PK Supervised visit form

This Form is for Parents/Gaudians to book a court ordered, or other approved, supervised visit/s of their child or children through Paradise Kids.

All data submitted in the following form will be encrypted with only selected administrator's having access to view the submissions.  Administrators will print out the form and at your appointment will ask you to check your form submission and sign that it is acurate.

You will receive an email notification that you have submitted the form.  There will be no submitted data in this email, however there will be a link for direct entry to the site's PayPal payment page embedded into the email as the cost must be addressed before the appointment can be booked.  

The cost for these services, offered by Paradise Kids, are not subsidised by any government body.

 Prices are as follows, all inclusive of GST, with no concessions provided. 

Supervised Visits
$110.00 Per Hour of a Supervised Visit

Supervised Changeovers
$66.00 Per Supervised Changeover

Other Items
$66.00 Assessment Interview (per parent, if required)
$440.00 Court Report
$FREE Child Orientation Session

 
1 Start 2 Preview 3 Complete
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APPLICATION FORM 

YOUR DETAILS

This field is for your court order number. If you are not going through the courts then a unique title will need to be added
Please select the most appropriate answer

OUR FEES AND CHARGES

  • Assessment Interviews > half an hour $66 per parent inclusive of GST
  • Child Orientation Supervised Visit > per hour $110 inclusive of GST
  • Court Report > per report $440 inclusive of GST

After form submission you will receive an email that will direct you to the payments page.  No service will be provided before payment is received by Paradise Kids  

 

DETAILS OF EACH CHILD INVOLVED IN THE PROPOSED ARRANGEMENT

First Child
Please fill out all the details requested for the child. Should there be a second child or more please click on the word “second child” and repeat, this form will take up to four children. If the number exceeds four make personal contact with Paradise Kids to list further children.

YOUR SUPERVISED VISIT PREFERENCES

First supervised visit
:
:
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx.

QUESTIONS

The following questions are of a personal nature.  Paradise Kids are very aware of this, so very limited access is granted. All data on this form is encrypted so without the appropriate authority your information, you place here, will be secure.

When did you separate?

ABOUT YOURSELF

ABOUT YOURSELF

TO THE BEST OF YOUR KNOWLEDGE DO ANY OF THESE APPLY TO THE CHILD’S PARENT/S

OTHER PARENT

HOW CAN WE HELP PROVIDE THE BEST EXPERIENCE FOR THE CHILDREN DURING YOUR VISIT

EMERGENCY CONTACT

CONSENTS

NOMINATED ALTERNATE CARER

If for any reason you are unable to make the allocated visit changeover times please nominate a person who is able to perform this task on your behalf. By nominating them, they are able to hand the child/children over for visitation and pick them up from the visitation without you being present.

DECLARATION

I have read through and agree to the terms of the following documents: