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I am financially responsible for this service, agree to the following: 

  • That I will pay the invoiced costs into SVN’s bank account at least 48 hours prior to each contact or service. 

  • I will incur a late cancellation fee if SVN is NOT notified of cancellation earlier than 5pm the day before a weekday contact and earlier than 5pm the Friday before a weekend contact (please refer to the SVN price list information for late cancellation policy). 

  • I agree that I remain responsible for payment in full in the event that a contact visit is terminated due to a conduct breach on my part during a visit. I understand that I am financially responsible if a cancellation is made by either party and any disputes will be discussed with the other party via legal representation or appropriate channels of communication. 

  • I agree to notify SVN office personnel by email/phone/fax when payment has been made. This will ensure that SVN has enough time to put the necessary arrangements in place to facilitate your contact visit (eg arrange for a Contact Supervisor). Failure to make payment in time may result in a visit being delayed/postponed or cancelled. 

  • I will incur an Administration Fee (refer to price list) at SVN discretion if the work undertaken on behalf of my family falls outside the standard scheduling and administration obligations for arranging and facilitating contact supervision. 

  • I understand that SVN personnel/Supervisor will seek to encourage and motivate a child/ren to participate in a visit. SVN personnel/Contact Supervisors and Carers are not permitted to use force or undue coercion to cause a child/ren to attend or participate in a contact visit. I agree that I remain responsible for payment in full in the event of a contact visit not proceeding due to termination, a child/ren not willing to attend, or in other instances such as illness where it is considered by either the Contact Supervision or Carer as not being appropriate. 

  • I am aware that SVN will cease all contact supervision services; and undertake debt recovery (legal) action against me in the event that I fail to pay my account. 



All service users must complete and sign this form 

This Agreement is a contract between you and SVN. The information and terms in this document apply to your use of our services. In signing this document you agree that you will be bound by the terms and conditions in this Agreement. If you do not want to be bound by this Agreement, you must stop using our Services.
We may amend this Agreement at any time, for example if we update the operation of our Services or as required by law. All future changes included in a policy update are incorporated by reference into this agreement. 

If we make significant changes to this Agreement which may impact on your use of our services or our service provision, we will email you an updated copy of the SVN Service Agreement for your records.
Any changes to the SVN Service Agreement will take effect 30 days after the updated Agreement has been provided. 

By continuing to use our Services after any amendments to this Agreement, you agree to abide and be bound by any changes. If you do not agree with any changes we make to this Agreement, you may terminate this Agreement by terminating use of this service. 

I agree to the following: 

  1. I understand that all court order directions shall be strictly adhered. 

  2. I have read and agree to the SVN terms and conditions for service use outlined in the SVN Service Agreement. 

  3. I agree that the information provided in this form is correct and any changes/ additional dates will need to be approved by both parties and sent in writing to SVN. 

  4. I agree that changes to this Intake Form without prior approval from the other party may incur an administration fee, invoiced to the person responsible for attempted changes. 

  5. I understand whilst at SVN I may be under video and sound recording. 

  6. I acknowledge that this information provided to SVN does not hold privilege in court, and that SVN may in certain limited circumstances be required, whether by law, court order or government authority, disclose parts of, or all, information held in your file. 

  7. I understand there may be other children and adults at the centre during the period of visits. 



  1. If the child/ren or I are unable to attend contact for any reason, I will inform SVN as soon as possible. I understand it is my responsibility to inform the other party through relevant legal channels. I am aware that a late cancellation fee will be incurred if I cancel after 5pm of the weekday before my contact visit. 

  2. I will comply with the agreed arrangements. 

  3. I will comply with the reasonable directions of the Contact Supervisor. 

  4. I will not come to the contact visit under the influence of drugs or alcohol, nor partake in the consumption of drugs or alcohol during the contact. 

  5. I will not be aggressive or abusive towards SVN personnel prior to, during or after the contact visit. 

  6. If I feel that I am getting distressed or upset at any point during the contact visit, I will step away to collect myself. 

  7. I am aware that my contact visit can be cancelled if I do not abide by any of the above points. 

  8. In relation to any additional attendees, I will advise SVN in advance of the contact visit. Any attendees NOT approved to attend must be listed on the Referral Form following agreement from both parties. 



  1. I agree that the information provided to SVN is true and correct to the best of my knowledge and belief. 

  2. I agree, as a condition of participating in any activity supervised by SVN and its Contact Supervisors, I release and indemnify SVN from and against any liability arising directly or indirectly out of such participation (including negligence). 

  3. To the fullest extent permitted by law, the Indemnity covers, but is not limited to, any liability arising out of, or as a direct or indirect consequence of any harm, loss, damage, bodily injury or death sustained by myself, my child/ren and any attendees as a result of participation in the activities (including transportation of children/attendees to and from uch activities), or being present at a premises utilised by SVN for the purpose of Contact Supervisory services or handovers. 

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