Squad member name *

First Name

Last Name

What date are you interested in going out? *

[Month Day Year]

MM

DD

YYYY

Start time *

Approximately

Hour

Minute

Second

AM PM

Squad HQ *

Do you want to Hang out at Squad HQ during this outing? More Info here- https://communityaccesssquad.com/squadhq

YES!

Not this time

Tell me more about Squad HQ

Max amount of Kilometers for the day *

(charged at $1 per / km) If you set a high limit this does not mean you will be charged for that max amount, you will only be charged the actual kilometers travelled.

Less than 20km

Less than 30km

Less than 40km

Less than 50km

Less than 60km

Less than 70km

Less than 80km

No Limit

CAS Care Cancellation Policy *

Under the NDIS Cancellation Policy, providers can charge a cancellation fee and claim up to 100% of the agreed service cost. A short notice cancellation is now defined as: Has given less than seven (7) clear days' notice for a support. When claiming a cancellation, providers can request a claim of up to 100 per cent of the negotiated price. For more details please open this link in a new browser- https://docs.google.com/document/d/1vICHwHz0IgPX9Vlu_OgrlTEMiN1odcLBR-lFJqPNvPA/edit?usp=sharing

I agree