannot be claimed or invoiced, and the client (you) will be responsible for the cost. Adventure Minds will not reimburse clients for sessions they fail to attend.

Consents & Acknowledgements

Please read & accept the policies below to submit your enrolment
I understand that Adventure Minds is a drop off and pick up program. Parents and guardians are kindly asked to remain off site during sessions unless otherwise communicated by staff.I understand and acknowledge that the physical activities involved in the Adventure Minds program carry inherent risks. I accept these risks on behalf of my child.I have read and agree to the 'Adventure Minds Terms of Service' (Linked Below)I have read and agree to the 'Adventure Minds Disclaimer & Release Waiver' (Linked Below)
Adventure Minds Photo & Media Consent*
You may read the 'Adventure Minds Photo & Media Consent' policy below. By agreeing, you permit Adventure Minds to take photos and videos of your child/children during class activities. We respect your privacy, and this does not affect participation in any way.
Adventure Minds Policies:
How Did You Hear About Us*
Acknowledgment of the Cancellations, Refunds, and Rescheduling Policy:

Payments for a full term are non-refundable. Participants are committed to the entire term, ensuring consistent group dynamics. Participants opting for weekly payments must commit to the entire term, even if unable to attend some sessions. No refunds will be provided for missed weeks. Credits for future activities may be considered in exceptional circumstances at our discretion. If you have travel plans, please let us know about them at the time of your enrolment and we will waive the relevant weeks fees from which you are away. This MUST be done at the time of enrolment by contacting us.
Click here to view the full cancellation, refunds & rescheduling policy
I acknowledge and agree to the Cancellations, Refunds, and Rescheduling Policy
Submit Your Enrolment:
Application Declaration:

By electronically signing this enrolment form, I confirm that the information provided is accurate to the best of my knowledge, and I agree to notify ADVENTURE MINDS PTY LTD of any changes. By signing this enrolment form, I agree that the terms and conditions governing my participation may be amended from time to time. I understand and accept that future changes will be communicated appropriately, and my continued participation will constitute my acceptance of these changes.
Signature*

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Homeschool Enrolment Form

Family Information:

Child 1 Information:

My Child's Required Ability To Participate:

Child 2 Information:

My Second Child's Required Ability To Participate:

Child 3 Information:

My Third Child's Required Ability To Participate:

Child 4 Information:

My Fourth Child's Required Ability To Participate:

Homeschool Program:

Attending Your First Trial Session:

Launch Program Acknowledgment:

Trial Payment:

Finalise Your Enrolment

Emergency Contact

Medical and Safety - Child 1:

Medical and Safety - Child 2:

Medical and Safety - Child 3:

Medical and Safety - Child 4:

NDIS (Optional)

NDIS - Second Child's Claim Information:

NDIS - Third Child's Claim Information:

NDIS - Fourth Child's Claim Information:

Consents & Acknowledgements

Acknowledgment of the Cancellations, Refunds, and Rescheduling Policy:

Submit Your Enrolment: