(11765,13,258,'112','Connect plan manager',''),(11766,13,258,'113','invoices@connectplan.com.au',''),(11767,13,258,'114','(07) 3185 3555',''),(11768,13,258,'117','Capacity Building | Improved Daily Living',''),(11769,13,258,'146.1','Y',''),(11770,13,258,'146.2','Tuesday',''),(11771,13,258,'146.3','Wednesday',''),(11772,13,258,'146.4','Thursday',''),(11773,13,258,'146.5','Friday',''),(11774,13,258,'151','Mid Morning - approx 8am-11am',''),(11775,13,258,'152','Mid Morning - approx 8am-11am',''),(11776,13,258,'150','Mid Morning - approx 8am-11am',''),(11777,13,258,'153','Mid Morning - approx 8am-11am',''),(11778,13,258,'57','No',''),(11779,13,258,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(11780,13,258,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(11781,13,258,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(11782,13,258,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(11783,13,258,'104','64340db6197640.77715642.png',''),(11784,13,258,'106.3','Matthew',''),(11785,13,258,'106.6','Moore',''),(11786,13,258,'105','2023-02-07',''),(11787,13,258,'198','2022-03-28',''),(11788,13,258,'199','2023-03-28',''),(11789,13,258,'63','0',''),(11790,13,258,'gravityformsrecaptcha_score','disconnected',NULL),(11791,13,258,'gppcmt_pretty_id','63fb36',NULL),(11792,13,258,'46','40db6400e2',''),(11793,13,258,'fg_easypassthrough_token','5b62796b83586c54907759c4c423e70b',NULL),(11794,13,258,'gpfr_stashed_file_urls','',NULL),(11795,13,258,'is_approved','3',NULL),(11796,13,258,'gvmaps_lat_64','',NULL),(11797,13,258,'gvmaps_long_64','',NULL),(11798,13,258,'gvmaps_lat_141','',NULL),(11799,13,258,'gvmaps_long_141','',NULL),(11800,13,258,'gvmaps_lat_167','',NULL),(11801,13,258,'gvmaps_long_167','',NULL),(11802,13,258,'gpaa_lat_64','',NULL),(11803,13,258,'gpaa_lng_64','',NULL),(11804,13,259,'5','I\'m applying on BEHALF of someone who would like to participate',''),(11805,13,259,'48','Parent',''),(11806,13,259,'47.3','Kayla',''),(11807,13,259,'47.6','Williams',''),(11808,13,259,'49','0411531443',''),(11809,13,259,'50','kayla26786@gmail.com',''),(11810,13,259,'51','My son Ethan Williams is aged 12. He has a diagnosis of Autism Spectrum Disorder Level 2 and ADHD. \r\n\r\nHe has shown a keen interest in all things BMX and Mountain Bike related and I feel the program will benefit him in many areas of challenge he has with his disability.',''),(11811,13,259,'38','NDIS',''),(11812,13,259,'196','430860886',''),(11813,13,259,'187','430860886',''),(11814,13,259,'6','RIDES©',''),(11815,13,259,'53','SKILLS-TRAX©',''),(11816,13,259,'54','Beginner Rider',''),(11817,13,259,'58','No',''),(11818,13,259,'59','Ethan currently owns a BMX, which is slightly small (18 inch) for his age and size but was bought with the intention of it being lightweight and easier for him to learn BMX. he frequently rides his BMX at skateparks both indoor and outdoor and has learnt various tricks/techniques. He is getting more confident in riding, has been practicing using pump tracks etc \r\n\r\nHe has become interested in mountain bike riding as this is what his friend group do. They often go to jumps and skate parks in our local areas. \r\n\r\nEthan’s stepdad is an experienced freestyle BMX rider and this is something they have bonded over and do together. However Ethan struggles with confidence and anxiety/fear but is gaining confidence. \r\n\r\nHe has both an interest in BMX and Mountain Bike riding. However at this stage only owns a BMX but is wanting to also learn how to ride mountain bikes and is wanting us to invest in buying him his own mountain bike in the near future. \r\n\r\nHe would benefit from having a mentor teach him and help him to build on his confidence. \r\n\r\nThrough our Ethan’s life he has had topics of interest ie up until biking he was very much a gamer and was only interested in playing his Xbox so I would love to take this new interest and expand on it to grow his self esteem, confidence and skills.',''),(11819,13,259,'60.3','Ethan',''),(11820,13,259,'60.6','Williams',''),(11821,13,259,'61','kayla26786@gmail.con',''),(11822,13,259,'194','0411531443',''),(11823,13,259,'64.1','26 Telopea Pl',''),(11824,13,259,'64.3','Morayfield',''),(11825,13,259,'64.4','QLD',''),(11826,13,259,'64.5','4506',''),(11827,13,259,'64.6','Australia',''),(11828,13,259,'66','Autism Spectrum Disorder\r\nADHD',''),(11829,13,259,'67','Please refer to earlier answers. \r\n\r\nEthan’s disability causes him to have anxiety, to be fearful to try new things, he struggles emotionally, lacks self esteem and has difficulty at times regulating his emotions. He struggles socially and in friend groups but has recently found a friend group at highschool (just started year 7 in 2022) who all have riding bikes as their hobby. \r\n\r\nThe boys not only ride together but do maintenance on their bikes together. They create content on social media and they regularly organise catch ups to ride their bikes at jumps (they make these too) and skateparks. \r\n\r\nEthan earlier in 2022 had made friends with kids who were not good friend choices. He was at risk of making some bad decisions and becoming involved with a friend group that could very well send him down the wrong path. \r\n\r\nHe took an interest in BMX and so myself and my partner invested in a really cool bmx for him to be encouraged to continue this hobby and keep him busy and out of trouble. And it worked!! \r\n\r\nSo when I came across your program I was like yes this is just the thing Ethan could do to expand on his new hobby, provide him with the skills and also support and help him to achieve his goals! \r\n\r\nEthan has been a gamer his whole life, he barely left his room or had in person interaction with other kids outside of gaming and school. \r\n\r\nSo I’d love to keep this interest, work on it and use it to his benefit long term.',''),(11830,13,259,'174','Skills, mentoring, physical therapy, emotional support, building on independence and self esteem… refer to previous answers.',''),(11831,13,259,'70','Yes',''),(11832,13,259,'71','Long Acting Ritalin 30mg once daily',''),(11833,13,259,'72','No',''),(11834,13,259,'74','0',''),(11835,13,259,'75','0',''),(11836,13,259,'76','High',''),(11837,13,259,'80.3','Kayla',''),(11838,13,259,'80.6','Williams',''),(11839,13,259,'81','Mother',''),(11840,13,259,'82','0411531443',''),(11841,13,259,'85.1','Doctors Report',''),(11842,13,259,'85.3','Psychology Report',''),(11843,13,259,'85.5','Occupational Therapy Report',''),(11844,13,259,'85.7','Speech Therapy Report',''),(11845,13,259,'90','[]',''),(11846,13,259,'186','[]',''),(11847,13,259,'99','[]',''),(11848,13,259,'91','[]',''),(11849,13,259,'98','[]',''),(11850,13,259,'97','[]',''),(11851,13,259,'96','[]',''),(11852,13,259,'95','[]',''),(11853,13,259,'94','[]',''),(11854,13,259,'107','Self / Privately Managed',''),(11855,13,259,'117','Capacity Building | Improved Daily Living',''),(11856,13,259,'146.2','Tuesday',''),(11857,13,259,'146.4','Thursday',''),(11858,13,259,'146.7','Sunday',''),(11859,13,259,'151','Evening - approx 5pm-7pm',''),(11860,13,259,'150','Evening - approx 5pm-7pm',''),(11861,13,259,'148','Available Any Time',''),(11862,13,259,'57','Yes',''),(11863,13,259,'164','Pick Up and Drop Off',''),(11864,13,259,'167.1','26 Telopea Pl',''),(11865,13,259,'167.3','Morayfield',''),(11866,13,259,'167.4','QLD',''),(11867,13,259,'167.5','4506',''),(11868,13,259,'167.6','Australia',''),(11869,13,259,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(11870,13,259,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(11871,13,259,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(11872,13,259,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(11873,13,259,'104','64340db645e994.61667712.png',''),(11874,13,259,'106.3','Kayla',''),(11875,13,259,'106.6','Williams',''),(11876,13,259,'105','2023-02-07',''),(11877,13,259,'198','2022-10-05',''),(11878,13,259,'199','2023-10-05',''),(11879,13,259,'63','0',''),(11880,13,259,'gravityformsrecaptcha_score','disconnected',NULL),(11881,13,259,'gppcmt_pretty_id','666a08',NULL),(11882,13,259,'46','40db666f7b',''),(11883,13,259,'fg_easypassthrough_token','736c5118ebc18c7c56ef0b2f5b4c5b95',NULL),(11884,13,259,'gpfr_stashed_file_urls','',NULL),(11885,13,259,'is_approved','',NULL),(11886,13,259,'gvmaps_lat_64','',NULL),(11887,13,259,'gvmaps_long_64','',NULL),(11888,13,259,'gvmaps_lat_141','',NULL),(11889,13,259,'gvmaps_long_141','',NULL),(11890,13,259,'gvmaps_lat_167','',NULL),(11891,13,259,'gvmaps_long_167','',NULL),(11892,13,259,'gpaa_lat_64','',NULL),(11893,13,259,'gpaa_lng_64','',NULL),(11894,13,260,'5','I\'m applying on BEHALF of someone who would like to participate',''),(11895,13,260,'48','Parent',''),(11896,13,260,'47.3','Tamara',''),(11897,13,260,'47.6','Mossman',''),(11898,13,260,'49','0407207710',''),(11899,13,260,'50','atmossman@gmail.com',''),(11900,13,260,'51','My son, Orlando (turns 13 in April) is a kind, sensitive and caring preteen who needs assistance in several areas. He has a diagnosis of ASD level 3, ADHD, General anxiety disorder, depression and ODD and written expression learning disorder. Orlando tends to hold in his emotions, mask and vent his frustration at home.\r\n\r\nOrlando struggles in every area in his life. Im seeking support to help motivate him. Give him energy. Orlando has an excuse for doing anything that he doesnt want to do, he can justify absolutely everything. He controls all aspects of his daily life. When he isnt able to avoid doing something (eg: school books put in bag, feed the dog...) Meltdowns lead to aggression and at time violence (towards me - his mum) or selfharm. I would love to see Orlando mentally in a happier place. Orlando loves the outdoors, pokemon, nature and water. Once he is out and about he is at his happiest. Getting him out of bed, organised and willing to get out is a huge challenge.  Orlando thrives on 1:1 attention. Realistically that is an extreme rarity in our home, due to the fact he is one of 3 children and all 3 have similar diagnosis. (Younget child is 8.5 and have some extreme dangerous behaviours & is homeschooled) - leaving pretty much of the attention to just the one child and Orlando misses out. \r\nOrlando has OT 1 x F/nt - at home, Speech 1 x F/nt at home, we are trialling PlayTech in Chermside Saturdays 9:30-11:30 - undecided if it is worth persuing after 2 weeks. He has a Behaviour support plan provider & about to begin his assessment.  Orlando attends local youth group each friday night... for past 12 months and its a huge success and he enjoys attending each week.\r\nRecent change for Orlando - changed high schools due to high level of bullying and exposure to high procentage of teens from challenging backgrounds (youth justice, foster kids in residential homes, single parents in low social economic, and kids whose parents are in correctional facilities. Orlando felt unsafe, constant high fight flight mode at school. He felt he needed to protect himself and be ready for attack. He made weapons (a nail, a screw or sharpen a wooden stick and keep in his pocket). School was ignorant and focussed more on a \'safety plan\' for my child as opposed to addressing the behaviour and conduct of the other students. Orlando 2022 became a totally different child over the course of the year.\r\nNew year, new start for him. Orlando has now been enrolled into our local state high school (630 students). A huge change as he is not used to a structured learning environment. He is still finding his feet and a work in progress.\r\nOrlando love to code and game. He feels that is his only way to socially interact with his friends. His \'friends\' dont hang out with him.. only online.',''),(11901,13,260,'38','NDIS',''),(11902,13,260,'196','430784019',''),(11903,13,260,'6','RIDES©',''),(11904,13,260,'53','POKE-TRAX©',''),(11905,13,260,'54','Intermediate Rider',''),(11906,13,260,'55.1','Yes',''),(11907,13,260,'55.3','Yes',''),(11908,13,260,'55.7','Yes',''),(11909,13,260,'58','Yes',''),(11910,13,260,'59','Orlando rides his mountain bike, however not sure he really understands the gear system. He often complains riding is \'too difficult\', despite being told to adjust gears.',''),(11911,13,260,'60.3','Orlando',''),(11912,13,260,'60.6','Mossman',''),(11913,13,260,'61','atmossman@gmail.com',''),(11914,13,260,'194','61407207710',''),(11915,13,260,'64.1','1 Pett Street',''),(11916,13,260,'64.3','Bracken Ridge',''),(11917,13,260,'64.4','QLD',''),(11918,13,260,'64.5','4017',''),(11919,13,260,'64.6','Australia',''),(11920,13,260,'66','ASD Level 3\r\nGeneral Anxiety disorder\r\nADHD combined\r\nDepression\r\nODD\r\nspecific learning disorder - written expression',''),(11921,13,260,'67','Program overview - seems to offer a solution designed in a way that may work for orlando.\r\n\r\n- Orlando loves his family, connection is important to him, he enjoys, coding, gaming, outdoors nature beach, rock climbing, metal detecting. crystals, rocks, water, kayaking, stand up paddle board, fishing, camping, science experiments.\r\nEnjoys interactive games such as pokemon, geocaching.',''),(11922,13,260,'174','making a positive connection with someone\r\nhaving his emotional needs meet\r\nsocial & communication skills\r\nskills to regulate his emotions, reduce anxiety\r\nhaving something to look forward to\r\nhelp motivate to prepare for the session.\r\nbuild self confidence\r\nself positive image - I can do it, can do attitude \r\nFeeling of self worth, feeling of achievement.',''),(11923,13,260,'70','Yes',''),(11924,13,260,'71','Morning - \r\nDexamphetamine 5mg x 1 day\r\nSertraline 100mg x 1 day\r\nOlanzapine 2.5mg mornings\r\n\r\nMid morning - \r\nVyvanse 30mg x 1 day\r\n\r\nNight\r\nClonadine 50-100mg x 1 day\r\nOlanzapine 5mg night\r\n\r\nAntihistamine - Aries - allergies, hives\r\nBactroban - Antibiotic cream (sores/wounds due to picking his skin and tearing off his toe nails)',''),(11925,13,260,'72','No',''),(11926,13,260,'74','140',''),(11927,13,260,'75','33',''),(11928,13,260,'76','Very Low',''),(11929,13,260,'80.3','Tamara',''),(11930,13,260,'80.6','Mossman',''),(11931,13,260,'81','Mother',''),(11932,13,260,'82','0407207710',''),(11933,13,260,'85.2','Specialist Report',''),(11934,13,260,'85.3','Psychology Report',''),(11935,13,260,'85.5','Occupational Therapy Report',''),(11936,13,260,'85.7','Speech Therapy Report',''),(11937,13,260,'90','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Orlando-Mossman-NDIS-Review-Report-AJH-March-2022.pdf\",\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Neuropsychological-report_Orlando-Mossman_05-2018.pdf\",\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/NDIS-Orlando-Better-Life-Centre_Psych-Review-letter-NDIS-Feb-2021.pdf\",\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Orlando_CYMHS-discharge-10062020.pdf\",\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/QAS-Qld-Ambulance-Service-Orlando-Mossman-eARF-1407-2022.pdf\",\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/QAS-Qld-Ambulance-Service-Orlando-Mossman-eARF-0606-2022.pdf\"]',''),(11938,13,260,'186','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/NDIS-Orlando-Speech-Review-report-2907-2022.pdf\"]',''),(11939,13,260,'99','[]',''),(11940,13,260,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/OT-Jessicca-Cannacott-BumbleBee-NDIS-Review-Report-2Mar21-Orlando.docx\"]',''),(11941,13,260,'98','[]',''),(11942,13,260,'97','[]',''),(11943,13,260,'96','[]',''),(11944,13,260,'95','[]',''),(11945,13,260,'94','[]',''),(11946,13,260,'107','Self 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acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(11962,13,260,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(11963,13,260,'104','64340db847e895.44243655.png',''),(11964,13,260,'106.3','Tamara  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James has been unable to master the skills of riding his bike. This is stopping him joining his friends. James is primarily an indoors child (loves gaming), however we are wanting to get him outside for some new adventures.',''),(12189,13,266,'38','NDIS',''),(12190,13,266,'196','430703492',''),(12191,13,266,'6','RIDES©',''),(12192,13,266,'53','SKILLS-TRAX©',''),(12193,13,266,'54','No Experience Riding',''),(12194,13,266,'55.6','Yes',''),(12195,13,266,'55.7','Yes',''),(12196,13,266,'58','Yes',''),(12197,13,266,'59','James does have a suitable bike, still on training wheel.  He doesn\'t like riding much, however I think this is mainly that he finds it hard to master and gives up easily.',''),(12198,13,266,'60.3','James',''),(12199,13,266,'60.6','Wiseman',''),(12200,13,266,'61','nyki.wiseman@hotmail.com',''),(12201,13,266,'194','0431536695',''),(12202,13,266,'64.1','7 Mikarie St',''),(12203,13,266,'64.3','Sunnybank Hills',''),(12204,13,266,'64.4','QLD',''),(12205,13,266,'64.5','4109',''),(12206,13,266,'64.6','Australia',''),(12207,13,266,'66','ASD\r\nLow muscle tone\r\nspeech delay',''),(12208,13,266,'67','We would love for James to be able to bike ride along with his peers. James really loves gaming - however it has turned him into a bit on a vampire when it comes to getting outside.  James enjoys games of playing tag, is currently learning piano and enjoys swimming in the ocean.',''),(12209,13,266,'174','Being able to go on rides with friends and family.  Getting James outside enjoying the great outdoors',''),(12210,13,266,'70','No',''),(12211,13,266,'72','Yes',''),(12212,13,266,'73','James does react to penicillin.\r\n\r\nNo other allergies at this stage',''),(12213,13,266,'74','140',''),(12214,13,266,'75','32',''),(12215,13,266,'76','Very Low',''),(12216,13,266,'80.3','Nicole',''),(12217,13,266,'80.6','Wiseman',''),(12218,13,266,'81','Parent',''),(12219,13,266,'82','0431536695',''),(12220,13,266,'85.2','Specialist Report',''),(12221,13,266,'85.3','Psychology Report',''),(12222,13,266,'85.5','Occupational Therapy Report',''),(12223,13,266,'85.7','Speech Therapy Report',''),(12224,13,266,'85.9','Physiotherapy Report',''),(12225,13,266,'90','[]',''),(12226,13,266,'186','[]',''),(12227,13,266,'99','[]',''),(12228,13,266,'91','[]',''),(12229,13,266,'98','[]',''),(12230,13,266,'97','[]',''),(12231,13,266,'96','[]',''),(12232,13,266,'95','[]',''),(12233,13,266,'94','[]',''),(12234,13,266,'107','Self / Privately Managed',''),(12235,13,266,'117','Capacity Building | Improved Daily Living',''),(12236,13,266,'146.2','Tuesday',''),(12237,13,266,'146.4','Thursday',''),(12238,13,266,'146.6','Saturday',''),(12239,13,266,'146.7','Sunday',''),(12240,13,266,'151','Mid Afternoon - approx 3pm-5pm',''),(12241,13,266,'150','Evening - approx 5pm-7pm',''),(12242,13,266,'149','Mid Afternoon - approx 3pm-5pm',''),(12243,13,266,'148','Mid Afternoon - approx 3pm-5pm',''),(12244,13,266,'57','No',''),(12245,13,266,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(12246,13,266,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(12247,13,266,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(12248,13,266,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(12249,13,266,'104','64340db8cc0977.04609069.png',''),(12250,13,266,'106.3','Nicole',''),(12251,13,266,'106.6','Wiseman',''),(12252,13,266,'105','2023-02-07',''),(12253,13,266,'198','2022-10-22',''),(12254,13,266,'199','2023-10-22',''),(12255,13,266,'63','0',''),(12256,13,266,'gravityformsrecaptcha_score','disconnected',NULL),(12257,13,266,'gppcmt_pretty_id','8f21d4',NULL),(12258,13,266,'46','40db8f2721',''),(12259,13,266,'fg_easypassthrough_token','4074a8a8939f81aefdf5a52c28e4b9bf',NULL),(12260,13,266,'gpfr_stashed_file_urls','',NULL),(12261,13,266,'is_approved','3',NULL),(12262,13,266,'gvmaps_lat_64','',NULL),(12263,13,266,'gvmaps_long_64','',NULL),(12264,13,266,'gvmaps_lat_141','',NULL),(12265,13,266,'gvmaps_long_141','',NULL),(12266,13,266,'gvmaps_lat_167','',NULL),(12267,13,266,'gvmaps_long_167','',NULL),(12268,13,266,'gpaa_lat_64','',NULL),(12269,13,266,'gpaa_lng_64','',NULL),(12270,13,267,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12271,13,267,'48','Parent',''),(12272,13,267,'38','NDIS',''),(12273,13,267,'6','RIDES©',''),(12274,13,267,'53','SKILLS-TRAX©',''),(12275,13,267,'54','No Experience Riding',''),(12276,13,267,'58','Yes',''),(12277,13,267,'64.4','QLD',''),(12278,13,267,'64.6','Australia',''),(12279,13,267,'70','Yes',''),(12280,13,267,'72','Yes',''),(12281,13,267,'90','[]',''),(12282,13,267,'186','[]',''),(12283,13,267,'99','[]',''),(12284,13,267,'91','[]',''),(12285,13,267,'98','[]',''),(12286,13,267,'97','[]',''),(12287,13,267,'96','[]',''),(12288,13,267,'95','[]',''),(12289,13,267,'94','[]',''),(12290,13,267,'107','Self / Privately Managed',''),(12291,13,267,'117','Capacity Building | Improved Daily Living',''),(12292,13,267,'57','Yes',''),(12293,13,267,'164','Pick Up',''),(12294,13,267,'167.6','Australia',''),(12295,13,267,'63','0',''),(12296,13,267,'gravityformsrecaptcha_score','disconnected',NULL),(12297,13,267,'gppcmt_pretty_id','ae6741',NULL),(12298,13,267,'46','40dbae6cdc',''),(12299,13,267,'fg_easypassthrough_token','b1d2bd0f65c26c860c4ea86bfed9055f',NULL),(12300,13,267,'gpfr_stashed_file_urls','',NULL),(12301,13,267,'is_approved','',NULL),(12302,13,267,'gvmaps_lat_64','',NULL),(12303,13,267,'gvmaps_long_64','',NULL),(12304,13,267,'gvmaps_lat_141','',NULL),(12305,13,267,'gvmaps_long_141','',NULL),(12306,13,267,'gvmaps_lat_167','',NULL),(12307,13,267,'gvmaps_long_167','',NULL),(12308,13,267,'gpaa_lat_64','',NULL),(12309,13,267,'gpaa_lng_64','',NULL),(12310,13,268,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12311,13,268,'48','Parent',''),(12312,13,268,'47.3','Chelsea',''),(12313,13,268,'47.6','Jewell',''),(12314,13,268,'49','0421750541',''),(12315,13,268,'50','chelsea@jewellcreative.com.au',''),(12316,13,268,'51','Ivy is 13 years old with a range of developmental delays (ASD, ADHD, speech and communication disorder etc).  Her gross motor skills need work and she benefits greatly from heavy work through joints and general fitness to improve her cognitive functioning as well as executive functioning.  Ivy has been seeing a PT for 4 months and we would like her to transition that aquired fitness to sports like hiking or a new skill acquisition like riding a bike (that have positive social, emotional and physical benefits)',''),(12317,13,268,'38','NDIS',''),(12318,13,268,'196','431877036',''),(12319,13,268,'6','RIDES©',''),(12320,13,268,'53','LEARN 2 RIDE©',''),(12321,13,268,'54','No Experience Riding',''),(12322,13,268,'55.7','Yes',''),(12323,13,268,'58','No',''),(12324,13,268,'59','We have tried to teach Ivy to ride a bike but with no success',''),(12325,13,268,'60.3','Ivy',''),(12326,13,268,'60.6','Jewell',''),(12327,13,268,'61','chelsea@jewellcreative.com.au',''),(12328,13,268,'194','0421750541',''),(12329,13,268,'64.1','5 Spence Street',''),(12330,13,268,'64.3','Burleigh Heads',''),(12331,13,268,'64.4','QLD',''),(12332,13,268,'64.5','4220',''),(12333,13,268,'64.6','Australia',''),(12334,13,268,'66','ADHD (inattentive)\r\nASD (level 2)\r\nSpeech and language disorder (severe)',''),(12335,13,268,'67','Ivy responds really well to physical activity but struggles to be motivated in our family dynamic- she feel like she is less able to participate- this is knocking her confidence and belief around being able to be independent and able',''),(12336,13,268,'174','To learn to ride a bike so we can ride as a family and use my body for an active lifestyle',''),(12337,13,268,'70','Yes',''),(12338,13,268,'71','Intuniv 3mg / day\r\nRitalin 10mg - one tablet twice daily with food',''),(12339,13,268,'72','No',''),(12340,13,268,'74','153',''),(12341,13,268,'75','44',''),(12342,13,268,'76','Medium',''),(12343,13,268,'80.3','Chelsea',''),(12344,13,268,'80.6','Jewell',''),(12345,13,268,'81','Mother',''),(12346,13,268,'82','0421750541',''),(12347,13,268,'85.1','Doctors Report',''),(12348,13,268,'85.3','Psychology Report',''),(12349,13,268,'90','[]',''),(12350,13,268,'186','[]',''),(12351,13,268,'99','[]',''),(12352,13,268,'91','[]',''),(12353,13,268,'98','[]',''),(12354,13,268,'97','[]',''),(12355,13,268,'96','[]',''),(12356,13,268,'95','[]',''),(12357,13,268,'94','[]',''),(12358,13,268,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(12359,13,268,'112','My Solutions Plan Management',''),(12360,13,268,'113','mitch@mysol.com.au',''),(12361,13,268,'114','0434 275 955',''),(12362,13,268,'117','Capacity Building | Improved Daily Living',''),(12363,13,268,'146.5','Friday',''),(12364,13,268,'146.6','Saturday',''),(12365,13,268,'153','Early Morning - approx 5am-8am',''),(12366,13,268,'149','Early Morning - approx 5am-8am',''),(12367,13,268,'57','No',''),(12368,13,268,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(12369,13,268,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(12370,13,268,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(12371,13,268,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(12372,13,268,'104','64340dbaeccd84.84280508.png',''),(12373,13,268,'106.3','Chelsea',''),(12374,13,268,'106.6','Jewell',''),(12375,13,268,'105','2023-02-07',''),(12376,13,268,'198','2022-02-08',''),(12377,13,268,'199','2023-04-10',''),(12378,13,268,'63','0',''),(12379,13,268,'gravityformsrecaptcha_score','disconnected',NULL),(12380,13,268,'gppcmt_pretty_id','b1cd5e',NULL),(12381,13,268,'46','40dbb1d5ab',''),(12382,13,268,'fg_easypassthrough_token','d8258e6f753d2431a06e6a34c78529e0',NULL),(12383,13,268,'gpfr_stashed_file_urls','',NULL),(12384,13,268,'is_approved','',NULL),(12385,13,268,'gvmaps_lat_64','',NULL),(12386,13,268,'gvmaps_long_64','',NULL),(12387,13,268,'gvmaps_lat_141','',NULL),(12388,13,268,'gvmaps_long_141','',NULL),(12389,13,268,'gvmaps_lat_167','',NULL),(12390,13,268,'gvmaps_long_167','',NULL),(12391,13,268,'gpaa_lat_64','',NULL),(12392,13,268,'gpaa_lng_64','',NULL),(12393,13,269,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12394,13,269,'48','Parent',''),(12395,13,269,'47.3','Chelsea',''),(12396,13,269,'47.6','Jewell',''),(12397,13,269,'49','0421750541',''),(12398,13,269,'50','chelsea@jewellcreative.com.au',''),(12399,13,269,'51','Ivy is 13 years old with a range of developmental delays (ASD, ADHD, speech and communication disorder etc).  Her gross motor skills need work and she benefits greatly from heavy work through joints and general fitness to improve her cognitive functioning as well as executive functioning.  Ivy has been seeing a PT for 4 months and we would like her to transition that aquired fitness to sports like hiking or a new skill acquisition like riding a bike (that have positive social, emotional and physical benefits)',''),(12400,13,269,'38','NDIS',''),(12401,13,269,'196','431877036',''),(12402,13,269,'6','RIDES©',''),(12403,13,269,'53','LEARN 2 RIDE©',''),(12404,13,269,'54','No Experience Riding',''),(12405,13,269,'55.7','Yes',''),(12406,13,269,'58','No',''),(12407,13,269,'59','We have tried to teach Ivy to ride a bike but with no success',''),(12408,13,269,'60.3','Ivy',''),(12409,13,269,'60.6','Jewell',''),(12410,13,269,'61','chelsea@jewellcreative.com.au',''),(12411,13,269,'194','0421750541',''),(12412,13,269,'64.1','5 Spence Street',''),(12413,13,269,'64.3','Burleigh Heads',''),(12414,13,269,'64.4','QLD',''),(12415,13,269,'64.5','4220',''),(12416,13,269,'64.6','Australia',''),(12417,13,269,'66','ADHD (inattentive)\r\nASD (level 2)\r\nSpeech and language disorder (severe)',''),(12418,13,269,'67','Ivy responds really well to physical activity but struggles to be motivated in our family dynamic- she feel like she is less able to participate- this is knocking her confidence and belief around being able to be independent and able',''),(12419,13,269,'174','To learn to ride a bike so we can ride as a family and use my body for an active lifestyle',''),(12420,13,269,'70','Yes',''),(12421,13,269,'71','Intuniv 3mg / day\r\nRitalin 10mg - one tablet twice daily with food',''),(12422,13,269,'72','No',''),(12423,13,269,'74','153',''),(12424,13,269,'75','44',''),(12425,13,269,'76','Medium',''),(12426,13,269,'80.3','Chelsea',''),(12427,13,269,'80.6','Jewell',''),(12428,13,269,'81','Mother',''),(12429,13,269,'82','0421750541',''),(12430,13,269,'85.1','Doctors Report',''),(12431,13,269,'85.3','Psychology Report',''),(12432,13,269,'90','[]',''),(12433,13,269,'186','[]',''),(12434,13,269,'99','[]',''),(12435,13,269,'91','[]',''),(12436,13,269,'98','[]',''),(12437,13,269,'97','[]',''),(12438,13,269,'96','[]',''),(12439,13,269,'95','[]',''),(12440,13,269,'94','[]',''),(12441,13,269,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(12442,13,269,'112','My Solutions Plan Management',''),(12443,13,269,'113','mitch@mysol.com.au',''),(12444,13,269,'114','0434 275 955',''),(12445,13,269,'117','Capacity Building | Improved Daily Living',''),(12446,13,269,'146.5','Friday',''),(12447,13,269,'146.6','Saturday',''),(12448,13,269,'153','Early Morning - approx 5am-8am',''),(12449,13,269,'149','Early Morning - approx 5am-8am',''),(12450,13,269,'57','No',''),(12451,13,269,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(12452,13,269,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(12453,13,269,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(12454,13,269,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(12455,13,269,'104','64340dbb24d980.01157623.png',''),(12456,13,269,'106.3','Chelsea',''),(12457,13,269,'106.6','Jewell',''),(12458,13,269,'105','2023-02-07',''),(12459,13,269,'198','2022-02-08',''),(12460,13,269,'199','2023-04-10',''),(12461,13,269,'63','0',''),(12462,13,269,'gravityformsrecaptcha_score','disconnected',NULL),(12463,13,269,'gppcmt_pretty_id','b44f90',NULL),(12464,13,269,'46','40dbb45534',''),(12465,13,269,'fg_easypassthrough_token','25e3fd1ed61bd6ac05d95a18638d7cde',NULL),(12466,13,269,'gpfr_stashed_file_urls','',NULL),(12467,13,269,'is_approved','3',NULL),(12468,13,269,'gvmaps_lat_64','',NULL),(12469,13,269,'gvmaps_long_64','',NULL),(12470,13,269,'gvmaps_lat_141','',NULL),(12471,13,269,'gvmaps_long_141','',NULL),(12472,13,269,'gvmaps_lat_167','',NULL),(12473,13,269,'gvmaps_long_167','',NULL),(12474,13,269,'gpaa_lat_64','',NULL),(12475,13,269,'gpaa_lng_64','',NULL),(12476,13,270,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12477,13,270,'48','Parent',''),(12478,13,270,'47.3','Jane',''),(12479,13,270,'47.6','Wessels',''),(12480,13,270,'49','+61414651542',''),(12481,13,270,'50','janewessels83@gmail.com',''),(12482,13,270,'51','As discussed via phone:\r\nJake identifies as a young 16 yr old who has ASD level 2. He has struggled with severe intrusive thoughts OCD. He has a team.workong with him and since returned to Indie school and working part time with therapy support but needs to widen his social skills and interests for mental health and wellbeing alongside managing pain and body after exercise. He has lost 15kilos and attends the Iron gym amd has for most part meal prep done by me at home. He owns his own bike but has difficulty riding it with regards to gears and pressure on arms and hands.',''),(12483,13,270,'38','NDIS',''),(12484,13,270,'196','430718472',''),(12485,13,270,'6','RIDES©',''),(12486,13,270,'53','SKILLS-TRAX©',''),(12487,13,270,'54','Intermediate Rider',''),(12488,13,270,'55.1','Yes',''),(12489,13,270,'55.2','Yes',''),(12490,13,270,'55.3','Yes',''),(12491,13,270,'55.5','Yes',''),(12492,13,270,'58','Yes',''),(12493,13,270,'60.3','Jake',''),(12494,13,270,'60.6','Wessela',''),(12495,13,270,'61','elijakendis@gmail.com',''),(12496,13,270,'194','+61414651542',''),(12497,13,270,'64.1','8 Fleming Street',''),(12498,13,270,'64.3','Logan Reserve',''),(12499,13,270,'64.4','Queensland',''),(12500,13,270,'64.5','4133',''),(12501,13,270,'64.6','Australia',''),(12502,13,270,'66','ASD L2\r\nODD\r\nOCD\r\nADHD',''),(12503,13,270,'67','Jake has just started engaging in the world due to intrusive thoughts OCD. He has been working with specialist and now attends gym and bk at school and working part time.\r\nHe often complains of sore lower back and even after losing 15 kilos still struggles with pain. We have sought physio and doctors they say muscle injury. Jake doesn\'t believe them thou. He does have some bison loss with headache over the last yr been investigate and hormones attributed but he does require bloods low iron. (Hard to get from him) \r\nHe is funny and witty and caring but also strong willed and can be rude at times lacks some social skill fundamentals. He has bike but hasn\'t ridden much as no friends or interest with us to do.',''),(12504,13,270,'174','Learn to ride his bike right, and build body while managing pain better. Meet and develop interest to extend social circle.',''),(12505,13,270,'70','Yes',''),(12506,13,270,'71','Catapress 100mg at night for sleep\r\nMelatonin nigth for sleep',''),(12507,13,270,'72','Yes',''),(12508,13,270,'73','Not really sure, but can have break out with itching Not linked to anything we can see but could he food or stress.',''),(12509,13,270,'74','0',''),(12510,13,270,'75','0',''),(12511,13,270,'76','Medium',''),(12512,13,270,'80.3','Jane',''),(12513,13,270,'80.6','Wessels',''),(12514,13,270,'81','Mother',''),(12515,13,270,'82','+61414651542',''),(12516,13,270,'85.1','Doctors Report',''),(12517,13,270,'85.2','Specialist Report',''),(12518,13,270,'85.3','Psychology Report',''),(12519,13,270,'90','[]',''),(12520,13,270,'186','[]',''),(12521,13,270,'99','[]',''),(12522,13,270,'91','[]',''),(12523,13,270,'98','[]',''),(12524,13,270,'97','[]',''),(12525,13,270,'96','[]',''),(12526,13,270,'95','[]',''),(12527,13,270,'94','[]',''),(12528,13,270,'107','Self / Privately Managed',''),(12529,13,270,'117','Capacity Building | Improved Health and Wellness',''),(12530,13,270,'146.5','Friday',''),(12531,13,270,'153','Mid Morning - approx 8am-11am',''),(12532,13,270,'57','Yes',''),(12533,13,270,'164','Pick Up and Drop Off',''),(12534,13,270,'167.1','8 Fleming Street',''),(12535,13,270,'167.3','Logan Reserve',''),(12536,13,270,'167.4','Queensland',''),(12537,13,270,'167.5','4133',''),(12538,13,270,'167.6','Australia',''),(12539,13,270,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(12540,13,270,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(12541,13,270,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(12542,13,270,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(12543,13,270,'104','64340dbb4ae9e1.19439390.png',''),(12544,13,270,'106.3','Jane',''),(12545,13,270,'106.6','Wessels',''),(12546,13,270,'105','2023-02-06',''),(12547,13,270,'198','2023-02-06',''),(12548,13,270,'199','2023-03-30',''),(12549,13,270,'63','0',''),(12550,13,270,'gravityformsrecaptcha_score','disconnected',NULL),(12551,13,270,'gppcmt_pretty_id','b6b7ab',NULL),(12552,13,270,'46','40dbb6bcfa',''),(12553,13,270,'fg_easypassthrough_token','4b4934e1cd56daa3609bfada29ca9d37',NULL),(12554,13,270,'gpfr_stashed_file_urls','',NULL),(12555,13,270,'is_approved','',NULL),(12556,13,270,'gvmaps_lat_64','',NULL),(12557,13,270,'gvmaps_long_64','',NULL),(12558,13,270,'gvmaps_lat_141','',NULL),(12559,13,270,'gvmaps_long_141','',NULL),(12560,13,270,'gvmaps_lat_167','',NULL),(12561,13,270,'gvmaps_long_167','',NULL),(12562,13,270,'gpaa_lat_64','',NULL),(12563,13,270,'gpaa_lng_64','',NULL),(12564,13,271,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12565,13,271,'48','Parent',''),(12566,13,271,'47.3','Julia',''),(12567,13,271,'47.6','Beisser',''),(12568,13,271,'49','0431985052',''),(12569,13,271,'50','julia.beisser@gmail.com',''),(12570,13,271,'51','Benjamin is an almost 11 year old autistic/ADHDer. He\'s very keen to become more independent and often goes on long bike rides and scooter rides without our knowledge. Safety and awareness of risks is a big concern of ours and we\'d love Benjamin to have better road/biking skills to ensure that when he goes on a bike ride, he taking appropriate risks and can manage his time so that he\'s not gone for lengthy periods/too long a distance. \r\n\r\nBenjamin has a chronic pain condition that\'s currently under investigation. He has low tone in his legs and fatigues easily. It impacts on his mental health and how he is feeling about himself. He has been seeing a physio/exercise physio for a few years now but recently stopped. We feel that a move to more of a social setting and an outdoor setting rather than being in a clinic is more appropriate for him at this stage in life.',''),(12571,13,271,'38','NDIS',''),(12572,13,271,'196','430715135',''),(12573,13,271,'6','RIDES©',''),(12574,13,271,'53','SKILLS-TRAX©',''),(12575,13,271,'54','Intermediate Rider',''),(12576,13,271,'55.4','Yes',''),(12577,13,271,'55.7','Yes',''),(12578,13,271,'58','Yes',''),(12579,13,271,'59','Benjamin\'s bike is currently broken, but he will be getting a new bike for his birthday next week. \r\n\r\nBenjamin does have some biking skills and basic road knowledge.  He\'s very keen to work on some scooter tricks as well.',''),(12580,13,271,'60.3','Benjamin',''),(12581,13,271,'60.6','McEvoy',''),(12582,13,271,'61','julia.beisser@gmail.com',''),(12583,13,271,'64.1','70 Ludlow Street',''),(12584,13,271,'64.3','Chapel Hill',''),(12585,13,271,'64.4','QLD',''),(12586,13,271,'64.5','4069',''),(12587,13,271,'64.6','Australia',''),(12588,13,271,'66','Autism Spectrum Disorder (level 2)\r\nADHD. \r\nAuditory Processing Disorder\r\nAnxiety\r\nDysgraphia\r\nDyspraxia/low tone\r\nPain condition (currently under investigation)\r\nAsthma (more of a pollen reactive allergy asthma)',''),(12589,13,271,'67','Benjamin enjoys bike riding and riding his scooter at the skate park. \r\n\r\nBenjamin has low muscle tone/chronic fatigue/ muscle pain and takes an all or nothing approach and will go out for hours and find himself very sore/fatigued afterwards. We\'d love him to be able to recognise his bodily signs and limits and ensure that he isn\'t over exerting himself.\r\n\r\nBenjamin\'s pain condition also impacts on his mental health at times - he can be very down and then struggle to participate in some activities for fear of injuring himself. He is a cub scout and is taking on a leadership role this year. It would be great if he had a better understanding of how different activities impact on his body/which ones are likely to make him more sore/fatigued so he could both advocate for himself and feel better about participating more safely in other activities. He finds walking/hiking very difficult (most likely as it\'s too slow/not stimulating enough) but being able to do so is also a scout requirement.\r\n\r\nBenjamin currently wants to be very independent but isn\'t yet that aware of the safety risks of going out without letting adults know and going out beyond the limits we have set for him. He struggles with time management and distance, so being able to recognise how far and how long and how to ride/scoot more safely. \r\n\r\nI\'d love it if Benjamin also met similar kids with and had more opportunity to socialise.',''),(12590,13,271,'174','Benjamin would like to be able to do more scooter tricks\r\n\r\nTo find some flat bike rides that he can use as part of his scouting adventurous journey requirement. \r\n\r\nTo be able to go out safely without worrying my parents.',''),(12591,13,271,'70','Yes',''),(12592,13,271,'71','Ritalin, 20mg, 1x daily (usually only school days). ADHD medication\r\nIntuniv, 3mg, 1x morning every day. ADHD medication\r\nAnafranil, 25mg, 1x morning every day. Anti anxiety medication.\r\nMelatonin, 3mg, 1x evening daily. Sleep medication\r\nVentolin inhaler, as needed. Usually when there\'s a high pollen count, or before a thunderstorm, when Benjamin starts throat clearing/coughing\r\nAntihistamine - any brand, as needed, when the ventolin isn\'t working that well.',''),(12593,13,271,'72','Yes',''),(12594,13,271,'73','Pollen allergy - quite mild. Uses Ventolin inhaler and an anti-histamine when he starts coughing/throat clearing.  May not happen for months and then will require treatment a few times a week, depending on the pollen and weather.',''),(12595,13,271,'74','155',''),(12596,13,271,'75','30',''),(12597,13,271,'76','Medium',''),(12598,13,271,'80.3','Chris',''),(12599,13,271,'80.6','McEvoy',''),(12600,13,271,'81','Father',''),(12601,13,271,'82','0431985025',''),(12602,13,271,'85.4','Psychiatrist Report',''),(12603,13,271,'90','[]',''),(12604,13,271,'186','[]',''),(12605,13,271,'99','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/B-Mcevoy.pdf\"]',''),(12606,13,271,'91','[]',''),(12607,13,271,'98','[]',''),(12608,13,271,'97','[]',''),(12609,13,271,'96','[]',''),(12610,13,271,'95','[]',''),(12611,13,271,'94','[]',''),(12612,13,271,'107','Self / Privately Managed',''),(12613,13,271,'117','Capacity Building | Improved Daily Living',''),(12614,13,271,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Goals-2.JPG',''),(12615,13,271,'146.4','Thursday',''),(12616,13,271,'146.6','Saturday',''),(12617,13,271,'146.7','Sunday',''),(12618,13,271,'150','Mid Afternoon - approx 3pm-5pm',''),(12619,13,271,'149','Mid Afternoon - approx 3pm-5pm',''),(12620,13,271,'148','Mid Afternoon - approx 3pm-5pm',''),(12621,13,271,'57','Yes',''),(12622,13,271,'164','Pick Up',''),(12623,13,271,'167.1','70 Ludlow Street',''),(12624,13,271,'167.3','Chapel Hill',''),(12625,13,271,'167.4','QLD',''),(12626,13,271,'167.5','4069',''),(12627,13,271,'167.6','Australia',''),(12628,13,271,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(12629,13,271,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(12630,13,271,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(12631,13,271,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(12632,13,271,'104','64340dbbc22130.48507241.png',''),(12633,13,271,'106.3','Julia',''),(12634,13,271,'106.6','Beisser',''),(12635,13,271,'105','2023-02-06',''),(12636,13,271,'198','2022-04-24',''),(12637,13,271,'199','2023-04-24',''),(12638,13,271,'63','0',''),(12639,13,271,'8e89d8c9ee175dcd57f41ccd5991a18e208627172c2b2915155fb941b1ad39eb5069ced389b209c62aae9c46fe62de306583779f7b00edc50b989f5d7ae955a9','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:12:\"B-Mcevoy.pdf\";}',NULL),(12640,13,271,'gravityformsrecaptcha_score','disconnected',NULL),(12641,13,271,'gppcmt_pretty_id','be37fc',NULL),(12642,13,271,'46','40dbbe3d84',''),(12643,13,271,'fg_easypassthrough_token','a32b476cf92abc4b7e772a7f1dcc8ebb',NULL),(12644,13,271,'gpfr_stashed_file_urls','',NULL),(12645,13,271,'is_approved','3',NULL),(12646,13,271,'gvmaps_lat_64','',NULL),(12647,13,271,'gvmaps_long_64','',NULL),(12648,13,271,'gvmaps_lat_141','',NULL),(12649,13,271,'gvmaps_long_141','',NULL),(12650,13,271,'gvmaps_lat_167','',NULL),(12651,13,271,'gvmaps_long_167','',NULL),(12652,13,271,'gpaa_lat_64','',NULL),(12653,13,271,'gpaa_lng_64','',NULL),(12654,13,272,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12655,13,272,'48','Parent',''),(12656,13,272,'47.3','Jane',''),(12657,13,272,'47.6','Wessels',''),(12658,13,272,'49','+61414651542',''),(12659,13,272,'50','janewessels83@gmail.com',''),(12660,13,272,'51','As discussed via phone:\r\nJake identifies as a young 16 yr old who has ASD level 2. He has struggled with severe intrusive thoughts OCD. He has a team.workong with him and since returned to Indie school and working part time with therapy support but needs to widen his social skills and interests for mental health and wellbeing alongside managing pain and body after exercise. He has lost 15kilos and attends the Iron gym amd has for most part meal prep done by me at home. He owns his own bike but has difficulty riding it with regards to gears and pressure on arms and hands.',''),(12661,13,272,'38','NDIS',''),(12662,13,272,'196','430718472',''),(12663,13,272,'6','RIDES©',''),(12664,13,272,'53','SKILLS-TRAX©',''),(12665,13,272,'54','Intermediate Rider',''),(12666,13,272,'55.1','Yes',''),(12667,13,272,'55.2','Yes',''),(12668,13,272,'55.3','Yes',''),(12669,13,272,'55.5','Yes',''),(12670,13,272,'58','Yes',''),(12671,13,272,'60.3','Jake',''),(12672,13,272,'60.6','Wessela',''),(12673,13,272,'61','elijakendis@gmail.com',''),(12674,13,272,'194','+61414651542',''),(12675,13,272,'64.1','8 Fleming Street',''),(12676,13,272,'64.3','Logan Reserve',''),(12677,13,272,'64.4','Queensland',''),(12678,13,272,'64.5','4133',''),(12679,13,272,'64.6','Australia',''),(12680,13,272,'66','ASD L2\r\nODD\r\nOCD\r\nADHD',''),(12681,13,272,'67','Jake has just started engaging in the world due to intrusive thoughts OCD. He has been working with specialist and now attends gym and bk at school and working part time.\r\nHe often complains of sore lower back and even after losing 15 kilos still struggles with pain. We have sought physio and doctors they say muscle injury. Jake doesn\'t believe them thou. He does have some bison loss with headache over the last yr been investigate and hormones attributed but he does require bloods low iron. (Hard to get from him) \r\nHe is funny and witty and caring but also strong willed and can be rude at times lacks some social skill fundamentals. He has bike but hasn\'t ridden much as no friends or interest with us to do.',''),(12682,13,272,'174','Learn to ride his bike right, and build body while managing pain better. Meet and develop interest to extend social circle.',''),(12683,13,272,'70','Yes',''),(12684,13,272,'71','Catapress 100mg at night for sleep\r\nMelatonin nigth for sleep',''),(12685,13,272,'72','Yes',''),(12686,13,272,'73','Not really sure, but can have break out with itching Not linked to anything we can see but could he food or stress.',''),(12687,13,272,'74','0',''),(12688,13,272,'75','0',''),(12689,13,272,'76','Medium',''),(12690,13,272,'80.3','Jane',''),(12691,13,272,'80.6','Wessels',''),(12692,13,272,'81','Mother',''),(12693,13,272,'82','+61414651542',''),(12694,13,272,'85.1','Doctors Report',''),(12695,13,272,'85.2','Specialist Report',''),(12696,13,272,'85.3','Psychology Report',''),(12697,13,272,'90','[]',''),(12698,13,272,'186','[]',''),(12699,13,272,'99','[]',''),(12700,13,272,'91','[]',''),(12701,13,272,'98','[]',''),(12702,13,272,'97','[]',''),(12703,13,272,'96','[]',''),(12704,13,272,'95','[]',''),(12705,13,272,'94','[]',''),(12706,13,272,'107','Self / Privately Managed',''),(12707,13,272,'117','Capacity Building | Improved Health and Wellness',''),(12708,13,272,'146.5','Friday',''),(12709,13,272,'153','Mid Morning - approx 8am-11am',''),(12710,13,272,'57','Yes',''),(12711,13,272,'164','Pick Up and Drop Off',''),(12712,13,272,'167.1','8 Fleming Street',''),(12713,13,272,'167.3','Logan Reserve',''),(12714,13,272,'167.4','Queensland',''),(12715,13,272,'167.5','4133',''),(12716,13,272,'167.6','Australia',''),(12717,13,272,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(12718,13,272,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(12719,13,272,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(12720,13,272,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(12721,13,272,'104','64340dbbe9ac43.84019707.png',''),(12722,13,272,'106.3','Jane',''),(12723,13,272,'106.6','Wessels',''),(12724,13,272,'105','2023-02-06',''),(12725,13,272,'198','2023-02-06',''),(12726,13,272,'199','2023-03-30',''),(12727,13,272,'63','0',''),(12728,13,272,'gravityformsrecaptcha_score','disconnected',NULL),(12729,13,272,'gppcmt_pretty_id','c199da',NULL),(12730,13,272,'46','40dbc19f6c',''),(12731,13,272,'fg_easypassthrough_token','a4037259a7bc3150af6185f2b6c57bc7',NULL),(12732,13,272,'gpfr_stashed_file_urls','',NULL),(12733,13,272,'is_approved','3',NULL),(12734,13,272,'gvmaps_lat_64','',NULL),(12735,13,272,'gvmaps_long_64','',NULL),(12736,13,272,'gvmaps_lat_141','',NULL),(12737,13,272,'gvmaps_long_141','',NULL),(12738,13,272,'gvmaps_lat_167','',NULL),(12739,13,272,'gvmaps_long_167','',NULL),(12740,13,272,'gpaa_lat_64','',NULL),(12741,13,272,'gpaa_lng_64','',NULL),(12742,13,273,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12743,13,273,'48','Parent',''),(12744,13,273,'47.3','Helswa',''),(12745,13,273,'47.6','Jewell',''),(12746,13,273,'49','0421750541',''),(12747,13,273,'38','NDIS',''),(12748,13,273,'6','RIDES©',''),(12749,13,273,'53','SKILLS-TRAX©',''),(12750,13,273,'54','No Experience Riding',''),(12751,13,273,'58','Yes',''),(12752,13,273,'64.4','QLD',''),(12753,13,273,'64.6','Australia',''),(12754,13,273,'70','Yes',''),(12755,13,273,'72','Yes',''),(12756,13,273,'90','[]',''),(12757,13,273,'186','[]',''),(12758,13,273,'99','[]',''),(12759,13,273,'91','[]',''),(12760,13,273,'98','[]',''),(12761,13,273,'97','[]',''),(12762,13,273,'96','[]',''),(12763,13,273,'95','[]',''),(12764,13,273,'94','[]',''),(12765,13,273,'107','Self / Privately Managed',''),(12766,13,273,'117','Capacity Building | Improved Daily Living',''),(12767,13,273,'57','Yes',''),(12768,13,273,'164','Pick 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Riding',''),(12791,13,274,'58','Yes',''),(12792,13,274,'64.4','QLD',''),(12793,13,274,'64.6','Australia',''),(12794,13,274,'70','Yes',''),(12795,13,274,'72','Yes',''),(12796,13,274,'90','[]',''),(12797,13,274,'186','[]',''),(12798,13,274,'99','[]',''),(12799,13,274,'91','[]',''),(12800,13,274,'98','[]',''),(12801,13,274,'97','[]',''),(12802,13,274,'96','[]',''),(12803,13,274,'95','[]',''),(12804,13,274,'94','[]',''),(12805,13,274,'107','Self / Privately Managed',''),(12806,13,274,'117','Capacity Building | Improved Daily Living',''),(12807,13,274,'57','Yes',''),(12808,13,274,'164','Pick Up',''),(12809,13,274,'167.6','Australia',''),(12810,13,274,'63','0',''),(12811,13,274,'gravityformsrecaptcha_score','disconnected',NULL),(12812,13,274,'gppcmt_pretty_id','c3c37d',NULL),(12813,13,274,'46','40dbc3c8e0',''),(12814,13,274,'fg_easypassthrough_token','04ac74c01676b9914bb0d25d585a7e31',NULL),(12815,13,274,'gpfr_stashed_file_urls','',NULL),(12816,13,274,'is_approved','',NULL),(12817,13,274,'gvmaps_lat_64','',NULL),(12818,13,274,'gvmaps_long_64','',NULL),(12819,13,274,'gvmaps_lat_141','',NULL),(12820,13,274,'gvmaps_long_141','',NULL),(12821,13,274,'gvmaps_lat_167','',NULL),(12822,13,274,'gvmaps_long_167','',NULL),(12823,13,274,'gpaa_lat_64','',NULL),(12824,13,274,'gpaa_lng_64','',NULL),(12825,13,275,'38','NDIS',''),(12826,13,275,'6','RIDES©',''),(12827,13,275,'53','SKILLS-TRAX©',''),(12828,13,275,'54','No Experience Riding',''),(12829,13,275,'58','Yes',''),(12830,13,275,'64.4','QLD',''),(12831,13,275,'64.6','Australia',''),(12832,13,275,'70','Yes',''),(12833,13,275,'72','Yes',''),(12834,13,275,'90','[]',''),(12835,13,275,'186','[]',''),(12836,13,275,'99','[]',''),(12837,13,275,'91','[]',''),(12838,13,275,'98','[]',''),(12839,13,275,'97','[]',''),(12840,13,275,'96','[]',''),(12841,13,275,'95','[]',''),(12842,13,275,'94','[]',''),(12843,13,275,'107','Self / Privately Managed',''),(12844,13,275,'117','Capacity Building | Improved Daily Living',''),(12845,13,275,'57','Yes',''),(12846,13,275,'164','Pick 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Riding',''),(12867,13,276,'58','Yes',''),(12868,13,276,'64.4','QLD',''),(12869,13,276,'64.6','Australia',''),(12870,13,276,'70','Yes',''),(12871,13,276,'72','Yes',''),(12872,13,276,'90','[]',''),(12873,13,276,'186','[]',''),(12874,13,276,'99','[]',''),(12875,13,276,'91','[]',''),(12876,13,276,'98','[]',''),(12877,13,276,'97','[]',''),(12878,13,276,'96','[]',''),(12879,13,276,'95','[]',''),(12880,13,276,'94','[]',''),(12881,13,276,'107','Self / Privately Managed',''),(12882,13,276,'117','Capacity Building | Improved Daily Living',''),(12883,13,276,'57','Yes',''),(12884,13,276,'164','Pick Up',''),(12885,13,276,'167.6','Australia',''),(12886,13,276,'63','0',''),(12887,13,276,'gravityformsrecaptcha_score','disconnected',NULL),(12888,13,276,'gppcmt_pretty_id','c5c358',NULL),(12889,13,276,'46','40dbc5c947',''),(12890,13,276,'fg_easypassthrough_token','1b15c8b1dd1b7a9985282dc91b4ef181',NULL),(12891,13,276,'gpfr_stashed_file_urls','',NULL),(12892,13,276,'is_approved','',NULL),(12893,13,276,'gvmaps_lat_64','',NULL),(12894,13,276,'gvmaps_long_64','',NULL),(12895,13,276,'gvmaps_lat_141','',NULL),(12896,13,276,'gvmaps_long_141','',NULL),(12897,13,276,'gvmaps_lat_167','',NULL),(12898,13,276,'gvmaps_long_167','',NULL),(12899,13,276,'gpaa_lat_64','',NULL),(12900,13,276,'gpaa_lng_64','',NULL),(12901,13,277,'5','I\'m applying on BEHALF of someone who would like to participate',''),(12902,13,277,'48','Parent',''),(12903,13,277,'47.3','Michelle',''),(12904,13,277,'47.6','Cornish',''),(12905,13,277,'49','0422235932',''),(12906,13,277,'50','mimj_b@hotmail.com',''),(12907,13,277,'51','Interested in psychology for my 12 year old asd/anxiety in moreton bay region.',''),(12908,13,277,'38','NDIS',''),(12909,13,277,'196','431444531',''),(12910,13,277,'6','RIDES©',''),(12911,13,277,'53','CYCOLOGY©',''),(12912,13,277,'54','Intermediate Rider',''),(12913,13,277,'55.1','Yes',''),(12914,13,277,'58','Yes',''),(12915,13,277,'60.3','James',''),(12916,13,277,'60.6','Cornish',''),(12917,13,277,'61','mimj_b@hotmail.com',''),(12918,13,277,'194','0422235932',''),(12919,13,277,'64.1','9 lionheart Crescent',''),(12920,13,277,'64.3','Newport',''),(12921,13,277,'64.4','QLD',''),(12922,13,277,'64.5','4020',''),(12923,13,277,'64.6','Australia',''),(12924,13,277,'66','Asd level 2. Anxiety.',''),(12925,13,277,'67','Gaming. Music - bass guitar. Trampoline.',''),(12926,13,277,'174','Needs to engage with psychologist to improve coping techniques for anxiety. Cbt or talk therapy to improve self confidence. Has terrible negative self talk so needs to work on changing thinking patterns. Main concerns -Anxiety and self confidence and positive body image (has become more so than before, super self conscious and self loathing). Exercise combined with therapy sounds great to get him off of devices.',''),(12927,13,277,'70','Yes',''),(12928,13,277,'71','Previously on Abilify. Has been off for 6 months, as made him hypervigilent. May need to go back on something soon to assist with emotional regulation and meltdowns, but James does not want to.',''),(12929,13,277,'72','No',''),(12930,13,277,'74','170',''),(12931,13,277,'75','71',''),(12932,13,277,'76','Low',''),(12933,13,277,'80.3','Michelle',''),(12934,13,277,'80.6','Cornish',''),(12935,13,277,'81','Mother',''),(12936,13,277,'82','0422235932',''),(12937,13,277,'85.1','Doctors Report',''),(12938,13,277,'85.3','Psychology Report',''),(12939,13,277,'85.4','Psychiatrist Report',''),(12940,13,277,'90','[]',''),(12941,13,277,'186','[]',''),(12942,13,277,'99','[]',''),(12943,13,277,'91','[]',''),(12944,13,277,'98','[]',''),(12945,13,277,'97','[]',''),(12946,13,277,'96','[]',''),(12947,13,277,'95','[]',''),(12948,13,277,'94','[]',''),(12949,13,277,'107','Self / Privately Managed',''),(12950,13,277,'117','Capacity Building | Improved Daily 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Leap-In, Connect)',''),(13068,13,279,'112','NDSP',''),(13069,13,279,'113','info@ndsp.com.au',''),(13070,13,279,'114','1800636377',''),(13071,13,279,'117','Capacity Building | Improved Daily Living',''),(13072,13,279,'146.1','Y',''),(13073,13,279,'146.2','Tuesday',''),(13074,13,279,'146.3','Wednesday',''),(13075,13,279,'151','Early Afternoon - approx 1pm-3pm',''),(13076,13,279,'152','Early Afternoon - approx 1pm-3pm',''),(13077,13,279,'57','No',''),(13078,13,279,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(13079,13,279,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(13080,13,279,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(13081,13,279,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(13082,13,279,'104','64340dbc9d6104.98437511.png',''),(13083,13,279,'106.3','Amanda',''),(13084,13,279,'106.6','Farrell',''),(13085,13,279,'105','2023-01-28',''),(13086,13,279,'198','2022-12-13',''),(13087,13,279,'199','2023-12-13',''),(13088,13,279,'63','0',''),(13089,13,279,'gravityformsrecaptcha_score','disconnected',NULL),(13090,13,279,'gppcmt_pretty_id','cbe294',NULL),(13091,13,279,'46','40dbcbe848',''),(13092,13,279,'fg_easypassthrough_token','824118739337fa57fefacb41ce7a5ac4',NULL),(13093,13,279,'gpfr_stashed_file_urls','',NULL),(13094,13,279,'is_approved','3',NULL),(13095,13,279,'gvmaps_lat_64','',NULL),(13096,13,279,'gvmaps_long_64','',NULL),(13097,13,279,'gvmaps_lat_141','',NULL),(13098,13,279,'gvmaps_long_141','',NULL),(13099,13,279,'gvmaps_lat_167','',NULL),(13100,13,279,'gvmaps_long_167','',NULL),(13101,13,279,'gpaa_lat_64','',NULL),(13102,13,279,'gpaa_lng_64','',NULL),(13103,13,280,'38','NDIS',''),(13104,13,280,'6','RIDES©',''),(13105,13,280,'53','SKILLS-TRAX©',''),(13106,13,280,'54','No Experience Riding',''),(13107,13,280,'58','Yes',''),(13108,13,280,'64.4','QLD',''),(13109,13,280,'64.6','Australia',''),(13110,13,280,'70','Yes',''),(13111,13,280,'72','Yes',''),(13112,13,280,'90','[]',''),(13113,13,280,'186','[]',''),(13114,13,280,'99','[]',''),(13115,13,280,'91','[]',''),(13116,13,280,'98','[]',''),(13117,13,280,'97','[]',''),(13118,13,280,'96','[]',''),(13119,13,280,'95','[]',''),(13120,13,280,'94','[]',''),(13121,13,280,'107','Self / Privately Managed',''),(13122,13,280,'117','Capacity Building | Improved Daily Living',''),(13123,13,280,'57','Yes',''),(13124,13,280,'164','Pick Up',''),(13125,13,280,'167.6','Australia',''),(13126,13,280,'63','0',''),(13127,13,280,'gravityformsrecaptcha_score','disconnected',NULL),(13128,13,280,'gppcmt_pretty_id','cd05eb',NULL),(13129,13,280,'46','40dbcd0c57',''),(13130,13,280,'fg_easypassthrough_token','55d17e01a3fb6922ab8dbb0726a5cddd',NULL),(13131,13,280,'gpfr_stashed_file_urls','',NULL),(13132,13,280,'is_approved','',NULL),(13133,13,280,'gvmaps_lat_64','',NULL),(13134,13,280,'gvmaps_long_64','',NULL),(13135,13,280,'gvmaps_lat_141','',NULL),(13136,13,280,'gvmaps_long_141','',NULL),(13137,13,280,'gvmaps_lat_167','',NULL),(13138,13,280,'gvmaps_long_167','',NULL),(13139,13,280,'gpaa_lat_64','',NULL),(13140,13,280,'gpaa_lng_64','',NULL),(13141,13,281,'5','I\'m applying on BEHALF of someone who would like to participate',''),(13142,13,281,'48','Other Family Member',''),(13143,13,281,'47.3','Jye',''),(13144,13,281,'47.6','Emson',''),(13145,13,281,'49','0403763544',''),(13146,13,281,'50','essie_star@iinet.net.au',''),(13147,13,281,'51','Cerebral Palsy currently has training wheels and would like at one point have them off. He is 10years level 2',''),(13148,13,281,'38','NDIS',''),(13149,13,281,'6','RIDES©',''),(13150,13,281,'53','SKILLS-TRAX©',''),(13151,13,281,'54','No Experience Riding',''),(13152,13,281,'58','Yes',''),(13153,13,281,'64.4','QLD',''),(13154,13,281,'64.6','Australia',''),(13155,13,281,'70','Yes',''),(13156,13,281,'72','Yes',''),(13157,13,281,'90','[]',''),(13158,13,281,'186','[]',''),(13159,13,281,'99','[]',''),(13160,13,281,'91','[]',''),(13161,13,281,'98','[]',''),(13162,13,281,'97','[]',''),(13163,13,281,'96','[]',''),(13164,13,281,'95','[]',''),(13165,13,281,'94','[]',''),(13166,13,281,'107','Self / Privately Managed',''),(13167,13,281,'117','Capacity Building | Improved Daily Living',''),(13168,13,281,'57','Yes',''),(13169,13,281,'164','Pick 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Worker',''),(13302,13,285,'47.3','Andrew',''),(13303,13,285,'47.6','Tolley',''),(13304,13,285,'49','0400337165',''),(13305,13,285,'50','andrewp@brookred.org.au',''),(13306,13,285,'51','I run a community centre for people with mental health challenges and wanted to see if we could organise a ride for the people interested in our community.\r\nThere are varying levels of fitness but we love the idea of connecting with others outdoors.',''),(13307,13,285,'38','Privately Funded',''),(13308,13,285,'6','RIDES©',''),(13309,13,285,'53','SOCIAL-TRAX©',''),(13310,13,285,'54','No Experience Riding',''),(13311,13,285,'58','No',''),(13312,13,285,'59','Low fitness level, limited experience riding bikes offroad,',''),(13313,13,285,'60.3','Brook',''),(13314,13,285,'60.6','RED',''),(13315,13,285,'61','andrew@brookred.org.au',''),(13316,13,285,'194','0400337165',''),(13317,13,285,'64.1','20 Main st',''),(13318,13,285,'64.3','Beenleigh',''),(13319,13,285,'64.4','QLD',''),(13320,13,285,'64.5','4207',''),(13321,13,285,'64.6','Australia',''),(13322,13,285,'66','mental health -suicidal ideation, anxiety, depression',''),(13323,13,285,'70','Yes',''),(13324,13,285,'72','Yes',''),(13325,13,285,'90','[]',''),(13326,13,285,'186','[]',''),(13327,13,285,'99','[]',''),(13328,13,285,'91','[]',''),(13329,13,285,'98','[]',''),(13330,13,285,'97','[]',''),(13331,13,285,'96','[]',''),(13332,13,285,'95','[]',''),(13333,13,285,'94','[]',''),(13334,13,285,'57','Yes',''),(13335,13,285,'164','Pick 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I’ll happily get on a treadmill for 1hr at 4-6kmph but I think walking is stupid because I have a car',''),(13360,13,286,'60.3','Pippa',''),(13361,13,286,'60.6','Krause',''),(13362,13,286,'61','pkrause6664@gmail.com',''),(13363,13,286,'194','0490332745',''),(13364,13,286,'64.1','2 Pimento Ct',''),(13365,13,286,'64.3','Boronia Heights',''),(13366,13,286,'64.4','QLD',''),(13367,13,286,'64.5','4124',''),(13368,13,286,'64.6','Australia',''),(13369,13,286,'66','Hi I’m autistic with adhd Cptsd and generalised anxiety. I have mitral valve prolapse (leaking valve) it makes me lose consciousness in the heat but I am able to tell you if I’m going to pass out. I have bad knees no idea why as per scans ect and I have a lower back issue from the whore I came out of threw me into a doorframe and it bent with it bad back ever since. I also have asthma',''),(13370,13,286,'67','I’m fat and really really unfit and get puffed just walking to the fridge and back',''),(13371,13,286,'174','Not be fat and able to actually do things',''),(13372,13,286,'70','Yes',''),(13373,13,286,'71','Dex 2x 5mg 2x a day. Puffers. Hay fever pills',''),(13374,13,286,'72','Yes',''),(13375,13,286,'73','Latex and the white tape you get when you have a needle',''),(13376,13,286,'74','160',''),(13377,13,286,'75','100',''),(13378,13,286,'76','Very Low',''),(13379,13,286,'80.3','No one',''),(13380,13,286,'80.6','No one',''),(13381,13,286,'81','Nothing',''),(13382,13,286,'82','0404040404',''),(13383,13,286,'85.11','I don\'t have any reports',''),(13384,13,286,'107','Plan Managed (External company eg. 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I’ll happily get on a treadmill for 1hr at 4-6kmph but I think walking is stupid because I have a car',''),(13442,13,287,'60.3','Pippa',''),(13443,13,287,'60.6','Krause',''),(13444,13,287,'61','pkrause6664@gmail.com',''),(13445,13,287,'194','0490332745',''),(13446,13,287,'64.1','2 Pimento Ct',''),(13447,13,287,'64.3','Boronia Heights',''),(13448,13,287,'64.4','QLD',''),(13449,13,287,'64.5','4124',''),(13450,13,287,'64.6','Australia',''),(13451,13,287,'66','Hi I’m autistic with adhd Cptsd and generalised anxiety. I have mitral valve prolapse (leaking valve) it makes me lose consciousness in the heat but I am able to tell you if I’m going to pass out. I have bad knees no idea why as per scans ect and I have a lower back issue from the whore I came out of threw me into a doorframe and it bent with it bad back ever since. I also have asthma',''),(13452,13,287,'67','I’m fat and really really unfit and get puffed just walking to the fridge and back',''),(13453,13,287,'174','Not be fat and able to actually do things',''),(13454,13,287,'70','Yes',''),(13455,13,287,'71','Dex 2x 5mg 2x a day. Puffers. Hay fever pills',''),(13456,13,287,'72','Yes',''),(13457,13,287,'73','Latex and the white tape you get when you have a needle',''),(13458,13,287,'74','160',''),(13459,13,287,'75','100',''),(13460,13,287,'76','Very Low',''),(13461,13,287,'80.3','No one',''),(13462,13,287,'80.6','No one',''),(13463,13,287,'81','Nothing',''),(13464,13,287,'82','0404040404',''),(13465,13,287,'85.11','I don\'t have any reports',''),(13466,13,287,'107','Plan Managed (External company eg. 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he is really excited by the sound of it!\r\n\r\nHis NDIS plan is around building social interaction skills, building independence and emotional regulation.\r\n\r\nHis interests are biking, fishing, camping, anything outdoors!',''),(13564,13,289,'38','NDIS',''),(13565,13,289,'196','431962631',''),(13566,13,289,'6','RIDES©',''),(13567,13,289,'53','SKILLS-TRAX©',''),(13568,13,289,'54','Intermediate Rider',''),(13569,13,289,'55.1','Yes',''),(13570,13,289,'55.2','Yes',''),(13571,13,289,'55.3','Yes',''),(13572,13,289,'55.7','Yes',''),(13573,13,289,'58','Yes',''),(13574,13,289,'60.3','Kai',''),(13575,13,289,'60.6','Willmann',''),(13576,13,289,'61','crwillmann@bigpond.com',''),(13577,13,289,'64.1','7 Tribulation Cres',''),(13578,13,289,'64.3','Coomera',''),(13579,13,289,'64.4','QLD',''),(13580,13,289,'64.5','4209',''),(13581,13,289,'64.6','Azerbaijan',''),(13582,13,289,'66','Asd level 1\r\nAdhd',''),(13583,13,289,'67','As listed previously his hobbies are biking, fishing, camping and any outdoor activities.\r\n\r\nHis difficulties with adhd is that he needs to be active any busy all the time - keeping him active helps him focus on other areas when he needs to (ie. school). \r\n\r\nThe Asd aspects limits his ability to regulate emotions and use appropriate social skills for interactive with people and resolving issues.\r\n\r\nIt has been suggested that he use psychology and OT to help with his difficulties and we have tried both on and off and different times with very little outcome. Kai is very resistant to want to participate and this is because of the clinic environment he finds very boring and uninteresting.',''),(13584,13,289,'174','I think Kai is keen on this program because he sees it as fun and an opportunity to join a program with like minded people with similar interests.\r\n\r\nAs his parent I see this as a way of Kai getting some type of beneficial therapy that he would be engaged in participating.',''),(13585,13,289,'70','Yes',''),(13586,13,289,'71','Concerta (treats ADHD) taken once daily in AM\r\nIntuniv (Treats Adhd) taken once daily in PM\r\nOccasional Ventalin puffer for asthma symptoms\r\nOccasional Clarytine for hayfever\r\nDaily Multivitamin',''),(13587,13,289,'72','Yes',''),(13588,13,289,'73','Hayfever allergies to dust mites - takes Clarytine when needed.',''),(13589,13,289,'74','145',''),(13590,13,289,'75','35',''),(13591,13,289,'76','High',''),(13592,13,289,'80.3','Rachel',''),(13593,13,289,'80.6','Willmann',''),(13594,13,289,'81','Parent',''),(13595,13,289,'82','0412950145',''),(13596,13,289,'85.2','Specialist Report',''),(13597,13,289,'85.3','Psychology Report',''),(13598,13,289,'90','[]',''),(13599,13,289,'186','[]',''),(13600,13,289,'99','[]',''),(13601,13,289,'91','[]',''),(13602,13,289,'98','[]',''),(13603,13,289,'97','[]',''),(13604,13,289,'96','[]',''),(13605,13,289,'95','[]',''),(13606,13,289,'94','[]',''),(13607,13,289,'107','Self / Privately Managed',''),(13608,13,289,'117','Capacity Building | Improved Daily 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within 7 days.',''),(13622,13,289,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(13623,13,289,'104','64340dbe2dd8e4.59535334.png',''),(13624,13,289,'106.3','Rachel',''),(13625,13,289,'106.6','Willmann',''),(13626,13,289,'105','2023-01-23',''),(13627,13,289,'198','2022-06-08',''),(13628,13,289,'199','2024-06-07',''),(13629,13,289,'63','0',''),(13630,13,289,'gravityformsrecaptcha_score','disconnected',NULL),(13631,13,289,'gppcmt_pretty_id','e5152a',NULL),(13632,13,289,'46','40dbe51a69',''),(13633,13,289,'fg_easypassthrough_token','54dbcfdd27f12fecf00ab15a924aa40b',NULL),(13634,13,289,'gpfr_stashed_file_urls','',NULL),(13635,13,289,'is_approved','3',NULL),(13636,13,289,'gvmaps_lat_64','',NULL),(13637,13,289,'gvmaps_long_64','',NULL),(13638,13,289,'gvmaps_lat_141','',NULL),(13639,13,289,'gvmaps_long_141','',NULL),(13640,13,289,'gvmaps_lat_167','',NULL),(13641,13,289,'gvmaps_long_167','',NULL),(13642,13,289,'gpaa_lat_64','',NULL),(13643,13,289,'gpaa_lng_64','',NULL),(13644,13,290,'38','NDIS',''),(13645,13,290,'6','RIDES©',''),(13646,13,290,'53','SKILLS-TRAX©',''),(13647,13,290,'54','No Experience Riding',''),(13648,13,290,'58','Yes',''),(13649,13,290,'64.4','QLD',''),(13650,13,290,'64.6','Australia',''),(13651,13,290,'70','Yes',''),(13652,13,290,'72','Yes',''),(13653,13,290,'90','[]',''),(13654,13,290,'186','[]',''),(13655,13,290,'99','[]',''),(13656,13,290,'91','[]',''),(13657,13,290,'98','[]',''),(13658,13,290,'97','[]',''),(13659,13,290,'96','[]',''),(13660,13,290,'95','[]',''),(13661,13,290,'94','[]',''),(13662,13,290,'107','Self / Privately Managed',''),(13663,13,290,'117','Capacity Building | Improved Daily Living',''),(13664,13,290,'57','Yes',''),(13665,13,290,'164','Pick Up',''),(13666,13,290,'63','0',''),(13667,13,290,'gravityformsrecaptcha_score','disconnected',NULL),(13668,13,290,'gppcmt_pretty_id','e612f3',NULL),(13669,13,290,'46','40dbe617ca',''),(13670,13,290,'fg_easypassthrough_token','9d12a185673bea1ae08be51e76bae0ec',NULL),(13671,13,290,'gpfr_stashed_file_urls','',NULL),(13672,13,290,'is_approved','',NULL),(13673,13,290,'gvmaps_lat_64','',NULL),(13674,13,290,'gvmaps_long_64','',NULL),(13675,13,290,'gvmaps_lat_141','',NULL),(13676,13,290,'gvmaps_long_141','',NULL),(13677,13,290,'gvmaps_lat_167','',NULL),(13678,13,290,'gvmaps_long_167','',NULL),(13679,13,290,'gpaa_lat_64','',NULL),(13680,13,290,'gpaa_lng_64','',NULL),(13681,13,291,'5','I\'m applying on BEHALF of someone who would like to participate',''),(13682,13,291,'48','Parent',''),(13683,13,291,'47.3','Kim',''),(13684,13,291,'47.6','Noble',''),(13685,13,291,'49','0411166637',''),(13686,13,291,'50','kimnoble72@gmail.com',''),(13687,13,291,'38','Privately Funded',''),(13688,13,291,'6','RIDES©',''),(13689,13,291,'53','LEARN 2 RIDE©',''),(13690,13,291,'54','No Experience Riding',''),(13691,13,291,'58','Yes',''),(13692,13,291,'60.3','Nate',''),(13693,13,291,'60.6','Noble',''),(13694,13,291,'64.1','7 Snowy River Circuit',''),(13695,13,291,'64.3','Forest Lake',''),(13696,13,291,'64.4','Qld',''),(13697,13,291,'64.5','4078',''),(13698,13,291,'64.6','Australia',''),(13699,13,291,'66','Nil\r\nBalance difficulties',''),(13700,13,291,'70','Yes',''),(13701,13,291,'72','Yes',''),(13702,13,291,'90','[]',''),(13703,13,291,'186','[]',''),(13704,13,291,'99','[]',''),(13705,13,291,'91','[]',''),(13706,13,291,'98','[]',''),(13707,13,291,'97','[]',''),(13708,13,291,'96','[]',''),(13709,13,291,'95','[]',''),(13710,13,291,'94','[]',''),(13711,13,291,'57','Yes',''),(13712,13,291,'164','Pick Up',''),(13713,13,291,'63','0',''),(13714,13,291,'gravityformsrecaptcha_score','disconnected',NULL),(13715,13,291,'gppcmt_pretty_id','e70f9c',NULL),(13716,13,291,'46','40dbe714d8',''),(13717,13,291,'fg_easypassthrough_token','9cd255a239ff1a28bb5067c29c756746',NULL),(13718,13,291,'gpfr_stashed_file_urls','',NULL),(13719,13,291,'is_approved','',NULL),(13720,13,291,'gvmaps_lat_64','',NULL),(13721,13,291,'gvmaps_long_64','',NULL),(13722,13,291,'gvmaps_lat_141','',NULL),(13723,13,291,'gvmaps_long_141','',NULL),(13724,13,291,'gvmaps_lat_167','',NULL),(13725,13,291,'gvmaps_long_167','',NULL),(13726,13,291,'gpaa_lat_64','',NULL),(13727,13,291,'gpaa_lng_64','',NULL),(13728,13,292,'38','NDIS',''),(13729,13,292,'6','RIDES©',''),(13730,13,292,'53','SKILLS-TRAX©',''),(13731,13,292,'54','No Experience Riding',''),(13732,13,292,'58','Yes',''),(13733,13,292,'64.6','Australia',''),(13734,13,292,'70','Yes',''),(13735,13,292,'72','Yes',''),(13736,13,292,'90','[]',''),(13737,13,292,'186','[]',''),(13738,13,292,'99','[]',''),(13739,13,292,'91','[]',''),(13740,13,292,'98','[]',''),(13741,13,292,'97','[]',''),(13742,13,292,'96','[]',''),(13743,13,292,'95','[]',''),(13744,13,292,'94','[]',''),(13745,13,292,'107','Self / Privately Managed',''),(13746,13,292,'117','Capacity Building | Improved Daily Living',''),(13747,13,292,'57','Yes',''),(13748,13,292,'164','Pick Up',''),(13749,13,292,'63','0',''),(13750,13,292,'gravityformsrecaptcha_score','disconnected',NULL),(13751,13,292,'gppcmt_pretty_id','e80607',NULL),(13752,13,292,'46','40dbe80af6',''),(13753,13,292,'fg_easypassthrough_token','5d8d9b31f84c351dbc92125357867c46',NULL),(13754,13,292,'gpfr_stashed_file_urls','',NULL),(13755,13,292,'is_approved','',NULL),(13756,13,292,'gvmaps_lat_64','',NULL),(13757,13,292,'gvmaps_long_64','',NULL),(13758,13,292,'gvmaps_lat_141','',NULL),(13759,13,292,'gvmaps_long_141','',NULL),(13760,13,292,'gvmaps_lat_167','',NULL),(13761,13,292,'gvmaps_long_167','',NULL),(13762,13,292,'gpaa_lat_64','',NULL),(13763,13,292,'gpaa_lng_64','',NULL),(13764,13,293,'5','I\'m applying on BEHALF of someone who would like to participate',''),(13765,13,293,'48','Parent',''),(13766,13,293,'47.3','Kayla',''),(13767,13,293,'47.6','Williams',''),(13768,13,293,'49','0411531443',''),(13769,13,293,'50','kayla26786@gmail.com',''),(13770,13,293,'51','My son Ethan Williams is aged 12. He has a diagnosis of Autism Spectrum Disorder Level 2 and ADHD. \r\n\r\nHe has shown a keen interest in all things BMX and Mountain Bike related and I feel the program will benefit him in many areas of challenge he has with his disability.',''),(13771,13,293,'38','NDIS',''),(13772,13,293,'196','430860886',''),(13773,13,293,'187','430860886',''),(13774,13,293,'6','RIDES©',''),(13775,13,293,'53','SKILLS-TRAX©',''),(13776,13,293,'54','Beginner Rider',''),(13777,13,293,'58','No',''),(13778,13,293,'59','Ethan currently owns a BMX, which is slightly small (18 inch) for his age and size but was bought with the intention of it being lightweight and easier for him to learn BMX. he frequently rides his BMX at skateparks both indoor and outdoor and has learnt various tricks/techniques. He is getting more confident in riding, has been practicing using pump tracks etc \r\n\r\nHe has become interested in mountain bike riding as this is what his friend group do. They often go to jumps and skate parks in our local areas. \r\n\r\nEthan’s stepdad is an experienced freestyle BMX rider and this is something they have bonded over and do together. However Ethan struggles with confidence and anxiety/fear but is gaining confidence. \r\n\r\nHe has both an interest in BMX and Mountain Bike riding. However at this stage only owns a BMX but is wanting to also learn how to ride mountain bikes and is wanting us to invest in buying him his own mountain bike in the near future. \r\n\r\nHe would benefit from having a mentor teach him and help him to build on his confidence. \r\n\r\nThrough our Ethan’s life he has had topics of interest ie up until biking he was very much a gamer and was only interested in playing his Xbox so I would love to take this new interest and expand on it to grow his self esteem, confidence and skills.',''),(13779,13,293,'60.3','Ethan',''),(13780,13,293,'60.6','Williams',''),(13781,13,293,'61','kayla26786@gmail.con',''),(13782,13,293,'194','0411531443',''),(13783,13,293,'64.1','26 Telopea Pl',''),(13784,13,293,'64.3','Morayfield',''),(13785,13,293,'64.4','QLD',''),(13786,13,293,'64.5','4506',''),(13787,13,293,'64.6','Australia',''),(13788,13,293,'66','Autism Spectrum Disorder\r\nADHD',''),(13789,13,293,'67','Please refer to earlier answers. \r\n\r\nEthan’s disability causes him to have anxiety, to be fearful to try new things, he struggles emotionally, lacks self esteem and has difficulty at times regulating his emotions. He struggles socially and in friend groups but has recently found a friend group at highschool (just started year 7 in 2022) who all have riding bikes as their hobby. \r\n\r\nThe boys not only ride together but do maintenance on their bikes together. They create content on social media and they regularly organise catch ups to ride their bikes at jumps (they make these too) and skateparks. \r\n\r\nEthan earlier in 2022 had made friends with kids who were not good friend choices. He was at risk of making some bad decisions and becoming involved with a friend group that could very well send him down the wrong path. \r\n\r\nHe took an interest in BMX and so myself and my partner invested in a really cool bmx for him to be encouraged to continue this hobby and keep him busy and out of trouble. And it worked!! \r\n\r\nSo when I came across your program I was like yes this is just the thing Ethan could do to expand on his new hobby, provide him with the skills and also support and help him to achieve his goals! \r\n\r\nEthan has been a gamer his whole life, he barely left his room or had in person interaction with other kids outside of gaming and school. \r\n\r\nSo I’d love to keep this interest, work on it and use it to his benefit long term.',''),(13790,13,293,'174','Skills, mentoring, physical therapy, emotional support, building on independence and self esteem… refer to previous answers.',''),(13791,13,293,'70','Yes',''),(13792,13,293,'71','Long Acting Ritalin 30mg once daily',''),(13793,13,293,'72','No',''),(13794,13,293,'74','0',''),(13795,13,293,'75','0',''),(13796,13,293,'76','High',''),(13797,13,293,'80.3','Kayla',''),(13798,13,293,'80.6','Williams',''),(13799,13,293,'81','Mother',''),(13800,13,293,'82','0411531443',''),(13801,13,293,'85.1','Doctors Report',''),(13802,13,293,'85.3','Psychology Report',''),(13803,13,293,'85.5','Occupational Therapy Report',''),(13804,13,293,'85.7','Speech Therapy Report',''),(13805,13,293,'90','[]',''),(13806,13,293,'186','[]',''),(13807,13,293,'99','[]',''),(13808,13,293,'91','[]',''),(13809,13,293,'98','[]',''),(13810,13,293,'97','[]',''),(13811,13,293,'96','[]',''),(13812,13,293,'95','[]',''),(13813,13,293,'94','[]',''),(13814,13,293,'107','Self / Privately Managed',''),(13815,13,293,'117','Capacity Building | Improved Daily Living',''),(13816,13,293,'146.2','Tuesday',''),(13817,13,293,'146.4','Thursday',''),(13818,13,293,'146.7','Sunday',''),(13819,13,293,'151','Evening - approx 5pm-7pm',''),(13820,13,293,'150','Evening - approx 5pm-7pm',''),(13821,13,293,'148','Available Any Time',''),(13822,13,293,'57','Yes',''),(13823,13,293,'164','Pick Up and Drop Off',''),(13824,13,293,'167.1','26 Telopea Pl',''),(13825,13,293,'167.3','Morayfield',''),(13826,13,293,'167.4','QLD',''),(13827,13,293,'167.5','4506',''),(13828,13,293,'167.6','Australia',''),(13829,13,293,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(13830,13,293,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(13831,13,293,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(13832,13,293,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(13833,13,293,'104','64340dbe85c832.97379254.png',''),(13834,13,293,'106.3','Kayla',''),(13835,13,293,'106.6','Williams',''),(13836,13,293,'105','2023-02-07',''),(13837,13,293,'198','2022-10-05',''),(13838,13,293,'199','2023-10-05',''),(13839,13,293,'63','0',''),(13840,13,293,'gravityformsrecaptcha_score','disconnected',NULL),(13841,13,293,'gppcmt_pretty_id','eabee7',NULL),(13842,13,293,'46','40dbeac49f',''),(13843,13,293,'fg_easypassthrough_token','4dc938c24e89682d8d2b279f505ee3e9',NULL),(13844,13,293,'gpfr_stashed_file_urls','',NULL),(13845,13,293,'is_approved','3',NULL),(13846,13,293,'gvmaps_lat_64','',NULL),(13847,13,293,'gvmaps_long_64','',NULL),(13848,13,293,'gvmaps_lat_141','',NULL),(13849,13,293,'gvmaps_long_141','',NULL),(13850,13,293,'gvmaps_lat_167','',NULL),(13851,13,293,'gvmaps_long_167','',NULL),(13852,13,293,'gpaa_lat_64','',NULL),(13853,13,293,'gpaa_lng_64','',NULL),(13854,13,294,'5','I\'m applying on BEHALF of someone who would like to participate',''),(13855,13,294,'48','Parent',''),(13856,13,294,'47.3','Kayla',''),(13857,13,294,'47.6','Williams',''),(13858,13,294,'49','0411531443',''),(13859,13,294,'50','kayla26786@gmail.com',''),(13860,13,294,'51','My son Ethan, aged 12 has a diagnosis of ASD/ADHD and has shown an interest in all things BMx/Mountain Bike and I think this would be a great program for him to join to help him in many areas of his disability.',''),(13861,13,294,'38','NDIS',''),(13862,13,294,'196','430860886',''),(13863,13,294,'187','430860886',''),(13864,13,294,'6','RIDES©',''),(13865,13,294,'53','SKILLS-TRAX©',''),(13866,13,294,'54','No Experience Riding',''),(13867,13,294,'58','Yes',''),(13868,13,294,'64.6','Australia',''),(13869,13,294,'70','Yes',''),(13870,13,294,'72','Yes',''),(13871,13,294,'90','[]',''),(13872,13,294,'186','[]',''),(13873,13,294,'99','[]',''),(13874,13,294,'91','[]',''),(13875,13,294,'98','[]',''),(13876,13,294,'97','[]',''),(13877,13,294,'96','[]',''),(13878,13,294,'95','[]',''),(13879,13,294,'94','[]',''),(13880,13,294,'107','Self / Privately Managed',''),(13881,13,294,'117','Capacity Building | Improved Daily Living',''),(13882,13,294,'57','Yes',''),(13883,13,294,'164','Pick Up',''),(13884,13,294,'63','0',''),(13885,13,294,'gravityformsrecaptcha_score','disconnected',NULL),(13886,13,294,'gppcmt_pretty_id','ebc8c4',NULL),(13887,13,294,'46','40dbebcea4',''),(13888,13,294,'fg_easypassthrough_token','db97a381af20b5a625e75829a48fec85',NULL),(13889,13,294,'gpfr_stashed_file_urls','',NULL),(13890,13,294,'is_approved','',NULL),(13891,13,294,'gvmaps_lat_64','',NULL),(13892,13,294,'gvmaps_long_64','',NULL),(13893,13,294,'gvmaps_lat_141','',NULL),(13894,13,294,'gvmaps_long_141','',NULL),(13895,13,294,'gvmaps_lat_167','',NULL),(13896,13,294,'gvmaps_long_167','',NULL),(13897,13,294,'gpaa_lat_64','',NULL),(13898,13,294,'gpaa_lng_64','',NULL),(13899,13,295,'5','I\'m applying for MYSELF to participate in a program',''),(13900,13,295,'38','Privately Funded',''),(13901,13,295,'46','71e6262a51',''),(13902,13,295,'6','RIDES©',''),(13903,13,295,'53','SKILLS-TRAX©',''),(13904,13,295,'54','No Experience Riding',''),(13905,13,295,'58','No',''),(13906,13,295,'60.3','Simone',''),(13907,13,295,'60.6','Healy',''),(13908,13,295,'61','simonehealy@gmail.com',''),(13909,13,295,'194','+61468495763',''),(13910,13,295,'64.1','20 Bellevue Terrace',''),(13911,13,295,'64.3','St Lucia',''),(13912,13,295,'64.4','QLD',''),(13913,13,295,'64.5','4067',''),(13914,13,295,'64.6','Australia',''),(13915,13,295,'66','ADHD\r\nBPD\r\nDepression\r\nAnxiety\r\nObesity',''),(13916,13,295,'67','The ADHD means that I know I need to do something but I don\'t have the motivation to do it. So eat healthily, exercise etc.\r\n\r\nNot exercising doesn\'t help the depression and anxiety.\r\n\r\nThe BPD makes it hard to be in new situations without splitting. Or I mould myself to the way I think others want to perceive me.',''),(13917,13,295,'174','Build a connection with others\r\nBecome healthier\r\nUnderstand my body\r\nGet outside and exercise',''),(13918,13,295,'70','Yes',''),(13919,13,295,'71','Efexor 225mg\r\nLisdexamphetamine 30mg\r\nCreatine 1g daily\r\nTyrosine 100mg daily',''),(13920,13,295,'72','No',''),(13921,13,295,'74','165',''),(13922,13,295,'75','120',''),(13923,13,295,'76','Low',''),(13924,13,295,'80.3','Morgan',''),(13925,13,295,'80.6','Wall',''),(13926,13,295,'81','Partner',''),(13927,13,295,'82','0432550451',''),(13928,13,295,'90','[]',''),(13929,13,295,'186','[]',''),(13930,13,295,'99','[]',''),(13931,13,295,'91','[]',''),(13932,13,295,'98','[]',''),(13933,13,295,'97','[]',''),(13934,13,295,'96','[]',''),(13935,13,295,'95','[]',''),(13936,13,295,'94','[]',''),(13937,13,295,'146.6','Saturday',''),(13938,13,295,'146.7','Sunday',''),(13939,13,295,'149','Early Morning - approx 5am-8am',''),(13940,13,295,'148','Early Morning - approx 5am-8am',''),(13941,13,295,'57','Yes',''),(13942,13,295,'164','Pick Up and Drop Off',''),(13943,13,295,'167.1','20 Bellevue Terrace',''),(13944,13,295,'167.3','St Lucia',''),(13945,13,295,'167.4','QLD',''),(13946,13,295,'167.5','4067',''),(13947,13,295,'167.6','Australia',''),(13948,13,295,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(13949,13,295,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(13950,13,295,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(13951,13,295,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(13952,13,295,'104','64340dbec35197.86569994.png',''),(13953,13,295,'106.3','Simone',''),(13954,13,295,'106.6','Healy',''),(13955,13,295,'105','2023-01-18',''),(13956,13,295,'63','0',''),(13957,13,295,'gravityformsrecaptcha_score','disconnected',NULL),(13958,13,295,'gppcmt_pretty_id','ee43b7',NULL),(13959,13,295,'fg_easypassthrough_token','f62efc6eb5f99b4aeaaa90886df2fba7',NULL),(13960,13,295,'gpfr_stashed_file_urls','',NULL),(13961,13,295,'is_approved','3',NULL),(13962,13,295,'gvmaps_lat_64','',NULL),(13963,13,295,'gvmaps_long_64','',NULL),(13964,13,295,'gvmaps_lat_141','',NULL),(13965,13,295,'gvmaps_long_141','',NULL),(13966,13,295,'gvmaps_lat_167','',NULL),(13967,13,295,'gvmaps_long_167','',NULL),(13968,13,295,'gpaa_lat_64','',NULL),(13969,13,295,'gpaa_lng_64','',NULL),(13970,13,296,'5','I\'m applying on BEHALF of someone who would like to participate',''),(13971,13,296,'48','Parent',''),(13972,13,296,'47.3','Amy',''),(13973,13,296,'47.6','Hodges',''),(13974,13,296,'49','0421129951',''),(13975,13,296,'50','amy@designbybrutus.com.au',''),(13976,13,296,'51','My 10yo son has ADHD & Hypermobility spectrum disorder with global low muscle tone and he has NDIS funding.  He does fortnightly physio, sport at school (reluctant).  He is going into year 6 this year at Marist.  Jack has been seeing Brodi Killen at With You Allied Health (psychologist) fortnightly and this will be monthly this year.  He has previously seen an OT but we stopped this as it was too much (both OT and psychology were fortnightly). It would be great to tie in with his current psychologist to make sure his support is co-ordinated.\r\n\r\nJack loves bike riding but is very risk adverse, so will walk down the hills on previous occasions when my husband has taken him to the gap creek reserve tracks.  \r\nI would love to include mountain biking for so many reasons for Jack and we have goals from his NDIS plan (can’t remember off the top of my head).\r\n\r\n- self-esteem & confidence (this is really low)\r\n- building up physical endurance - due to HMD he tires quickly\r\n- male support person\r\n- socially awkward\r\n- anxiety\r\n- social skills\r\n- fixed mindset\r\n- physical strength',''),(13977,13,296,'38','NDIS',''),(13978,13,296,'196','431529338',''),(13979,13,296,'187','431529338',''),(13980,13,296,'6','RIDES©',''),(13981,13,296,'53','SKILLS-TRAX©',''),(13982,13,296,'54','No Experience Riding',''),(13983,13,296,'58','Yes',''),(13984,13,296,'59','I am not sure which program is best suited.  Jack is better one on one, as he will be quiet/reserved in a larger group of people.  Let’s start with one on one and see how he goes.  He has some experience mountain biking with his Dad, but is cautious/nervous of going down hills!  He is a competent bike rider on normal bike tracks, footpaths etc.',''),(13985,13,296,'60.3','Jack',''),(13986,13,296,'60.6','Hodges',''),(13987,13,296,'64.1','23 Glenmorgan Street',''),(13988,13,296,'64.3','Keperra, Brisbane',''),(13989,13,296,'64.4','Qld',''),(13990,13,296,'64.5','4054',''),(13991,13,296,'64.6','Australia',''),(13992,13,296,'66','ADHD\r\nHypermobility Spectrum Disorder with global low tone\r\nODD (more anxiety based)',''),(13993,13,296,'67','He loves bike riding, he also loves mountain biking.\r\nJack loves to play his Nintendo switch - Minecraft and fortnight.\r\nHe dislikes swimming (its too hard - he tires).\r\nThis program is perfect as he will be able to incorporate psych/OT support whilst being active - perfect for ADHD brain!  Also the physio/physical side for his HMD.',''),(13994,13,296,'174','- build self-esteem & confidence\r\n- encourage social participation as he would prefer to stay at home\r\n- Jack tends to say no to everything (fear based response)\r\n- work on social skills & build meaningful relationships beyond the functional\r\n- build resilience & deal with bullies\r\n- emotional regulation\r\n- work on fixed mindset \r\n- improve upper body and core strength & endurance',''),(13995,13,296,'70','Yes',''),(13996,13,296,'71','Vyvanse 30mg 1 x daily in morning\r\nIntuniv 2mg 1 x daily in afternoon\r\n\r\nNot working effectively',''),(13997,13,296,'72','No',''),(13998,13,296,'74','153',''),(13999,13,296,'75','36',''),(14000,13,296,'76','Low',''),(14001,13,296,'80.3','Amy',''),(14002,13,296,'80.6','Hodges',''),(14003,13,296,'81','Mother',''),(14004,13,296,'82','0421129951',''),(14005,13,296,'85.3','Psychology Report',''),(14006,13,296,'85.5','Occupational Therapy Report',''),(14007,13,296,'85.7','Speech Therapy Report',''),(14008,13,296,'85.9','Physiotherapy Report',''),(14009,13,296,'90','[]',''),(14010,13,296,'186','[]',''),(14011,13,296,'99','[]',''),(14012,13,296,'91','[]',''),(14013,13,296,'98','[]',''),(14014,13,296,'97','[]',''),(14015,13,296,'96','[]',''),(14016,13,296,'95','[]',''),(14017,13,296,'94','[]',''),(14018,13,296,'107','Self / Privately Managed',''),(14019,13,296,'117','Capacity Building | Improved Daily Living',''),(14020,13,296,'146.2','Tuesday',''),(14021,13,296,'146.6','Saturday',''),(14022,13,296,'146.7','Sunday',''),(14023,13,296,'151','Early Morning - approx 5am-8am',''),(14024,13,296,'149','Early Morning - approx 5am-8am',''),(14025,13,296,'148','Early Morning - approx 5am-8am',''),(14026,13,296,'57','Yes',''),(14027,13,296,'164','Pick Up',''),(14028,13,296,'167.1','23 Glenmorgan Street',''),(14029,13,296,'167.3','Keperra, Brisbane',''),(14030,13,296,'167.4','Qld',''),(14031,13,296,'167.5','4054',''),(14032,13,296,'167.6','Australia',''),(14033,13,296,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(14034,13,296,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(14035,13,296,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(14036,13,296,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(14037,13,296,'104','64340dbeeacc02.68395059.png',''),(14038,13,296,'106.3','Amy',''),(14039,13,296,'106.6','Hodges',''),(14040,13,296,'105','2023-01-17',''),(14041,13,296,'198','2022-03-07',''),(14042,13,296,'199','2024-03-08',''),(14043,13,296,'63','0',''),(14044,13,296,'gravityformsrecaptcha_score','disconnected',NULL),(14045,13,296,'gppcmt_pretty_id','f1daf8',NULL),(14046,13,296,'46','40dbf1e105',''),(14047,13,296,'fg_easypassthrough_token','78cf417720bccacfb6be4957cf0656fa',NULL),(14048,13,296,'gpfr_stashed_file_urls','',NULL),(14049,13,296,'is_approved','',NULL),(14050,13,296,'gvmaps_lat_64','',NULL),(14051,13,296,'gvmaps_long_64','',NULL),(14052,13,296,'gvmaps_lat_141','',NULL),(14053,13,296,'gvmaps_long_141','',NULL),(14054,13,296,'gvmaps_lat_167','',NULL),(14055,13,296,'gvmaps_long_167','',NULL),(14056,13,296,'gpaa_lat_64','',NULL),(14057,13,296,'gpaa_lng_64','',NULL),(14058,13,297,'5','I\'m applying on BEHALF of someone who would like to participate',''),(14059,13,297,'48','Parent',''),(14060,13,297,'47.3','Amy',''),(14061,13,297,'47.6','Hodges',''),(14062,13,297,'49','0421129951',''),(14063,13,297,'50','amy@designbybrutus.com.au',''),(14064,13,297,'51','My 10yo son has ADHD & Hypermobility spectrum disorder with global low muscle tone and he has NDIS funding.  He does fortnightly physio, sport at school (reluctant).  He is going into year 6 this year at Marist.  Jack has been seeing Brodi Killen at With You Allied Health (psychologist) fortnightly and this will be monthly this year.  He has previously seen an OT but we stopped this as it was too much (both OT and psychology were fortnightly). It would be great to tie in with his current psychologist to make sure his support is co-ordinated.\r\n\r\nJack loves bike riding but is very risk adverse, so will walk down the hills on previous occasions when my husband has taken him to the gap creek reserve tracks.  \r\nI would love to include mountain biking for so many reasons for Jack and we have goals from his NDIS plan (can’t remember off the top of my head).\r\n\r\n- self-esteem & confidence (this is really low)\r\n- building up physical endurance - due to HMD he tires quickly\r\n- male support person\r\n- socially awkward\r\n- anxiety\r\n- social skills\r\n- fixed mindset\r\n- physical strength',''),(14065,13,297,'38','NDIS',''),(14066,13,297,'196','431529338',''),(14067,13,297,'187','431529338',''),(14068,13,297,'6','RIDES©',''),(14069,13,297,'53','SKILLS-TRAX©',''),(14070,13,297,'54','No Experience Riding',''),(14071,13,297,'58','Yes',''),(14072,13,297,'59','I am not sure which program is best suited.  Jack is better one on one, as he will be quiet/reserved in a larger group of people.  Let’s start with one on one and see how he goes.  He has some experience mountain biking with his Dad, but is cautious/nervous of going down hills!  He is a competent bike rider on normal bike tracks, footpaths etc.',''),(14073,13,297,'60.3','Jack',''),(14074,13,297,'60.6','Hodges',''),(14075,13,297,'64.1','23 Glenmorgan Street',''),(14076,13,297,'64.3','Keperra, Brisbane',''),(14077,13,297,'64.4','Qld',''),(14078,13,297,'64.5','4054',''),(14079,13,297,'64.6','Australia',''),(14080,13,297,'66','ADHD\r\nHypermobility Spectrum Disorder with global low tone\r\nODD (more anxiety based)',''),(14081,13,297,'67','He loves bike riding, he also loves mountain biking.\r\nJack loves to play his Nintendo switch - Minecraft and fortnight.\r\nHe dislikes swimming (its too hard - he tires).\r\nThis program is perfect as he will be able to incorporate psych/OT support whilst being active - perfect for ADHD brain!  Also the physio/physical side for his HMD.',''),(14082,13,297,'174','- build self-esteem & confidence\r\n- encourage social participation as he would prefer to stay at home\r\n- Jack tends to say no to everything (fear based response)\r\n- work on social skills & build meaningful relationships beyond the functional\r\n- build resilience & deal with bullies\r\n- emotional regulation\r\n- work on fixed mindset \r\n- improve upper body and core strength & endurance',''),(14083,13,297,'70','Yes',''),(14084,13,297,'71','Vyvanse 30mg 1 x daily in morning\r\nIntuniv 2mg 1 x daily in afternoon\r\n\r\nNot working effectively',''),(14085,13,297,'72','No',''),(14086,13,297,'74','153',''),(14087,13,297,'75','36',''),(14088,13,297,'76','Low',''),(14089,13,297,'80.3','Amy',''),(14090,13,297,'80.6','Hodges',''),(14091,13,297,'81','Mother',''),(14092,13,297,'82','0421129951',''),(14093,13,297,'85.3','Psychology Report',''),(14094,13,297,'85.5','Occupational Therapy 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applying on BEHALF of someone who would like to participate',''),(14154,13,298,'48','Parent',''),(14155,13,298,'47.3','leanne',''),(14156,13,298,'47.6','stewart',''),(14157,13,298,'49','0416071596',''),(14158,13,298,'50','anchorage@live.com.au',''),(14159,13,298,'51','work on NDIS goal - \r\nimprove daily independence & social confidence',''),(14160,13,298,'38','NDIS',''),(14161,13,298,'196','432080639',''),(14162,13,298,'6','RIDES©',''),(14163,13,298,'53','SKILLS-TRAX©',''),(14164,13,298,'54','Intermediate Rider',''),(14165,13,298,'58','Yes',''),(14166,13,298,'59','haydan is a confident rider\r\nhe owns a dirt jump bike and another bike that is similar to hard tail mountain bike \r\ndue to his contamination OCD he would rather hire a bike instead of using his own if that is an option.',''),(14167,13,298,'60.3','haydan',''),(14168,13,298,'60.6','stewart',''),(14169,13,298,'61','haydanstewart007@gmail.com',''),(14170,13,298,'194','0490175780',''),(14171,13,298,'64.1','54 mt cotton 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like riding.',''),(14262,13,299,'70','Yes',''),(14263,13,299,'71','150mg fluvoxamine\r\niron & fibre tablets',''),(14264,13,299,'72','No',''),(14265,13,299,'74','186',''),(14266,13,299,'75','79',''),(14267,13,299,'76','High',''),(14268,13,299,'80.3','leanne',''),(14269,13,299,'80.6','stewart',''),(14270,13,299,'81','mother',''),(14271,13,299,'82','0416071596',''),(14272,13,299,'85.4','Psychiatrist Report',''),(14273,13,299,'85.5','Occupational Therapy 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rd',''),(14290,13,299,'167.3','capalaba',''),(14291,13,299,'167.4','qld',''),(14292,13,299,'167.5','4157',''),(14293,13,299,'167.6','Australia',''),(14294,13,299,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(14295,13,299,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(14296,13,299,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(14297,13,299,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(14298,13,299,'104','64340dc1533ce6.16755257.png',''),(14299,13,299,'106.3','leanne',''),(14300,13,299,'106.6','stewart',''),(14301,13,299,'105','2023-01-15',''),(14302,13,299,'198','2022-11-24',''),(14303,13,299,'199','2023-11-24',''),(14304,13,299,'63','0',''),(14305,13,299,'621d3ff37ab885666e2a6307f2fc9c94368b92967a94ea71a62c2ae1bda0db7f49ddda1dafcd119149f5549eff5eacce0ed3ff2d881bb9141ed0b543812a957f','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:24:\"H-diagnosis-ASD-OCD.docx\";}',NULL),(14306,13,299,'e637e9813a303ab20089970fd372d0df7d0fd69b51d83133bd71fb62f0f268f5a74f9f9e6a42df115d9fe06034e73ad51e14f9c4b2173569ee1fb830f7a14a93','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:50:\"OT-Letter-of-Support-Haydan-Stewart-29.09.2022.pdf\";}',NULL),(14307,13,299,'gravityformsrecaptcha_score','disconnected',NULL),(14308,13,299,'gppcmt_pretty_id','17b192',NULL),(14309,13,299,'46','40dc17b7a4',''),(14310,13,299,'fg_easypassthrough_token','2c8d3c44eb67b5b1518cd12142a9c52c',NULL),(14311,13,299,'gpfr_stashed_file_urls','',NULL),(14312,13,299,'is_approved','3',NULL),(14313,13,299,'gvmaps_lat_64','',NULL),(14314,13,299,'gvmaps_long_64','',NULL),(14315,13,299,'gvmaps_lat_141','',NULL),(14316,13,299,'gvmaps_long_141','',NULL),(14317,13,299,'gvmaps_lat_167','',NULL),(14318,13,299,'gvmaps_long_167','',NULL),(14319,13,299,'gpaa_lat_64','',NULL),(14320,13,299,'gpaa_lng_64','',NULL),(14321,13,300,'38','NDIS',''),(14322,13,300,'6','RIDES©',''),(14323,13,300,'53','SKILLS-TRAX©',''),(14324,13,300,'54','No Experience Riding',''),(14325,13,300,'58','Yes',''),(14326,13,300,'64.6','Australia',''),(14327,13,300,'70','Yes',''),(14328,13,300,'72','Yes',''),(14329,13,300,'90','[]',''),(14330,13,300,'186','[]',''),(14331,13,300,'99','[]',''),(14332,13,300,'91','[]',''),(14333,13,300,'98','[]',''),(14334,13,300,'97','[]',''),(14335,13,300,'96','[]',''),(14336,13,300,'95','[]',''),(14337,13,300,'94','[]',''),(14338,13,300,'107','Self / Privately Managed',''),(14339,13,300,'117','Capacity Building | Improved Daily Living',''),(14340,13,300,'57','Yes',''),(14341,13,300,'164','Pick Up',''),(14342,13,300,'63','0',''),(14343,13,300,'gravityformsrecaptcha_score','disconnected',NULL),(14344,13,300,'gppcmt_pretty_id','1905da',NULL),(14345,13,300,'46','40dc190b57',''),(14346,13,300,'fg_easypassthrough_token','1af956e4c2564e6e5b469c27aab7a8ca',NULL),(14347,13,300,'gpfr_stashed_file_urls','',NULL),(14348,13,300,'is_approved','',NULL),(14349,13,300,'gvmaps_lat_64','',NULL),(14350,13,300,'gvmaps_long_64','',NULL),(14351,13,300,'gvmaps_lat_141','',NULL),(14352,13,300,'gvmaps_long_141','',NULL),(14353,13,300,'gvmaps_lat_167','',NULL),(14354,13,300,'gvmaps_long_167','',NULL),(14355,13,300,'gpaa_lat_64','',NULL),(14356,13,300,'gpaa_lng_64','',NULL),(14357,13,301,'5','I\'m applying on BEHALF of someone who would like to participate',''),(14358,13,301,'48','Parent',''),(14359,13,301,'47.3','Carol',''),(14360,13,301,'47.6','Gisz',''),(14361,13,301,'49','0412223815',''),(14362,13,301,'50','carolgisz@gmail.com',''),(14363,13,301,'51','Henry is 12 years old, he has ASD and is looking to improve his physical fitness and learn to mountain bike ride. He can ride a bike. It would be good for his confidence and self esteem if he could learn to ride some beginner trails safely and confidently.',''),(14364,13,301,'38','NDIS',''),(14365,13,301,'187','431022136',''),(14366,13,301,'6','RIDES©',''),(14367,13,301,'53','SKILLS-TRAX©',''),(14368,13,301,'54','Beginner Rider',''),(14369,13,301,'58','Yes',''),(14370,13,301,'59','Henry can ride well on footpaths and road. He doesn’t have much off road experience',''),(14371,13,301,'60.3','Henry',''),(14372,13,301,'60.6','Gisz',''),(14373,13,301,'61','carolgisz@gmail.com',''),(14374,13,301,'194','0412223815',''),(14375,13,301,'64.1','28 Birkridge Place',''),(14376,13,301,'64.3','The Gap',''),(14377,13,301,'64.4','QLD',''),(14378,13,301,'64.5','4061',''),(14379,13,301,'64.6','Australia',''),(14380,13,301,'66','ASD, anxiety',''),(14381,13,301,'67','Henry was given a bike for Christmas and is really keen to learn to ride better, it is one of his new year’s resolutions. He rode around the base of Uluru on a recent family holiday and loved it. He just needs the skills to mountain bike safely and properly. He responds well to instructions, particularly if they are broken down into simple steps. His current ability in riding is not as good as his younger brother or friends, and this does make him sad at times. Henry also enjoys board games, reading and drawing.',''),(14382,13,301,'174','Henry would like to be able to confidently ride beginners mountain bike tracks. This would give him a good sense of accomplishment and the ability to participate in rides with his brothers',''),(14383,13,301,'70','Yes',''),(14384,13,301,'71','Lovan, 10mg per day, to treat ASD related anxiety',''),(14385,13,301,'72','No',''),(14386,13,301,'74','147',''),(14387,13,301,'75','39',''),(14388,13,301,'76','Medium',''),(14389,13,301,'80.3','Xavier',''),(14390,13,301,'80.6','Gisz',''),(14391,13,301,'81','Father',''),(14392,13,301,'82','0428860001',''),(14393,13,301,'85.2','Specialist Report',''),(14394,13,301,'85.7','Speech Therapy Report',''),(14395,13,301,'90','[]',''),(14396,13,301,'186','[]',''),(14397,13,301,'99','[]',''),(14398,13,301,'91','[]',''),(14399,13,301,'98','[]',''),(14400,13,301,'97','[]',''),(14401,13,301,'96','[]',''),(14402,13,301,'95','[]',''),(14403,13,301,'94','[]',''),(14404,13,301,'107','Self / Privately Managed',''),(14405,13,301,'117','Capacity Building | Improved Daily Living',''),(14406,13,301,'57','Yes',''),(14407,13,301,'164','Pick Up',''),(14408,13,301,'63','0',''),(14409,13,301,'gravityformsrecaptcha_score','disconnected',NULL),(14410,13,301,'gppcmt_pretty_id','1a5aa5',NULL),(14411,13,301,'46','40dc1a60c2',''),(14412,13,301,'fg_easypassthrough_token','8f43ee068208007faa67ed58c9059ec6',NULL),(14413,13,301,'gpfr_stashed_file_urls','',NULL),(14414,13,301,'is_approved','',NULL),(14415,13,301,'gvmaps_lat_64','',NULL),(14416,13,301,'gvmaps_long_64','',NULL),(14417,13,301,'gvmaps_lat_141','',NULL),(14418,13,301,'gvmaps_long_141','',NULL),(14419,13,301,'gvmaps_lat_167','',NULL),(14420,13,301,'gvmaps_long_167','',NULL),(14421,13,301,'gpaa_lat_64','',NULL),(14422,13,301,'gpaa_lng_64','',NULL),(14423,13,302,'5','I\'m applying for MYSELF to participate in a program',''),(14424,13,302,'38','NDIS',''),(14425,13,302,'6','RIDES©',''),(14426,13,302,'53','SKILLS-TRAX©',''),(14427,13,302,'54','No Experience Riding',''),(14428,13,302,'58','Yes',''),(14429,13,302,'64.6','Australia',''),(14430,13,302,'70','Yes',''),(14431,13,302,'72','Yes',''),(14432,13,302,'90','[]',''),(14433,13,302,'186','[]',''),(14434,13,302,'99','[]',''),(14435,13,302,'91','[]',''),(14436,13,302,'98','[]',''),(14437,13,302,'97','[]',''),(14438,13,302,'96','[]',''),(14439,13,302,'95','[]',''),(14440,13,302,'94','[]',''),(14441,13,302,'107','Self / Privately Managed',''),(14442,13,302,'117','Capacity Building | Improved Daily Living',''),(14443,13,302,'57','Yes',''),(14444,13,302,'164','Pick Up',''),(14445,13,302,'63','0',''),(14446,13,302,'gravityformsrecaptcha_score','disconnected',NULL),(14447,13,302,'gppcmt_pretty_id','1b6c1d',NULL),(14448,13,302,'46','40dc1b70dc',''),(14449,13,302,'fg_easypassthrough_token','8697248ba78062b99ded0eb49f6dc341',NULL),(14450,13,302,'gpfr_stashed_file_urls','',NULL),(14451,13,302,'is_approved','',NULL),(14452,13,302,'gvmaps_lat_64','',NULL),(14453,13,302,'gvmaps_long_64','',NULL),(14454,13,302,'gvmaps_lat_141','',NULL),(14455,13,302,'gvmaps_long_141','',NULL),(14456,13,302,'gvmaps_lat_167','',NULL),(14457,13,302,'gvmaps_long_167','',NULL),(14458,13,302,'gpaa_lat_64','',NULL),(14459,13,302,'gpaa_lng_64','',NULL),(14460,13,303,'5','I\'m applying on BEHALF of someone who would like to participate',''),(14461,13,303,'48','Parent',''),(14462,13,303,'47.3','Julie',''),(14463,13,303,'47.6','Livingstone',''),(14464,13,303,'49','0407444799',''),(14465,13,303,'50','julielivingstone75@hotmail.com',''),(14466,13,303,'51','To access full range of allied health services at one location. This makes it easier to manage my appointment’s but also improves the quality of care when the team can all work together to achieve goals. \r\n\r\nExercise Physiology/ physiotherapist/occupational and social skills-to help support Chontel with strength, movement, balance, function and even mental health through exercise. Its plays an important role in gross motor development and coordination to help maintain independence.  Therapy needs to be fun and enjoyable.',''),(14467,13,303,'38','NDIS',''),(14468,13,303,'187','430636621',''),(14469,13,303,'6','BODY©',''),(14470,13,303,'60.3','Chontel',''),(14471,13,303,'60.6','Hola',''),(14472,13,303,'61','julielivingstone75@hotmail.com',''),(14473,13,303,'194','0407444799',''),(14474,13,303,'64.1','31 Redruth Road Alexandra Hills',''),(14475,13,303,'64.3','Brisbane',''),(14476,13,303,'64.4','QLD',''),(14477,13,303,'64.5','4161',''),(14478,13,303,'64.6','Australia',''),(14479,13,303,'66','Cerebral Palsy right side \r\nAustim level 2 \r\nASD \r\n\r\nChontel also is having issues with her sleeping pattern which we are currently reviewing.',''),(14480,13,303,'67','Chontel Is 10 years old and diagnosed with Cerebral Palsy, Autism Level. Likes to be very independent but this is not always the best choice for her safety. \r\nChontel participated at the state level in multiple class where she placed 1st, 2nd and 3rd in her events. So is very capable of achieving and setting goals with alot of guidance and support. \r\n\r\nChontel  prefers the outdoors  and gets a-lot more out of a session  when we incorporate this into her daily life.',''),(14481,13,303,'174','Chontel would like to continue to develop her social skills, including managing her emotions and behaviours, as well as improving my physical skills so that Chontel is able to access different environments and engage in activities that are meaningful and interest her and make and maintain friendships, build confidence, coordination, strength, balance and effective communication.',''),(14482,13,303,'70','Yes',''),(14483,13,303,'71','Vyance40\r\nDexamfetamine\r\nIntuniv\r\nCatapres\r\nAladorm5mg',''),(14484,13,303,'72','No',''),(14485,13,303,'74','144',''),(14486,13,303,'75','45',''),(14487,13,303,'76','Medium',''),(14488,13,303,'80.3','Julie',''),(14489,13,303,'80.6','Livingstone',''),(14490,13,303,'81','Mother',''),(14491,13,303,'82','0407444799',''),(14492,13,303,'85.1','Doctors Report',''),(14493,13,303,'85.3','Psychology Report',''),(14494,13,303,'85.9','Physiotherapy Report',''),(14495,13,303,'90','[]',''),(14496,13,303,'186','[]',''),(14497,13,303,'99','[]',''),(14498,13,303,'91','[]',''),(14499,13,303,'98','[]',''),(14500,13,303,'97','[]',''),(14501,13,303,'96','[]',''),(14502,13,303,'95','[]',''),(14503,13,303,'94','[]',''),(14504,13,303,'107','Self / Privately Managed',''),(14505,13,303,'117','Capacity Building | Improved Daily Living',''),(14506,13,303,'57','Yes',''),(14507,13,303,'164','Pick Up',''),(14508,13,303,'198','2022-08-02',''),(14509,13,303,'199','2023-08-02',''),(14510,13,303,'63','0',''),(14511,13,303,'gravityformsrecaptcha_score','disconnected',NULL),(14512,13,303,'gppcmt_pretty_id','1c6c88',NULL),(14513,13,303,'46','40dc1c71a4',''),(14514,13,303,'fg_easypassthrough_token','99b0ce479bc7de603d2e57adcb63c143',NULL),(14515,13,303,'gpfr_stashed_file_urls','',NULL),(14516,13,303,'is_approved','',NULL),(14517,13,303,'gvmaps_lat_64','',NULL),(14518,13,303,'gvmaps_long_64','',NULL),(14519,13,303,'gvmaps_lat_141','',NULL),(14520,13,303,'gvmaps_long_141','',NULL),(14521,13,303,'gvmaps_lat_167','',NULL),(14522,13,303,'gvmaps_long_167','',NULL),(14523,13,303,'gpaa_lat_64','',NULL),(14524,13,303,'gpaa_lng_64','',NULL),(14525,13,304,'5','I\'m applying on BEHALF of someone who would like to participate',''),(14526,13,304,'48','Parent',''),(14527,13,304,'47.3','Lauren',''),(14528,13,304,'47.6','Heeney',''),(14529,13,304,'49','0428697494',''),(14530,13,304,'50','lauren.m.heeney@gmail.com',''),(14531,13,304,'51','For my 11 year old son, ASD, ADHD, anxiety. To get him out and about, challenge himself. We have recently moved to Queensland so he no longer has his therapists to work with.',''),(14532,13,304,'38','NDIS',''),(14533,13,304,'187','430034989',''),(14534,13,304,'6','RIDES©',''),(14535,13,304,'53','SKILLS-TRAX©',''),(14536,13,304,'54','Intermediate Rider',''),(14537,13,304,'58','Yes',''),(14538,13,304,'59','Mostly just ridden on paths around local suburbs',''),(14539,13,304,'60.3','Declan',''),(14540,13,304,'60.6','Heeney',''),(14541,13,304,'61','lauren.m.heeney@gmail.com',''),(14542,13,304,'194','+61428697494',''),(14543,13,304,'64.1','10 Hillard Street',''),(14544,13,304,'64.3','Yarrabilba',''),(14545,13,304,'64.4','Queensland',''),(14546,13,304,'64.5','4207',''),(14547,13,304,'64.6','Australia',''),(14548,13,304,'66','Autism spectrum disorder level 1\r\nADHD\r\nGeneralised anxiety\r\nSensory processing disorder',''),(14549,13,304,'67','In Canberra he participated for 20 weeks in a learn to ride program called Cyclabilities. He absolutely loved it. We are new to Queensland and looking to make connections for him, find therapists and help him adjust to our new living situation. He does not respond well to sit in an office and talk type programs.',''),(14550,13,304,'174','Increased confidence, community participation, emotional regulation,  interactions with age peers and others, age appropriate skills development.',''),(14551,13,304,'70','Yes',''),(14552,13,304,'71','Lexapro, 6mg daily, for anxiety\r\n*please don\'t mention this to him as he doesn\'t know he takes it*',''),(14553,13,304,'72','No',''),(14554,13,304,'74','140',''),(14555,13,304,'75','30',''),(14556,13,304,'76','Medium',''),(14557,13,304,'80.3','Michael',''),(14558,13,304,'80.6','Heeney',''),(14559,13,304,'81','Father',''),(14560,13,304,'82','0404319111',''),(14561,13,304,'85.3','Psychology Report',''),(14562,13,304,'85.5','Occupational Therapy Report',''),(14563,13,304,'90','[]',''),(14564,13,304,'186','[]',''),(14565,13,304,'99','[]',''),(14566,13,304,'91','[]',''),(14567,13,304,'98','[]',''),(14568,13,304,'97','[]',''),(14569,13,304,'96','[]',''),(14570,13,304,'95','[]',''),(14571,13,304,'94','[]',''),(14572,13,304,'107','Self / Privately Managed',''),(14573,13,304,'117','Capacity Building | Improved Daily Living',''),(14574,13,304,'146.2','Tuesday',''),(14575,13,304,'146.3','Wednesday',''),(14576,13,304,'146.4','Thursday',''),(14577,13,304,'146.5','Friday',''),(14578,13,304,'146.6','Saturday',''),(14579,13,304,'146.7','Sunday',''),(14580,13,304,'151','Evening - approx 5pm-7pm',''),(14581,13,304,'152','Mid Afternoon - approx 3pm-5pm',''),(14582,13,304,'150','Mid Afternoon - approx 3pm-5pm',''),(14583,13,304,'153','Mid Afternoon - approx 3pm-5pm',''),(14584,13,304,'149','Available Any Time',''),(14585,13,304,'148','Available Any Time',''),(14586,13,304,'57','Yes',''),(14587,13,304,'164','Pick Up',''),(14588,13,304,'167.1','10 Hillard Street',''),(14589,13,304,'167.3','Yarrabilba',''),(14590,13,304,'167.4','Queensland',''),(14591,13,304,'167.5','4207',''),(14592,13,304,'167.6','Australia',''),(14593,13,304,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(14594,13,304,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(14595,13,304,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(14596,13,304,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(14597,13,304,'104','64340dc1cc3485.82927339.png',''),(14598,13,304,'106.3','Lauren',''),(14599,13,304,'106.6','Heeney',''),(14600,13,304,'105','2023-01-04',''),(14601,13,304,'198','2022-02-08',''),(14602,13,304,'199','2024-02-08',''),(14603,13,304,'63','0',''),(14604,13,304,'gravityformsrecaptcha_score','disconnected',NULL),(14605,13,304,'gppcmt_pretty_id','1ed927',NULL),(14606,13,304,'46','40dc1ede64',''),(14607,13,304,'fg_easypassthrough_token','cad49c303d4e7a12848e701948f1b51f',NULL),(14608,13,304,'gpfr_stashed_file_urls','',NULL),(14609,13,304,'is_approved','3',NULL),(14610,13,304,'gvmaps_lat_64','',NULL),(14611,13,304,'gvmaps_long_64','',NULL),(14612,13,304,'gvmaps_lat_141','',NULL),(14613,13,304,'gvmaps_long_141','',NULL),(14614,13,304,'gvmaps_lat_167','',NULL),(14615,13,304,'gvmaps_long_167','',NULL),(14616,13,304,'gpaa_lat_64','',NULL),(14617,13,304,'gpaa_lng_64','',NULL),(14618,13,305,'5','I\'m applying on BEHALF of someone who would like to participate',''),(14619,13,305,'48','Support Coordinator',''),(14620,13,305,'47.3','Muhsina',''),(14621,13,305,'47.6','Veettil',''),(14622,13,305,'49','0476601172',''),(14623,13,305,'50','muhsina.veettil@mercycs.org.au',''),(14624,13,305,'51','I would like to refer one of my NDIS participants who is 12-year-old and would like to join the rides program.  \r\nPlan dates and goals are as follows\r\nPlan start date: 26/09/2022\r\nEnd date: 25/09/2024\r\n\r\nNDIS plan goals:\r\n1.Clinton\'s CSO believes in the next plan period, he would like to improve his behaviours, so\r\nhe is able to participate in an age-appropriate way at home, school and in the community\r\n2.Clinton\'s CSO believes in the next plan period, he would like to improve his social and selfcare\r\nskills, so he is able to interact appropriately, and maintain a friendship group with his\r\npeers.',''),(14625,13,305,'38','NDIS',''),(14626,13,305,'187','431591123',''),(14627,13,305,'6','RIDES©',''),(14628,13,305,'53','SOCIAL-TRAX©',''),(14629,13,305,'54','Beginner Rider',''),(14630,13,305,'58','Yes',''),(14631,13,305,'59','We are unsure at this stage which rides programs suits better for the participant. It would be great if we could organise an intial meet and greet to find more about his interest and then choose the program accordingly.\r\n\r\nI also would like to get a quote for one session per week until the plan end date (25/09/2014), as we need to get approval from guardian',''),(14632,13,305,'60.3','Clinton',''),(14633,13,305,'60.6','Beplatte',''),(14634,13,305,'64.1','31 Leanne Street',''),(14635,13,305,'64.3','Marsden',''),(14636,13,305,'64.4','QLD',''),(14637,13,305,'64.5','4132',''),(14638,13,305,'64.6','Australia',''),(14639,13,305,'66','ASD, ADHD',''),(14640,13,305,'67','Clinton likes riding his bike. He would greatly benefit from adventure-based therapy. His interest needs to be explored more when coming for the initial meet and greet',''),(14641,13,305,'174','-Clinton would like to improve his social and selfcare skills, so he is able to interact appropriately, and maintain a friendship group with his\r\npeers.\r\n-Clinton would like to improve his behaviours, so\r\nhe is able to participate in an age-appropriate way at home, school and in the community',''),(14642,13,305,'70','Yes',''),(14643,13,305,'71','Needs to check with support staff during trial session',''),(14644,13,305,'72','No',''),(14645,13,305,'74','0',''),(14646,13,305,'75','0',''),(14647,13,305,'76','Very High',''),(14648,13,305,'80.3','Sharad',''),(14649,13,305,'80.6','Karthigasu',''),(14650,13,305,'81','Guardian',''),(14651,13,305,'82','07 5675 4300',''),(14652,13,305,'85.11','I don\'t have any reports',''),(14653,13,305,'107','Plan Managed (External company eg. 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It would be great if we could organise an intial meet and greet to find more about his interest and then choose the program accordingly.\r\n\r\nI also would like to get a quote for one session per week until the plan end date (25/09/2014), as we need to get approval from guardian',''),(14705,13,306,'60.3','Clinton',''),(14706,13,306,'60.6','Beplatte',''),(14707,13,306,'64.1','31 Leanne Street',''),(14708,13,306,'64.3','Marsden',''),(14709,13,306,'64.4','QLD',''),(14710,13,306,'64.5','4132',''),(14711,13,306,'64.6','Australia',''),(14712,13,306,'66','ASD, ADHD',''),(14713,13,306,'67','Clinton likes riding his bike. He would greatly benefit from adventure-based therapy. His interest needs to be explored more when coming for the initial meet and greet',''),(14714,13,306,'174','-Clinton would like to improve his social and selfcare skills, so he is able to interact appropriately, and maintain a friendship group with his\r\npeers.\r\n-Clinton would like to improve his behaviours, so\r\nhe is able to participate in an age-appropriate way at home, school and in the community',''),(14715,13,306,'70','Yes',''),(14716,13,306,'71','Needs to check with support staff during trial session',''),(14717,13,306,'72','No',''),(14718,13,306,'74','0',''),(14719,13,306,'75','0',''),(14720,13,306,'76','Very High',''),(14721,13,306,'80.3','Sharad',''),(14722,13,306,'80.6','Karthigasu',''),(14723,13,306,'81','Guardian',''),(14724,13,306,'82','07 5675 4300',''),(14725,13,306,'85.11','I don\'t have any reports',''),(14726,13,306,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(14727,13,306,'112','NDSP',''),(14728,13,306,'113','invoices@ndsp.com.au',''),(14729,13,306,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(14730,13,306,'146.3','Wednesday',''),(14731,13,306,'146.4','Thursday',''),(14732,13,306,'146.5','Friday',''),(14733,13,306,'146.6','Saturday',''),(14734,13,306,'152','Available Any Time',''),(14735,13,306,'150','Lunch - approx 11am-1pm',''),(14736,13,306,'153','Mid Afternoon - approx 3pm-5pm',''),(14737,13,306,'149','Available Any Time',''),(14738,13,306,'57','No',''),(14739,13,306,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(14740,13,306,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(14741,13,306,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(14742,13,306,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(14743,13,306,'104','64340dc233b902.87311981.png',''),(14744,13,306,'106.3','Muhsina',''),(14745,13,306,'106.6','Veettil',''),(14746,13,306,'105','2023-01-04',''),(14747,13,306,'198','2022-09-26',''),(14748,13,306,'199','2024-09-25',''),(14749,13,306,'63','0',''),(14750,13,306,'gravityformsrecaptcha_score','disconnected',NULL),(14751,13,306,'gppcmt_pretty_id','25382b',NULL),(14752,13,306,'46','40dc253dac',''),(14753,13,306,'fg_easypassthrough_token','a03929b73cac6c0cee5a82e0c77631dd',NULL),(14754,13,306,'gpfr_stashed_file_urls','',NULL),(14755,13,306,'is_approved','3',NULL),(14756,13,306,'gvmaps_lat_64','',NULL),(14757,13,306,'gvmaps_long_64','',NULL),(14758,13,306,'gvmaps_lat_141','',NULL),(14759,13,306,'gvmaps_long_141','',NULL),(14760,13,306,'gvmaps_lat_167','',NULL),(14761,13,306,'gvmaps_long_167','',NULL),(14762,13,306,'gpaa_lat_64','',NULL),(14763,13,306,'gpaa_lng_64','',NULL),(14764,13,307,'5','I\'m applying on BEHALF of someone who would like to participate',''),(14765,13,307,'48','Parent',''),(14766,13,307,'47.3','Christine',''),(14767,13,307,'47.6','Uther',''),(14768,13,307,'49','0422556282',''),(14769,13,307,'50','chris_uther@outlook.com',''),(14770,13,307,'38','NDIS',''),(14771,13,307,'6','RIDES©',''),(14772,13,307,'53','LEARN 2 RIDE©',''),(14773,13,307,'54','Beginner Rider',''),(14774,13,307,'58','No',''),(14775,13,307,'59','7yrs old, can ride comfortably in his bike, with no side wheels, for about 30 mins.',''),(14776,13,307,'60.3','Jordan',''),(14777,13,307,'60.6','Uther',''),(14778,13,307,'61','chris_uther@outlook.com',''),(14779,13,307,'194','+61422556282',''),(14780,13,307,'64.1','5, colonial ct',''),(14781,13,307,'64.3','Mudgeeraba',''),(14782,13,307,'64.4','Queensland',''),(14783,13,307,'64.5','4213',''),(14784,13,307,'64.6','Australia',''),(14785,13,307,'66','ASD\r\nADHD\r\nSensory',''),(14786,13,307,'67','usually into video game most of the time.\r\nADHD is very apparent, hard to stay still and usually easily distracted and can be difficult to follow instruction, not because he is naughty, but hard to concentrate. is supported by medication which helps greatly, in focus. He would require constant movement (also in trampoline class , and indoor skydiving ) loves spinning, pressure, speed, hanging, crawling and running fast, you get the picture.',''),(14787,13,307,'174','gaining confidence, engaging with encouraging instructor, getting outdoor, top up much needed dopamine. learning to enjoy riding a bike, by improve skills but more focusing on the process itself rather than the result, he can get frustrated easily if he can\'t achieve his high standard.',''),(14788,13,307,'70','Yes',''),(14789,13,307,'71','Concerta 18mgs daily \r\nmultivitamin daily',''),(14790,13,307,'72','No',''),(14791,13,307,'74','135',''),(14792,13,307,'75','28',''),(14793,13,307,'76','Low',''),(14794,13,307,'80.3','Christine',''),(14795,13,307,'80.6','Uther',''),(14796,13,307,'81','mother',''),(14797,13,307,'82','+61422556282',''),(14798,13,307,'85.1','Doctors Report',''),(14799,13,307,'85.5','Occupational Therapy Report',''),(14800,13,307,'90','[]',''),(14801,13,307,'186','[]',''),(14802,13,307,'99','[]',''),(14803,13,307,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/OT_handover-note-from-Rochelle.pdf\"]',''),(14804,13,307,'98','[]',''),(14805,13,307,'97','[]',''),(14806,13,307,'96','[]',''),(14807,13,307,'95','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Glenn-harte_2021-report.pdf\"]',''),(14808,13,307,'94','[]',''),(14809,13,307,'107','Plan Managed (External company eg. 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5am-8am',''),(15086,13,311,'57','Yes',''),(15087,13,311,'164','Pick Up',''),(15088,13,311,'167.1','16 St James Street unit 5',''),(15089,13,311,'167.3','Petrie Terrace',''),(15090,13,311,'167.4','QLD',''),(15091,13,311,'167.5','4000',''),(15092,13,311,'167.6','Australia',''),(15093,13,311,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15094,13,311,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15095,13,311,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15096,13,311,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of 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participate',''),(15119,13,312,'48','Parent',''),(15120,13,312,'47.3','Lauren',''),(15121,13,312,'47.6','Heeney',''),(15122,13,312,'49','0428697494',''),(15123,13,312,'50','lauren.m.heeney@gmail.com',''),(15124,13,312,'38','NDIS',''),(15125,13,312,'6','RIDES©',''),(15126,13,312,'53','SKILLS-TRAX©',''),(15127,13,312,'54','No Experience Riding',''),(15128,13,312,'58','Yes',''),(15129,13,312,'64.6','Australia',''),(15130,13,312,'70','Yes',''),(15131,13,312,'72','Yes',''),(15132,13,312,'90','[]',''),(15133,13,312,'186','[]',''),(15134,13,312,'99','[]',''),(15135,13,312,'91','[]',''),(15136,13,312,'98','[]',''),(15137,13,312,'97','[]',''),(15138,13,312,'96','[]',''),(15139,13,312,'95','[]',''),(15140,13,312,'94','[]',''),(15141,13,312,'107','Self / Privately Managed',''),(15142,13,312,'117','Capacity Building | Improved Daily Living',''),(15143,13,312,'57','Yes',''),(15144,13,312,'164','Pick Up',''),(15145,13,312,'63','0',''),(15146,13,312,'gravityformsrecaptcha_score','disconnected',NULL),(15147,13,312,'gppcmt_pretty_id','4bd6ca',NULL),(15148,13,312,'46','40dc4bdfb4',''),(15149,13,312,'fg_easypassthrough_token','6463f6927c9ab7d740f264f22c4e2328',NULL),(15150,13,312,'gpfr_stashed_file_urls','',NULL),(15151,13,312,'is_approved','',NULL),(15152,13,312,'gvmaps_lat_64','',NULL),(15153,13,312,'gvmaps_long_64','',NULL),(15154,13,312,'gvmaps_lat_141','',NULL),(15155,13,312,'gvmaps_long_141','',NULL),(15156,13,312,'gvmaps_lat_167','',NULL),(15157,13,312,'gvmaps_long_167','',NULL),(15158,13,312,'gpaa_lat_64','',NULL),(15159,13,312,'gpaa_lng_64','',NULL),(15160,13,313,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15161,13,313,'48','Parent',''),(15162,13,313,'47.3','ping',''),(15163,13,313,'47.6','Pun',''),(15164,13,313,'49','0434191065',''),(15165,13,313,'50','pingpeterjz@gmail.com',''),(15166,13,313,'51','Loves riding bike,  \r\nNeeds to expend more interests\r\nNeeds more outing and social event to participate',''),(15167,13,313,'38','NDIS',''),(15168,13,313,'6','RIDES©',''),(15169,13,313,'53','SKILLS-TRAX©',''),(15170,13,313,'54','Intermediate Rider',''),(15171,13,313,'58','Yes',''),(15172,13,313,'59','Rides from age of 6\r\nRecently developed love of riding and Rides every day',''),(15173,13,313,'60.3','Zachary',''),(15174,13,313,'60.6','Pun',''),(15175,13,313,'64.1','12 Aldea Place',''),(15176,13,313,'64.3','Stretton',''),(15177,13,313,'64.4','QLD',''),(15178,13,313,'64.5','4116',''),(15179,13,313,'64.6','Australia',''),(15180,13,313,'66','Autism spectrum disorder',''),(15181,13,313,'67','social anxiety affect his social participation\r\nLimited interest due to his ASD',''),(15182,13,313,'174','social interaction \r\ndevelop social skills\r\nBoost confidence',''),(15183,13,313,'70','Yes',''),(15184,13,313,'71','ANTIHYSTAMINE FOR DUST MITE ALLERGY',''),(15185,13,313,'72','Yes',''),(15186,13,313,'73','Peanuts -- just rash around mouth - no Epi-Pen\r\nDust mite - anti-Histamine',''),(15187,13,313,'74','138',''),(15188,13,313,'75','30',''),(15189,13,313,'76','Medium',''),(15190,13,313,'80.3','Ping',''),(15191,13,313,'80.6','Pun',''),(15192,13,313,'81','Mother',''),(15193,13,313,'82','0434191065',''),(15194,13,313,'85.11','I don\'t have any reports',''),(15195,13,313,'107','Self / Privately Managed',''),(15196,13,313,'117','Capacity Building | Improved Daily Living',''),(15197,13,313,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Zachary-PUN-NDIS-Plan-2021.pdf',''),(15198,13,313,'146.2','Tuesday',''),(15199,13,313,'146.4','Thursday',''),(15200,13,313,'146.5','Friday',''),(15201,13,313,'146.6','Saturday',''),(15202,13,313,'146.7','Sunday',''),(15203,13,313,'151','Early Afternoon - approx 1pm-3pm',''),(15204,13,313,'150','Early Afternoon - approx 1pm-3pm',''),(15205,13,313,'153','Mid Afternoon - approx 3pm-5pm',''),(15206,13,313,'149','Available Any Time',''),(15207,13,313,'148','Available Any Time',''),(15208,13,313,'57','Yes',''),(15209,13,313,'164','Pick Up and Drop Off',''),(15210,13,313,'167.1','12 Aldea Place',''),(15211,13,313,'167.3','Stretton',''),(15212,13,313,'167.4','QLD',''),(15213,13,313,'167.5','4116',''),(15214,13,313,'167.6','Australia',''),(15215,13,313,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15216,13,313,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15217,13,313,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15218,13,313,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15219,13,313,'104','64340dc50b5ce3.97834338.png',''),(15220,13,313,'106.3','ping',''),(15221,13,313,'106.6','Pun',''),(15222,13,313,'105','2022-12-30',''),(15223,13,313,'63','0',''),(15224,13,313,'gravityformsrecaptcha_score','disconnected',NULL),(15225,13,313,'gppcmt_pretty_id','531d1b',NULL),(15226,13,313,'46','40dc5322ba',''),(15227,13,313,'fg_easypassthrough_token','cafea4830da414ce91be1f64b1214d6d',NULL),(15228,13,313,'gpfr_stashed_file_urls','',NULL),(15229,13,313,'is_approved','3',NULL),(15230,13,313,'gvmaps_lat_64','',NULL),(15231,13,313,'gvmaps_long_64','',NULL),(15232,13,313,'gvmaps_lat_141','',NULL),(15233,13,313,'gvmaps_long_141','',NULL),(15234,13,313,'gvmaps_lat_167','',NULL),(15235,13,313,'gvmaps_long_167','',NULL),(15236,13,313,'gpaa_lat_64','',NULL),(15237,13,313,'gpaa_lng_64','',NULL),(15238,13,314,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15239,13,314,'48','Parent',''),(15240,13,314,'47.3','ping',''),(15241,13,314,'47.6','Pun',''),(15242,13,314,'49','0434191065',''),(15243,13,314,'50','pingpeterjz@gmail.com',''),(15244,13,314,'51','helping develop social skills , outing for exercise, strengthening the low muscle tone , \r\ncurrently love riding bike, it can be used for social interaction with other people.\r\nAlso can ride with brother who is also Autistic to increase their relationship',''),(15245,13,314,'38','NDIS',''),(15246,13,314,'6','RIDES©',''),(15247,13,314,'53','SKILLS-TRAX©',''),(15248,13,314,'54','Intermediate Rider',''),(15249,13,314,'58','Yes',''),(15250,13,314,'59','Rides from 7 years old, Rides nearly everyday. \r\nRecently been ride on  BMX track and loved it',''),(15251,13,314,'60.3','Joel',''),(15252,13,314,'60.6','Pun',''),(15253,13,314,'64.1','12 Aldea Place',''),(15254,13,314,'64.3','Stretton',''),(15255,13,314,'64.4','QLD',''),(15256,13,314,'64.5','4116',''),(15257,13,314,'64.6','Australia',''),(15258,13,314,'66','Autism spectrum disorder',''),(15259,13,314,'67','loves riding and looking for social interaction or outing . \r\n\r\nLow muscle tone and bad posture',''),(15260,13,314,'174','More confident of riding, helping with anxiety \r\n\r\nCan participate in group riding programs for social interaction and social skill development. \r\n\r\nGetting outside and exercising ( health and fit)\r\n\r\nDevelop a life long hobby',''),(15261,13,314,'70','No',''),(15262,13,314,'72','No',''),(15263,13,314,'74','148',''),(15264,13,314,'75','33',''),(15265,13,314,'76','Low',''),(15266,13,314,'80.3','ping',''),(15267,13,314,'80.6','Pun',''),(15268,13,314,'81','Mother',''),(15269,13,314,'82','0434191065',''),(15270,13,314,'85.11','I don\'t have any reports',''),(15271,13,314,'107','Self / Privately Managed',''),(15272,13,314,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(15273,13,314,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Joels-NDIS-plan-2021.pdf',''),(15274,13,314,'146.2','Tuesday',''),(15275,13,314,'146.4','Thursday',''),(15276,13,314,'146.5','Friday',''),(15277,13,314,'146.6','Saturday',''),(15278,13,314,'146.7','Sunday',''),(15279,13,314,'151','Early Afternoon - approx 1pm-3pm',''),(15280,13,314,'150','Early Afternoon - approx 1pm-3pm',''),(15281,13,314,'153','Early Afternoon - approx 1pm-3pm',''),(15282,13,314,'149','Available Any Time',''),(15283,13,314,'148','Available Any Time',''),(15284,13,314,'57','Yes',''),(15285,13,314,'164','Pick Up and Drop Off',''),(15286,13,314,'167.1','12 Aldea Place',''),(15287,13,314,'167.3','Stretton',''),(15288,13,314,'167.4','QLD',''),(15289,13,314,'167.5','4116',''),(15290,13,314,'167.6','Australia',''),(15291,13,314,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15292,13,314,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15293,13,314,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15294,13,314,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15295,13,314,'104','64340dc5675024.20556570.png',''),(15296,13,314,'106.3','ping',''),(15297,13,314,'106.6','Pun',''),(15298,13,314,'105','2022-12-30',''),(15299,13,314,'198','2020-12-21',''),(15300,13,314,'199','2023-12-21',''),(15301,13,314,'63','0',''),(15302,13,314,'gravityformsrecaptcha_score','disconnected',NULL),(15303,13,314,'gppcmt_pretty_id','587a25',NULL),(15304,13,314,'46','40dc587f3a',''),(15305,13,314,'fg_easypassthrough_token','7fcb1c80f1d58fd93d59c42b6b4fd3e4',NULL),(15306,13,314,'gpfr_stashed_file_urls','',NULL),(15307,13,314,'is_approved','3',NULL),(15308,13,314,'gvmaps_lat_64','',NULL),(15309,13,314,'gvmaps_long_64','',NULL),(15310,13,314,'gvmaps_lat_141','',NULL),(15311,13,314,'gvmaps_long_141','',NULL),(15312,13,314,'gvmaps_lat_167','',NULL),(15313,13,314,'gvmaps_long_167','',NULL),(15314,13,314,'gpaa_lat_64','',NULL),(15315,13,314,'gpaa_lng_64','',NULL),(15316,13,315,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15317,13,315,'48','Parent',''),(15318,13,315,'47.3','Emma',''),(15319,13,315,'47.6','Doolan',''),(15320,13,315,'49','0405903719',''),(15321,13,315,'50','emma.doolan1@gmail.com',''),(15322,13,315,'51','My son was diagnosed with asd level 2 and anxiety this year. He has struggled to go yo school the past year with extreme anxiety due to Aspergers. He has been seeing a psychologist for the past year, but doesn’t really listen to her and hates sitting in a room one on one with her.\r\nHe loves getting out and being active, he loves mountain biking and we thought your program sounded perfect!',''),(15323,13,315,'38','NDIS',''),(15324,13,315,'187','432046036',''),(15325,13,315,'6','RIDES©',''),(15326,13,315,'53','CYCOLOGY©',''),(15327,13,315,'54','Intermediate Rider',''),(15328,13,315,'58','Yes',''),(15329,13,315,'59','Eamon has experience riding gap creek tracks',''),(15330,13,315,'60.3','Eamon',''),(15331,13,315,'60.6','Doolan',''),(15332,13,315,'61','emma.doolan1@gmail.com',''),(15333,13,315,'194','0405903719',''),(15334,13,315,'64.1','8 Marney street',''),(15335,13,315,'64.3','Chapel hill',''),(15336,13,315,'64.4','Qld',''),(15337,13,315,'64.5','4069',''),(15338,13,315,'64.6','Australia',''),(15339,13,315,'66','Asd level 2 (Aspergers)\r\nAnxiety\r\nDepression',''),(15340,13,315,'67','Eamon loves mountain biking! We would love to get him in cycology and a social group ride. He loves bike riding and gaming. He’s very quiet and struggles with social skills.',''),(15341,13,315,'174','Improved social skills, improved confidence, getting active out and about.',''),(15342,13,315,'70','No',''),(15343,13,315,'72','No',''),(15344,13,315,'74','157',''),(15345,13,315,'75','53',''),(15346,13,315,'76','Medium',''),(15347,13,315,'80.3','Emma',''),(15348,13,315,'80.6','Doolan',''),(15349,13,315,'81','Mother',''),(15350,13,315,'82','0405903719',''),(15351,13,315,'85.1','Doctors Report',''),(15352,13,315,'85.3','Psychology Report',''),(15353,13,315,'90','[]',''),(15354,13,315,'186','[]',''),(15355,13,315,'99','[]',''),(15356,13,315,'91','[]',''),(15357,13,315,'98','[]',''),(15358,13,315,'97','[]',''),(15359,13,315,'96','[]',''),(15360,13,315,'95','[]',''),(15361,13,315,'94','[]',''),(15362,13,315,'107','Self / Privately Managed',''),(15363,13,315,'117','Capacity Building | Improved Daily Living',''),(15364,13,315,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/020DCDE3-6F99-4FF5-BBEB-7E776197A9C1.png',''),(15365,13,315,'146.2','Tuesday',''),(15366,13,315,'146.3','Wednesday',''),(15367,13,315,'151','Mid Afternoon - approx 3pm-5pm',''),(15368,13,315,'152','Mid Afternoon - approx 3pm-5pm',''),(15369,13,315,'57','No',''),(15370,13,315,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15371,13,315,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15372,13,315,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15373,13,315,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15374,13,315,'104','64340dc5c2a816.61883351.png',''),(15375,13,315,'106.3','Emma',''),(15376,13,315,'106.6','Doolan',''),(15377,13,315,'105','2022-12-28',''),(15378,13,315,'198','2022-09-16',''),(15379,13,315,'199','2021-09-16',''),(15380,13,315,'63','0',''),(15381,13,315,'gravityformsrecaptcha_score','disconnected',NULL),(15382,13,315,'gppcmt_pretty_id','5e3b2e',NULL),(15383,13,315,'46','40dc5e418a',''),(15384,13,315,'fg_easypassthrough_token','328764c84f78a7e6f46d31b6145b4508',NULL),(15385,13,315,'gpfr_stashed_file_urls','',NULL),(15386,13,315,'is_approved','3',NULL),(15387,13,315,'gvmaps_lat_64','',NULL),(15388,13,315,'gvmaps_long_64','',NULL),(15389,13,315,'gvmaps_lat_141','',NULL),(15390,13,315,'gvmaps_long_141','',NULL),(15391,13,315,'gvmaps_lat_167','',NULL),(15392,13,315,'gvmaps_long_167','',NULL),(15393,13,315,'gpaa_lat_64','',NULL),(15394,13,315,'gpaa_lng_64','',NULL),(15395,13,316,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15396,13,316,'48','Parent',''),(15397,13,316,'47.3','Nicole',''),(15398,13,316,'47.6','Wiseman',''),(15399,13,316,'49','0431536695',''),(15400,13,316,'50','nyki.wiseman@hotmail.com',''),(15401,13,316,'51','James is autistic, along with low muscle tone, tires easily and spend a lot of time in front of the computer. He has expressed wanting to learn how to ride his bike that has been sitting in the garage for 12months. James gives up very easily when I have tried to teach him. We are hoping being around peers who are learning to ride may help building confidence within his abilities',''),(15402,13,316,'38','NDIS',''),(15403,13,316,'6','RIDES©',''),(15404,13,316,'53','SKILLS-TRAX©',''),(15405,13,316,'54','No Experience Riding',''),(15406,13,316,'58','Yes',''),(15407,13,316,'64.6','Australia',''),(15408,13,316,'70','Yes',''),(15409,13,316,'72','Yes',''),(15410,13,316,'90','[]',''),(15411,13,316,'186','[]',''),(15412,13,316,'99','[]',''),(15413,13,316,'91','[]',''),(15414,13,316,'98','[]',''),(15415,13,316,'97','[]',''),(15416,13,316,'96','[]',''),(15417,13,316,'95','[]',''),(15418,13,316,'94','[]',''),(15419,13,316,'107','Self / Privately Managed',''),(15420,13,316,'117','Capacity Building | Improved Daily Living',''),(15421,13,316,'57','Yes',''),(15422,13,316,'164','Pick Up',''),(15423,13,316,'63','0',''),(15424,13,316,'gravityformsrecaptcha_score','disconnected',NULL),(15425,13,316,'gppcmt_pretty_id','5f3ea9',NULL),(15426,13,316,'46','40dc600226',''),(15427,13,316,'fg_easypassthrough_token','301bb65308d5bf9f390208ab5428db68',NULL),(15428,13,316,'gpfr_stashed_file_urls','',NULL),(15429,13,316,'is_approved','',NULL),(15430,13,316,'gvmaps_lat_64','',NULL),(15431,13,316,'gvmaps_long_64','',NULL),(15432,13,316,'gvmaps_lat_141','',NULL),(15433,13,316,'gvmaps_long_141','',NULL),(15434,13,316,'gvmaps_lat_167','',NULL),(15435,13,316,'gvmaps_long_167','',NULL),(15436,13,316,'gpaa_lat_64','',NULL),(15437,13,316,'gpaa_lng_64','',NULL),(15438,13,317,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15439,13,317,'48','Parent',''),(15440,13,317,'47.3','Emma',''),(15441,13,317,'47.6','Doolan',''),(15442,13,317,'49','0405903719',''),(15443,13,317,'50','emma.doolan1@gmail.com',''),(15444,13,317,'51','My 12yo son was diagnosed with asd level 2 (Aspergers) last year. He struggles with socialising and making new friends. He hasn’t really listened or taken on board anything our current psychologist has recommended - He loves bike riding so I thought we would try opentrax. We would be very interested in the one on one psychology rides as well as the social group rides (if you have any for youths).\r\nThank you',''),(15445,13,317,'38','NDIS',''),(15446,13,317,'187','432046036',''),(15447,13,317,'6','RIDES©',''),(15448,13,317,'53','CYCOLOGY©',''),(15449,13,317,'54','Intermediate Rider',''),(15450,13,317,'58','Yes',''),(15451,13,317,'59','Eamon has quite a lot of experience riding gap creek tracks',''),(15452,13,317,'60.3','Eamon',''),(15453,13,317,'60.6','Doolan',''),(15454,13,317,'61','emma.doolan1@gmail.com',''),(15455,13,317,'194','0405903719',''),(15456,13,317,'64.1','8 Marney street',''),(15457,13,317,'64.3','Chapel hill',''),(15458,13,317,'64.4','Qld',''),(15459,13,317,'64.5','4069',''),(15460,13,317,'64.6','Australia',''),(15461,13,317,'66','Asd level 2 (Aspergers)\r\nAnxiety',''),(15462,13,317,'67','Eamons struggles with social skills and understanding/reading people. He struggled with attended school last year due to extreme anxiety. He loves to bike ride and we thought this could be a great fit. He’s gained weight due to anxiety, but is very keen to get fit and active.',''),(15463,13,317,'174','We would love to see an improvement in Eamons self esteem, feeling more confident and being active and enjoying himself.',''),(15464,13,317,'70','Yes',''),(15465,13,317,'71','Fluoxetine 10mg for anxiety',''),(15466,13,317,'72','No',''),(15467,13,317,'90','[]',''),(15468,13,317,'186','[]',''),(15469,13,317,'99','[]',''),(15470,13,317,'91','[]',''),(15471,13,317,'98','[]',''),(15472,13,317,'97','[]',''),(15473,13,317,'96','[]',''),(15474,13,317,'95','[]',''),(15475,13,317,'94','[]',''),(15476,13,317,'107','Self / Privately Managed',''),(15477,13,317,'117','Capacity Building | Improved Daily Living',''),(15478,13,317,'57','Yes',''),(15479,13,317,'164','Pick Up',''),(15480,13,317,'63','0',''),(15481,13,317,'gravityformsrecaptcha_score','disconnected',NULL),(15482,13,317,'gppcmt_pretty_id','61006d',NULL),(15483,13,317,'46','40dc61064f',''),(15484,13,317,'fg_easypassthrough_token','9d49652d3a116c7ca9f156ce6134e71c',NULL),(15485,13,317,'gpfr_stashed_file_urls','',NULL),(15486,13,317,'is_approved','',NULL),(15487,13,317,'gvmaps_lat_64','',NULL),(15488,13,317,'gvmaps_long_64','',NULL),(15489,13,317,'gvmaps_lat_141','',NULL),(15490,13,317,'gvmaps_long_141','',NULL),(15491,13,317,'gvmaps_lat_167','',NULL),(15492,13,317,'gvmaps_long_167','',NULL),(15493,13,317,'gpaa_lat_64','',NULL),(15494,13,317,'gpaa_lng_64','',NULL),(15495,13,318,'5','I\'m applying for MYSELF to participate in a program',''),(15496,13,318,'38','NDIS',''),(15497,13,318,'187','431474298',''),(15498,13,318,'6','RIDES©',''),(15499,13,318,'53','SKILLS-TRAX©',''),(15500,13,318,'54','No Experience Riding',''),(15501,13,318,'58','No',''),(15502,13,318,'59','Not very experienced, don\'t want to ride on the road.\r\nI am interested in other programs, I.e. hikes\r\nPretty much beginner with bikes.',''),(15503,13,318,'60.3','Nicola',''),(15504,13,318,'60.6','Bristed',''),(15505,13,318,'61','mcharcoal@hotmail.com',''),(15506,13,318,'194','0403995342',''),(15507,13,318,'64.1','50 Dobell st, Indooroopilly',''),(15508,13,318,'64.3','Brisbane',''),(15509,13,318,'64.4','Qld',''),(15510,13,318,'64.5','4068',''),(15511,13,318,'64.6','Australia',''),(15512,13,318,'66','I have hypermobility - my joints over extend.\r\nI have sprained my right ankle 3 times in the last year and it is weak.\r\nI have osteoporosis \r\nI have a psycosocial disability, l am high functioning.',''),(15513,13,318,'67','Don\'t know if this program is right for me, let alone perfect.\r\nI want to be fit and active and keep strong.',''),(15514,13,318,'174','Proficiency, stamina, skill, fitness, social, adventure',''),(15515,13,318,'70','No',''),(15516,13,318,'72','No',''),(15517,13,318,'74','172',''),(15518,13,318,'75','72',''),(15519,13,318,'76','Low',''),(15520,13,318,'80.3','Rob',''),(15521,13,318,'80.6','Bristed',''),(15522,13,318,'81','Bro',''),(15523,13,318,'82','0418631000',''),(15524,13,318,'85.11','I don\'t have any reports',''),(15525,13,318,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(15526,13,318,'112','Rainbowcarehomeservices',''),(15527,13,318,'113','info@rainbowcarehomeservices.com',''),(15528,13,318,'114','0481563887',''),(15529,13,318,'117','Capacity Building | Improved Daily Living',''),(15530,13,318,'146.5','Friday',''),(15531,13,318,'153','Early Morning - approx 5am-8am',''),(15532,13,318,'57','No',''),(15533,13,318,'63','0',''),(15534,13,318,'gravityformsrecaptcha_score','disconnected',NULL),(15535,13,318,'gppcmt_pretty_id','6225de',NULL),(15536,13,318,'46','40dc622b72',''),(15537,13,318,'fg_easypassthrough_token','a214277e4726c3e96bfdceccb55cb26c',NULL),(15538,13,318,'gpfr_stashed_file_urls','',NULL),(15539,13,318,'is_approved','',NULL),(15540,13,318,'gvmaps_lat_64','',NULL),(15541,13,318,'gvmaps_long_64','',NULL),(15542,13,318,'gvmaps_lat_141','',NULL),(15543,13,318,'gvmaps_long_141','',NULL),(15544,13,318,'gvmaps_lat_167','',NULL),(15545,13,318,'gvmaps_long_167','',NULL),(15546,13,318,'gpaa_lat_64','',NULL),(15547,13,318,'gpaa_lng_64','',NULL),(15548,13,319,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15549,13,319,'48','Parent',''),(15550,13,319,'47.3','Glenn',''),(15551,13,319,'47.6','Thompson',''),(15552,13,319,'49','0416159656',''),(15553,13,319,'50','engineerkit@gmail.com',''),(15554,13,319,'51','My son Henry has an ASD diagnosis and has NDIS funding. We would like to see him involved in the great outdoors (and I am a keen mountain biker myself) so your programs (particularly the Poke option) would be very appealing to him.',''),(15555,13,319,'38','NDIS',''),(15556,13,319,'187','431663863',''),(15557,13,319,'6','RIDES©',''),(15558,13,319,'53','POKE-TRAX©',''),(15559,13,319,'54','Beginner Rider',''),(15560,13,319,'58','Yes',''),(15561,13,319,'59','I have taken Henry on a few basic MTB rides - Scribbly Gums, and some of the fire roads at Gap Creek.',''),(15562,13,319,'60.3','Henry',''),(15563,13,319,'60.6','Thompson',''),(15564,13,319,'64.1','459 Westlake Dr',''),(15565,13,319,'64.3','Riverhills',''),(15566,13,319,'64.4','QLD',''),(15567,13,319,'64.5','4074',''),(15568,13,319,'64.6','Australia',''),(15569,13,319,'66','ASD\r\nADHD\r\nAnxiety',''),(15570,13,319,'67','Henry loves Pokemon. He also enjoys riding bikes. Unfortunately, due to his ASD he has not found many friends and has been home schooled lately limiting his social interaction.',''),(15571,13,319,'174','To have fun, be more social, and to learn new skills.',''),(15572,13,319,'70','Yes',''),(15573,13,319,'71','0.25mg Respiradone daily\r\n20mg Fluoxetine daily\r\n50mg Vyvanse daily',''),(15574,13,319,'72','No',''),(15575,13,319,'74','165',''),(15576,13,319,'75','45',''),(15577,13,319,'76','Low',''),(15578,13,319,'80.3','Glenn',''),(15579,13,319,'80.6','Thompson',''),(15580,13,319,'81','Parent',''),(15581,13,319,'82','0416159656',''),(15582,13,319,'85.2','Specialist Report',''),(15583,13,319,'90','[]',''),(15584,13,319,'186','[]',''),(15585,13,319,'99','[]',''),(15586,13,319,'91','[]',''),(15587,13,319,'98','[]',''),(15588,13,319,'97','[]',''),(15589,13,319,'96','[]',''),(15590,13,319,'95','[]',''),(15591,13,319,'94','[]',''),(15592,13,319,'107','Self / Privately Managed',''),(15593,13,319,'117','Capacity Building | Improved Daily Living',''),(15594,13,319,'146.5','Friday',''),(15595,13,319,'146.6','Saturday',''),(15596,13,319,'146.7','Sunday',''),(15597,13,319,'153','Early Afternoon - approx 1pm-3pm',''),(15598,13,319,'149','Available Any Time',''),(15599,13,319,'148','Available Any Time',''),(15600,13,319,'57','No',''),(15601,13,319,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15602,13,319,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15603,13,319,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15604,13,319,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15605,13,319,'104','64340dc6280224.38112697.png',''),(15606,13,319,'106.3','Glenn',''),(15607,13,319,'106.6','Thompson',''),(15608,13,319,'105','2022-12-19',''),(15609,13,319,'198','2022-04-19',''),(15610,13,319,'199','2024-04-18',''),(15611,13,319,'63','0',''),(15612,13,319,'gravityformsrecaptcha_score','disconnected',NULL),(15613,13,319,'gppcmt_pretty_id','64a13f',NULL),(15614,13,319,'46','40dc64a6d9',''),(15615,13,319,'fg_easypassthrough_token','c938ddbd4524fb03b842f9c2c9b7330e',NULL),(15616,13,319,'gpfr_stashed_file_urls','',NULL),(15617,13,319,'is_approved','',NULL),(15618,13,319,'gvmaps_lat_64','',NULL),(15619,13,319,'gvmaps_long_64','',NULL),(15620,13,319,'gvmaps_lat_141','',NULL),(15621,13,319,'gvmaps_long_141','',NULL),(15622,13,319,'gvmaps_lat_167','',NULL),(15623,13,319,'gvmaps_long_167','',NULL),(15624,13,319,'gpaa_lat_64','',NULL),(15625,13,319,'gpaa_lng_64','',NULL),(15626,13,320,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15627,13,320,'48','Parent',''),(15628,13,320,'47.3','Glenn',''),(15629,13,320,'47.6','Thompson',''),(15630,13,320,'49','0416159656',''),(15631,13,320,'50','engineerkit@gmail.com',''),(15632,13,320,'51','My son Henry has an ASD diagnosis and has NDIS funding. We would like to see him involved in the great outdoors (and I am a keen mountain biker myself) so your programs (particularly the Poke option) would be very appealing to him.',''),(15633,13,320,'38','NDIS',''),(15634,13,320,'187','431663863',''),(15635,13,320,'6','RIDES©',''),(15636,13,320,'53','POKE-TRAX©',''),(15637,13,320,'54','Beginner Rider',''),(15638,13,320,'58','Yes',''),(15639,13,320,'59','I have taken Henry on a few basic MTB rides - Scribbly Gums, and some of the fire roads at Gap Creek.',''),(15640,13,320,'60.3','Henry',''),(15641,13,320,'60.6','Thompson',''),(15642,13,320,'64.1','459 Westlake Dr',''),(15643,13,320,'64.3','Riverhills',''),(15644,13,320,'64.4','QLD',''),(15645,13,320,'64.5','4074',''),(15646,13,320,'64.6','Australia',''),(15647,13,320,'66','ASD\r\nADHD\r\nAnxiety',''),(15648,13,320,'67','Henry loves Pokemon. He also enjoys riding bikes. Unfortunately, due to his ASD he has not found many friends and has been home schooled lately limiting his social interaction.',''),(15649,13,320,'174','To have fun, be more social, and to learn new skills.',''),(15650,13,320,'70','Yes',''),(15651,13,320,'71','0.25mg Respiradone daily\r\n20mg Fluoxetine daily\r\n50mg Vyvanse daily',''),(15652,13,320,'72','No',''),(15653,13,320,'74','165',''),(15654,13,320,'75','45',''),(15655,13,320,'76','Low',''),(15656,13,320,'80.3','Glenn',''),(15657,13,320,'80.6','Thompson',''),(15658,13,320,'81','Parent',''),(15659,13,320,'82','0416159656',''),(15660,13,320,'85.2','Specialist Report',''),(15661,13,320,'90','[]',''),(15662,13,320,'186','[]',''),(15663,13,320,'99','[]',''),(15664,13,320,'91','[]',''),(15665,13,320,'98','[]',''),(15666,13,320,'97','[]',''),(15667,13,320,'96','[]',''),(15668,13,320,'95','[]',''),(15669,13,320,'94','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Henry-Thompson-ASD-Diagnosis.pdf\"]',''),(15670,13,320,'107','Self / Privately Managed',''),(15671,13,320,'117','Capacity Building | Improved Daily Living',''),(15672,13,320,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Henry-Thompson-NDIS-Plan.pdf',''),(15673,13,320,'146.5','Friday',''),(15674,13,320,'146.6','Saturday',''),(15675,13,320,'146.7','Sunday',''),(15676,13,320,'153','Early Afternoon - approx 1pm-3pm',''),(15677,13,320,'149','Available Any Time',''),(15678,13,320,'148','Available Any Time',''),(15679,13,320,'57','No',''),(15680,13,320,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15681,13,320,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15682,13,320,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15683,13,320,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15684,13,320,'104','64340dc6a6b763.64170853.png',''),(15685,13,320,'106.3','Glenn',''),(15686,13,320,'106.6','Thompson',''),(15687,13,320,'105','2022-12-19',''),(15688,13,320,'198','2022-04-19',''),(15689,13,320,'199','2024-04-18',''),(15690,13,320,'63','0',''),(15691,13,320,'5c6604870eb4910d2679fe0c208e667148c8481e18e59065a668e2949189582f83ceb9c2aa51286857c9e5a77fade91f299c89d9d0e1c83aceb95ebbf6698ab9','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:32:\"Henry-Thompson-ASD-Diagnosis.pdf\";}',NULL),(15692,13,320,'gravityformsrecaptcha_score','disconnected',NULL),(15693,13,320,'gppcmt_pretty_id','6c9984',NULL),(15694,13,320,'46','40dc6c9f05',''),(15695,13,320,'fg_easypassthrough_token','164b80490bf64c7f72dc2effa6c0c9c2',NULL),(15696,13,320,'gpfr_stashed_file_urls','',NULL),(15697,13,320,'is_approved','3',NULL),(15698,13,320,'gvmaps_lat_64','',NULL),(15699,13,320,'gvmaps_long_64','',NULL),(15700,13,320,'gvmaps_lat_141','',NULL),(15701,13,320,'gvmaps_long_141','',NULL),(15702,13,320,'gvmaps_lat_167','',NULL),(15703,13,320,'gvmaps_long_167','',NULL),(15704,13,320,'gpaa_lat_64','',NULL),(15705,13,320,'gpaa_lng_64','',NULL),(15706,13,321,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15707,13,321,'48','Parent',''),(15708,13,321,'47.3','Anthony',''),(15709,13,321,'47.6','So',''),(15710,13,321,'49','0410167866',''),(15711,13,321,'50','chea.so888@gmail.com',''),(15712,13,321,'51','Learn to ride',''),(15713,13,321,'38','NDIS',''),(15714,13,321,'6','RIDES©',''),(15715,13,321,'53','SKILLS-TRAX©',''),(15716,13,321,'54','No Experience Riding',''),(15717,13,321,'58','Yes',''),(15718,13,321,'64.6','Australia',''),(15719,13,321,'70','Yes',''),(15720,13,321,'72','Yes',''),(15721,13,321,'90','[]',''),(15722,13,321,'186','[]',''),(15723,13,321,'99','[]',''),(15724,13,321,'91','[]',''),(15725,13,321,'98','[]',''),(15726,13,321,'97','[]',''),(15727,13,321,'96','[]',''),(15728,13,321,'95','[]',''),(15729,13,321,'94','[]',''),(15730,13,321,'107','Self / Privately Managed',''),(15731,13,321,'117','Capacity Building | Improved Daily Living',''),(15732,13,321,'57','Yes',''),(15733,13,321,'164','Pick Up',''),(15734,13,321,'63','0',''),(15735,13,321,'gravityformsrecaptcha_score','disconnected',NULL),(15736,13,321,'gppcmt_pretty_id','6da765',NULL),(15737,13,321,'46','40dc6daf2b',''),(15738,13,321,'fg_easypassthrough_token','73d71bb301b86bd8939414395c201834',NULL),(15739,13,321,'gpfr_stashed_file_urls','',NULL),(15740,13,321,'is_approved','',NULL),(15741,13,321,'gvmaps_lat_64','',NULL),(15742,13,321,'gvmaps_long_64','',NULL),(15743,13,321,'gvmaps_lat_141','',NULL),(15744,13,321,'gvmaps_long_141','',NULL),(15745,13,321,'gvmaps_lat_167','',NULL),(15746,13,321,'gvmaps_long_167','',NULL),(15747,13,321,'gpaa_lat_64','',NULL),(15748,13,321,'gpaa_lng_64','',NULL),(15749,13,322,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15750,13,322,'48','Parent',''),(15751,13,322,'47.3','Jocelyn',''),(15752,13,322,'47.6','Evans',''),(15753,13,322,'49','0413521022',''),(15754,13,322,'50','68joee@gmail.com',''),(15755,13,322,'51','Michael is a risk taker and requires the support to understand safety. Michael also suffers with adhd and emotional regulation he needs the support to develop more independent thinking and understanding',''),(15756,13,322,'38','NDIS',''),(15757,13,322,'187','431525775',''),(15758,13,322,'6','RIDES©',''),(15759,13,322,'53','POKE-TRAX©',''),(15760,13,322,'54','Intermediate Rider',''),(15761,13,322,'58','No',''),(15762,13,322,'59','Michael doesn’t think about the outcome before putting himself in any situation',''),(15763,13,322,'60.3','Michael',''),(15764,13,322,'60.6','Evans',''),(15765,13,322,'61','68joee@gmail.com',''),(15766,13,322,'64.1','205 Rutters Road',''),(15767,13,322,'64.3','Elimbah',''),(15768,13,322,'64.4','Qld',''),(15769,13,322,'64.5','4516',''),(15770,13,322,'64.6','Australia',''),(15771,13,322,'66','ADHD, hearing impaired, inability to emotionally regulate',''),(15772,13,322,'67','Michael spent his early years in a physical and emotional abuse environment he then spent time in foster care until he was reunited with his father in 2019. Michael has suffered from depression and anxiety he was not diagnosed with his hearing impairment until school age this caused him to be withdrawn and developed speech deficits. This program will support Michael to be independent develop safe thinking skills and better ways to improve his emotional health',''),(15773,13,322,'174','Better skills and emotional development',''),(15774,13,322,'70','Yes',''),(15775,13,322,'71','Intuniv 2mg daily adhd and emotional regulation \r\nCaterpres 25mcg daily to assist with sleep',''),(15776,13,322,'72','No',''),(15777,13,322,'74','124',''),(15778,13,322,'75','26',''),(15779,13,322,'76','Low',''),(15780,13,322,'80.3','jocelyn',''),(15781,13,322,'80.6','Evans',''),(15782,13,322,'81','parent',''),(15783,13,322,'82','0413521022',''),(15784,13,322,'85.11','I don\'t have any reports',''),(15785,13,322,'107','Self / Privately Managed',''),(15786,13,322,'117','Capacity Building | Improved Daily Living',''),(15787,13,322,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Michael-Evans-NDIS-Plan.pdf',''),(15788,13,322,'146.2','Tuesday',''),(15789,13,322,'146.4','Thursday',''),(15790,13,322,'151','Mid Afternoon - approx 3pm-5pm',''),(15791,13,322,'150','Early Morning - approx 5am-8am',''),(15792,13,322,'57','Yes',''),(15793,13,322,'164','Pick Up and Drop Off',''),(15794,13,322,'167.1','205 Rutters Road',''),(15795,13,322,'167.3','Elimbah',''),(15796,13,322,'167.4','Qld',''),(15797,13,322,'167.5','4516',''),(15798,13,322,'167.6','Australia',''),(15799,13,322,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15800,13,322,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15801,13,322,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15802,13,322,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15803,13,322,'104','64340dc7325173.67892701.png',''),(15804,13,322,'106.3','Jocelyn',''),(15805,13,322,'106.6','Evans',''),(15806,13,322,'105','2022-12-15',''),(15807,13,322,'198','2021-09-22',''),(15808,13,322,'199','2024-09-21',''),(15809,13,322,'63','0',''),(15810,13,322,'gravityformsrecaptcha_score','disconnected',NULL),(15811,13,322,'gppcmt_pretty_id','75ae53',NULL),(15812,13,322,'46','40dc75b392',''),(15813,13,322,'fg_easypassthrough_token','a9fd68b05a9176c3319968e6262c80f8',NULL),(15814,13,322,'gpfr_stashed_file_urls','',NULL),(15815,13,322,'is_approved','3',NULL),(15816,13,322,'gvmaps_lat_64','',NULL),(15817,13,322,'gvmaps_long_64','',NULL),(15818,13,322,'gvmaps_lat_141','',NULL),(15819,13,322,'gvmaps_long_141','',NULL),(15820,13,322,'gvmaps_lat_167','',NULL),(15821,13,322,'gvmaps_long_167','',NULL),(15822,13,322,'gpaa_lat_64','',NULL),(15823,13,322,'gpaa_lng_64','',NULL),(15824,13,323,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15825,13,323,'48','Parent',''),(15826,13,323,'47.3','Erika',''),(15827,13,323,'47.6','Schwaiger',''),(15828,13,323,'49','0401486677',''),(15829,13,323,'50','erikakate92@live.com.au',''),(15830,13,323,'51','Loves been active but limited opportunity\'s due to myself having 4 kids (3 with additional needs)',''),(15831,13,323,'38','NDIS',''),(15832,13,323,'187','431490227',''),(15833,13,323,'6','RIDES©',''),(15834,13,323,'53','POKE-TRAX©',''),(15835,13,323,'54','Beginner Rider',''),(15836,13,323,'58','No',''),(15837,13,323,'59','Can only ride with training wheels',''),(15838,13,323,'60.3','Zavier',''),(15839,13,323,'60.6','Schwaiger',''),(15840,13,323,'194','0401486677',''),(15841,13,323,'64.1','18 tree ring circuit',''),(15842,13,323,'64.3','Mango hill',''),(15843,13,323,'64.4','mango hill',''),(15844,13,323,'64.5','Qld',''),(15845,13,323,'64.6','Australia',''),(15846,13,323,'66','Asd level 2, adhd combined, odd, speech sound disorder, anxiety',''),(15847,13,323,'67','loves Pokemon, loves been active. Can struggle with emotional regulation',''),(15848,13,323,'174','Increased outdoor time, help with emotions',''),(15849,13,323,'70','Yes',''),(15850,13,323,'71','0.3ml risperidone - twice daily (morning and night)\r\n1.5 tablets of Ritalin at 7.30 and 1.5 tablets of Ritalin at 11.30',''),(15851,13,323,'72','No',''),(15852,13,323,'74','138',''),(15853,13,323,'75','32',''),(15854,13,323,'76','High',''),(15855,13,323,'80.3','Erika',''),(15856,13,323,'80.6','Schwaiger',''),(15857,13,323,'81','Mum',''),(15858,13,323,'82','0401486677',''),(15859,13,323,'85.2','Specialist Report',''),(15860,13,323,'85.5','Occupational Therapy Report',''),(15861,13,323,'90','[]',''),(15862,13,323,'186','[]',''),(15863,13,323,'99','[]',''),(15864,13,323,'91','[]',''),(15865,13,323,'98','[]',''),(15866,13,323,'97','[]',''),(15867,13,323,'96','[]',''),(15868,13,323,'95','[]',''),(15869,13,323,'94','[]',''),(15870,13,323,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(15871,13,323,'112','Leapin',''),(15872,13,323,'113','invoices@leapin.com.au',''),(15873,13,323,'114','1300 057 878',''),(15874,13,323,'117','Capacity Building | Improved Daily Living',''),(15875,13,323,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/56ACF5E7-80F9-1EEC-BDBA-B4C31DC093A4-1-1.pdf',''),(15876,13,323,'146.5','Friday',''),(15877,13,323,'153','Mid Afternoon - approx 3pm-5pm',''),(15878,13,323,'57','Yes',''),(15879,13,323,'164','Pick Up',''),(15880,13,323,'167.1','18 tree ring circuit',''),(15881,13,323,'167.3','Mango hill',''),(15882,13,323,'167.4','mango hill',''),(15883,13,323,'167.5','Qld',''),(15884,13,323,'167.6','Australia',''),(15885,13,323,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15886,13,323,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15887,13,323,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15888,13,323,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15889,13,323,'104','64340dc78feb80.48814474.png',''),(15890,13,323,'106.3','Erika',''),(15891,13,323,'106.6','Schwaiger',''),(15892,13,323,'105','2022-12-01',''),(15893,13,323,'198','2022-07-12',''),(15894,13,323,'199','2024-07-11',''),(15895,13,323,'63','0',''),(15896,13,323,'gravityformsrecaptcha_score','disconnected',NULL),(15897,13,323,'gppcmt_pretty_id','7b12db',NULL),(15898,13,323,'46','40dc7b18a4',''),(15899,13,323,'fg_easypassthrough_token','0dc83ad3073e0ffc011dbfdd185e956d',NULL),(15900,13,323,'gpfr_stashed_file_urls','',NULL),(15901,13,323,'is_approved','3',NULL),(15902,13,323,'gvmaps_lat_64','',NULL),(15903,13,323,'gvmaps_long_64','',NULL),(15904,13,323,'gvmaps_lat_141','',NULL),(15905,13,323,'gvmaps_long_141','',NULL),(15906,13,323,'gvmaps_lat_167','',NULL),(15907,13,323,'gvmaps_long_167','',NULL),(15908,13,323,'gpaa_lat_64','',NULL),(15909,13,323,'gpaa_lng_64','',NULL),(15910,13,324,'5','I\'m applying on BEHALF of someone who would like to participate',''),(15911,13,324,'48','Parent',''),(15912,13,324,'47.3','Sonia',''),(15913,13,324,'47.6','Dewhurst',''),(15914,13,324,'49','0415512300',''),(15915,13,324,'50','she1111@hotmail.com.au',''),(15916,13,324,'51','We see the Facebook post and it looks to be something Aidan would enjoy and out into practice his social skills and meeting new and different people',''),(15917,13,324,'38','NDIS',''),(15918,13,324,'187','430913666',''),(15919,13,324,'6','RIDES©',''),(15920,13,324,'53','SOCIAL-TRAX©',''),(15921,13,324,'54','No Experience Riding',''),(15922,13,324,'58','Yes',''),(15923,13,324,'59','Aidan is a very competent rider. But has never done”mountain biking “ he has recently been practicing jumps and our local bike park. He has always loved biking and this I Hope would be the gateway to  help create a healthy passion for a life time hobby.',''),(15924,13,324,'60.3','Aidan',''),(15925,13,324,'60.6','Dewhurst',''),(15926,13,324,'61','she1111@hotmail.com.au',''),(15927,13,324,'194','0415512300',''),(15928,13,324,'64.1','6 Natius Street',''),(15929,13,324,'64.3','Lawnton',''),(15930,13,324,'64.4','Qld',''),(15931,13,324,'64.5','4501',''),(15932,13,324,'64.6','Australia',''),(15933,13,324,'66','Adhd\r\nAsd 2',''),(15934,13,324,'67','See above',''),(15935,13,324,'174','To create a healthy habit/hobby\r\nMake friends with similar interests \r\nPractice his social skills \r\nTo be treated as an equal \r\nAll while doing something he loves and holds his interest',''),(15936,13,324,'70','Yes',''),(15937,13,324,'71','Intuniv 1mg. Pm',''),(15938,13,324,'72','No',''),(15939,13,324,'74','170',''),(15940,13,324,'75','45',''),(15941,13,324,'76','Medium',''),(15942,13,324,'80.3','Sonia',''),(15943,13,324,'80.6','Elphick',''),(15944,13,324,'81','Mother',''),(15945,13,324,'82','0415512300',''),(15946,13,324,'85.2','Specialist Report',''),(15947,13,324,'85.4','Psychiatrist Report',''),(15948,13,324,'85.5','Occupational Therapy Report',''),(15949,13,324,'85.7','Speech Therapy Report',''),(15950,13,324,'90','[]',''),(15951,13,324,'186','[]',''),(15952,13,324,'99','[]',''),(15953,13,324,'91','[]',''),(15954,13,324,'98','[]',''),(15955,13,324,'97','[]',''),(15956,13,324,'96','[]',''),(15957,13,324,'95','[]',''),(15958,13,324,'94','[]',''),(15959,13,324,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(15960,13,324,'112','Integra',''),(15961,13,324,'113','invoics@myintegra.com',''),(15962,13,324,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(15963,13,324,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Aidan-Dewhurst-NDIS-Plan.pdf',''),(15964,13,324,'146.3','Wednesday',''),(15965,13,324,'146.4','Thursday',''),(15966,13,324,'146.6','Saturday',''),(15967,13,324,'146.7','Sunday',''),(15968,13,324,'152','Evening - approx 5pm-7pm',''),(15969,13,324,'150','Evening - approx 5pm-7pm',''),(15970,13,324,'149','Early Afternoon - approx 1pm-3pm',''),(15971,13,324,'148','Available Any Time',''),(15972,13,324,'57','No',''),(15973,13,324,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(15974,13,324,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(15975,13,324,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(15976,13,324,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(15977,13,324,'104','64340dc7e5ef79.28226284.png',''),(15978,13,324,'106.3','Sonia',''),(15979,13,324,'106.6','Elphick',''),(15980,13,324,'105','2022-12-09',''),(15981,13,324,'198','2021-09-09',''),(15982,13,324,'199','2022-12-09',''),(15983,13,324,'63','0',''),(15984,13,324,'gravityformsrecaptcha_score','disconnected',NULL),(15985,13,324,'gppcmt_pretty_id','8191b7',NULL),(15986,13,324,'46','40dc8197e4',''),(15987,13,324,'fg_easypassthrough_token','da5c5a406ce1b303f270dcd3bcd76069',NULL),(15988,13,324,'gpfr_stashed_file_urls','',NULL),(15989,13,324,'is_approved','3',NULL),(15990,13,324,'gvmaps_lat_64','',NULL),(15991,13,324,'gvmaps_long_64','',NULL),(15992,13,324,'gvmaps_lat_141','',NULL),(15993,13,324,'gvmaps_long_141','',NULL),(15994,13,324,'gvmaps_lat_167','',NULL),(15995,13,324,'gvmaps_long_167','',NULL),(15996,13,324,'gpaa_lat_64','',NULL),(15997,13,324,'gpaa_lng_64','',NULL),(15998,13,325,'5','I\'m applying for MYSELF to participate in a program',''),(15999,13,325,'38','Other',''),(16000,13,325,'46','db5ad8c08a',''),(16001,13,325,'6','RIDES©',''),(16002,13,325,'53','SKILLS-TRAX©',''),(16003,13,325,'54','No Experience Riding',''),(16004,13,325,'58','Yes',''),(16005,13,325,'59','test',''),(16006,13,325,'60.3','test',''),(16007,13,325,'60.6','test',''),(16008,13,325,'61','mitch@pathfindermarketing.com.au',''),(16009,13,325,'194','44444444444444444',''),(16010,13,325,'64.1','Level 1/1064 Hay St',''),(16011,13,325,'64.3','West Perth',''),(16012,13,325,'64.4','Washington',''),(16013,13,325,'64.5','6005',''),(16014,13,325,'64.6','Australia',''),(16015,13,325,'66','test',''),(16016,13,325,'67','test',''),(16017,13,325,'174','test',''),(16018,13,325,'70','Yes',''),(16019,13,325,'71','test',''),(16020,13,325,'72','Yes',''),(16021,13,325,'73','test',''),(16022,13,325,'74','4444',''),(16023,13,325,'75','444',''),(16024,13,325,'76','Medium',''),(16025,13,325,'80.3','test',''),(16026,13,325,'80.6','test',''),(16027,13,325,'81','test',''),(16028,13,325,'82','444444444444444',''),(16029,13,325,'90','[]',''),(16030,13,325,'186','[]',''),(16031,13,325,'99','[]',''),(16032,13,325,'91','[]',''),(16033,13,325,'98','[]',''),(16034,13,325,'97','[]',''),(16035,13,325,'96','[]',''),(16036,13,325,'95','[]',''),(16037,13,325,'94','[]',''),(16038,13,325,'146.2','Tuesday',''),(16039,13,325,'151','Early Morning - approx 5am-8am',''),(16040,13,325,'57','Yes',''),(16041,13,325,'164','Pick Up',''),(16042,13,325,'167.1','Level 1/1064 Hay St',''),(16043,13,325,'167.3','West Perth',''),(16044,13,325,'167.4','Washington',''),(16045,13,325,'167.5','6005',''),(16046,13,325,'167.6','Australia',''),(16047,13,325,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16048,13,325,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16049,13,325,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16050,13,325,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16051,13,325,'104','64340dc81f4056.02402859.png',''),(16052,13,325,'106.3','test',''),(16053,13,325,'106.6','test',''),(16054,13,325,'105','2022-12-29',''),(16055,13,325,'63','0',''),(16056,13,325,'gravityformsrecaptcha_score','disconnected',NULL),(16057,13,325,'gppcmt_pretty_id','83f3a1',NULL),(16058,13,325,'fg_easypassthrough_token','2732fb0b4f7e2664e193d239df4d8f2a',NULL),(16059,13,325,'gpfr_stashed_file_urls','',NULL),(16060,13,325,'is_approved','3',NULL),(16061,13,325,'gvmaps_lat_64','',NULL),(16062,13,325,'gvmaps_long_64','',NULL),(16063,13,325,'gvmaps_lat_141','',NULL),(16064,13,325,'gvmaps_long_141','',NULL),(16065,13,325,'gvmaps_lat_167','',NULL),(16066,13,325,'gvmaps_long_167','',NULL),(16067,13,325,'gpaa_lat_64','',NULL),(16068,13,325,'gpaa_lng_64','',NULL),(16069,13,326,'5','I\'m applying for MYSELF to participate in a program',''),(16070,13,326,'38','NDIS',''),(16071,13,326,'6','HIKES©',''),(16072,13,326,'162','HIKES©',''),(16073,13,326,'163','Beginner Hiker',''),(16074,13,326,'185','test',''),(16075,13,326,'170','test',''),(16076,13,326,'60.3','test',''),(16077,13,326,'60.6','test',''),(16078,13,326,'61','mitch@pathfindermarketing.com.au',''),(16079,13,326,'194','4444444',''),(16080,13,326,'64.1','Level 1/1064 Hay St',''),(16081,13,326,'64.3','West Perth',''),(16082,13,326,'64.4','Washington',''),(16083,13,326,'64.5','6005',''),(16084,13,326,'64.6','Australia',''),(16085,13,326,'66','test',''),(16086,13,326,'67','test',''),(16087,13,326,'174','test',''),(16088,13,326,'70','Yes',''),(16089,13,326,'71','test',''),(16090,13,326,'72','Yes',''),(16091,13,326,'73','test',''),(16092,13,326,'74','444',''),(16093,13,326,'75','44',''),(16094,13,326,'76','Low',''),(16095,13,326,'80.3','test',''),(16096,13,326,'80.6','test',''),(16097,13,326,'81','test',''),(16098,13,326,'82','33333333333',''),(16099,13,326,'85.3','Psychology Report',''),(16100,13,326,'90','[]',''),(16101,13,326,'186','[]',''),(16102,13,326,'99','[]',''),(16103,13,326,'91','[]',''),(16104,13,326,'98','[]',''),(16105,13,326,'97','[]',''),(16106,13,326,'96','[]',''),(16107,13,326,'95','[]',''),(16108,13,326,'94','[]',''),(16109,13,326,'107','Self / Privately Managed',''),(16110,13,326,'117','Capacity Building | Improved Daily Living',''),(16111,13,326,'146.3','Wednesday',''),(16112,13,326,'152','Early Morning - approx 5am-8am',''),(16113,13,326,'57','Yes',''),(16114,13,326,'164','Pick Up',''),(16115,13,326,'167.1','Level 1/1064 Hay St',''),(16116,13,326,'167.3','West Perth',''),(16117,13,326,'167.4','Washington',''),(16118,13,326,'167.5','6005',''),(16119,13,326,'167.6','Australia',''),(16120,13,326,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16121,13,326,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16122,13,326,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16123,13,326,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16124,13,326,'104','64340dc8449e74.62135860.png',''),(16125,13,326,'106.3','test',''),(16126,13,326,'106.6','test',''),(16127,13,326,'105','2022-12-31',''),(16128,13,326,'198','2022-12-02',''),(16129,13,326,'199','2022-12-07',''),(16130,13,326,'63','0',''),(16131,13,326,'gravityformsrecaptcha_score','disconnected',NULL),(16132,13,326,'gppcmt_pretty_id','8661a0',NULL),(16133,13,326,'46','40dc8667e2',''),(16134,13,326,'fg_easypassthrough_token','fe64d57874952495e54b4704d6776911',NULL),(16135,13,326,'gpfr_stashed_file_urls','',NULL),(16136,13,326,'is_approved','3',NULL),(16137,13,326,'gvmaps_lat_64','',NULL),(16138,13,326,'gvmaps_long_64','',NULL),(16139,13,326,'gvmaps_lat_141','',NULL),(16140,13,326,'gvmaps_long_141','',NULL),(16141,13,326,'gvmaps_lat_167','',NULL),(16142,13,326,'gvmaps_long_167','',NULL),(16143,13,326,'gpaa_lat_64','',NULL),(16144,13,326,'gpaa_lng_64','',NULL),(16145,13,327,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16146,13,327,'48','Support Coordinator',''),(16147,13,327,'47.3','Nivia',''),(16148,13,327,'47.6','Dezan',''),(16149,13,327,'49','0474267679',''),(16150,13,327,'50','hello@goodrose.com.au',''),(16151,13,327,'51','Participant has just completed year 12, will be doing tafe in the new year to become a personal trainer. His hobbies are fitness and clean eating.\r\nHe is on \"school holiday\" time right now and would like to be kept busy with doing fun and fitness based programs with other people.',''),(16152,13,327,'38','NDIS',''),(16153,13,327,'187','430648223',''),(16154,13,327,'6','HIKES©',''),(16155,13,327,'162','HIKES©',''),(16156,13,327,'163','Beginner Hiker',''),(16157,13,327,'170','To my knowledge the participant has little hiking experience',''),(16158,13,327,'60.3','Joshua',''),(16159,13,327,'60.6','Koevari',''),(16160,13,327,'61','agijo@iinet.net.au',''),(16161,13,327,'194','0405289981',''),(16162,13,327,'64.1','3 Spruce Close',''),(16163,13,327,'64.3','Forest Lake',''),(16164,13,327,'64.4','QLD (Queensland)',''),(16165,13,327,'64.5','4078',''),(16166,13,327,'64.6','Australia',''),(16167,13,327,'66','ASD, OCD, Eating disorder',''),(16168,13,327,'67','Joshua lives for his clean eating and fitness regime. He struggles to maintain relationships due to his spectrum disorder. He lived in trauma from a very young age through to appx 12yo. when he commenced living with his grandparents.\r\nDue in part to the trauma and ASD conditions he has some physical developmental delays that he is working on.',''),(16169,13,327,'174','To enjoy group settings doing what he loves ( fitness), and to learn how to mix with other people. To work on his balance and fitness.',''),(16170,13,327,'70','Yes',''),(16171,13,327,'72','No',''),(16172,13,327,'74','160',''),(16173,13,327,'75','60',''),(16174,13,327,'76','Low',''),(16175,13,327,'80.3','Agi',''),(16176,13,327,'80.6','Koevari',''),(16177,13,327,'81','Grandmother/NDIS Nominee',''),(16178,13,327,'82','0405289981',''),(16179,13,327,'85.11','I don\'t have any reports',''),(16180,13,327,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(16181,13,327,'112','Leap In',''),(16182,13,327,'113','invoices@leapin.com.au',''),(16183,13,327,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(16184,13,327,'146.2','Tuesday',''),(16185,13,327,'151','Mid Morning - approx 8am-11am',''),(16186,13,327,'57','Yes',''),(16187,13,327,'164','Pick Up and Drop Off',''),(16188,13,327,'167.1','3 Spruce Close',''),(16189,13,327,'167.3','Forest Lake',''),(16190,13,327,'167.4','QLD (Queensland)',''),(16191,13,327,'167.5','4078',''),(16192,13,327,'167.6','Australia',''),(16193,13,327,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16194,13,327,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16195,13,327,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16196,13,327,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16197,13,327,'104','64340dc86c4991.64606171.png',''),(16198,13,327,'106.3','Nivia',''),(16199,13,327,'106.6','Dezan',''),(16200,13,327,'105','2022-11-28',''),(16201,13,327,'198','2022-09-29',''),(16202,13,327,'199','2023-09-29',''),(16203,13,327,'63','0',''),(16204,13,327,'gravityformsrecaptcha_score','disconnected',NULL),(16205,13,327,'gppcmt_pretty_id','88c815',NULL),(16206,13,327,'46','40dc88cd06',''),(16207,13,327,'fg_easypassthrough_token','f1a717b04548d0c725b588427c4aa2d5',NULL),(16208,13,327,'gpfr_stashed_file_urls','',NULL),(16209,13,327,'is_approved','3',NULL),(16210,13,327,'gvmaps_lat_64','',NULL),(16211,13,327,'gvmaps_long_64','',NULL),(16212,13,327,'gvmaps_lat_141','',NULL),(16213,13,327,'gvmaps_long_141','',NULL),(16214,13,327,'gvmaps_lat_167','',NULL),(16215,13,327,'gvmaps_long_167','',NULL),(16216,13,327,'gpaa_lat_64','',NULL),(16217,13,327,'gpaa_lng_64','',NULL),(16218,13,328,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16219,13,328,'48','Support Coordinator',''),(16220,13,328,'47.3','Shinila',''),(16221,13,328,'47.6','Varghese',''),(16222,13,328,'49','0405554408',''),(16223,13,328,'50','livingstreamsservices@outlook.com',''),(16224,13,328,'51','Kayan would like to participate in the riding program and has previously engaged with a physiotherapist to improve on his muscular strength and riding skills.',''),(16225,13,328,'38','NDIS',''),(16226,13,328,'187','43191456',''),(16227,13,328,'6','RIDES©',''),(16228,13,328,'53','SKILLS-TRAX©',''),(16229,13,328,'54','Beginner Rider',''),(16230,13,328,'58','No',''),(16231,13,328,'60.3','Kayan',''),(16232,13,328,'60.6','Jalal',''),(16233,13,328,'61','firdewsali90@gmail.com',''),(16234,13,328,'194','0411819904',''),(16235,13,328,'64.1','758 Boundary street',''),(16236,13,328,'64.3','Glenvale',''),(16237,13,328,'64.4','QLD',''),(16238,13,328,'64.5','Toowoomba 4350',''),(16239,13,328,'64.6','Australia',''),(16240,13,328,'66','Intellectual disability',''),(16241,13,328,'67','Likes riding bikes\r\nKayan is thin with weak muscular strength. He was seeing a physiotherapist; however, his current CB funding is not enough to access this support.',''),(16242,13,328,'174','increase his skills to socialize and riding skills',''),(16243,13,328,'70','No',''),(16244,13,328,'72','No',''),(16245,13,328,'74','153',''),(16246,13,328,'75','37',''),(16247,13,328,'76','Medium',''),(16248,13,328,'80.3','Firdews',''),(16249,13,328,'80.6','Sulaiman',''),(16250,13,328,'81','mother/guardian',''),(16251,13,328,'82','0411819904',''),(16252,13,328,'85.11','I don\'t have any reports',''),(16253,13,328,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(16254,13,328,'112','Disability Plan Management',''),(16255,13,328,'113','mark@disabilityplanmanagement.com.au',''),(16256,13,328,'114','0421 608 292',''),(16257,13,328,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(16258,13,328,'146.2','Tuesday',''),(16259,13,328,'151','Evening - approx 5pm-7pm',''),(16260,13,328,'57','No',''),(16261,13,328,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16262,13,328,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16263,13,328,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16264,13,328,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16265,13,328,'104','64340dc8923b98.71370190.png',''),(16266,13,328,'105','2022-11-26',''),(16267,13,328,'198','2022-09-29',''),(16268,13,328,'199','2024-09-28',''),(16269,13,328,'63','0',''),(16270,13,328,'gravityformsrecaptcha_score','disconnected',NULL),(16271,13,328,'gppcmt_pretty_id','8bebd5',NULL),(16272,13,328,'46','40dc8bf219',''),(16273,13,328,'fg_easypassthrough_token','e4027eea7f750e99e0155933a96f493a',NULL),(16274,13,328,'gpfr_stashed_file_urls','',NULL),(16275,13,328,'is_approved','3',NULL),(16276,13,328,'gvmaps_lat_64','',NULL),(16277,13,328,'gvmaps_long_64','',NULL),(16278,13,328,'gvmaps_lat_141','',NULL),(16279,13,328,'gvmaps_long_141','',NULL),(16280,13,328,'gvmaps_lat_167','',NULL),(16281,13,328,'gvmaps_long_167','',NULL),(16282,13,328,'gpaa_lat_64','',NULL),(16283,13,328,'gpaa_lng_64','',NULL),(16284,13,329,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16285,13,329,'48','Parent',''),(16286,13,329,'47.3','Kym-maree',''),(16287,13,329,'47.6','Leahy',''),(16288,13,329,'49','0478169900',''),(16289,13,329,'50','kmleahy@mail.com',''),(16290,13,329,'51','My son Hudson Clarke (12years old)has been wanting to learn how to ride a bike for a few years now. We did have it as one of his goals pre covid. Hudson was legally blind (25% vision) from age 5 to age 9 then diagnosed with autism ADHD and low level ability. He had hearing problems and numerous surgeries to install grommet’s throughout his primary years. He has been learning to use all these sensors at once which can be overwhelming.  Hudson has been working with a allied health team at kawana sports hub the last two years. His balance and overall health has improved immensely. Hudson has been using the Exercise bikes at the gym. Over the years I have purchased bikes for Hudson which never suited his needs at the time so he would miss out. As a young teen in year 7 he is very aware he does not have bike riding skills like the other kids his age. (He says he can’t be friends these kids as he has no skills. ) Hudson refused to go on his  year 7 camp because one of the activities was mountain bike riding. Hudson wants to learn how to ride confidently so he can socialise and make friends and not miss out. Mentally and physically knowing how to confidently ride a bike would open up Hudson’s world socially with friends and family. Hudson’s GIVE EVERYTHING A GO attitude is diminishing as he feels everybody is looking at him everybody thinks he’s stupid and he can’t do things which makes it hard to get him out of the house or his room very hard. I myself was diagnose with breast cancer in March of this year it has been a long road. Now that our future looks brighter HUDSON has made a list of experiences and  places he would like to visit, having the skills and confidence to ride (and purchasing a bike that suits him) would be amazing.',''),(16291,13,329,'38','NDIS',''),(16292,13,329,'187','431291757',''),(16293,13,329,'6','RIDES©',''),(16294,13,329,'53','SKILLS-TRAX©',''),(16295,13,329,'54','No Experience Riding',''),(16296,13,329,'58','No',''),(16297,13,329,'59','Learning to ride then learning road rules would be Extremely  beneficial. Learning the different motor skills and applying them with confidence. Learning to ride without the fear of being hurt. Learning to ride safely. Building Hudson’s Confidence in himself',''),(16298,13,329,'60.3','Hudson',''),(16299,13,329,'60.6','Clarke',''),(16300,13,329,'61','kmleahy@mail.com',''),(16301,13,329,'194','0478169900',''),(16302,13,329,'64.1','22 millennium circuit',''),(16303,13,329,'64.3','Pelican waters',''),(16304,13,329,'64.4','Queensland',''),(16305,13,329,'64.5','4551',''),(16306,13,329,'64.6','Australia',''),(16307,13,329,'66','Autism level two. Adhd. Low level ability. Was sight and hearing impaired till age 10.',''),(16308,13,329,'67','This program would be Very beneficial for Hudson. Especially one on one or a small group to learn. Hudson has trouble with balance tripping and falling. Learning to ride with confidence would open up his social relationship with his friends and family. Hudson‘s refusal to join family or school activities that include riding bikes. Knowing how to ride a bike confidently and safely would help Hudson socialise at home and at school and within the community. Hudson is a 12-year-old boy who is becoming depressed because he cannot do what the other kids can do.',''),(16309,13,329,'174','With having the skills to ride a bike confidently and safely Hudson will be able to achieve taking part in family activities and achieve making friends his own age and be able to join in riding without the fear of being different. Hudson will achieve more confidence within himself.',''),(16310,13,329,'70','No',''),(16311,13,329,'72','No',''),(16312,13,329,'74','160',''),(16313,13,329,'75','83',''),(16314,13,329,'76','Medium',''),(16315,13,329,'80.3','Kym-maree',''),(16316,13,329,'80.6','Leahy',''),(16317,13,329,'81','Mother',''),(16318,13,329,'82','0478169900',''),(16319,13,329,'85.5','Occupational Therapy Report',''),(16320,13,329,'85.6','Exercise Physiology Report',''),(16321,13,329,'90','[]',''),(16322,13,329,'186','[]',''),(16323,13,329,'99','[]',''),(16324,13,329,'91','[]',''),(16325,13,329,'98','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/document.pdf\"]',''),(16326,13,329,'97','[]',''),(16327,13,329,'96','[]',''),(16328,13,329,'95','[]',''),(16329,13,329,'94','[]',''),(16330,13,329,'107','Self / Privately Managed',''),(16331,13,329,'117','Capacity Building | Improved Daily Living',''),(16332,13,329,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/4E5E3168-6E39-1EDA-9FBB-C69C985A3370.pdf',''),(16333,13,329,'146.4','Thursday',''),(16334,13,329,'146.5','Friday',''),(16335,13,329,'146.6','Saturday',''),(16336,13,329,'150','Mid Morning - approx 8am-11am',''),(16337,13,329,'153','Mid Morning - approx 8am-11am',''),(16338,13,329,'149','Early Morning - approx 5am-8am',''),(16339,13,329,'57','Yes',''),(16340,13,329,'164','Pick Up',''),(16341,13,329,'167.1','22 millennium circuit',''),(16342,13,329,'167.3','Pelican waters',''),(16343,13,329,'167.4','Queensland',''),(16344,13,329,'167.5','4551',''),(16345,13,329,'167.6','Australia',''),(16346,13,329,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16347,13,329,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16348,13,329,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16349,13,329,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16350,13,329,'104','64340dc942f363.50873537.png',''),(16351,13,329,'106.3','Kym-maree',''),(16352,13,329,'106.6','Leahy',''),(16353,13,329,'105','2022-11-21',''),(16354,13,329,'198','2022-10-12',''),(16355,13,329,'199','2023-10-12',''),(16356,13,329,'63','0',''),(16357,13,329,'6f20499b9a761bf65e24f403eae069ed4b62de3ecbd89cb25b01421cc0f56513a2d43c8ab497fad296147c1283c52d2b59d876bb3be1da401855b7cdc8efedac','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:12:\"document.pdf\";}',NULL),(16358,13,329,'gravityformsrecaptcha_score','disconnected',NULL),(16359,13,329,'gppcmt_pretty_id','96480e',NULL),(16360,13,329,'46','40dc964d4b',''),(16361,13,329,'fg_easypassthrough_token','c54012f3e61062a081117404324ae449',NULL),(16362,13,329,'gpfr_stashed_file_urls','',NULL),(16363,13,329,'is_approved','3',NULL),(16364,13,329,'gvmaps_lat_64','',NULL),(16365,13,329,'gvmaps_long_64','',NULL),(16366,13,329,'gvmaps_lat_141','',NULL),(16367,13,329,'gvmaps_long_141','',NULL),(16368,13,329,'gvmaps_lat_167','',NULL),(16369,13,329,'gvmaps_long_167','',NULL),(16370,13,329,'gpaa_lat_64','',NULL),(16371,13,329,'gpaa_lng_64','',NULL),(16372,13,330,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16373,13,330,'48','Parent',''),(16374,13,330,'47.3','Nancy',''),(16375,13,330,'47.6','Wines',''),(16376,13,330,'49','0416110131',''),(16377,13,330,'50','nancy.wines@gmail.com',''),(16378,13,330,'51','Nearly 13 year old experienced Mountainbiker with funding in CB daily that can be used flexibility. \r\n\r\nGoals are core and motor strength, social and community participation and building towards better mental health esp anxiety.\r\n\r\nMain goal is to exercise and have fun and maybe join some kind of ndis or NON ndis (doesn’t matter) social group - ages irrelevant. Cal has cycled many tracks from duck creek to Daisy hill and SC hinterland',''),(16379,13,330,'38','NDIS',''),(16380,13,330,'6','RIDES©',''),(16381,13,330,'53','SKILLS-TRAX©',''),(16382,13,330,'54','Advanced Rider',''),(16383,13,330,'58','Yes',''),(16384,13,330,'59','Cal is interested in riding and using challenging tracks to conquer his anxiety and support his independence from parents - he loves cycling',''),(16385,13,330,'60.3','Callum',''),(16386,13,330,'60.6','Wines',''),(16387,13,330,'61','nancy.wines@gmail.com',''),(16388,13,330,'194','0416110131',''),(16389,13,330,'64.1','76 Hersden Court',''),(16390,13,330,'64.3','Bonogin',''),(16391,13,330,'64.4','QLD',''),(16392,13,330,'64.5','4213',''),(16393,13,330,'64.6','Australia',''),(16394,13,330,'66','Autism\r\nAdhd\r\nSocial anxiety\r\nGeneralised anxiety \r\nSeparation anxiety',''),(16395,13,330,'67','He loves mountain biking, golf and most sports so this is a vehicle to meeting his goals to be independent,\r\nFit and managing anxiety through movement - hoping to move towards a social group at some point',''),(16396,13,330,'174','As above',''),(16397,13,330,'70','Yes',''),(16398,13,330,'71','Lovan 20mg for anxiety',''),(16399,13,330,'72','No',''),(16400,13,330,'74','155',''),(16401,13,330,'75','50',''),(16402,13,330,'76','High',''),(16403,13,330,'80.3','Nancy',''),(16404,13,330,'80.6','Wines',''),(16405,13,330,'81','Mother',''),(16406,13,330,'82','0416110131',''),(16407,13,330,'85.11','I don\'t have any reports',''),(16408,13,330,'107','Self / Privately Managed',''),(16409,13,330,'117','Capacity Building | Improved Daily Living',''),(16410,13,330,'57','No',''),(16411,13,330,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16412,13,330,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16413,13,330,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16414,13,330,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16415,13,330,'104','64340dc96bb7e6.00874853.png',''),(16416,13,330,'106.3','Nancy',''),(16417,13,330,'106.6','Wines',''),(16418,13,330,'105','2022-11-21',''),(16419,13,330,'198','2022-10-01',''),(16420,13,330,'199','2025-11-01',''),(16421,13,330,'63','0',''),(16422,13,330,'gravityformsrecaptcha_score','disconnected',NULL),(16423,13,330,'gppcmt_pretty_id','995bf8',NULL),(16424,13,330,'46','40dc99609f',''),(16425,13,330,'fg_easypassthrough_token','fbc0987febe594854a008256b00c9417',NULL),(16426,13,330,'gpfr_stashed_file_urls','',NULL),(16427,13,330,'is_approved','3',NULL),(16428,13,330,'gvmaps_lat_64','',NULL),(16429,13,330,'gvmaps_long_64','',NULL),(16430,13,330,'gvmaps_lat_141','',NULL),(16431,13,330,'gvmaps_long_141','',NULL),(16432,13,330,'gvmaps_lat_167','',NULL),(16433,13,330,'gvmaps_long_167','',NULL),(16434,13,330,'gpaa_lat_64','',NULL),(16435,13,330,'gpaa_lng_64','',NULL),(16436,13,331,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16437,13,331,'48','Parent',''),(16438,13,331,'47.3','Kayan',''),(16439,13,331,'47.6','Jalal',''),(16440,13,331,'49','0411819904',''),(16441,13,331,'50','firdewd.sali90@gmail.com',''),(16442,13,331,'51','My son has special needs and he\'s 16yo hardly interacted with grop of people nor participated in any program activities.',''),(16443,13,331,'38','NDIS',''),(16444,13,331,'187','430191456',''),(16445,13,331,'6','RIDES©',''),(16446,13,331,'53','SOCIAL-TRAX©',''),(16447,13,331,'54','Intermediate Rider',''),(16448,13,331,'58','Yes',''),(16449,13,331,'59','Only riddling in the neighbourhood and around the parks. Know how to speed and apply breaks.\r\nHe has slight amount of awareness when it comes to riding along side the road, crossings and emergency stopping.\r\nHe will be needing awareness program to sharpen his safety skills.',''),(16450,13,331,'60.3','Kayan',''),(16451,13,331,'60.6','Jalal',''),(16452,13,331,'61','firdewsali90@gmail.com',''),(16453,13,331,'194','0411819904',''),(16454,13,331,'64.1','758 boundary Street',''),(16455,13,331,'64.3','Toowoomba',''),(16456,13,331,'64.4','QLD',''),(16457,13,331,'64.5','4350',''),(16458,13,331,'64.6','Australia',''),(16459,13,331,'66','Slaw growing so energy level sometimes are no match to age or body size.',''),(16460,13,331,'67','He enjoys riddling and we are hoping to get his hoppy advanced and get some body strength and socialise with people.',''),(16461,13,331,'174','He enjoys riddling and we are hoping to get his hoppy advanced and get some body strength and socialise with people.',''),(16462,13,331,'70','No',''),(16463,13,331,'72','No',''),(16464,13,331,'74','145',''),(16465,13,331,'75','36',''),(16466,13,331,'76','Medium',''),(16467,13,331,'80.3','Firdews',''),(16468,13,331,'80.6','Sulaiman',''),(16469,13,331,'81','Mother',''),(16470,13,331,'82','0411819904',''),(16471,13,331,'85.1','Doctors Report',''),(16472,13,331,'90','[]',''),(16473,13,331,'186','[]',''),(16474,13,331,'99','[]',''),(16475,13,331,'91','[]',''),(16476,13,331,'98','[]',''),(16477,13,331,'97','[]',''),(16478,13,331,'96','[]',''),(16479,13,331,'95','[]',''),(16480,13,331,'94','[]',''),(16481,13,331,'107','Self / Privately Managed',''),(16482,13,331,'117','Capacity Building | Improved Daily Living',''),(16483,13,331,'57','Yes',''),(16484,13,331,'164','Pick Up',''),(16485,13,331,'63','0',''),(16486,13,331,'gravityformsrecaptcha_score','disconnected',NULL),(16487,13,331,'gppcmt_pretty_id','9a601d',NULL),(16488,13,331,'46','40dc9a6467',''),(16489,13,331,'fg_easypassthrough_token','8331f2eb4723b21f7eab1911ce0d4440',NULL),(16490,13,331,'gpfr_stashed_file_urls','',NULL),(16491,13,331,'is_approved','',NULL),(16492,13,331,'gvmaps_lat_64','',NULL),(16493,13,331,'gvmaps_long_64','',NULL),(16494,13,331,'gvmaps_lat_141','',NULL),(16495,13,331,'gvmaps_long_141','',NULL),(16496,13,331,'gvmaps_lat_167','',NULL),(16497,13,331,'gvmaps_long_167','',NULL),(16498,13,331,'gpaa_lat_64','',NULL),(16499,13,331,'gpaa_lng_64','',NULL),(16500,13,332,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16501,13,332,'48','Support Coordinator',''),(16502,13,332,'47.3','Sarah',''),(16503,13,332,'47.6','Hall',''),(16504,13,332,'49','0475711475',''),(16505,13,332,'50','Sarah@helpalong.com.au',''),(16506,13,332,'51','Participant would like to engage in cycling program, he is 27 years of age Autism. Brett like\'s swimming and engaging in active activities.\r\nBrett lives in Acacia Ridge.',''),(16507,13,332,'38','NDIS',''),(16508,13,332,'187','430860414',''),(16509,13,332,'6','RIDES©',''),(16510,13,332,'53','SOCIAL-TRAX©',''),(16511,13,332,'54','Beginner Rider',''),(16512,13,332,'58','Yes',''),(16513,13,332,'64.6','Australia',''),(16514,13,332,'70','Yes',''),(16515,13,332,'72','Yes',''),(16516,13,332,'90','[]',''),(16517,13,332,'186','[]',''),(16518,13,332,'99','[]',''),(16519,13,332,'91','[]',''),(16520,13,332,'98','[]',''),(16521,13,332,'97','[]',''),(16522,13,332,'96','[]',''),(16523,13,332,'95','[]',''),(16524,13,332,'94','[]',''),(16525,13,332,'107','Self / Privately Managed',''),(16526,13,332,'117','Capacity Building | Improved Daily Living',''),(16527,13,332,'57','Yes',''),(16528,13,332,'164','Pick Up',''),(16529,13,332,'63','0',''),(16530,13,332,'gravityformsrecaptcha_score','disconnected',NULL),(16531,13,332,'gppcmt_pretty_id','9b5e3e',NULL),(16532,13,332,'46','40dc9b6399',''),(16533,13,332,'fg_easypassthrough_token','46ee1a6f66f6667a50edec6e5832ec7d',NULL),(16534,13,332,'gpfr_stashed_file_urls','',NULL),(16535,13,332,'is_approved','',NULL),(16536,13,332,'gvmaps_lat_64','',NULL),(16537,13,332,'gvmaps_long_64','',NULL),(16538,13,332,'gvmaps_lat_141','',NULL),(16539,13,332,'gvmaps_long_141','',NULL),(16540,13,332,'gvmaps_lat_167','',NULL),(16541,13,332,'gvmaps_long_167','',NULL),(16542,13,332,'gpaa_lat_64','',NULL),(16543,13,332,'gpaa_lng_64','',NULL),(16544,13,333,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16545,13,333,'48','Parent',''),(16546,13,333,'47.3','Rhiannon',''),(16547,13,333,'47.6','Valentine',''),(16548,13,333,'49','0416388254',''),(16549,13,333,'50','valentinefamily@bigpond.com',''),(16550,13,333,'51','HI there\r\nI saw an advert on FB and am interested in my son having sessions. \r\nHe is 6 yrs old ASD L3. \r\nHe is also very shy and has anxiety so will to start very slowly. \r\nHe also has an autoimmune condition and many food allergies. \r\nSo has low energy and needs to gradually increase his stamina.',''),(16551,13,333,'38','NDIS',''),(16552,13,333,'187','431432674',''),(16553,13,333,'6','RIDES©',''),(16554,13,333,'53','LEARN 2 RIDE©',''),(16555,13,333,'54','No Experience Riding',''),(16556,13,333,'58','Yes',''),(16557,13,333,'60.3','Aroha',''),(16558,13,333,'60.6','Valentine',''),(16559,13,333,'61','valentinefamily@bigpond.com',''),(16560,13,333,'194','0416388254',''),(16561,13,333,'64.1','2/48 Station Rd',''),(16562,13,333,'64.3','Indooroopilly',''),(16563,13,333,'64.4','QLD',''),(16564,13,333,'64.5','4068',''),(16565,13,333,'64.6','Australia',''),(16566,13,333,'66','ASDL3\r\nAnxiety \r\nAutoimmune condition - CIRS\r\nSensory Processing',''),(16567,13,333,'67','Aroha is feeling better and enjoys being outside at the park. He needs to start exercising again and having fun,',''),(16568,13,333,'174','Aroha will need his support person to gradually connect with him until he becomes comfortable.',''),(16569,13,333,'70','No',''),(16570,13,333,'72','Yes',''),(16571,13,333,'73','Celiac Disease \r\nArtificial Colours and Flavourings \r\nSynthetic Scents',''),(16572,13,333,'74','0',''),(16573,13,333,'75','21',''),(16574,13,333,'76','Very Low',''),(16575,13,333,'80.3','Jarin',''),(16576,13,333,'80.6','Saini',''),(16577,13,333,'81','Brother',''),(16578,13,333,'82','0410415736',''),(16579,13,333,'85.11','I don\'t have any reports',''),(16580,13,333,'107','Self / Privately Managed',''),(16581,13,333,'117','Capacity Building | Improved Daily Living',''),(16582,13,333,'146.2','Tuesday',''),(16583,13,333,'146.3','Wednesday',''),(16584,13,333,'146.4','Thursday',''),(16585,13,333,'146.5','Friday',''),(16586,13,333,'146.6','Saturday',''),(16587,13,333,'146.7','Sunday',''),(16588,13,333,'151','Lunch - approx 11am-1pm',''),(16589,13,333,'152','Early Morning - approx 5am-8am',''),(16590,13,333,'150','Mid Morning - approx 8am-11am',''),(16591,13,333,'153','Early Morning - approx 5am-8am',''),(16592,13,333,'149','Lunch - approx 11am-1pm',''),(16593,13,333,'148','Mid Morning - approx 8am-11am',''),(16594,13,333,'57','Yes',''),(16595,13,333,'164','Pick Up and Drop Off',''),(16596,13,333,'167.1','2/48 Station Rd',''),(16597,13,333,'167.3','Indooroopilly',''),(16598,13,333,'167.4','QLD',''),(16599,13,333,'167.5','4068',''),(16600,13,333,'167.6','Australia',''),(16601,13,333,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16602,13,333,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16603,13,333,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16604,13,333,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16605,13,333,'104','64340dc9bb6783.47492879.png',''),(16606,13,333,'106.3','Rhiannon',''),(16607,13,333,'106.6','Valentine',''),(16608,13,333,'105','2022-11-17',''),(16609,13,333,'198','2022-08-08',''),(16610,13,333,'199','2023-08-08',''),(16611,13,333,'63','0',''),(16612,13,333,'gravityformsrecaptcha_score','disconnected',NULL),(16613,13,333,'gppcmt_pretty_id','9dbc61',NULL),(16614,13,333,'46','40dc9dc1ed',''),(16615,13,333,'fg_easypassthrough_token','2e84aef1c927a5ae88b6ec71f5efecd7',NULL),(16616,13,333,'gpfr_stashed_file_urls','',NULL),(16617,13,333,'is_approved','3',NULL),(16618,13,333,'gvmaps_lat_64','',NULL),(16619,13,333,'gvmaps_long_64','',NULL),(16620,13,333,'gvmaps_lat_141','',NULL),(16621,13,333,'gvmaps_long_141','',NULL),(16622,13,333,'gvmaps_lat_167','',NULL),(16623,13,333,'gvmaps_long_167','',NULL),(16624,13,333,'gpaa_lat_64','',NULL),(16625,13,333,'gpaa_lng_64','',NULL),(16626,13,334,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16627,13,334,'48','Support Coordinator',''),(16628,13,334,'47.3','Steve',''),(16629,13,334,'47.6','Simmons',''),(16630,13,334,'49','0756067844',''),(16631,13,334,'50','disability@thefamilycentre.org.au',''),(16632,13,334,'51','Our Participant is a 15yo Aboriginal male currently living in out of home care in Tweed Heads.  Zion is currently not attending school and would benefit from engagement in school hours.',''),(16633,13,334,'38','NDIS',''),(16634,13,334,'187','431505881',''),(16635,13,334,'6','RIDES©',''),(16636,13,334,'53','SKILLS-TRAX©',''),(16637,13,334,'54','Intermediate Rider',''),(16638,13,334,'58','No',''),(16639,13,334,'60.3','Zion',''),(16640,13,334,'60.6','Knight',''),(16641,13,334,'64.1','TBA',''),(16642,13,334,'64.3','Banora Point',''),(16643,13,334,'64.4','NSW',''),(16644,13,334,'64.5','2486',''),(16645,13,334,'64.6','Australia',''),(16646,13,334,'66','ASD',''),(16647,13,334,'70','No',''),(16648,13,334,'72','No',''),(16649,13,334,'74','140',''),(16650,13,334,'75','60',''),(16651,13,334,'76','Medium',''),(16652,13,334,'80.3','Samantha',''),(16653,13,334,'80.6','Nean',''),(16654,13,334,'81','Representative (DCJ)',''),(16655,13,334,'82','0755064678',''),(16656,13,334,'85.11','I don\'t have any reports',''),(16657,13,334,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(16658,13,334,'112','Tweed Coast Plan Manangement',''),(16659,13,334,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(16660,13,334,'146.2','Tuesday',''),(16661,13,334,'146.4','Thursday',''),(16662,13,334,'146.5','Friday',''),(16663,13,334,'151','Lunch - approx 11am-1pm',''),(16664,13,334,'150','Lunch - approx 11am-1pm',''),(16665,13,334,'153','Lunch - approx 11am-1pm',''),(16666,13,334,'57','Yes',''),(16667,13,334,'164','Pick Up',''),(16668,13,334,'167.1','TBA',''),(16669,13,334,'167.3','Banora Point',''),(16670,13,334,'167.4','NSW',''),(16671,13,334,'167.5','2486',''),(16672,13,334,'167.6','Australia',''),(16673,13,334,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16674,13,334,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16675,13,334,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16676,13,334,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16677,13,334,'104','64340dc9e18000.19994357.png',''),(16678,13,334,'106.3','Steve',''),(16679,13,334,'106.6','Simmons',''),(16680,13,334,'105','2022-11-17',''),(16681,13,334,'198','2021-12-13',''),(16682,13,334,'199','2023-12-13',''),(16683,13,334,'63','0',''),(16684,13,334,'gravityformsrecaptcha_score','disconnected',NULL),(16685,13,334,'gppcmt_pretty_id','a0d4db',NULL),(16686,13,334,'46','40dca0d9a9',''),(16687,13,334,'fg_easypassthrough_token','7d7e2cce7a88aedb399b6dae3dcf935f',NULL),(16688,13,334,'gpfr_stashed_file_urls','',NULL),(16689,13,334,'is_approved','3',NULL),(16690,13,334,'gvmaps_lat_64','',NULL),(16691,13,334,'gvmaps_long_64','',NULL),(16692,13,334,'gvmaps_lat_141','',NULL),(16693,13,334,'gvmaps_long_141','',NULL),(16694,13,334,'gvmaps_lat_167','',NULL),(16695,13,334,'gvmaps_long_167','',NULL),(16696,13,334,'gpaa_lat_64','',NULL),(16697,13,334,'gpaa_lng_64','',NULL),(16698,13,335,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16699,13,335,'48','Parent',''),(16700,13,335,'47.3','Rebecca',''),(16701,13,335,'47.6','Kerry',''),(16702,13,335,'49','0402111248',''),(16703,13,335,'50','rebecca.kerry2010@gmail.com',''),(16704,13,335,'51','I would like my children to be confident with riding bikes. It will be a great outlet for ADHD behaviours which we struggle with, help with sensory regulation and build strength. My eldest, Oscar, is hypermobile and needs to maintain strength to prevent injuries.',''),(16705,13,335,'38','NDIS',''),(16706,13,335,'187','430861131',''),(16707,13,335,'6','RIDES©',''),(16708,13,335,'53','SKILLS-TRAX©',''),(16709,13,335,'54','Beginner Rider',''),(16710,13,335,'58','Yes',''),(16711,13,335,'59','Both boys have learnt on small bikes with training wheels but only have ever ridden on level concrete. They have each done several laps of Lemke Park Albany Creek in one go. \r\nThis year I upgraded them to mountain bikes for size reasons however we are having difficulty with confidence on the change of bike. We have not yet learnt gear changes and aren\'t great with braking. Oscar has ridden the bike around the end of our cul-de-sac but no further.',''),(16712,13,335,'60.3','Oscar',''),(16713,13,335,'60.6','Kerry',''),(16714,13,335,'61','rebecca.kerry2010@gmail.com',''),(16715,13,335,'194','+61402111248',''),(16716,13,335,'64.1','50 Faheys Road West',''),(16717,13,335,'64.3','Albany Creek',''),(16718,13,335,'64.4','QLD',''),(16719,13,335,'64.5','4035',''),(16720,13,335,'64.6','Australia',''),(16721,13,335,'66','ASD Lvl 1\r\nSpeech impairment\r\nSlow cognitive processing\r\n?ADHD inattentive type?\r\nHypermobile\r\nTwice exceptional with learning disability\r\nAnxiety',''),(16722,13,335,'67','Oscar is very capable but very hesitant try new things and not confident. He is very social and I would like for him to be able to be comfortable with outdoor activities to be able to participate in like activities with his peers.\r\nHe also needs to maintain strength for control of his body and prevent injuries due to his hypermobility.\r\nHe is hypo-sensitive to noise, touch, tactile pressure, vestibular sensations. He needs a lot of sensory input to self calm and exercise is a great way to achieve this and help with emotional and sensory regulation.',''),(16723,13,335,'174','I will learn skills to assist with regulating my emotions and my anxiety. I will learn skills to enable me to interact socially with others and make friends.\r\nI will learn skills to manage my time and be more organised and to concentrate on tasks and my daily routine. I will improve my gross motor skills.\r\nI will develop skills to become independent in my daily life like other children my age. I will develop skills to make friendships.',''),(16724,13,335,'70','No',''),(16725,13,335,'72','Yes',''),(16726,13,335,'73','Penicillin - results in all over body rash. Nil treatments required.',''),(16727,13,335,'74','130',''),(16728,13,335,'75','32',''),(16729,13,335,'76','Medium',''),(16730,13,335,'80.3','Rebecca',''),(16731,13,335,'80.6','Kerry',''),(16732,13,335,'81','Mother',''),(16733,13,335,'82','+61402111248',''),(16734,13,335,'85.3','Psychology Report',''),(16735,13,335,'85.5','Occupational Therapy Report',''),(16736,13,335,'85.6','Exercise Physiology Report',''),(16737,13,335,'85.7','Speech Therapy Report',''),(16738,13,335,'85.9','Physiotherapy Report',''),(16739,13,335,'90','[]',''),(16740,13,335,'186','[]',''),(16741,13,335,'99','[]',''),(16742,13,335,'91','[]',''),(16743,13,335,'98','[]',''),(16744,13,335,'97','[]',''),(16745,13,335,'96','[]',''),(16746,13,335,'95','[]',''),(16747,13,335,'94','[]',''),(16748,13,335,'107','Self / Privately Managed',''),(16749,13,335,'117','Capacity Building | Improved Daily Living',''),(16750,13,335,'146.6','Saturday',''),(16751,13,335,'146.7','Sunday',''),(16752,13,335,'149','Mid Afternoon - approx 3pm-5pm',''),(16753,13,335,'148','Lunch - approx 11am-1pm',''),(16754,13,335,'57','No',''),(16755,13,335,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16756,13,335,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16757,13,335,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16758,13,335,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16759,13,335,'104','64340dca137286.31932629.png',''),(16760,13,335,'106.3','Rebecca',''),(16761,13,335,'106.6','Kerry',''),(16762,13,335,'105','2022-11-16',''),(16763,13,335,'198','2022-04-21',''),(16764,13,335,'199','2023-04-21',''),(16765,13,335,'63','0',''),(16766,13,335,'gravityformsrecaptcha_score','disconnected',NULL),(16767,13,335,'gppcmt_pretty_id','a36d54',NULL),(16768,13,335,'46','40dca37239',''),(16769,13,335,'fg_easypassthrough_token','1ea5526fed1bb754490b436b73833a11',NULL),(16770,13,335,'gpfr_stashed_file_urls','',NULL),(16771,13,335,'is_approved','',NULL),(16772,13,335,'gvmaps_lat_64','',NULL),(16773,13,335,'gvmaps_long_64','',NULL),(16774,13,335,'gvmaps_lat_141','',NULL),(16775,13,335,'gvmaps_long_141','',NULL),(16776,13,335,'gvmaps_lat_167','',NULL),(16777,13,335,'gvmaps_long_167','',NULL),(16778,13,335,'gpaa_lat_64','',NULL),(16779,13,335,'gpaa_lng_64','',NULL),(16780,13,336,'5','I\'m applying on BEHALF of someone who would like to participate',''),(16781,13,336,'48','Parent',''),(16782,13,336,'47.3','Cherie',''),(16783,13,336,'47.6','Gomez',''),(16784,13,336,'49','0421592884',''),(16785,13,336,'50','candcgomez@gmail.com',''),(16786,13,336,'51','ASD dx\r\nAnxiety\r\nADHD\r\n\r\nOur son is 16 years old and is struggling with school attendance due to lack of motivation , bullying incident, and struggles with social interactions causing significant anxiety. 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He is very social and I would like for him to be able to be comfortable with outdoor activities to be able to participate in like activities with his peers.\r\nHe also needs to maintain strength for control of his body and prevent injuries due to his hypermobility.\r\nHe is hypo-sensitive to noise, touch, tactile pressure, vestibular sensations. He needs a lot of sensory input to self calm and exercise is a great way to achieve this and help with emotional and sensory regulation.',''),(16872,13,337,'174','I will learn skills to assist with regulating my emotions and my anxiety. I will learn skills to enable me to interact socially with others and make friends.\r\nI will learn skills to manage my time and be more organised and to concentrate on tasks and my daily routine. I will improve my gross motor skills.\r\nI will develop skills to become independent in my daily life like other children my age. 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applying on BEHALF of someone who would like to participate',''),(16939,13,338,'48','Parent',''),(16940,13,338,'47.3','Rebecca',''),(16941,13,338,'47.6','Kerry',''),(16942,13,338,'49','0402111248',''),(16943,13,338,'50','rebecca.kerry2010@gmail.com',''),(16944,13,338,'51','I would like my children to be confident with riding bikes. It will be a great outlet for ADHD behaviours which we struggle with, help with sensory regulation and build strength. My eldest, Oscar, is hypermobile and needs to maintain strength to prevent injuries.',''),(16945,13,338,'38','NDIS',''),(16946,13,338,'187','4331003177',''),(16947,13,338,'6','RIDES©',''),(16948,13,338,'53','SKILLS-TRAX©',''),(16949,13,338,'54','Beginner Rider',''),(16950,13,338,'58','Yes',''),(16951,13,338,'59','Both boys have learnt on small bikes with training wheels but only have ever ridden on level concrete. They have each done several laps of Lemke Park Albany Creek in one go. \r\nThis year I upgraded them to mountain bikes for size reasons however we are having difficulty with confidence on the change of bike. We have not yet learnt gear changes and aren\'t great with braking.',''),(16952,13,338,'60.3','Sulian',''),(16953,13,338,'60.6','Kerry',''),(16954,13,338,'61','rebecca.kerry2010@gmail.com',''),(16955,13,338,'194','+61402111248',''),(16956,13,338,'64.1','50 Faheys Road West',''),(16957,13,338,'64.3','Albany Creek',''),(16958,13,338,'64.4','QLD',''),(16959,13,338,'64.5','4035',''),(16960,13,338,'64.6','Australia',''),(16961,13,338,'66','ASD\r\nADHD\r\nODD\r\nAnxiety',''),(16962,13,338,'67','Sulian is very clever, very active, can be hyper sensitive to sound and overwhelmed with taking in too much information at once. At times and needs to take time out in a quiet space to regroup.\r\nHe tends to jump in before he is ready to prove he is the best yet, at the same time, can be very hesitant to change his way of doing things and learning something new.',''),(16963,13,338,'174','Learn strategies to manage emotions and sensory overload by being able to be physically active\r\nTo improve physical skills, coordination, balance and endurance to enable me to be more confident in participating in social, recreational, sporting and community activities with my peers.',''),(16964,13,338,'70','No',''),(16965,13,338,'72','No',''),(16966,13,338,'74','127',''),(16967,13,338,'75','29',''),(16968,13,338,'76','Medium',''),(16969,13,338,'80.3','Rebecca',''),(16970,13,338,'80.6','Kerry',''),(16971,13,338,'81','Mother',''),(16972,13,338,'82','+61402111248',''),(16973,13,338,'85.3','Psychology Report',''),(16974,13,338,'85.5','Occupational Therapy Report',''),(16975,13,338,'85.6','Exercise Physiology Report',''),(16976,13,338,'85.7','Speech Therapy Report',''),(16977,13,338,'90','[]',''),(16978,13,338,'186','[]',''),(16979,13,338,'99','[]',''),(16980,13,338,'91','[]',''),(16981,13,338,'98','[]',''),(16982,13,338,'97','[]',''),(16983,13,338,'96','[]',''),(16984,13,338,'95','[]',''),(16985,13,338,'94','[]',''),(16986,13,338,'107','Self / Privately Managed',''),(16987,13,338,'117','Capacity Building | Improved Daily Living',''),(16988,13,338,'146.6','Saturday',''),(16989,13,338,'146.7','Sunday',''),(16990,13,338,'149','Early Afternoon - approx 1pm-3pm',''),(16991,13,338,'148','Lunch - approx 11am-1pm',''),(16992,13,338,'57','No',''),(16993,13,338,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(16994,13,338,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(16995,13,338,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(16996,13,338,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(16997,13,338,'104','64340dd135d484.60206771.png',''),(16998,13,338,'106.3','Rebecca',''),(16999,13,338,'106.6','Kerry',''),(17000,13,338,'105','2022-11-16',''),(17001,13,338,'198','2021-07-01',''),(17002,13,338,'199','2023-07-01',''),(17003,13,338,'63','0',''),(17004,13,338,'gravityformsrecaptcha_score','disconnected',NULL),(17005,13,338,'gppcmt_pretty_id','161a0f',NULL),(17006,13,338,'46','40dd161f17',''),(17007,13,338,'fg_easypassthrough_token','091074d423757a2bc4abf499c1cf07a7',NULL),(17008,13,338,'gpfr_stashed_file_urls','',NULL),(17009,13,338,'is_approved','',NULL),(17010,13,338,'gvmaps_lat_64','',NULL),(17011,13,338,'gvmaps_long_64','',NULL),(17012,13,338,'gvmaps_lat_141','',NULL),(17013,13,338,'gvmaps_long_141','',NULL),(17014,13,338,'gvmaps_lat_167','',NULL),(17015,13,338,'gvmaps_long_167','',NULL),(17016,13,338,'gpaa_lat_64','',NULL),(17017,13,338,'gpaa_lng_64','',NULL),(17018,13,339,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17019,13,339,'48','Parent',''),(17020,13,339,'47.3','Rebecca',''),(17021,13,339,'47.6','Kerry',''),(17022,13,339,'49','0402111248',''),(17023,13,339,'50','rebecca.kerry2010@gmail.com',''),(17024,13,339,'51','I would like my children to be confident with riding bikes. It will be a great outlet for ADHD behaviours which we struggle with, help with sensory regulation and build strength. My eldest, Oscar, is hypermobile and needs to maintain strength to prevent injuries.',''),(17025,13,339,'38','NDIS',''),(17026,13,339,'187','4331003177',''),(17027,13,339,'6','RIDES©',''),(17028,13,339,'53','SKILLS-TRAX©',''),(17029,13,339,'54','Beginner Rider',''),(17030,13,339,'58','Yes',''),(17031,13,339,'59','Both boys have learnt on small bikes with training wheels but only have ever ridden on level concrete. They have each done several laps of Lemke Park Albany Creek in one go. \r\nThis year I upgraded them to mountain bikes for size reasons however we are having difficulty with confidence on the change of bike. We have not yet learnt gear changes and aren\'t great with braking.',''),(17032,13,339,'60.3','Sulian',''),(17033,13,339,'60.6','Kerry',''),(17034,13,339,'61','rebecca.kerry2010@gmail.com',''),(17035,13,339,'194','+61402111248',''),(17036,13,339,'64.1','50 Faheys Road West',''),(17037,13,339,'64.3','Albany Creek',''),(17038,13,339,'64.4','QLD',''),(17039,13,339,'64.5','4035',''),(17040,13,339,'64.6','Australia',''),(17041,13,339,'66','ASD\r\nADHD\r\nODD\r\nAnxiety',''),(17042,13,339,'67','Sulian is very clever, very active, can be hyper sensitive to sound and overwhelmed with taking in too much information at once. At times and needs to take time out in a quiet space to regroup.\r\nHe tends to jump in before he is ready to prove he is the best yet, at the same time, can be very hesitant to change his way of doing things and learning something new.',''),(17043,13,339,'174','Learn strategies to manage emotions and sensory overload by being able to be physically active\r\nTo improve physical skills, coordination, balance and endurance to enable me to be more confident in participating in social, recreational, sporting and community activities with my peers.',''),(17044,13,339,'70','No',''),(17045,13,339,'72','No',''),(17046,13,339,'74','127',''),(17047,13,339,'75','29',''),(17048,13,339,'76','Medium',''),(17049,13,339,'80.3','Rebecca',''),(17050,13,339,'80.6','Kerry',''),(17051,13,339,'81','Mother',''),(17052,13,339,'82','+61402111248',''),(17053,13,339,'85.3','Psychology Report',''),(17054,13,339,'85.5','Occupational Therapy Report',''),(17055,13,339,'85.6','Exercise Physiology Report',''),(17056,13,339,'85.7','Speech Therapy Report',''),(17057,13,339,'90','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Sulian-neuropsych-report.pdf\"]',''),(17058,13,339,'186','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Sulian-Speech-Summary-April-2021.docx\"]',''),(17059,13,339,'99','[]',''),(17060,13,339,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Sulian-Initial-Occupational-Therapy-Assessment-Sulian-KERRY-copy.pdf\",\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Sensory-Profile.pdf\"]',''),(17061,13,339,'98','[]',''),(17062,13,339,'97','[]',''),(17063,13,339,'96','[]',''),(17064,13,339,'95','[]',''),(17065,13,339,'94','[]',''),(17066,13,339,'107','Self / Privately Managed',''),(17067,13,339,'117','Capacity Building | Improved Daily Living',''),(17068,13,339,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/NDIS-Plan-2021-2023.pdf',''),(17069,13,339,'146.6','Saturday',''),(17070,13,339,'146.7','Sunday',''),(17071,13,339,'149','Early Afternoon - approx 1pm-3pm',''),(17072,13,339,'148','Lunch - approx 11am-1pm',''),(17073,13,339,'57','No',''),(17074,13,339,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17075,13,339,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17076,13,339,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17077,13,339,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17078,13,339,'104','64340dd290fd51.27423568.png',''),(17079,13,339,'106.3','Rebecca',''),(17080,13,339,'106.6','Kerry',''),(17081,13,339,'105','2022-11-16',''),(17082,13,339,'198','2021-07-01',''),(17083,13,339,'199','2023-07-01',''),(17084,13,339,'63','0',''),(17085,13,339,'9ed7c77b7d77bc450960bc117a52c7e5ecb2970d165042a31a3827d763f7e8139f3e0ba2244d97bfd24e917170d65306b27bae30a62c229a02a5a978694eeeb7','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:28:\"Sulian-neuropsych-report.pdf\";}',NULL),(17086,13,339,'aef5c8bf5b9ed06d975b55600dc43a3f68c1ea7a57592f467b2b79923fe04b3e8d662dbe52b6371e53a9d68de2c3e2b68b6db5bae74ce3b49ab7469f25c7b0ee','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:37:\"Sulian-Speech-Summary-April-2021.docx\";}',NULL),(17087,13,339,'8eff8a3182018130f6269b0a7ecf7b8ebeee72ce59a0698c24686cfb686a7125dab56cf6cd0eca3d530f150595831c841e493aa2dad1c29d3e7872bc10160731','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:68:\"Sulian-Initial-Occupational-Therapy-Assessment-Sulian-KERRY-copy.pdf\";}',NULL),(17088,13,339,'28d767d21722c079f03ebfad882563f08fa17328274e5b969f55d528b16ebd6affff0008cd4be4b6c939f237972630c25b297f14165fd556e028fe1682102948','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:19:\"Sensory-Profile.pdf\";}',NULL),(17089,13,339,'gravityformsrecaptcha_score','disconnected',NULL),(17090,13,339,'gppcmt_pretty_id','2b2430',NULL),(17091,13,339,'46','40dd2b2970',''),(17092,13,339,'fg_easypassthrough_token','5827bba78462eccfb9cb03136078cf2d',NULL),(17093,13,339,'gpfr_stashed_file_urls','',NULL),(17094,13,339,'is_approved','3',NULL),(17095,13,339,'gvmaps_lat_64','',NULL),(17096,13,339,'gvmaps_long_64','',NULL),(17097,13,339,'gvmaps_lat_141','',NULL),(17098,13,339,'gvmaps_long_141','',NULL),(17099,13,339,'gvmaps_lat_167','',NULL),(17100,13,339,'gvmaps_long_167','',NULL),(17101,13,339,'gpaa_lat_64','',NULL),(17102,13,339,'gpaa_lng_64','',NULL),(17103,13,340,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17104,13,340,'48','Parent',''),(17105,13,340,'47.3','Emily',''),(17106,13,340,'47.6','Ribaldone',''),(17107,13,340,'49','0402595285',''),(17108,13,340,'50','emilyhedleymann@yahoo.com',''),(17109,13,340,'51','Luca is ADHD/ASD 1/2\r\nHe requires support with bring more active/physical \r\nBuilding social skills/ engagement \r\nLuca is currently homeschooling',''),(17110,13,340,'38','NDIS',''),(17111,13,340,'187','431847724',''),(17112,13,340,'6','RIDES©',''),(17113,13,340,'53','SKILLS-TRAX©',''),(17114,13,340,'54','Intermediate Rider',''),(17115,13,340,'58','No',''),(17116,13,340,'59','He does have a bike, he has just had a massive growth spurt and it’s a bit small.',''),(17117,13,340,'60.3','Luca',''),(17118,13,340,'60.6','Ribaldone',''),(17119,13,340,'64.1','14 Cheval Ct',''),(17120,13,340,'64.3','Benowa',''),(17121,13,340,'64.4','QLD',''),(17122,13,340,'64.5','4217',''),(17123,13,340,'64.6','Australia',''),(17124,13,340,'66','ADHD\r\nASD 1/2',''),(17125,13,340,'67','Luca loves riding his bike but doesn’t do it very much\r\nHe absolutely loves the outdoors.\r\nI would love him to find new ways to experience both',''),(17126,13,340,'174','Opportunity to engage in activities that will eventually offer social participation opportunities. Engage in physical activity for health/fitness. \r\nHe also has weak core muscles, and other muscle weakness that need building up in a fun way.',''),(17127,13,340,'70','Yes',''),(17128,13,340,'71','Vyvanse 60mg\r\nAbilify 10mg\r\nFluoxetine 30mg\r\nCatapress 100mg\r\nFish oil',''),(17129,13,340,'72','No',''),(17130,13,340,'74','160',''),(17131,13,340,'75','52',''),(17132,13,340,'76','Low',''),(17133,13,340,'80.3','Emily',''),(17134,13,340,'80.6','Ribaldone',''),(17135,13,340,'81','Mother',''),(17136,13,340,'82','0402595285',''),(17137,13,340,'85.11','I don\'t have any reports',''),(17138,13,340,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(17139,13,340,'112','My Plan Solutions Plan Management',''),(17140,13,340,'113','invoices@mysol.com.au',''),(17141,13,340,'117','Capacity Building | Improved Daily Living',''),(17142,13,340,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Luca-NDIS-PLAN.pdf',''),(17143,13,340,'146.3','Wednesday',''),(17144,13,340,'146.5','Friday',''),(17145,13,340,'146.7','Sunday',''),(17146,13,340,'152','Mid Morning - approx 8am-11am',''),(17147,13,340,'153','Lunch - approx 11am-1pm',''),(17148,13,340,'148','Lunch - approx 11am-1pm',''),(17149,13,340,'57','No',''),(17150,13,340,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17151,13,340,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17152,13,340,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17153,13,340,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17154,13,340,'104','64340dd3229c61.57727874.png',''),(17155,13,340,'106.3','Emily',''),(17156,13,340,'106.6','Ribaldone',''),(17157,13,340,'105','2022-11-16',''),(17158,13,340,'198','2021-12-07',''),(17159,13,340,'199','2022-12-07',''),(17160,13,340,'63','0',''),(17161,13,340,'gravityformsrecaptcha_score','disconnected',NULL),(17162,13,340,'gppcmt_pretty_id','345b44',NULL),(17163,13,340,'46','40dd345ff9',''),(17164,13,340,'fg_easypassthrough_token','fbb04ec160cd1197d3307525479b33d8',NULL),(17165,13,340,'gpfr_stashed_file_urls','',NULL),(17166,13,340,'is_approved','3',NULL),(17167,13,340,'gvmaps_lat_64','',NULL),(17168,13,340,'gvmaps_long_64','',NULL),(17169,13,340,'gvmaps_lat_141','',NULL),(17170,13,340,'gvmaps_long_141','',NULL),(17171,13,340,'gvmaps_lat_167','',NULL),(17172,13,340,'gvmaps_long_167','',NULL),(17173,13,340,'gpaa_lat_64','',NULL),(17174,13,340,'gpaa_lng_64','',NULL),(17175,13,341,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17176,13,341,'48','Support Coordinator',''),(17177,13,341,'47.3','Shinila',''),(17178,13,341,'47.6','Varghese',''),(17179,13,341,'49','0405554408',''),(17180,13,341,'50','livingstreamservices@outlook.com',''),(17181,13,341,'51','Kayan is 15 year old from Yizidi background.\r\nHe has few physioe sessions previously to develop on his balance, physique and stamina. Due to limited CB funding he is unable to participate in exercise therapies. He has limited social experiences and mostly stays at home. His mum would like Kayan to build on his stamina and social skills and is happy to trial suitable programs for his age.',''),(17182,13,341,'38','NDIS',''),(17183,13,341,'187','430191456',''),(17184,13,341,'6','RIDES©',''),(17185,13,341,'53','SKILLS-TRAX©',''),(17186,13,341,'54','No Experience Riding',''),(17187,13,341,'58','Yes',''),(17188,13,341,'64.6','Australia',''),(17189,13,341,'70','Yes',''),(17190,13,341,'72','Yes',''),(17191,13,341,'90','[]',''),(17192,13,341,'186','[]',''),(17193,13,341,'99','[]',''),(17194,13,341,'91','[]',''),(17195,13,341,'98','[]',''),(17196,13,341,'97','[]',''),(17197,13,341,'96','[]',''),(17198,13,341,'95','[]',''),(17199,13,341,'94','[]',''),(17200,13,341,'107','Self / Privately Managed',''),(17201,13,341,'117','Capacity Building | Improved Daily Living',''),(17202,13,341,'57','Yes',''),(17203,13,341,'164','Pick Up',''),(17204,13,341,'63','0',''),(17205,13,341,'gravityformsrecaptcha_score','disconnected',NULL),(17206,13,341,'gppcmt_pretty_id','3558af',NULL),(17207,13,341,'46','40dd355d64',''),(17208,13,341,'fg_easypassthrough_token','4b25a75be1760f5dd6e63fc336ed4f77',NULL),(17209,13,341,'gpfr_stashed_file_urls','',NULL),(17210,13,341,'is_approved','',NULL),(17211,13,341,'gvmaps_lat_64','',NULL),(17212,13,341,'gvmaps_long_64','',NULL),(17213,13,341,'gvmaps_lat_141','',NULL),(17214,13,341,'gvmaps_long_141','',NULL),(17215,13,341,'gvmaps_lat_167','',NULL),(17216,13,341,'gvmaps_long_167','',NULL),(17217,13,341,'gpaa_lat_64','',NULL),(17218,13,341,'gpaa_lng_64','',NULL),(17219,13,342,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17220,13,342,'48','Parent',''),(17221,13,342,'47.3','Erin',''),(17222,13,342,'47.6','McLeod',''),(17223,13,342,'49','0426539100',''),(17224,13,342,'50','rennymae20@gmail.com',''),(17225,13,342,'51','Fory daughter to Learn how to ride a bike, help improve hand eye coordination and balance also health and fitness and well being, improve mental health.',''),(17226,13,342,'38','NDIS',''),(17227,13,342,'187','431996687',''),(17228,13,342,'6','RIDES©',''),(17229,13,342,'53','SKILLS-TRAX©',''),(17230,13,342,'54','No Experience Riding',''),(17231,13,342,'58','Yes',''),(17232,13,342,'59','Just bought her a new bike but she doesn\'t really know how to ride it',''),(17233,13,342,'60.3','Lakaiah',''),(17234,13,342,'60.6','McLeod Mitchell',''),(17235,13,342,'61','rennymae20@gmail.com',''),(17236,13,342,'194','0426539100',''),(17237,13,342,'64.1','30',''),(17238,13,342,'64.3','Sylvester Dr',''),(17239,13,342,'64.4','Kallangur',''),(17240,13,342,'64.5','Qld 4503',''),(17241,13,342,'64.6','Australia',''),(17242,13,342,'66','LEVEL 2 ASD\r\nADHD\r\nODD\r\nPTSD',''),(17243,13,342,'67','This will help with hand eye coordination and balance and health and fitness and well being. Confidence building and independence.',''),(17244,13,342,'174','Learn how to ride a bike independently.\r\nThis will help with hand eye coordination and balance and health and fitness and well being. Confidence building and independence.',''),(17245,13,342,'70','Yes',''),(17246,13,342,'71','Melatonin 0.05ml',''),(17247,13,342,'72','No',''),(17248,13,342,'74','120',''),(17249,13,342,'75','45',''),(17250,13,342,'76','Medium',''),(17251,13,342,'80.3','Erin',''),(17252,13,342,'80.6','McLeod',''),(17253,13,342,'81','Parent',''),(17254,13,342,'82','0426539100',''),(17255,13,342,'85.5','Occupational Therapy Report',''),(17256,13,342,'90','[]',''),(17257,13,342,'186','[]',''),(17258,13,342,'99','[]',''),(17259,13,342,'91','[]',''),(17260,13,342,'98','[]',''),(17261,13,342,'97','[]',''),(17262,13,342,'96','[]',''),(17263,13,342,'95','[]',''),(17264,13,342,'94','[]',''),(17265,13,342,'107','Self / Privately Managed',''),(17266,13,342,'117','Capacity Building | Improved Health and Wellness',''),(17267,13,342,'146.3','Wednesday',''),(17268,13,342,'152','Lunch - approx 11am-1pm',''),(17269,13,342,'57','No',''),(17270,13,342,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17271,13,342,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17272,13,342,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17273,13,342,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17274,13,342,'104','64340dd35ac384.80504281.png',''),(17275,13,342,'106.3','Erin',''),(17276,13,342,'106.6','McLeod',''),(17277,13,342,'105','2022-11-16',''),(17278,13,342,'198','2022-08-24',''),(17279,13,342,'199','2025-08-22',''),(17280,13,342,'63','0',''),(17281,13,342,'gravityformsrecaptcha_score','disconnected',NULL),(17282,13,342,'gppcmt_pretty_id','37afa6',NULL),(17283,13,342,'46','40dd37b460',''),(17284,13,342,'fg_easypassthrough_token','69c026198bb2d4edbf379219659e90a4',NULL),(17285,13,342,'gpfr_stashed_file_urls','',NULL),(17286,13,342,'is_approved','',NULL),(17287,13,342,'gvmaps_lat_64','',NULL),(17288,13,342,'gvmaps_long_64','',NULL),(17289,13,342,'gvmaps_lat_141','',NULL),(17290,13,342,'gvmaps_long_141','',NULL),(17291,13,342,'gvmaps_lat_167','',NULL),(17292,13,342,'gvmaps_long_167','',NULL),(17293,13,342,'gpaa_lat_64','',NULL),(17294,13,342,'gpaa_lng_64','',NULL),(17295,13,343,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17296,13,343,'48','Support Coordinator',''),(17297,13,343,'47.3','Mikaela',''),(17298,13,343,'47.6','Graham',''),(17299,13,343,'49','0435661051',''),(17300,13,343,'50','dominocoordination@gmail.com',''),(17301,13,343,'51','Mikaela is passionate about mountain biking and keen to connect with like minded people. She has a recent diagnosis of ASD and this is her first time accessing NDIS services. She is very independent, and requires support to take these first steps to joining a new group.',''),(17302,13,343,'38','NDIS',''),(17303,13,343,'187','431930805',''),(17304,13,343,'6','RIDES©',''),(17305,13,343,'53','SOCIAL-TRAX©',''),(17306,13,343,'54','Advanced Rider',''),(17307,13,343,'58','Yes',''),(17308,13,343,'60.3','Mikaela',''),(17309,13,343,'60.6','Graham',''),(17310,13,343,'61','miki1242@gmail.com',''),(17311,13,343,'194','0481337757',''),(17312,13,343,'64.1','15 Allinga Street',''),(17313,13,343,'64.3','Coombabah',''),(17314,13,343,'64.4','QLD',''),(17315,13,343,'64.5','4216',''),(17316,13,343,'64.6','Australia',''),(17317,13,343,'66','ASD',''),(17318,13,343,'67','Mikaela has also suffered some previous trauma and is working through this with her current supports. She is now ready to reconnect with her community, and has acknowledged that she may require support in this area. She has expressed that she can overthink feedback from peers and others, and this has resulted in her disengaging from potential support. She responds well to having things explained to her in detail and being included in all discussions around her support. This reassures her that she is in control.',''),(17319,13,343,'174','To create new friendships in the community with like minded people.\r\nRemain active and pursue a leisure activity that she is passionate about. \r\nGain independence in social situations.',''),(17320,13,343,'70','No',''),(17321,13,343,'72','No',''),(17322,13,343,'74','163',''),(17323,13,343,'75','56',''),(17324,13,343,'76','High',''),(17325,13,343,'80.3','Tanya',''),(17326,13,343,'80.6','Chamberlin',''),(17327,13,343,'81','Support Coordinator',''),(17328,13,343,'82','0435661051',''),(17329,13,343,'85.11','I don\'t have any reports',''),(17330,13,343,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(17331,13,343,'112','My Plan Manager',''),(17332,13,343,'113','accounts@myplanmanager.com.au',''),(17333,13,343,'117','Capacity Building | Improved Daily Living',''),(17334,13,343,'146.2','Tuesday',''),(17335,13,343,'146.3','Wednesday',''),(17336,13,343,'146.4','Thursday',''),(17337,13,343,'146.5','Friday',''),(17338,13,343,'151','Mid Morning - approx 8am-11am',''),(17339,13,343,'152','Mid Morning - approx 8am-11am',''),(17340,13,343,'150','Mid Morning - approx 8am-11am',''),(17341,13,343,'153','Mid Morning - approx 8am-11am',''),(17342,13,343,'57','Yes',''),(17343,13,343,'164','Pick Up',''),(17344,13,343,'167.1','15 Allinga Street',''),(17345,13,343,'167.3','Coombabah',''),(17346,13,343,'167.4','QLD',''),(17347,13,343,'167.5','4216',''),(17348,13,343,'167.6','Australia',''),(17349,13,343,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17350,13,343,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17351,13,343,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17352,13,343,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17353,13,343,'104','64340dd3808969.29755425.png',''),(17354,13,343,'106.3','Tanya',''),(17355,13,343,'106.6','Chamberlin',''),(17356,13,343,'105','2022-11-16',''),(17357,13,343,'198','2022-04-24',''),(17358,13,343,'199','2024-04-23',''),(17359,13,343,'63','0',''),(17360,13,343,'gravityformsrecaptcha_score','disconnected',NULL),(17361,13,343,'gppcmt_pretty_id','3a0ab0',NULL),(17362,13,343,'46','40dd3a0f32',''),(17363,13,343,'fg_easypassthrough_token','0ae3e99fe2e0b0814703aaf648efa214',NULL),(17364,13,343,'gpfr_stashed_file_urls','',NULL),(17365,13,343,'is_approved','',NULL),(17366,13,343,'gvmaps_lat_64','',NULL),(17367,13,343,'gvmaps_long_64','',NULL),(17368,13,343,'gvmaps_lat_141','',NULL),(17369,13,343,'gvmaps_long_141','',NULL),(17370,13,343,'gvmaps_lat_167','',NULL),(17371,13,343,'gvmaps_long_167','',NULL),(17372,13,343,'gpaa_lat_64','',NULL),(17373,13,343,'gpaa_lng_64','',NULL),(17374,13,344,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17375,13,344,'48','Support Coordinator',''),(17376,13,344,'47.3','Mikaela',''),(17377,13,344,'47.6','Graham',''),(17378,13,344,'49','0435661051',''),(17379,13,344,'50','dominocoordination@gmail.com',''),(17380,13,344,'51','Mikaela is passionate about mountain biking and keen to connect with like minded people. She has a recent diagnosis of ASD and this is her first time accessing NDIS services. She is very independent, and requires support to take these first steps to joining a new group.',''),(17381,13,344,'38','NDIS',''),(17382,13,344,'187','431930805',''),(17383,13,344,'6','RIDES©',''),(17384,13,344,'53','SOCIAL-TRAX©',''),(17385,13,344,'54','Advanced Rider',''),(17386,13,344,'58','Yes',''),(17387,13,344,'60.3','Mikaela',''),(17388,13,344,'60.6','Graham',''),(17389,13,344,'61','miki1242@gmail.com',''),(17390,13,344,'194','0481337757',''),(17391,13,344,'64.1','15 Allinga Street',''),(17392,13,344,'64.3','Coombabah',''),(17393,13,344,'64.4','QLD',''),(17394,13,344,'64.5','4216',''),(17395,13,344,'64.6','Australia',''),(17396,13,344,'66','ASD',''),(17397,13,344,'67','Mikaela has also suffered some previous trauma and is working through this with her current supports. She is now ready to reconnect with her community, and has acknowledged that she may require support in this area. She has expressed that she can overthink feedback from peers and others, and this has resulted in her disengaging from potential support. She responds well to having things explained to her in detail and being included in all discussions around her support. This reassures her that she is in control.',''),(17398,13,344,'174','To create new friendships in the community with like minded people.\r\nRemain active and pursue a leisure activity that she is passionate about. \r\nGain independence in social situations.',''),(17399,13,344,'70','No',''),(17400,13,344,'72','No',''),(17401,13,344,'74','163',''),(17402,13,344,'75','56',''),(17403,13,344,'76','High',''),(17404,13,344,'80.3','Tanya',''),(17405,13,344,'80.6','Chamberlin',''),(17406,13,344,'81','Support Coordinator',''),(17407,13,344,'82','0435661051',''),(17408,13,344,'85.11','I don\'t have any reports',''),(17409,13,344,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(17410,13,344,'112','My Plan Manager',''),(17411,13,344,'113','accounts@myplanmanager.com.au',''),(17412,13,344,'117','Capacity Building | Improved Daily Living',''),(17413,13,344,'146.2','Tuesday',''),(17414,13,344,'146.3','Wednesday',''),(17415,13,344,'146.4','Thursday',''),(17416,13,344,'146.5','Friday',''),(17417,13,344,'151','Mid Morning - approx 8am-11am',''),(17418,13,344,'152','Mid Morning - approx 8am-11am',''),(17419,13,344,'150','Mid Morning - approx 8am-11am',''),(17420,13,344,'153','Mid Morning - approx 8am-11am',''),(17421,13,344,'57','Yes',''),(17422,13,344,'164','Pick Up',''),(17423,13,344,'167.1','15 Allinga Street',''),(17424,13,344,'167.3','Coombabah',''),(17425,13,344,'167.4','QLD',''),(17426,13,344,'167.5','4216',''),(17427,13,344,'167.6','Australia',''),(17428,13,344,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17429,13,344,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17430,13,344,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17431,13,344,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17432,13,344,'104','64340dd3a60c17.50347374.png',''),(17433,13,344,'106.3','Tanya',''),(17434,13,344,'106.6','Chamberlin',''),(17435,13,344,'105','2022-11-16',''),(17436,13,344,'198','2022-04-24',''),(17437,13,344,'199','2024-04-23',''),(17438,13,344,'63','0',''),(17439,13,344,'gravityformsrecaptcha_score','disconnected',NULL),(17440,13,344,'gppcmt_pretty_id','3c7a09',NULL),(17441,13,344,'46','40dd3c7f97',''),(17442,13,344,'fg_easypassthrough_token','5b05fc96a6cf5099254576ff2ec4083e',NULL),(17443,13,344,'gpfr_stashed_file_urls','',NULL),(17444,13,344,'is_approved','3',NULL),(17445,13,344,'gvmaps_lat_64','',NULL),(17446,13,344,'gvmaps_long_64','',NULL),(17447,13,344,'gvmaps_lat_141','',NULL),(17448,13,344,'gvmaps_long_141','',NULL),(17449,13,344,'gvmaps_lat_167','',NULL),(17450,13,344,'gvmaps_long_167','',NULL),(17451,13,344,'gpaa_lat_64','',NULL),(17452,13,344,'gpaa_lng_64','',NULL),(17453,13,345,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17454,13,345,'48','Support Coordinator',''),(17455,13,345,'47.3','Mathew',''),(17456,13,345,'47.6','Ford',''),(17457,13,345,'49','0492845561',''),(17458,13,345,'50','dominocoordination@gmail.com',''),(17459,13,345,'51','Mikaela Graham wishes to explore different opportunities to build her social capacity, engage with supports and implement new skills.',''),(17460,13,345,'38','NDIS',''),(17461,13,345,'6','RIDES©',''),(17462,13,345,'53','SKILLS-TRAX©',''),(17463,13,345,'54','No Experience Riding',''),(17464,13,345,'58','Yes',''),(17465,13,345,'64.6','Australia',''),(17466,13,345,'70','Yes',''),(17467,13,345,'72','Yes',''),(17468,13,345,'90','[]',''),(17469,13,345,'186','[]',''),(17470,13,345,'99','[]',''),(17471,13,345,'91','[]',''),(17472,13,345,'98','[]',''),(17473,13,345,'97','[]',''),(17474,13,345,'96','[]',''),(17475,13,345,'95','[]',''),(17476,13,345,'94','[]',''),(17477,13,345,'107','Self / Privately Managed',''),(17478,13,345,'117','Capacity Building | Improved Daily Living',''),(17479,13,345,'57','Yes',''),(17480,13,345,'164','Pick Up',''),(17481,13,345,'63','0',''),(17482,13,345,'gravityformsrecaptcha_score','disconnected',NULL),(17483,13,345,'gppcmt_pretty_id','3d74ed',NULL),(17484,13,345,'46','40dd3d7a76',''),(17485,13,345,'fg_easypassthrough_token','9e27e04078a5d4c63e190ba7fea619b5',NULL),(17486,13,345,'gpfr_stashed_file_urls','',NULL),(17487,13,345,'is_approved','',NULL),(17488,13,345,'gvmaps_lat_64','',NULL),(17489,13,345,'gvmaps_long_64','',NULL),(17490,13,345,'gvmaps_lat_141','',NULL),(17491,13,345,'gvmaps_long_141','',NULL),(17492,13,345,'gvmaps_lat_167','',NULL),(17493,13,345,'gvmaps_long_167','',NULL),(17494,13,345,'gpaa_lat_64','',NULL),(17495,13,345,'gpaa_lng_64','',NULL),(17496,13,346,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17497,13,346,'48','Parent',''),(17498,13,346,'47.3','Robin',''),(17499,13,346,'47.6','Mounsey',''),(17500,13,346,'49','0439392995',''),(17501,13,346,'50','robin.marie@live.com.au',''),(17502,13,346,'51','10 year old son with ASD2 needs social and physical activity',''),(17503,13,346,'38','NDIS',''),(17504,13,346,'187','431836092',''),(17505,13,346,'6','RIDES©',''),(17506,13,346,'53','SKILLS-TRAX©',''),(17507,13,346,'54','Beginner Rider',''),(17508,13,346,'58','Yes',''),(17509,13,346,'59','Our son is overweight and very upset about it. He is an emotional eater and has struggled with anxiety and depression this year.',''),(17510,13,346,'60.3','Micah',''),(17511,13,346,'60.6','Mounsey',''),(17512,13,346,'64.1','11/1 Assembly Drive, Varsity Lakes',''),(17513,13,346,'64.3','Gold Coast',''),(17514,13,346,'64.4','Queensland',''),(17515,13,346,'64.5','4227',''),(17516,13,346,'64.6','Australia',''),(17517,13,346,'66','ASD2\r\nCholestatoma',''),(17518,13,346,'67','Gaming\r\nBike riding \r\nBoxing',''),(17519,13,346,'174','Lose weight\r\ngain fitness \r\nimprove social skills\r\nmake friends',''),(17520,13,346,'70','No',''),(17521,13,346,'72','No',''),(17522,13,346,'74','172',''),(17523,13,346,'75','93',''),(17524,13,346,'76','Very Low',''),(17525,13,346,'80.3','Robin',''),(17526,13,346,'80.6','Mounsey',''),(17527,13,346,'81','Mother',''),(17528,13,346,'82','0439392995',''),(17529,13,346,'85.11','I don\'t have any reports',''),(17530,13,346,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(17531,13,346,'112','Plan Partners',''),(17532,13,346,'117','Capacity Building | Improved Daily Living',''),(17533,13,346,'146.6','Saturday',''),(17534,13,346,'149','Mid Afternoon - approx 3pm-5pm',''),(17535,13,346,'57','No',''),(17536,13,346,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17537,13,346,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17538,13,346,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17539,13,346,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17540,13,346,'104','64340dd3dd0f49.94492340.png',''),(17541,13,346,'106.3','Robin',''),(17542,13,346,'106.6','Mounsey',''),(17543,13,346,'105','2022-11-14',''),(17544,13,346,'198','2022-09-30',''),(17545,13,346,'199','2023-03-31',''),(17546,13,346,'63','0',''),(17547,13,346,'gravityformsrecaptcha_score','disconnected',NULL),(17548,13,346,'gppcmt_pretty_id','40aacf',NULL),(17549,13,346,'46','40dd40af7d',''),(17550,13,346,'fg_easypassthrough_token','c5ae8450a99e8e680a540ba06453ee47',NULL),(17551,13,346,'gpfr_stashed_file_urls','',NULL),(17552,13,346,'is_approved','3',NULL),(17553,13,346,'gvmaps_lat_64','',NULL),(17554,13,346,'gvmaps_long_64','',NULL),(17555,13,346,'gvmaps_lat_141','',NULL),(17556,13,346,'gvmaps_long_141','',NULL),(17557,13,346,'gvmaps_lat_167','',NULL),(17558,13,346,'gvmaps_long_167','',NULL),(17559,13,346,'gpaa_lat_64','',NULL),(17560,13,346,'gpaa_lng_64','',NULL),(17561,13,347,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17562,13,347,'48','Parent',''),(17563,13,347,'47.3','SUZANNE',''),(17564,13,347,'47.6','MCCARTHY',''),(17565,13,347,'49','0411787183',''),(17566,13,347,'50','SSMM247ACC@GMAIL.COM',''),(17567,13,347,'51','Hi, I would like to apply on behalf of my son Aidan McCarthy who is 15 years old.',''),(17568,13,347,'38','NDIS',''),(17569,13,347,'187','430386127',''),(17570,13,347,'6','RIDES©',''),(17571,13,347,'53','SKILLS-TRAX©',''),(17572,13,347,'54','Intermediate Rider',''),(17573,13,347,'58','Yes',''),(17574,13,347,'59','Aidan is quite competent riding his bike on roads and paths etc however has not really done any off road mountain bike tracks.',''),(17575,13,347,'60.3','AIDAN',''),(17576,13,347,'60.6','MCCARTHY',''),(17577,13,347,'61','MCCARTHYAIDAN45@GMAIL.COM',''),(17578,13,347,'194','0491037452',''),(17579,13,347,'64.1','184 TIERNEY DRIVE',''),(17580,13,347,'64.3','CURRUMBIN WATERS',''),(17581,13,347,'64.4','QLD',''),(17582,13,347,'64.5','4223',''),(17583,13,347,'64.6','Australia',''),(17584,13,347,'66','ASD DSM 5\r\nADHD',''),(17585,13,347,'67','Aidan has been loving riding his bike and we saw your ad on social media and he said how awesome it would be to learn more skills on his bike. It\'s hard to find physical activities Aidan likes to engage in.\r\nAidan has also struggles socially and I feel it would be great for him to build to your social rides programs.',''),(17586,13,347,'174','I feel this program would help in capacity building and he also has low muscle tone for his age. It would also help him to build gross motor skills.',''),(17587,13,347,'70','No',''),(17588,13,347,'72','No',''),(17589,13,347,'74','160',''),(17590,13,347,'75','48',''),(17591,13,347,'76','Medium',''),(17592,13,347,'80.3','SUZANNE',''),(17593,13,347,'80.6','MCCARTHY',''),(17594,13,347,'81','MOTHER',''),(17595,13,347,'82','0411787183',''),(17596,13,347,'85.5','Occupational Therapy Report',''),(17597,13,347,'85.7','Speech Therapy Report',''),(17598,13,347,'90','[]',''),(17599,13,347,'186','[]',''),(17600,13,347,'99','[]',''),(17601,13,347,'91','[]',''),(17602,13,347,'98','[]',''),(17603,13,347,'97','[]',''),(17604,13,347,'96','[]',''),(17605,13,347,'95','[]',''),(17606,13,347,'94','[]',''),(17607,13,347,'107','Self / Privately Managed',''),(17608,13,347,'117','Capacity Building | Improved Daily Living',''),(17609,13,347,'146.2','Tuesday',''),(17610,13,347,'146.3','Wednesday',''),(17611,13,347,'146.4','Thursday',''),(17612,13,347,'146.5','Friday',''),(17613,13,347,'146.6','Saturday',''),(17614,13,347,'146.7','Sunday',''),(17615,13,347,'151','Mid Morning - approx 8am-11am',''),(17616,13,347,'152','Mid Morning - approx 8am-11am',''),(17617,13,347,'150','Mid Morning - approx 8am-11am',''),(17618,13,347,'153','Mid Morning - approx 8am-11am',''),(17619,13,347,'149','Lunch - approx 11am-1pm',''),(17620,13,347,'148','Early Afternoon - approx 1pm-3pm',''),(17621,13,347,'57','Yes',''),(17622,13,347,'164','Pick Up and Drop Off',''),(17623,13,347,'167.1','184 TIERNEY DRIVE',''),(17624,13,347,'167.3','CURRUMBIN WATERS',''),(17625,13,347,'167.4','QLD',''),(17626,13,347,'167.5','4223',''),(17627,13,347,'167.6','Australia',''),(17628,13,347,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17629,13,347,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17630,13,347,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17631,13,347,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17632,13,347,'104','64340dd41076c2.42234999.png',''),(17633,13,347,'106.3','SUZANNE',''),(17634,13,347,'106.6','MCCARTHY',''),(17635,13,347,'105','2022-11-14',''),(17636,13,347,'198','2022-05-06',''),(17637,13,347,'199','2024-05-05',''),(17638,13,347,'63','0',''),(17639,13,347,'gravityformsrecaptcha_score','disconnected',NULL),(17640,13,347,'gppcmt_pretty_id','436955',NULL),(17641,13,347,'46','40dd436e13',''),(17642,13,347,'fg_easypassthrough_token','2a039b2458ded8cd681a7e13acb88863',NULL),(17643,13,347,'gpfr_stashed_file_urls','',NULL),(17644,13,347,'is_approved','',NULL),(17645,13,347,'gvmaps_lat_64','',NULL),(17646,13,347,'gvmaps_long_64','',NULL),(17647,13,347,'gvmaps_lat_141','',NULL),(17648,13,347,'gvmaps_long_141','',NULL),(17649,13,347,'gvmaps_lat_167','',NULL),(17650,13,347,'gvmaps_long_167','',NULL),(17651,13,347,'gpaa_lat_64','',NULL),(17652,13,347,'gpaa_lng_64','',NULL),(17653,13,348,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17654,13,348,'48','Parent',''),(17655,13,348,'47.3','SUZANNE',''),(17656,13,348,'47.6','MCCARTHY',''),(17657,13,348,'49','0411787183',''),(17658,13,348,'50','SSMM247ACC@GMAIL.COM',''),(17659,13,348,'51','Hi, I would like to apply on behalf of my son Aidan McCarthy who is 15 years old.',''),(17660,13,348,'38','NDIS',''),(17661,13,348,'187','430386127',''),(17662,13,348,'6','RIDES©',''),(17663,13,348,'53','SKILLS-TRAX©',''),(17664,13,348,'54','Intermediate Rider',''),(17665,13,348,'58','Yes',''),(17666,13,348,'59','Aidan is quite competent riding his bike on roads and paths etc however has not really done any off road mountain bike tracks.',''),(17667,13,348,'60.3','AIDAN',''),(17668,13,348,'60.6','MCCARTHY',''),(17669,13,348,'61','MCCARTHYAIDAN45@GMAIL.COM',''),(17670,13,348,'194','0491037452',''),(17671,13,348,'64.1','184 TIERNEY DRIVE',''),(17672,13,348,'64.3','CURRUMBIN WATERS',''),(17673,13,348,'64.4','QLD',''),(17674,13,348,'64.5','4223',''),(17675,13,348,'64.6','Australia',''),(17676,13,348,'66','ASD DSM 5\r\nADHD',''),(17677,13,348,'67','Aidan has been loving riding his bike and we saw your ad on social media and he said how awesome it would be to learn more skills on his bike. It\'s hard to find physical activities Aidan likes to engage in.\r\nAidan has also struggles socially and I feel it would be great for him to build to your social rides programs.',''),(17678,13,348,'174','I feel this program would help in capacity building and he also has low muscle tone for his age. It would also help him to build gross motor skills.',''),(17679,13,348,'70','No',''),(17680,13,348,'72','No',''),(17681,13,348,'74','160',''),(17682,13,348,'75','48',''),(17683,13,348,'76','Medium',''),(17684,13,348,'80.3','SUZANNE',''),(17685,13,348,'80.6','MCCARTHY',''),(17686,13,348,'81','MOTHER',''),(17687,13,348,'82','0411787183',''),(17688,13,348,'85.5','Occupational Therapy Report',''),(17689,13,348,'85.7','Speech Therapy Report',''),(17690,13,348,'90','[]',''),(17691,13,348,'186','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/SPEECH-PATHOLOGY-REPORT-MARCH-2020.pdf\"]',''),(17692,13,348,'99','[]',''),(17693,13,348,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Aidan-OT-Report-FEB-2020.pdf\",\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/2021-FEB-.McCarthy-NDIS-Progress-Report-Feb-2020.pdf\"]',''),(17694,13,348,'98','[]',''),(17695,13,348,'97','[]',''),(17696,13,348,'96','[]',''),(17697,13,348,'95','[]',''),(17698,13,348,'94','[]',''),(17699,13,348,'107','Self / Privately Managed',''),(17700,13,348,'117','Capacity Building | Improved Daily Living',''),(17701,13,348,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/National-Disability-Insurance-Scheme-Participant-AIDAN-MCCARTHY.pdf',''),(17702,13,348,'146.2','Tuesday',''),(17703,13,348,'146.3','Wednesday',''),(17704,13,348,'146.4','Thursday',''),(17705,13,348,'146.5','Friday',''),(17706,13,348,'146.6','Saturday',''),(17707,13,348,'146.7','Sunday',''),(17708,13,348,'151','Mid Morning - approx 8am-11am',''),(17709,13,348,'152','Mid Morning - approx 8am-11am',''),(17710,13,348,'150','Mid Morning - approx 8am-11am',''),(17711,13,348,'153','Mid Morning - approx 8am-11am',''),(17712,13,348,'149','Lunch - approx 11am-1pm',''),(17713,13,348,'148','Early Afternoon - approx 1pm-3pm',''),(17714,13,348,'57','Yes',''),(17715,13,348,'164','Pick Up and Drop Off',''),(17716,13,348,'167.1','184 TIERNEY DRIVE',''),(17717,13,348,'167.3','CURRUMBIN WATERS',''),(17718,13,348,'167.4','QLD',''),(17719,13,348,'167.5','4223',''),(17720,13,348,'167.6','Australia',''),(17721,13,348,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17722,13,348,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17723,13,348,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17724,13,348,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17725,13,348,'104','64340dd510cea9.36753264.png',''),(17726,13,348,'106.3','SUZANNE',''),(17727,13,348,'106.6','MCCARTHY',''),(17728,13,348,'105','2022-11-14',''),(17729,13,348,'198','2022-05-06',''),(17730,13,348,'199','2024-05-05',''),(17731,13,348,'63','0',''),(17732,13,348,'c8854e865e7c1c689053ff117e6519f9601ec766fcefc8bb85828b35ca7c1e565066c7e440d29e075ef2fbf9ea76b818489a74a45f58fb329ff2fd9f8b3d9933','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:38:\"SPEECH-PATHOLOGY-REPORT-MARCH-2020.pdf\";}',NULL),(17733,13,348,'79d47314c59313250bc49f38fc0395b380add7d45c7c3d9a89292ab822d34a7fc01f550700b56dbaa3eef856ddafd8f9e7e8d56977dd75816cd7c3d659c31600','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:28:\"Aidan-OT-Report-FEB-2020.pdf\";}',NULL),(17734,13,348,'f7407570dbf6822bab4fcc75d1100ffa870be8dbaa56e477b7359d9fb62a8562f356db5a5463b5d73787a64c87f552330f48bfdb826d977dc16793badcfd1056','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:52:\"2021-FEB-.McCarthy-NDIS-Progress-Report-Feb-2020.pdf\";}',NULL),(17735,13,348,'gravityformsrecaptcha_score','disconnected',NULL),(17736,13,348,'gppcmt_pretty_id','53287a',NULL),(17737,13,348,'46','40dd532cf8',''),(17738,13,348,'fg_easypassthrough_token','759131edbbe2293397a82f976f769d3e',NULL),(17739,13,348,'gpfr_stashed_file_urls','',NULL),(17740,13,348,'is_approved','3',NULL),(17741,13,348,'gvmaps_lat_64','',NULL),(17742,13,348,'gvmaps_long_64','',NULL),(17743,13,348,'gvmaps_lat_141','',NULL),(17744,13,348,'gvmaps_long_141','',NULL),(17745,13,348,'gvmaps_lat_167','',NULL),(17746,13,348,'gvmaps_long_167','',NULL),(17747,13,348,'gpaa_lat_64','',NULL),(17748,13,348,'gpaa_lng_64','',NULL),(17749,13,349,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17750,13,349,'48','Parent',''),(17751,13,349,'47.3','Katelyn',''),(17752,13,349,'47.6','Springer',''),(17753,13,349,'49','0448138899',''),(17754,13,349,'50','katelynspringer@gmail.com',''),(17755,13,349,'51','My son is 5 yrs old, a competent rider with ASD Level 2, ADHD, and mild anxiety. Baxter can understand complex concepts but struggles to follow instructions and control his impulses. Being ASD he also lacks perspective so can\'t understand someone else\'s point of view OR why the rules ALSO apply to him! Road safety and following instructions/rules is very important to me.',''),(17756,13,349,'38','NDIS',''),(17757,13,349,'187','431666796',''),(17758,13,349,'6','RIDES©',''),(17759,13,349,'53','SKILLS-TRAX©',''),(17760,13,349,'54','Beginner Rider',''),(17761,13,349,'58','Yes',''),(17762,13,349,'59','Competent and confident 5 yr old rider but lacks awareness due to his autism and lack of focus. Low core strength that has\r\nbeen worked on for 2 years with an OT and physio more recently. Baxter started on a balance bike and easily transitioned to\r\npedals (without training wheels) as a 3 yr old. He is tall and strong for his age. He needs to be able to follow instructions and Stop on command.',''),(17763,13,349,'60.3','Baxter',''),(17764,13,349,'60.6','Trocas',''),(17765,13,349,'61','katelynspringer@gmail.com',''),(17766,13,349,'194','0448138899',''),(17767,13,349,'64.1','9 Platypus Court',''),(17768,13,349,'64.3','Lawnton',''),(17769,13,349,'64.4','QLD',''),(17770,13,349,'64.5','4501',''),(17771,13,349,'64.6','Australia',''),(17772,13,349,'66','ASD\r\nAdhd\r\nMild anxiety\r\nBorn 2 months early\r\nNo injuries. Tall and strong (100th centile!) .. looks like a 7yr old',''),(17773,13,349,'67','Loves outdoor play... needs emotional regulation. I don\'t want to introduce screen time yet...needs to develop a strong hobbie.\r\nI\'m a single mother of 3 boys (twin brothers are 3.5yrs old) so I\'d like Baxter to get good at riding, following instructions, being road safe, and feel good in himself.\r\nBaxter can be very hyperactive, lacking focus and attention. Not medicated for ADHD yet - paed appt on Dec 22nd. Medicated for anxiety but may need a stimulant for ADHD for school.',''),(17774,13,349,'174','Emotional regulation \r\nImprove Riding skill\r\nIncrease body awareness\r\nIcrease understanding of danger\r\nIncrease awareness of others \r\nImprove ability to follow directions\r\nUnderstand that rules for others are rules for him! \r\nListening',''),(17775,13,349,'70','Yes',''),(17776,13,349,'71','Clonadine 3/4 tablet at night time. Previously iron deficient and was on medication - we occasionally bring this into his daily routine if his behaviour is off. Asthma puffer required when sick.',''),(17777,13,349,'72','No',''),(17778,13,349,'74','120',''),(17779,13,349,'75','22',''),(17780,13,349,'76','High',''),(17781,13,349,'80.3','Katelyn',''),(17782,13,349,'80.6','Springer',''),(17783,13,349,'81','Mother',''),(17784,13,349,'82','0448138899',''),(17785,13,349,'85.11','I don\'t have any reports',''),(17786,13,349,'107','Self / Privately Managed',''),(17787,13,349,'117','Capacity Building | Improved Daily Living',''),(17788,13,349,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/Baxter-Trocas-6-NDIS-Plan-May-2021-May-2023.pdf',''),(17789,13,349,'146.3','Wednesday',''),(17790,13,349,'146.4','Thursday',''),(17791,13,349,'152','Mid Afternoon - approx 3pm-5pm',''),(17792,13,349,'150','Mid Afternoon - approx 3pm-5pm',''),(17793,13,349,'57','Yes',''),(17794,13,349,'164','Pick Up and Drop Off',''),(17795,13,349,'167.1','9 Platypus Court',''),(17796,13,349,'167.3','Lawnton',''),(17797,13,349,'167.4','QLD',''),(17798,13,349,'167.5','4501',''),(17799,13,349,'167.6','Australia',''),(17800,13,349,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(17801,13,349,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(17802,13,349,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(17803,13,349,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(17804,13,349,'104','64340dd5672ee3.36470655.png',''),(17805,13,349,'106.3','Katelyn',''),(17806,13,349,'106.6','Springer',''),(17807,13,349,'105','2022-11-14',''),(17808,13,349,'198','2022-06-01',''),(17809,13,349,'199','2023-06-01',''),(17810,13,349,'63','0',''),(17811,13,349,'gravityformsrecaptcha_score','disconnected',NULL),(17812,13,349,'gppcmt_pretty_id','58713c',NULL),(17813,13,349,'46','40dd587560',''),(17814,13,349,'fg_easypassthrough_token','324777ee7284a830d497caa88c4d3192',NULL),(17815,13,349,'gpfr_stashed_file_urls','',NULL),(17816,13,349,'is_approved','3',NULL),(17817,13,349,'gvmaps_lat_64','',NULL),(17818,13,349,'gvmaps_long_64','',NULL),(17819,13,349,'gvmaps_lat_141','',NULL),(17820,13,349,'gvmaps_long_141','',NULL),(17821,13,349,'gvmaps_lat_167','',NULL),(17822,13,349,'gvmaps_long_167','',NULL),(17823,13,349,'gpaa_lat_64','',NULL),(17824,13,349,'gpaa_lng_64','',NULL),(17825,13,350,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17826,13,350,'48','Parent',''),(17827,13,350,'47.3','Katelyn',''),(17828,13,350,'47.6','Springer',''),(17829,13,350,'49','+448138899',''),(17830,13,350,'50','Katelynspringer@gmail.com',''),(17831,13,350,'51','My son is 5 yrs old, a competent rider with ASD Level 2, ADhd, and mild anxiety.',''),(17832,13,350,'38','NDIS',''),(17833,13,350,'187','431666796',''),(17834,13,350,'6','RIDES©',''),(17835,13,350,'53','SKILLS-TRAX©',''),(17836,13,350,'54','Beginner Rider',''),(17837,13,350,'58','Yes',''),(17838,13,350,'59','Competent and confident 5 yr old rider but lacks awareness due to his autism and lack of focus. Low core strength that has been worked on for 2 years with an OT and physio more recently. Baxter started on a balance bike and easily transitioned to pedals (without training wheels) as a 3 yr old.',''),(17839,13,350,'60.3','Baxter',''),(17840,13,350,'60.6','Trocas',''),(17841,13,350,'61','Katelynspringer@gmail.com',''),(17842,13,350,'194','+448138899',''),(17843,13,350,'64.1','9 Platypus Court',''),(17844,13,350,'64.3','Lawnton',''),(17845,13,350,'64.4','Queensland',''),(17846,13,350,'64.5','4501',''),(17847,13,350,'64.6','Australia',''),(17848,13,350,'66','ASD\r\nAdhd\r\nMild anxiety\r\nBorn 2 months early\r\n\r\nNo injuries. Tall and strong (100th centile!) .. looks like a 7yr old.',''),(17849,13,350,'67','Loves outdoor play... needs emotional regulation. I don\'t want to introduce screen time yet...needs to develop a strong hobbie. I\'m a single mother of 3 boys (twin brothers are 3.5yrs old) so I\'d like Baxter to get good at riding. \r\n\r\nBaxter can be very hyperactive, lacking focus and attention. Not medicated yet - paed appt on Dec 22nd.',''),(17850,13,350,'174','Emotional regulation \r\nImprove Riding skill\r\nIncrease body awareness\r\nIcrease understanding of danger\r\nIncrease awareness of others \r\nImprove ability to follow directions\r\nUnderstand that rules for others are rules for him! \r\nListening',''),(17851,13,350,'70','Yes',''),(17852,13,350,'71','Clonadine for anxiety, night time dose 3/4 tablet. Not on a stimulant yet but may have tointroduce for school next year.',''),(17853,13,350,'72','No',''),(17854,13,350,'74','122',''),(17855,13,350,'75','22',''),(17856,13,350,'76','High',''),(17857,13,350,'80.3','Katelyn',''),(17858,13,350,'80.6','Springer',''),(17859,13,350,'81','Mother',''),(17860,13,350,'82','+448138899',''),(17861,13,350,'85.7','Speech Therapy Report',''),(17862,13,350,'85.9','Physiotherapy Report',''),(17863,13,350,'90','[]',''),(17864,13,350,'186','[]',''),(17865,13,350,'99','[]',''),(17866,13,350,'91','[]',''),(17867,13,350,'98','[]',''),(17868,13,350,'97','[]',''),(17869,13,350,'96','[]',''),(17870,13,350,'95','[]',''),(17871,13,350,'94','[]',''),(17872,13,350,'107','Self / Privately Managed',''),(17873,13,350,'117','Capacity Building | Improved Daily Living',''),(17874,13,350,'57','Yes',''),(17875,13,350,'164','Pick Up',''),(17876,13,350,'198','2022-06-01',''),(17877,13,350,'199','2023-06-01',''),(17878,13,350,'63','0',''),(17879,13,350,'gravityformsrecaptcha_score','disconnected',NULL),(17880,13,350,'gppcmt_pretty_id','5982d7',NULL),(17881,13,350,'46','40dd598744',''),(17882,13,350,'fg_easypassthrough_token','e296a16346792ce0db31a424b3ab9310',NULL),(17883,13,350,'gpfr_stashed_file_urls','',NULL),(17884,13,350,'is_approved','',NULL),(17885,13,350,'gvmaps_lat_64','',NULL),(17886,13,350,'gvmaps_long_64','',NULL),(17887,13,350,'gvmaps_lat_141','',NULL),(17888,13,350,'gvmaps_long_141','',NULL),(17889,13,350,'gvmaps_lat_167','',NULL),(17890,13,350,'gvmaps_long_167','',NULL),(17891,13,350,'gpaa_lat_64','',NULL),(17892,13,350,'gpaa_lng_64','',NULL),(17893,13,351,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17894,13,351,'48','Parent',''),(17895,13,351,'47.3','Vishal',''),(17896,13,351,'47.6','Chandani',''),(17897,13,351,'49','0451517486',''),(17898,13,351,'50','vish@thedonetwork.com.au',''),(17899,13,351,'51','Elijah has ADHD. Is keen on mountain biking and has recently acquired a new mountain bike. Looking to expand his skills and gain access to a social group to support this hobby.',''),(17900,13,351,'38','Privately Funded',''),(17901,13,351,'6','RIDES©',''),(17902,13,351,'53','SOCIAL-TRAX©',''),(17903,13,351,'54','Beginner Rider',''),(17904,13,351,'58','Yes',''),(17905,13,351,'60.3','Elijah',''),(17906,13,351,'60.6','Chandani',''),(17907,13,351,'61','elijahchandani7@gmail.com',''),(17908,13,351,'64.1','4 Kensei Street',''),(17909,13,351,'64.3','Wyreema',''),(17910,13,351,'64.4','Qld',''),(17911,13,351,'64.5','4352',''),(17912,13,351,'64.6','Australia',''),(17913,13,351,'66','ADHD, ODD',''),(17914,13,351,'67','AHDH and ODD. Well managed with Ritalin 40mg LA. \r\nGood participation at school. \r\nLooking to expand social skills and build confidence through mountain bike riding hobby.',''),(17915,13,351,'174','Integration into social group with support.',''),(17916,13,351,'70','Yes',''),(17917,13,351,'71','Ritalin 40mg LA once morning.',''),(17918,13,351,'72','No',''),(17919,13,351,'74','175',''),(17920,13,351,'75','90',''),(17921,13,351,'76','High',''),(17922,13,351,'80.3','Vishal',''),(17923,13,351,'80.6','Chandani',''),(17924,13,351,'81','Parent',''),(17925,13,351,'82','0451517486',''),(17926,13,351,'90','[]',''),(17927,13,351,'186','[]',''),(17928,13,351,'99','[]',''),(17929,13,351,'91','[]',''),(17930,13,351,'98','[]',''),(17931,13,351,'97','[]',''),(17932,13,351,'96','[]',''),(17933,13,351,'95','[]',''),(17934,13,351,'94','[]',''),(17935,13,351,'57','Yes',''),(17936,13,351,'164','Pick Up',''),(17937,13,351,'63','0',''),(17938,13,351,'gravityformsrecaptcha_score','disconnected',NULL),(17939,13,351,'gppcmt_pretty_id','5a7e24',NULL),(17940,13,351,'46','40dd5a82ec',''),(17941,13,351,'fg_easypassthrough_token','d55eb3364971686d25458203219dd2b6',NULL),(17942,13,351,'gpfr_stashed_file_urls','',NULL),(17943,13,351,'is_approved','',NULL),(17944,13,351,'gvmaps_lat_64','',NULL),(17945,13,351,'gvmaps_long_64','',NULL),(17946,13,351,'gvmaps_lat_141','',NULL),(17947,13,351,'gvmaps_long_141','',NULL),(17948,13,351,'gvmaps_lat_167','',NULL),(17949,13,351,'gvmaps_long_167','',NULL),(17950,13,351,'gpaa_lat_64','',NULL),(17951,13,351,'gpaa_lng_64','',NULL),(17952,13,352,'5','I\'m applying on BEHALF of someone who would like to participate',''),(17953,13,352,'48','Parent',''),(17954,13,352,'47.3','Emily',''),(17955,13,352,'47.6','Geraghty',''),(17956,13,352,'49','0400014721',''),(17957,13,352,'50','geraghty.emily@gmail.com',''),(17958,13,352,'51','Learn to mountain bike, gain decision-making and risk-taking skills. \r\nM11 with ADHD on Ritalin.',''),(17959,13,352,'38','Privately Funded',''),(17960,13,352,'46','c64c04b0a0',''),(17961,13,352,'6','RIDES©',''),(17962,13,352,'53','SKILLS-TRAX©',''),(17963,13,352,'54','Beginner Rider',''),(17964,13,352,'58','Yes',''),(17965,13,352,'60.3','Stephen',''),(17966,13,352,'60.6','Stack',''),(17967,13,352,'61','geraghty.emily@gmail.com',''),(17968,13,352,'194','0400014721',''),(17969,13,352,'64.1','3 Chiniquay Street',''),(17970,13,352,'64.3','Harristown',''),(17971,13,352,'64.4','QLD',''),(17972,13,352,'64.5','4350',''),(17973,13,352,'64.6','Australia',''),(17974,13,352,'66','Attention deficit disorder - inattentive\r\nSpecific learning disorder - reading',''),(17975,13,352,'67','Help with risk-taking decision making.',''),(17976,13,352,'174','Mountain biking skills',''),(17977,13,352,'70','Yes',''),(17978,13,352,'71','Ritalin 20mg mane & 10mg midi.',''),(17979,13,352,'72','No',''),(17980,13,352,'74','146',''),(17981,13,352,'75','40',''),(17982,13,352,'76','Medium',''),(17983,13,352,'80.3','Emily',''),(17984,13,352,'80.6','Geraghty',''),(17985,13,352,'81','Mum',''),(17986,13,352,'82','0400014721',''),(17987,13,352,'90','[]',''),(17988,13,352,'186','[]',''),(17989,13,352,'99','[]',''),(17990,13,352,'91','[]',''),(17991,13,352,'98','[]',''),(17992,13,352,'97','[]',''),(17993,13,352,'96','[]',''),(17994,13,352,'95','[]',''),(17995,13,352,'94','[]',''),(17996,13,352,'146.2','Tuesday',''),(17997,13,352,'146.4','Thursday',''),(17998,13,352,'146.6','Saturday',''),(17999,13,352,'146.7','Sunday',''),(18000,13,352,'151','Lunch - approx 11am-1pm',''),(18001,13,352,'150','Lunch - approx 11am-1pm',''),(18002,13,352,'149','Mid Morning - approx 8am-11am',''),(18003,13,352,'148','Mid Morning - approx 8am-11am',''),(18004,13,352,'57','No',''),(18005,13,352,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(18006,13,352,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(18007,13,352,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(18008,13,352,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(18009,13,352,'104','64340dd5ad7ff1.71689526.png',''),(18010,13,352,'106.3','Emily',''),(18011,13,352,'106.6','Geraghty',''),(18012,13,352,'105','2022-11-10',''),(18013,13,352,'63','0',''),(18014,13,352,'gravityformsrecaptcha_score','disconnected',NULL),(18015,13,352,'gppcmt_pretty_id','5d337f',NULL),(18016,13,352,'fg_easypassthrough_token','f0367a112a59df5c1a42c5f8057dc462',NULL),(18017,13,352,'gpfr_stashed_file_urls','',NULL),(18018,13,352,'is_approved','3',NULL),(18019,13,352,'gvmaps_lat_64','',NULL),(18020,13,352,'gvmaps_long_64','',NULL),(18021,13,352,'gvmaps_lat_141','',NULL),(18022,13,352,'gvmaps_long_141','',NULL),(18023,13,352,'gvmaps_lat_167','',NULL),(18024,13,352,'gvmaps_long_167','',NULL),(18025,13,352,'gpaa_lat_64','',NULL),(18026,13,352,'gpaa_lng_64','',NULL),(18027,13,353,'5','I\'m applying for MYSELF to participate in a program',''),(18028,13,353,'38','NDIS',''),(18029,13,353,'187','430804770',''),(18030,13,353,'6','RIDES©',''),(18031,13,353,'53','SOCIAL-TRAX©',''),(18032,13,353,'54','Intermediate Rider',''),(18033,13,353,'58','Yes',''),(18034,13,353,'59','Ride an exercise bike almost daily. Mountain bike occasionally in Lockyer National park. Was heavily involved in mountain biking a number of years ago.',''),(18035,13,353,'60.3','Neale',''),(18036,13,353,'60.6','Gibson',''),(18037,13,353,'61','neale_gibson@hotmail.com',''),(18038,13,353,'194','0409611963',''),(18039,13,353,'64.1','13 Cockatoo drive',''),(18040,13,353,'64.3','Adare',''),(18041,13,353,'64.4','Queensland',''),(18042,13,353,'64.5','4343',''),(18043,13,353,'64.6','Australia',''),(18044,13,353,'66','Schizophrenia',''),(18045,13,353,'67','Improve health and fitness',''),(18046,13,353,'174','Community participation and enjoyment',''),(18047,13,353,'70','Yes',''),(18048,13,353,'71','Clozapine 500mg (daily)\r\nRexulti 4mg (daily)\r\nMetformin 500mg (daily)\r\nFish oil tablet (twice a week)\r\nMultivitamin (once a week)',''),(18049,13,353,'72','No',''),(18050,13,353,'74','175',''),(18051,13,353,'75','85',''),(18052,13,353,'76','Medium',''),(18053,13,353,'80.3','Noela',''),(18054,13,353,'80.6','Gibson',''),(18055,13,353,'81','Mother',''),(18056,13,353,'82','0419644074',''),(18057,13,353,'85.11','I don\'t have any reports',''),(18058,13,353,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(18059,13,353,'112','Connect Plan management',''),(18060,13,353,'113','hello@connectplan.com.au',''),(18061,13,353,'114','1800592405',''),(18062,13,353,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(18063,13,353,'146.4','Thursday',''),(18064,13,353,'150','Early Afternoon - approx 1pm-3pm',''),(18065,13,353,'57','Yes',''),(18066,13,353,'164','Pick Up and Drop Off',''),(18067,13,353,'167.1','13 Cockatoo drive',''),(18068,13,353,'167.3','Adare',''),(18069,13,353,'167.4','Queensland',''),(18070,13,353,'167.5','4343',''),(18071,13,353,'167.6','Australia',''),(18072,13,353,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(18073,13,353,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(18074,13,353,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(18075,13,353,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(18076,13,353,'104','64340dd5d8c435.87747717.png',''),(18077,13,353,'106.3','Neale',''),(18078,13,353,'106.6','Gibson',''),(18079,13,353,'105','2022-11-10',''),(18080,13,353,'198','2021-01-11',''),(18081,13,353,'199','2023-01-11',''),(18082,13,353,'63','0',''),(18083,13,353,'gravityformsrecaptcha_score','disconnected',NULL),(18084,13,353,'gppcmt_pretty_id','60a4c2',NULL),(18085,13,353,'46','40dd60a906',''),(18086,13,353,'fg_easypassthrough_token','e72599dc4d5ed92d19a60d0fc6d3c891',NULL),(18087,13,353,'gpfr_stashed_file_urls','',NULL),(18088,13,353,'is_approved','3',NULL),(18089,13,353,'gvmaps_lat_64','',NULL),(18090,13,353,'gvmaps_long_64','',NULL),(18091,13,353,'gvmaps_lat_141','',NULL),(18092,13,353,'gvmaps_long_141','',NULL),(18093,13,353,'gvmaps_lat_167','',NULL),(18094,13,353,'gvmaps_long_167','',NULL),(18095,13,353,'gpaa_lat_64','',NULL),(18096,13,353,'gpaa_lng_64','',NULL),(18097,13,354,'5','I\'m applying on BEHALF of someone who would like to participate',''),(18098,13,354,'48','Parent',''),(18099,13,354,'47.3','Jodine',''),(18100,13,354,'47.6','OConnor',''),(18101,13,354,'49','0421 345 936',''),(18102,13,354,'50','jodine_mcsweeny@hotmail.com',''),(18103,13,354,'51','Our 10yo son was diagnosed ASD (Level 2) and ADHD in 2017.  He is very sensory seeking and coordination has been an issue for him.  He is gaining confidence in the sports areas and has participated in a 2 week competition for Rugby 7\'s at school and enjoyed it, training during school time was a struggle.\r\nOn a personal side, we would love for him to have a physical outlet to help him manage stress levels from school and life. His Dad has a passion for mountain biking (not much done since kids came along) and we have many friends that still ride often.  Having a professional exercise physiologies',''),(18104,13,354,'38','NDIS',''),(18105,13,354,'187','430474221',''),(18106,13,354,'6','RIDES©',''),(18107,13,354,'53','SKILLS-TRAX©',''),(18108,13,354,'54','Beginner Rider',''),(18109,13,354,'58','Yes',''),(18110,13,354,'59','Father and friends are avid mountain bike riders.  Zac has ridden with on roads and tracks around Highfields.\r\nUsed to ride to school or scooter to school before magpies!  Rides and scooters in our driveway. \r\nHe is a confident rider on road and paths.  Awareness, observation and paying attention to surroundings is still a work in progress.',''),(18111,13,354,'60.3','Zachary',''),(18112,13,354,'60.6','O\'Connor',''),(18113,13,354,'61','jodine_mcsweeny@hotmail.com',''),(18114,13,354,'194','0421345936',''),(18115,13,354,'64.1','10 MANOOKA CRES',''),(18116,13,354,'64.3','HIGHFIELDS',''),(18117,13,354,'64.4','QLD',''),(18118,13,354,'64.5','4352',''),(18119,13,354,'64.6','Australia',''),(18120,13,354,'66','ASD Level 2\r\nADHD',''),(18121,13,354,'67','Coordination development, skill development, social relationships',''),(18122,13,354,'174','Confident in bike riding off road and confidence in his own physical abilities. Physical fitness whilst doing something fun',''),(18123,13,354,'70','Yes',''),(18124,13,354,'71','Ritalin - short acting. 2 tabs with breakfast, 2 tabs with lunch. \r\nMelatonin - before bed\r\nSerotide - 2 puffs morning and night \r\nVentolin - when required',''),(18125,13,354,'72','No',''),(18126,13,354,'74','161',''),(18127,13,354,'75','60',''),(18128,13,354,'76','Medium',''),(18129,13,354,'80.3','Jodine',''),(18130,13,354,'80.6','O’Connor',''),(18131,13,354,'81','Mother',''),(18132,13,354,'82','0421345936',''),(18133,13,354,'85.3','Psychology Report',''),(18134,13,354,'85.5','Occupational Therapy Report',''),(18135,13,354,'90','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/ZO180619_NDIS_Review_Report_Psych.pdf\"]',''),(18136,13,354,'186','[]',''),(18137,13,354,'99','[]',''),(18138,13,354,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Occupational-Therapy-Summary_July2021.pdf\"]',''),(18139,13,354,'98','[]',''),(18140,13,354,'97','[]',''),(18141,13,354,'96','[]',''),(18142,13,354,'95','[]',''),(18143,13,354,'94','[]',''),(18144,13,354,'107','Self / Privately Managed',''),(18145,13,354,'117','Capacity Building | Improved Daily Living',''),(18146,13,354,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/NDIS-Goals-Zachary-OConnor.pdf',''),(18147,13,354,'146.2','Tuesday',''),(18148,13,354,'146.3','Wednesday',''),(18149,13,354,'151','Mid Afternoon - approx 3pm-5pm',''),(18150,13,354,'152','Mid Afternoon - approx 3pm-5pm',''),(18151,13,354,'57','No',''),(18152,13,354,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(18153,13,354,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(18154,13,354,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(18155,13,354,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(18156,13,354,'104','64340dd6896e77.66254370.png',''),(18157,13,354,'106.3','Jodine',''),(18158,13,354,'106.6','O’Connor',''),(18159,13,354,'105','2022-11-10',''),(18160,13,354,'198','2020-07-01',''),(18161,13,354,'199','2024-06-29',''),(18162,13,354,'63','0',''),(18163,13,354,'7ba3c87e4c73a74353d944d2a4d32b0c3f8a4ad968eff86b888d594ccbad3ed2b467997972a2bf578f352bd731a9b3d4c16d95d5d7871d2a5ab5cdce3c48b636','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:37:\"ZO180619_NDIS_Review_Report_Psych.pdf\";}',NULL),(18164,13,354,'683e4fcec6d368eebbeebb31e8e2e4e8f47960072a9325d3dd9187abe6da95c417a06f0d4e83ec0527d972950f7be1632344d6c313caeb101dfd0f0becb9fd63','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:41:\"Occupational-Therapy-Summary_July2021.pdf\";}',NULL),(18165,13,354,'gravityformsrecaptcha_score','disconnected',NULL),(18166,13,354,'gppcmt_pretty_id','6b72ae',NULL),(18167,13,354,'46','40dd6b77a4',''),(18168,13,354,'fg_easypassthrough_token','15410b71aa38303c1431ddd5f002ec34',NULL),(18169,13,354,'gpfr_stashed_file_urls','',NULL),(18170,13,354,'is_approved','3',NULL),(18171,13,354,'gvmaps_lat_64','',NULL),(18172,13,354,'gvmaps_long_64','',NULL),(18173,13,354,'gvmaps_lat_141','',NULL),(18174,13,354,'gvmaps_long_141','',NULL),(18175,13,354,'gvmaps_lat_167','',NULL),(18176,13,354,'gvmaps_long_167','',NULL),(18177,13,354,'gpaa_lat_64','',NULL),(18178,13,354,'gpaa_lng_64','',NULL),(18179,13,355,'5','I\'m applying on BEHALF of someone who would like to participate',''),(18180,13,355,'48','Parent',''),(18181,13,355,'47.3','hayley',''),(18182,13,355,'47.6','betts',''),(18183,13,355,'49','0420947396',''),(18184,13,355,'50','hayls001@gmail.com',''),(18185,13,355,'51','Hugo is a fun, outgoing 9 year old boy who has a love for cars and bikes. Hugo has found it a little tricky navigating his place in the world and finds school and peer groups a bit confusing. Hugo thrives in a space where he can talk about his knowledge and interests, where he feels he can be heard and respected.