Enrolment and Service Agreement

Please note each year you will be required to fill out an enrolment and service agreement as your details and/or our terms and conditions may have changed. If we do not have an enrolment form for you, unfortunately you will not be able to participate in class due to regulations.

Participant Details

Contact Details

Your primary email address and Facebook will be used as the main communication channel for e.motion21 to keep in contact and share information. Please ensure this email is checked regularly and “like” facebook/emotion21.

Site Location

*Different age-appropriate classes are available at the various locations, please view class details here.


The e.motion21 uniform is a mandatory requirement for all non community classes. At e.motion21 we want everyone to feel as part of one big team as well as look and feel professional. e.motion21 t-shirts and hoodies can be purchased through our website when you click YES below. Other supplies need to be sourced privately.

Uniforms can be purchased in our online shop.

First Aid Permission

If you have ticked ‘NO’ above, you are required to ensure that you or a nominated Guardian is readily available at each class to take the appropriate action.

e.motion21 has a nut free policy at all of our classes and performance venues. Participants, parents and e.motion21 staff are prohibited to bring any food that contains nut products to these venues. Although there is a prohibition on nut products being bought to venues, e.motion21 takes no responsibility for any pain, suffering, loss or damage caused by the prohibition being breached.

Teaching the participant

Agreed code of conduct

  1. Behave in a way that is aligned to e.motion21’s core values of care, fun, learn and respect and follow e.motion21 class rules.
  2. Attend class on time; SMS or email the office when unable to attend, giving at least 24 hours’ notice.
  3. Support e.motion21 policies and procedures.


  • has zero tolerance for child abuse
  • actively works to listen to and empower children
  • has systems to protect children from abuse, and will take all allegations and concerns very seriously and responds to them consistently in line with the organisation’s policies and procedures
  • is committed to promoting physical, emotional and cultural safety for all children
  • is committed to providing a safe environment for all children

At any stage during your interaction with e.motion21 should you wish to use the services of an advocate please contact the Office of the Public Advocate on 1300 309 337 or via their website on www.publicadvocate.vic.gov.au

The Victorian Public Advocate is empowered by law to promote and safeguard the rights and interests of people with a disability.

There are a number of other specific advocacy agencies funded through the OPA. They can be found on the Department of Human Services, Victoria website – please click on the link below:
http://www.dhs.vic.gov.au/for-service- providers/disability/protecting-rights/disability-advocacy/disability-advocacy- organisations

e.motion21 is committed to ensuring the privacy of all participants, staff and volunteers. All information is stored and used in accord with all legislative requirements. For more information please click here.

e.motion21 welcomes feedback from the participant or participant’s representative and seeks to resolve any concerns a participant may have, in a timely and professional manner.

If the participant wishes to give e.motion21 feedback or has a dispute, the participant can talk to their Volunteer Site Coordinator or a staff member at Kew Head Office. Or complete our online Feedback Form here

If the participant is not satisfied with the outcome they can contact e.motion21 CEO at the office. ‘Alternatively, the Participant can make contact with the Office of the Disability Service Commissioner’ on 1800 677 342, or visit the ODSC website on www.odsc.vic.gov.au for further information.

e.motion21 will:

  • protect your privacy and confidential information
  • consult the participant and/or your parent/carer on decisions about any changes to the services provided
  • listen to your feedback and resolve problems quickly
  • treat you with courtesy and respect

Photographs, video and film footage and audio recordings

e.motion21’s vision is to enhance lives and change perceptions of Down syndrome within society through dance, fitness and performance. The use of photography, video, audio and film will be in accordance with this vision and e.motion21's core values of care, fun, learn and respect.

Under the Information Privacy Act, photographs, videos, film and audio recordings are classified as "personal information". The purpose of this consent form is to comply with the privacy legislation and enable e.motion21 to take and store photographs, video, film and audio recordings as part of its programs and the promotion thereof.

By ticking the relevant boxes below and signing this section, I agree that e.motion21 may, at its discretion, use photos, videos, voice recordings, the written version of the words spoken in videos, film and voice recordings and identify the individual using their first name only.

e.motion21 will not include last name, personal e-mail, postal addresses and telephone numbers on electronic or printed publications.

Payment Terms & Fees

When you enrol the participant with e.motion21, you are making a financial commitment to pay fees for each term, plus an annual concert contribution of $35 which will be added to term 2 fees.

e.motion21 classes are calculated at: (non NDIS fees)

  • $17 per class
  • $12 for every second class you do eg. Performance Program; Beat FitTM; second venue
Payments will be processed on the second working day the week prior to each term commencing. Unless payment is received in full prior to each term commencing, an individual will not be able to participate in the program. If you have fees outstanding for prior terms these will automatically be processed on the second working day, the week prior to each term commencing. $20 per term administration fee (non refundable) applies for processing credit card payments or transfers to e.motion21 bank account. A $25 per term late fee applies to payments made past invoice due date.

e.motion21’s programs are registered with the NDIS to provide the supports of “Community Participation in a Group Activity”. NDIS fees will be calculated in accordance with current rates as determined by the NDIA. The NDIS price for services is set by the NDIA and is reviewed annually. e.motion21 reserves the right to change the price of its services in accord with any changes made by the NDIA to service pricing.

If a class is cancelled by e.motion21, for whatever reason, a credit note will be processed for that day and will therefore be deducted off your next terms’ fees. A minimum of 24 hours’ notice will be given if a program has to be cancelled. Please note if the participant is unable to attend the full term for whatever reason, you will need to email the office at info@emotion21.org.au the details 10 working days prior to the payment being direct debited and/or committed so that you can be charged accordingly. No refunds or credits are given for unforeseen circumstances that resulted in a cancellation and/or individual classes missed due to illness, injury or any other reason. This fee may be waived if e.motion21 is given at least 24 hours notice of an intended absence. This notice must be given in writing with an email to info@emotion21.org.au. In the event of a participant withdrawing from or taking a break from emotion21, please email the details to info@emotion21.org.au. If payment has been processed, a credit note will be issued. No cash refunds will be processed. In exceptional circumstance, the parent/carer should contact the CEO to discuss arrangements.
Note: If you pay by credit card and or cheque you will incur a $20 admin fee per term.
1. Direct Debit details:
2. Funding:

This Service Agreement is made for the purpose of providing supports under the Participants’ National Disability Insurance Scheme (NDIS) plan.

The Parties agree that this Service Agreement is made in the context of the NDIS, which is a scheme that aims to:

  • support the independence and social and economic participation of people with a disability; and
  • enable people with a disability to exercise choice and control in the pursuit of their goals and the planning and delivery of their supports.

The supports described in this Service Agreement are reasonable and necessary supports specified in the statement of supports in the Participant’s NDIA current plan (under section 37 of the National Disability Insurance Scheme Act 2013). e.motion21 will adhere to the National Disability standards.

  • The Participant’s NDIA plan is expected to remain in effect during the period the supports are provided; and
  • The Participant will immediately notify the Provider if the Participant’s NDIA Plan is replaced by a new plan or the Participant stops being a participant in the NDIA.

Changes to this Service Agreement

If changes to the supports or their delivery are required, the Parties agree to discuss and review this Service Agreement. The Parties agree that any changes to this Service Agreement will be in writing, signed, and dated by both Parties.

Ending this Service Agreement

Should either Party wish to end this Service Agreement they must give one months’ notice, in writing with an email to info@emotion21.org.au. If either Party seriously breaches this Service Agreement the requirement of notice will be waived.

Participants will be charged the full NDIS rate and only if their package allows partial funding by NDIS they need to cover the balance.

e.motion21 will send the participant an invoice for those supports for the participant to pay. The Participant will pay the invoice within 7 days from the date of term.



Last updated: 09/01/2018 (v5)

188 High Street, Kew VIC 3101
phone: +61 3 9854 7100

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