\r\nHugo has found sports, especially competitive team sports challenging and overwhelming. \r\nHe was given a balance bike on his 2nd birthday and was riding a 2 wheel bicycle without training wheels by 4. We have tried to nurture his interest although he doesn\'t really get to ride often. He has a BMX, Mountain bike and mini BMX and would love the opportunity to head out, with a male (preferred) mentor to explore riding more. Hugo has ADHD, ASD (PDA) and SPD, he also experiences performance anxiety.',''),(18186,13,355,'38','NDIS',''),(18187,13,355,'187','430180623',''),(18188,13,355,'6','RIDES©',''),(18189,13,355,'53','SOCIAL-TRAX©',''),(18190,13,355,'54','Intermediate Rider',''),(18191,13,355,'58','Yes',''),(18192,13,355,'59','Hugo has plenty of experience riding a BMX as well as MB with gears. He would be best suited to some more adventurous skills to learn, or intro to some small social riding groups',''),(18193,13,355,'60.3','hugo',''),(18194,13,355,'60.6','betts',''),(18195,13,355,'61','hayls001@gmail.com',''),(18196,13,355,'64.1','14 michelmore rd',''),(18197,13,355,'64.3','Carrara',''),(18198,13,355,'64.4','QLD',''),(18199,13,355,'64.5','4211',''),(18200,13,355,'64.6','Australia',''),(18201,13,355,'66','ADHD, ASD, SPD, Anxiety',''),(18202,13,355,'67','Hugo find some gross motor activities challenging, he needs time to process. 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To have the the ability to build on his emotional self regulations, independence as well as his cognitive skills to maintain friendships.',''),(18277,13,356,'38','NDIS',''),(18278,13,356,'187','431545666',''),(18279,13,356,'6','RIDES©',''),(18280,13,356,'53','SKILLS-TRAX©',''),(18281,13,356,'54','Beginner Rider',''),(18282,13,356,'58','Yes',''),(18283,13,356,'59','Thomas is able to ride a mountainbike quite well, he has done some riding on trails and at Southbank in Brisbane. Thomas is also able to ride a 50cc motorbike.',''),(18284,13,356,'60.3','Thomas',''),(18285,13,356,'60.6','Macleod',''),(18286,13,356,'61','p-j-macleod@hotmail.com',''),(18287,13,356,'194','0419264099',''),(18288,13,356,'64.1','39 Numera Court',''),(18289,13,356,'64.3','Adare',''),(18290,13,356,'64.4','Qld',''),(18291,13,356,'64.5','4343',''),(18292,13,356,'64.6','Australia',''),(18293,13,356,'66','ADHD, ASD level 2',''),(18294,13,356,'67','This program will help with Thomas\'s emotiions, working with others, maintaining focus, team building. Thomas likes the outdoors, he likes riding bicycles.',''),(18295,13,356,'70','Yes',''),(18296,13,356,'72','Yes',''),(18297,13,356,'90','[]',''),(18298,13,356,'186','[]',''),(18299,13,356,'99','[]',''),(18300,13,356,'91','[]',''),(18301,13,356,'98','[]',''),(18302,13,356,'97','[]',''),(18303,13,356,'96','[]',''),(18304,13,356,'95','[]',''),(18305,13,356,'94','[]',''),(18306,13,356,'107','Self / Privately Managed',''),(18307,13,356,'117','Capacity Building | Improved Daily Living',''),(18308,13,356,'57','Yes',''),(18309,13,356,'164','Pick Up',''),(18310,13,356,'63','0',''),(18311,13,356,'gravityformsrecaptcha_score','disconnected',NULL),(18312,13,356,'gppcmt_pretty_id','7cb07b',NULL),(18313,13,356,'46','40dd7cb56d',''),(18314,13,356,'fg_easypassthrough_token','d4d76ba40c6a7d898d22f42e2d951dc4',NULL),(18315,13,356,'gpfr_stashed_file_urls','',NULL),(18316,13,356,'is_approved','',NULL),(18317,13,356,'gvmaps_lat_64','',NULL),(18318,13,356,'gvmaps_long_64','',NULL),(18319,13,356,'gvmaps_lat_141','',NULL),(18320,13,356,'gvmaps_long_141','',NULL),(18321,13,356,'gvmaps_lat_167','',NULL),(18322,13,356,'gvmaps_long_167','',NULL),(18323,13,356,'gpaa_lat_64','',NULL),(18324,13,356,'gpaa_lng_64','',NULL),(18325,13,357,'5','I\'m applying for MYSELF to participate in a program',''),(18326,13,357,'38','NDIS',''),(18327,13,357,'187','430276437',''),(18328,13,357,'6','RIDES©',''),(18329,13,357,'53','SKILLS-TRAX©',''),(18330,13,357,'54','Intermediate Rider',''),(18331,13,357,'58','No',''),(18332,13,357,'60.3','Zack',''),(18333,13,357,'60.6','gordon',''),(18334,13,357,'61','zackaria1511@gmail.com',''),(18335,13,357,'194','0455510833',''),(18336,13,357,'64.1','88 Highbury Drive',''),(18337,13,357,'64.3','Redbank Plains',''),(18338,13,357,'64.4','QLD',''),(18339,13,357,'64.5','4301',''),(18340,13,357,'64.6','Australia',''),(18341,13,357,'66','Depression\r\nASD\r\nADHD\r\nSpeech Language Disorder',''),(18342,13,357,'67','Zack is looking to gain more independence, he is currently living in a SIL house and trying to branch out into more social activities.\r\n\r\nHe enjoys everything outdoors and loves riding bikes in all capacities.',''),(18343,13,357,'174','He wants to enjoy mountain bike riding to maintain and gain fitness and to get out more.',''),(18344,13,357,'70','Yes',''),(18345,13,357,'71','Lovan\r\nRespiradone',''),(18346,13,357,'72','No',''),(18347,13,357,'74','178',''),(18348,13,357,'75','69',''),(18349,13,357,'76','Medium',''),(18350,13,357,'80.3','peter',''),(18351,13,357,'80.6','bishop',''),(18352,13,357,'81','close friend',''),(18353,13,357,'82','0459583103',''),(18354,13,357,'85.11','I don\'t have any reports',''),(18355,13,357,'107','Plan Managed (External company eg. 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Lots of screen time. Historically poor tone, poor gross motor skills. I\'d like her to experience a sense of physical accomplishment. Shift the focus from aches and pains. Also have more social opportunities.',''),(18446,13,359,'38','NDIS',''),(18447,13,359,'187','Tbc',''),(18448,13,359,'6','BODY©',''),(18449,13,359,'60.3','Ruby',''),(18450,13,359,'60.6','Horton',''),(18451,13,359,'61','kerstyp@hotmail.com',''),(18452,13,359,'194','0404335075',''),(18453,13,359,'64.1','2/22 Cardamon Cres',''),(18454,13,359,'64.3','Glenvale',''),(18455,13,359,'64.4','QLD',''),(18456,13,359,'64.5','4350',''),(18457,13,359,'64.6','Australia',''),(18458,13,359,'66','Asd level 2\r\nGeneralised anxiety disorder\r\nADHD inattentive type',''),(18459,13,359,'174','I would like Ruby to be better at following instructions, better at listening, to have more confidence in her physical abilities and a secondary benefit of increased social skills.',''),(18460,13,359,'70','Yes',''),(18461,13,359,'71','Dexamphetamine 10mg mornings\r\nMelatonin 5mg nights',''),(18462,13,359,'72','No',''),(18463,13,359,'74','162',''),(18464,13,359,'75','50',''),(18465,13,359,'76','Low',''),(18466,13,359,'80.3','Kersty',''),(18467,13,359,'80.6','Horton',''),(18468,13,359,'81','Mum',''),(18469,13,359,'82','0404335075',''),(18470,13,359,'85.3','Psychology Report',''),(18471,13,359,'85.5','Occupational Therapy Report',''),(18472,13,359,'90','[]',''),(18473,13,359,'186','[]',''),(18474,13,359,'99','[]',''),(18475,13,359,'91','[]',''),(18476,13,359,'98','[]',''),(18477,13,359,'97','[]',''),(18478,13,359,'96','[]',''),(18479,13,359,'95','[]',''),(18480,13,359,'94','[]',''),(18481,13,359,'107','Plan Managed (External company eg. 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He is currently in Grade 10 at High School. William is a loving, caring and affectionate boy. He enjoys school and has a couple of friends at school. However his ASD diagnosis means he has difficulty with friendships and often feels lonely. He has low self-esteem and lacks confidence, and finds school difficult. He often seeks reassurance for any decisions he makes. His fear of failure means he gives up quickly and he needs to work on developing his resilience. \r\nHe has no issues with gross motor skills and enjoys the outdoors and playing sports. His hobbies to date include tennis and talking about cars, as well as playing on the Xbox. It would be great for William to develop his confidence and sense of self worth by engaging in some physical activity while being able to socialise with others once he is able to move into the social group.',''),(18511,13,360,'38','NDIS',''),(18512,13,360,'187','430660367',''),(18513,13,360,'6','RIDES©',''),(18514,13,360,'53','SKILLS-TRAX©',''),(18515,13,360,'54','Beginner Rider',''),(18516,13,360,'58','Yes',''),(18517,13,360,'60.3','William',''),(18518,13,360,'60.6','Druve',''),(18519,13,360,'61','karendruve@gmail.com',''),(18520,13,360,'194','0409341854',''),(18521,13,360,'64.1','84 Barton Rd Hawthorne',''),(18522,13,360,'64.3','Brisbane',''),(18523,13,360,'64.4','QLD',''),(18524,13,360,'64.5','4171',''),(18525,13,360,'64.6','Australia',''),(18526,13,360,'66','ASD',''),(18527,13,360,'67','William\'s ASD affects his self-esteem and confidence. He enjoys the outdoors and is at his best when he is able to socialise whilst engaging in an activity. He finds it difficult to have conversations with others in a static environment when nothing is going on and often says he feels lonely.',''),(18528,13,360,'174','Social participation\r\nGaining friendships\r\nincreased confidence and self-esteem\r\nability to develop resilience',''),(18529,13,360,'70','Yes',''),(18530,13,360,'71','Vyvannse - to help with concentration and focus',''),(18531,13,360,'72','No',''),(18532,13,360,'74','178',''),(18533,13,360,'75','70',''),(18534,13,360,'76','High',''),(18535,13,360,'80.3','Karen',''),(18536,13,360,'80.6','Druve',''),(18537,13,360,'81','Mother',''),(18538,13,360,'82','0409341854',''),(18539,13,360,'85.7','Speech Therapy Report',''),(18540,13,360,'90','[]',''),(18541,13,360,'186','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/William-Druve-Speech-report.pdf\"]',''),(18542,13,360,'99','[]',''),(18543,13,360,'91','[]',''),(18544,13,360,'98','[]',''),(18545,13,360,'97','[]',''),(18546,13,360,'96','[]',''),(18547,13,360,'95','[]',''),(18548,13,360,'94','[]',''),(18549,13,360,'107','Self / Privately Managed',''),(18550,13,360,'117','Capacity Building | Improved Daily Living',''),(18551,13,360,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/NDIS-plan-08-August-22-07-August-24.pdf',''),(18552,13,360,'146.7','Sunday',''),(18553,13,360,'148','Mid Afternoon - approx 3pm-5pm',''),(18554,13,360,'57','Yes',''),(18555,13,360,'164','Pick Up and Drop Off',''),(18556,13,360,'167.1','84 Barton Rd Hawthorne',''),(18557,13,360,'167.3','Brisbane',''),(18558,13,360,'167.4','QLD',''),(18559,13,360,'167.5','4171',''),(18560,13,360,'167.6','Australia',''),(18561,13,360,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(18562,13,360,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(18563,13,360,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(18564,13,360,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(18565,13,360,'104','64340dd8cd1125.50457596.png',''),(18566,13,360,'106.3','William',''),(18567,13,360,'106.6','Druve',''),(18568,13,360,'105','2022-11-05',''),(18569,13,360,'198','2022-08-08',''),(18570,13,360,'199','2024-08-07',''),(18571,13,360,'63','0',''),(18572,13,360,'01596ac1b7b0b79397c71e44a6dee3aff5159910a732d5958554687077cd5e441380a98a7b032c7cda786ceaff186efddc10d8e2760e58c70bddb12c118d0069','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:31:\"William-Druve-Speech-report.pdf\";}',NULL),(18573,13,360,'gravityformsrecaptcha_score','disconnected',NULL),(18574,13,360,'gppcmt_pretty_id','8eefee',NULL),(18575,13,360,'46','40dd8ef6ab',''),(18576,13,360,'fg_easypassthrough_token','eca281f15ad92b0bf74d3deaa4a6f987',NULL),(18577,13,360,'gpfr_stashed_file_urls','',NULL),(18578,13,360,'is_approved','3',NULL),(18579,13,360,'gvmaps_lat_64','',NULL),(18580,13,360,'gvmaps_long_64','',NULL),(18581,13,360,'gvmaps_lat_141','',NULL),(18582,13,360,'gvmaps_long_141','',NULL),(18583,13,360,'gvmaps_lat_167','',NULL),(18584,13,360,'gvmaps_long_167','',NULL),(18585,13,360,'gpaa_lat_64','',NULL),(18586,13,360,'gpaa_lng_64','',NULL),(18587,13,361,'5','I\'m applying on BEHALF of someone who would like to participate',''),(18588,13,361,'48','Parent',''),(18589,13,361,'47.3','Bridget',''),(18590,13,361,'47.6','Webb',''),(18591,13,361,'49','0438987039',''),(18592,13,361,'50','bridgetw22@hotmail.com',''),(18593,13,361,'51','I have 2 sons, aged 11 & 9 years old.  They both love riding and we have just moved to Cornubia and they have found many trails in the area, but i would love them to learn the skills involved and then they have less chance of getting injured and it will build there confidence.  They both have mountain bikes.  Liam (11 yrs) has ADHD & ASD , and he has NDIS FUNDING.  Dylan is 9yrs old and he has plenty of energy and loves riding and would love to do it too.',''),(18594,13,361,'38','NDIS',''),(18595,13,361,'187','431567251',''),(18596,13,361,'6','RIDES©',''),(18597,13,361,'53','SKILLS-TRAX©',''),(18598,13,361,'54','Intermediate Rider',''),(18599,13,361,'58','Yes',''),(18600,13,361,'59','Both the boys love riding.  They have excellent co ordination skills and can ride fast on the bikes.  They need to be taught the correct skills and how to handle the bike and trails i think to build there confidence.  They have not got much fear, and love to try out new skills and trails.',''),(18601,13,361,'60.3','Liam',''),(18602,13,361,'60.6','Webb',''),(18603,13,361,'194','0438987039',''),(18604,13,361,'64.1','105 Bromley Street',''),(18605,13,361,'64.3','105 BROMLEY STREET',''),(18606,13,361,'64.4','QLD',''),(18607,13,361,'64.5','CORNUBIA 4130',''),(18608,13,361,'64.6','Denmark',''),(18609,13,361,'66','ADHD, ASD',''),(18610,13,361,'67','love to learn new skills, keep them fit and healthy, great for motor skills, learn new and exciting skills to keep him interested',''),(18611,13,361,'174','To keep them fit and healthy and learn new skills',''),(18612,13,361,'70','Yes',''),(18613,13,361,'71','Concerta (30mg) 1 tablet in morning after breakfast',''),(18614,13,361,'72','No',''),(18615,13,361,'74','150',''),(18616,13,361,'75','52',''),(18617,13,361,'76','High',''),(18618,13,361,'80.3','Bridget',''),(18619,13,361,'80.6','Webb',''),(18620,13,361,'81','Mother',''),(18621,13,361,'82','0438987039',''),(18622,13,361,'85.1','Doctors Report',''),(18623,13,361,'85.2','Specialist Report',''),(18624,13,361,'90','[]',''),(18625,13,361,'186','[]',''),(18626,13,361,'99','[]',''),(18627,13,361,'91','[]',''),(18628,13,361,'98','[]',''),(18629,13,361,'97','[]',''),(18630,13,361,'96','[]',''),(18631,13,361,'95','[]',''),(18632,13,361,'94','[]',''),(18633,13,361,'107','Self / Privately Managed',''),(18634,13,361,'117','Capacity Building | Improved Daily Living',''),(18635,13,361,'57','Yes',''),(18636,13,361,'164','Pick Up',''),(18637,13,361,'63','0',''),(18638,13,361,'gravityformsrecaptcha_score','disconnected',NULL),(18639,13,361,'gppcmt_pretty_id','90c9a2',NULL),(18640,13,361,'46','40dd90cf49',''),(18641,13,361,'fg_easypassthrough_token','bbd788683e70a5597147380db7a716a5',NULL),(18642,13,361,'gpfr_stashed_file_urls','',NULL),(18643,13,361,'is_approved','',NULL),(18644,13,361,'gvmaps_lat_64','',NULL),(18645,13,361,'gvmaps_long_64','',NULL),(18646,13,361,'gvmaps_lat_141','',NULL),(18647,13,361,'gvmaps_long_141','',NULL),(18648,13,361,'gvmaps_lat_167','',NULL),(18649,13,361,'gvmaps_long_167','',NULL),(18650,13,361,'gpaa_lat_64','',NULL),(18651,13,361,'gpaa_lng_64','',NULL),(18652,13,362,'5','I\'m applying on BEHALF of someone who would like to participate',''),(18653,13,362,'48','Parent',''),(18654,13,362,'47.3','Carolina',''),(18655,13,362,'47.6','Day',''),(18656,13,362,'49','0414711170',''),(18657,13,362,'50','carolinamah@yahoo.com',''),(18658,13,362,'51','Participant has as part of NDIS goals: self regulate emotions, increase attention span, develop social skills, increase gross motor skills.',''),(18659,13,362,'38','NDIS',''),(18660,13,362,'187','430437687',''),(18661,13,362,'6','RIDES©',''),(18662,13,362,'53','SKILLS-TRAX©',''),(18663,13,362,'54','Intermediate Rider',''),(18664,13,362,'58','Yes',''),(18665,13,362,'59','Participant loves bike riding and has had experience in short kids triathlons.',''),(18666,13,362,'60.3','Joshua',''),(18667,13,362,'60.6','Day',''),(18668,13,362,'61','carolinamah@yahoo.com',''),(18669,13,362,'194','0414711170',''),(18670,13,362,'64.1','29 Allora St',''),(18671,13,362,'64.3','Waterford West',''),(18672,13,362,'64.4','Queensland',''),(18673,13,362,'64.5','4133',''),(18674,13,362,'64.6','Australia',''),(18675,13,362,'66','Autism, adhd, dyslexia,',''),(18676,13,362,'67','This participant improves attention and focus when he has had exercise. He loves being outdoors and moving. He has struggles with executive functioning skills so this would be a great way for him to improve in that area.',''),(18677,13,362,'174','Improved attention span, emotional control, decreased anxiety, better gross motor skills, better social skills.',''),(18678,13,362,'70','No',''),(18679,13,362,'72','No',''),(18680,13,362,'74','150',''),(18681,13,362,'75','35',''),(18682,13,362,'76','Medium',''),(18683,13,362,'80.3','Stephen',''),(18684,13,362,'80.6','Day',''),(18685,13,362,'81','Father',''),(18686,13,362,'82','0404179091',''),(18687,13,362,'85.1','Doctors Report',''),(18688,13,362,'85.3','Psychology Report',''),(18689,13,362,'85.5','Occupational Therapy Report',''),(18690,13,362,'85.7','Speech Therapy Report',''),(18691,13,362,'90','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/2017JoshuaPsychologyReportL.pdf\"]',''),(18692,13,362,'186','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Joshua-Day-TILLS-Ax-Report-Speechease-Oct2022.pdf\"]',''),(18693,13,362,'99','[]',''),(18694,13,362,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/2016-JoshuaOTReport.pdf\"]',''),(18695,13,362,'98','[]',''),(18696,13,362,'97','[]',''),(18697,13,362,'96','[]',''),(18698,13,362,'95','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/2017-PaedReport.pdf\"]',''),(18699,13,362,'94','[]',''),(18700,13,362,'107','Plan Managed (External company eg. 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applying on BEHALF of someone who would like to participate',''),(18751,13,363,'48','Parent',''),(18752,13,363,'47.3','Carolina',''),(18753,13,363,'47.6','Day',''),(18754,13,363,'49','0414711170',''),(18755,13,363,'50','carolinamah@yahoo.com',''),(18756,13,363,'51','Participant has NDIS goals to improve social skills and learn independence and participate in social activities',''),(18757,13,363,'38','NDIS',''),(18758,13,363,'187','430437691',''),(18759,13,363,'6','RIDES©',''),(18760,13,363,'53','SKILLS-TRAX©',''),(18761,13,363,'54','Intermediate Rider',''),(18762,13,363,'58','Yes',''),(18763,13,363,'59','Participant enjoys road bike riding.',''),(18764,13,363,'60.3','Elizabeth',''),(18765,13,363,'60.6','Day',''),(18766,13,363,'61','carolinamah@yahoo.com',''),(18767,13,363,'194','0414711170',''),(18768,13,363,'64.1','29 Allora St',''),(18769,13,363,'64.3','Waterford 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Liability',''),(19275,13,368,'104','64340de02c64b6.82732065.png',''),(19276,13,368,'106.3','Fleur',''),(19277,13,368,'106.6','Renouf',''),(19278,13,368,'105','2022-10-31',''),(19279,13,368,'198','2022-05-27',''),(19280,13,368,'199','2023-05-27',''),(19281,13,368,'63','0',''),(19282,13,368,'3bbd8c58799024b440e85389033e9c7c7dcf7d7f072f0de6f6adc3b988b28acaf5841100e86afc50e5cd059dda10edf96500ec3f2fb5239aaf4e1d52049be391','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:43:\"LETTERFORSCHOOL_2022_09_19_ARCHERRENOUF.pdf\";}',NULL),(19283,13,368,'ff04814fa4b2640c07a0193a28e76357bd3893101f198b0bcdbf8052568ce2ea3ae907345e3a3dc9fa9ea96222c1c8834b14e2269402cce5699f540b0abc0a35','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:16:\"3.-OT-Report.pdf\";}',NULL),(19284,13,368,'8ae31f3afa1a1f2a51ae3ce0d9f06e619b630dfce8b758de8f1b99e631e7650bc5487364b54e1b11fa8e7e9988641771734c588ed2d98252335d3a446f753e01','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:32:\"Letter-of-Support_A_RENOUF-4.pdf\";}',NULL),(19285,13,368,'gravityformsrecaptcha_score','disconnected',NULL),(19286,13,368,'gppcmt_pretty_id','0521d1',NULL),(19287,13,368,'46','40de05281b',''),(19288,13,368,'fg_easypassthrough_token','b8e332b471685e2051daf8089b931219',NULL),(19289,13,368,'gpfr_stashed_file_urls','',NULL),(19290,13,368,'is_approved','3',NULL),(19291,13,368,'gvmaps_lat_64','',NULL),(19292,13,368,'gvmaps_long_64','',NULL),(19293,13,368,'gvmaps_lat_141','',NULL),(19294,13,368,'gvmaps_long_141','',NULL),(19295,13,368,'gvmaps_lat_167','',NULL),(19296,13,368,'gvmaps_long_167','',NULL),(19297,13,368,'gpaa_lat_64','',NULL),(19298,13,368,'gpaa_lng_64','',NULL),(19299,13,369,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19300,13,369,'48','Parent',''),(19301,13,369,'47.3','Lisa',''),(19302,13,369,'47.6','Wilkes',''),(19303,13,369,'49','0408033273',''),(19304,13,369,'50','Lisa@podiatrypoint.com.au',''),(19305,13,369,'51','Stargardts disease',''),(19306,13,369,'38','NDIS',''),(19307,13,369,'187','431901020',''),(19308,13,369,'6','RIDES©',''),(19309,13,369,'53','SKILLS-TRAX©',''),(19310,13,369,'54','Beginner Rider',''),(19311,13,369,'58','Yes',''),(19312,13,369,'59','Has experience riding socially and some bike touring. He has just started mountain biking',''),(19313,13,369,'60.3','Mitchell',''),(19314,13,369,'60.6','Wilkes',''),(19315,13,369,'61','Lisa@podiatrypoint.com.au',''),(19316,13,369,'194','0408033273',''),(19317,13,369,'64.1','956 Blanchview Road',''),(19318,13,369,'64.3','Silver Ridge',''),(19319,13,369,'64.4','QLD',''),(19320,13,369,'64.5','4352',''),(19321,13,369,'64.6','Australia',''),(19322,13,369,'66','Stargardts Disease current sight 6/38',''),(19323,13,369,'67','Has just gaken up mountian biking and needs tomlearn how to do this safely.',''),(19324,13,369,'174','To be anle to ride with his oeers. Tk spend time outdoors. And to meet other people with skmilar challenges.',''),(19325,13,369,'70','No',''),(19326,13,369,'72','No',''),(19327,13,369,'74','160',''),(19328,13,369,'75','46',''),(19329,13,369,'76','High',''),(19330,13,369,'80.3','Lisa',''),(19331,13,369,'80.6','Wilkes',''),(19332,13,369,'81','Mothwr',''),(19333,13,369,'82','0408033273',''),(19334,13,369,'85.2','Specialist Report',''),(19335,13,369,'90','[]',''),(19336,13,369,'186','[]',''),(19337,13,369,'99','[]',''),(19338,13,369,'91','[]',''),(19339,13,369,'98','[]',''),(19340,13,369,'97','[]',''),(19341,13,369,'96','[]',''),(19342,13,369,'95','[]',''),(19343,13,369,'94','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Suite-55.-Level-2-Building-2-St-Andrews-Hospital.pdf\"]',''),(19344,13,369,'107','Self / Privately Managed',''),(19345,13,369,'117','Capacity Building | Improved Daily Living',''),(19346,13,369,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/ndis.pdf',''),(19347,13,369,'57','No',''),(19348,13,369,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(19349,13,369,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(19350,13,369,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(19351,13,369,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(19352,13,369,'104','64340de100bef7.56300439.png',''),(19353,13,369,'106.3','Lisa',''),(19354,13,369,'106.6','Wilkes',''),(19355,13,369,'105','2022-10-30',''),(19356,13,369,'198','2022-03-08',''),(19357,13,369,'199','2023-03-08',''),(19358,13,369,'63','0',''),(19359,13,369,'6f57a8dd9a7a9e6875e4e3ab4ae4a1d1ed1d802f2ad647d09fbc5ea8e9fd052716ebdc9a1dfc508f7b590c1bf2c33111cabd140f2efd461fcdf4d017e5b41031','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:52:\"Suite-55.-Level-2-Building-2-St-Andrews-Hospital.pdf\";}',NULL),(19360,13,369,'gravityformsrecaptcha_score','disconnected',NULL),(19361,13,369,'gppcmt_pretty_id','122100',NULL),(19362,13,369,'46','40de122784',''),(19363,13,369,'fg_easypassthrough_token','9a79e0296248e6c7b231235565d21264',NULL),(19364,13,369,'gpfr_stashed_file_urls','',NULL),(19365,13,369,'is_approved','3',NULL),(19366,13,369,'gvmaps_lat_64','',NULL),(19367,13,369,'gvmaps_long_64','',NULL),(19368,13,369,'gvmaps_lat_141','',NULL),(19369,13,369,'gvmaps_long_141','',NULL),(19370,13,369,'gvmaps_lat_167','',NULL),(19371,13,369,'gvmaps_long_167','',NULL),(19372,13,369,'gpaa_lat_64','',NULL),(19373,13,369,'gpaa_lng_64','',NULL),(19374,13,370,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19375,13,370,'48','Support Coordinator',''),(19376,13,370,'47.3','Candy',''),(19377,13,370,'47.6','Evans',''),(19378,13,370,'49','0499522444',''),(19379,13,370,'50','candy@tarampaassist.com.au',''),(19380,13,370,'51','Zander has ASD and presents with school refusal, struggles to regulate his emotions. My understanding is that he was seeing an OT and speech therapist prior to covid so 2019-2020 but refused to engage so these sessions were cancelled, I do not have any reports etc for him. Zander needs new OT, speech and psychologist reports. I feel a program such as yours where he is participating in activity and having fun and not feeling like he is in therapy, may help him be more inclined to engage.',''),(19381,13,370,'38','NDIS',''),(19382,13,370,'187','431315406',''),(19383,13,370,'6','RIDES©',''),(19384,13,370,'53','LEARN 2 RIDE©',''),(19385,13,370,'54','No Experience Riding',''),(19386,13,370,'58','No',''),(19387,13,370,'59','Additional information will be required to be gathered from Zanders Mother, please also discuss suitability of the rides program with her, Hikes may be more suitable.',''),(19388,13,370,'60.3','Zander',''),(19389,13,370,'60.6','Pascoe- Walton',''),(19390,13,370,'64.1','24 Peregrine drive',''),(19391,13,370,'64.3','Lowood',''),(19392,13,370,'64.4','Qld',''),(19393,13,370,'64.5','4311',''),(19394,13,370,'64.6','Australia',''),(19395,13,370,'66','ASD level 3 \r\n\r\nADD (please confirm with mother)',''),(19396,13,370,'67','Zander lives with his mum and siblings, Zander is currently in year 4 at Lowood state school but finds it challenging to attend and presents with school refusal often. A couple of years ago Zander had engaged with a speech therapist and OT, however refused to attend. I fell that this program may be suitable for Zander as being out of the house, participating in activities such as ride or hike, would not feel like therapy but just having fun, which might help with Zander wanting to engage.',''),(19397,13,370,'174','emotional regulation skills, social and communication skills. assessments from OT',''),(19398,13,370,'70','Yes',''),(19399,13,370,'71','Parent to provide information. I do not have access to this information',''),(19400,13,370,'72','No',''),(19401,13,370,'74','145',''),(19402,13,370,'75','60',''),(19403,13,370,'76','Low',''),(19404,13,370,'80.3','Samantha',''),(19405,13,370,'80.6','Walton',''),(19406,13,370,'81','mother/parent',''),(19407,13,370,'82','0437972079',''),(19408,13,370,'85.11','I don\'t have any reports',''),(19409,13,370,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(19410,13,370,'112','PEAK PLAN MANAGEMENT',''),(19411,13,370,'113','accounts@peakplan.com.au',''),(19412,13,370,'114','0476 764 389',''),(19413,13,370,'117','Capacity Building | Improved Daily Living',''),(19414,13,370,'146.3','Wednesday',''),(19415,13,370,'146.4','Thursday',''),(19416,13,370,'152','Mid Morning - approx 8am-11am',''),(19417,13,370,'150','Lunch - approx 11am-1pm',''),(19418,13,370,'57','Yes',''),(19419,13,370,'164','Pick Up',''),(19420,13,370,'167.1','24 Peregrine drive',''),(19421,13,370,'167.3','Lowood',''),(19422,13,370,'167.4','Qld',''),(19423,13,370,'167.5','4311',''),(19424,13,370,'167.6','Australia',''),(19425,13,370,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(19426,13,370,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(19427,13,370,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(19428,13,370,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(19429,13,370,'104','64340de128ad11.77937772.png',''),(19430,13,370,'106.3','Candy',''),(19431,13,370,'106.6','Evans',''),(19432,13,370,'105','2022-10-26',''),(19433,13,370,'198','2022-01-11',''),(19434,13,370,'199','2024-01-11',''),(19435,13,370,'63','0',''),(19436,13,370,'gravityformsrecaptcha_score','disconnected',NULL),(19437,13,370,'gppcmt_pretty_id','14ed74',NULL),(19438,13,370,'46','40de14f35b',''),(19439,13,370,'fg_easypassthrough_token','aea8c41f840936bb1b5e7521145dc549',NULL),(19440,13,370,'gpfr_stashed_file_urls','',NULL),(19441,13,370,'is_approved','3',NULL),(19442,13,370,'gvmaps_lat_64','',NULL),(19443,13,370,'gvmaps_long_64','',NULL),(19444,13,370,'gvmaps_lat_141','',NULL),(19445,13,370,'gvmaps_long_141','',NULL),(19446,13,370,'gvmaps_lat_167','',NULL),(19447,13,370,'gvmaps_long_167','',NULL),(19448,13,370,'gpaa_lat_64','',NULL),(19449,13,370,'gpaa_lng_64','',NULL),(19450,13,371,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19451,13,371,'48','Parent',''),(19452,13,371,'47.3','Monica',''),(19453,13,371,'47.6','Munro',''),(19454,13,371,'49','+61420934992',''),(19455,13,371,'50','monicamunro@outlook.com',''),(19456,13,371,'51','Hi this is for my son Will who is 15 years old, he has Autism, generalised Anxiety and Gender Dysphoria. He has been homeschooled for 2 and a half years as he did not cope with high school and has no social life outside of his immediate family so quite isolated. He has recently got his first job which has been great but I can see the pressure has been building and yesterday he had his first panic attack at work - but not his first panic attack. This usually happens when he gets overwhelmed and thinks he can\'t do something. His boss does not know about his autism, not sure if that was the right thing sometimes its good and sometimes all they see is someone with a disability and what they can\'t do.....but his boss told him he was too slow a couple of weeks ago. Will has 3 brothers, 2 of which also have autism. He has had a challenging relationship with his dad (he was 4 when we separated), it has shown some positive signs recently. He lacks a lot of confidence and thinks he is shit at everything. He is although highly motivated around saving to go overseas one day and can\'t wait to get his drivers licence. He only started riding about a year ago properly and Kids in Need funded a mountain bike for him. It is the first real thing that he has wanted to do outside of home so I really want to tap into that. He had a support worker who was taking him but he got an injury and could no longer ride with him. As much as I want him to gain skills in mountain biking I also want him to build confidence in himself and to work on strategies around his anxiety and challenges with socialising.',''),(19457,13,371,'38','NDIS',''),(19458,13,371,'187','430270463',''),(19459,13,371,'6','RIDES©',''),(19460,13,371,'53','SKILLS-TRAX©',''),(19461,13,371,'54','Intermediate Rider',''),(19462,13,371,'58','Yes',''),(19463,13,371,'59','Will has been going to some mountain bike tracks on the gold coast for most of this year almost every week. He also does some general riding around the streets near home. He has had one lesson earlier on at Nerang. He watches a lot of videos and that is how he teaches himself most things that he does.',''),(19464,13,371,'60.3','will',''),(19465,13,371,'60.6','barnes',''),(19466,13,371,'61','willbarnes3200@gmail.com',''),(19467,13,371,'194','0420934992',''),(19468,13,371,'64.1','11 ewing street',''),(19469,13,371,'64.3','murwillumbah',''),(19470,13,371,'64.4','New South Wales',''),(19471,13,371,'64.5','2484',''),(19472,13,371,'64.6','Australia',''),(19473,13,371,'66','ASD Level 2\r\nGeneralised Anxiety\r\nGender Dysphoria',''),(19474,13,371,'67','Its perfect because it is what he is really passionate about right now, he doesn\'t respond to in clinic types of therapy. He struggles socially and finds it very hard to communicate particularly about anything personal or to do with emotions he doesn\'t know how to recognise them in himself.',''),(19475,13,371,'174','Confidence, hopefully to eventually make connections with others to ride with, strategies to cope with challenges.\r\n\r\nif you ask Will he would most likely shrug his shoulders and say I don\'t know!',''),(19476,13,371,'70','No',''),(19477,13,371,'72','No',''),(19478,13,371,'74','170',''),(19479,13,371,'75','60',''),(19480,13,371,'76','Medium',''),(19481,13,371,'80.3','Monica',''),(19482,13,371,'80.6','Munro',''),(19483,13,371,'81','mum',''),(19484,13,371,'82','+61420934992',''),(19485,13,371,'85.3','Psychology Report',''),(19486,13,371,'85.5','Occupational Therapy Report',''),(19487,13,371,'85.7','Speech Therapy Report',''),(19488,13,371,'90','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Barnes_Will_psychology_report.pdf\"]',''),(19489,13,371,'186','[]',''),(19490,13,371,'99','[]',''),(19491,13,371,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Will-BARNES-OT-Plan-Review-Report-2020.pdf\"]',''),(19492,13,371,'98','[]',''),(19493,13,371,'97','[]',''),(19494,13,371,'96','[]',''),(19495,13,371,'95','[]',''),(19496,13,371,'94','[]',''),(19497,13,371,'107','Self / Privately Managed',''),(19498,13,371,'117','Capacity Building | Improved Daily Living',''),(19499,13,371,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/WILL-BARNES-NDIS-plan-2022-to-20241.pdf',''),(19500,13,371,'146.4','Thursday',''),(19501,13,371,'146.5','Friday',''),(19502,13,371,'150','Lunch - approx 11am-1pm',''),(19503,13,371,'153','Lunch - approx 11am-1pm',''),(19504,13,371,'57','Yes',''),(19505,13,371,'164','Pick Up and Drop Off',''),(19506,13,371,'167.1','11 ewing street',''),(19507,13,371,'167.3','murwillumbah',''),(19508,13,371,'167.4','New South Wales',''),(19509,13,371,'167.5','2484',''),(19510,13,371,'167.6','Australia',''),(19511,13,371,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(19512,13,371,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(19513,13,371,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(19514,13,371,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(19515,13,371,'104','64340de20cb650.38077486.png',''),(19516,13,371,'106.3','Monica',''),(19517,13,371,'106.6','Munro',''),(19518,13,371,'105','2022-10-25',''),(19519,13,371,'198','2022-09-02',''),(19520,13,371,'199','2024-09-01',''),(19521,13,371,'63','0',''),(19522,13,371,'3b1cf4ebb6db2d3e1532229fbab9aebc37a6dd1c48a39b65955b296711287d244246236b150eb65f22f969b4d594c15f52612f171dc57ec45479cd612c1954a5','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:33:\"Barnes_Will_psychology_report.pdf\";}',NULL),(19523,13,371,'5d637cdfda77822897a8552a33c0621fcfadbbbfc00d5ddcf21abe5bbe179ed60a83e45bf195bd718ac55a14739ebba42e24bba0b522cd24572c96c1d07e2224','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:42:\"Will-BARNES-OT-Plan-Review-Report-2020.pdf\";}',NULL),(19524,13,371,'gravityformsrecaptcha_score','disconnected',NULL),(19525,13,371,'gppcmt_pretty_id','22f6ee',NULL),(19526,13,371,'46','40de22fcad',''),(19527,13,371,'fg_easypassthrough_token','6edffbdd84e257dec3621440c4863af8',NULL),(19528,13,371,'gpfr_stashed_file_urls','',NULL),(19529,13,371,'is_approved','3',NULL),(19530,13,371,'gvmaps_lat_64','',NULL),(19531,13,371,'gvmaps_long_64','',NULL),(19532,13,371,'gvmaps_lat_141','',NULL),(19533,13,371,'gvmaps_long_141','',NULL),(19534,13,371,'gvmaps_lat_167','',NULL),(19535,13,371,'gvmaps_long_167','',NULL),(19536,13,371,'gpaa_lat_64','',NULL),(19537,13,371,'gpaa_lng_64','',NULL),(19538,13,372,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19539,13,372,'48','Parent',''),(19540,13,372,'47.3','Suzie',''),(19541,13,372,'47.6','Proos',''),(19542,13,372,'49','0413256162',''),(19543,13,372,'50','suziep@iinet.net.au',''),(19544,13,372,'51','My 15year old autistic and Intelligent disabled son wants to learn who to do down hill Moutain biking safety. He is a thrill seeker and has trouble assessing risks and dangers. He has low muscle tone as well. \r\nHe loves everything that has wheels.',''),(19545,13,372,'38','NDIS',''),(19546,13,372,'187','430299342',''),(19547,13,372,'6','RIDES©',''),(19548,13,372,'53','SKILLS-TRAX©',''),(19549,13,372,'54','Beginner Rider',''),(19550,13,372,'58','Yes',''),(19551,13,372,'59','Has been riding bmxs since he was 3 yrs old. \r\nStarted riding Moutain bikes for approx 3 yrs.',''),(19552,13,372,'60.3','Cody',''),(19553,13,372,'60.6','Proos',''),(19554,13,372,'61','suziep@iinet.net.au',''),(19555,13,372,'194','0413256162',''),(19556,13,372,'64.1','12 Natalie Court',''),(19557,13,372,'64.3','Regency Downs',''),(19558,13,372,'64.4','QLD',''),(19559,13,372,'64.5','4341',''),(19560,13,372,'64.6','Australia',''),(19561,13,372,'66','Autism level 2\r\nIntellectual disability \r\nAnxiety \r\nLow muscle tone',''),(19562,13,372,'67','Cody lives for anything that has wheels, bikes, scooters cars etc. \r\n\r\nCody has always wanted to do Moutain biking but doesnt have the skill to do so safety. \r\n\r\nCody has come along way since being diagnosed with autism. \r\n\r\nCody gets bullied alot at school so he could also make some new friends doing this aswell',''),(19563,13,372,'174','Keeping up his fitness\r\nTo become more confident in riding\r\nLearn new skllls',''),(19564,13,372,'70','No',''),(19565,13,372,'72','No',''),(19566,13,372,'74','181',''),(19567,13,372,'75','98',''),(19568,13,372,'76','Medium',''),(19569,13,372,'80.3','Suzie',''),(19570,13,372,'80.6','Proos',''),(19571,13,372,'81','Mother',''),(19572,13,372,'82','0413256162',''),(19573,13,372,'85.3','Psychology Report',''),(19574,13,372,'85.5','Occupational Therapy Report',''),(19575,13,372,'85.7','Speech Therapy Report',''),(19576,13,372,'90','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Cody-Proos-NDIS-430299342-NDIS-Psychological-Report-111021-Greg-Jones.pdf\"]',''),(19577,13,372,'186','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Cody-Proos-2021-NDIS-Interim-Report.pdf\"]',''),(19578,13,372,'99','[]',''),(19579,13,372,'91','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Cody-Proos-NDIS-Progress-Report-2021.pdf\"]',''),(19580,13,372,'98','[]',''),(19581,13,372,'97','[]',''),(19582,13,372,'96','[]',''),(19583,13,372,'95','[]',''),(19584,13,372,'94','[]',''),(19585,13,372,'107','Self / Privately Managed',''),(19586,13,372,'117','Capacity Building | Improved Daily Living',''),(19587,13,372,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/IMG_2722.jpg',''),(19588,13,372,'146.3','Wednesday',''),(19589,13,372,'146.6','Saturday',''),(19590,13,372,'146.7','Sunday',''),(19591,13,372,'152','Mid Morning - approx 8am-11am',''),(19592,13,372,'149','Available Any Time',''),(19593,13,372,'148','Available Any Time',''),(19594,13,372,'57','Yes',''),(19595,13,372,'164','Pick Up and Drop Off',''),(19596,13,372,'167.1','12 Natalie Court',''),(19597,13,372,'167.3','Regency Downs',''),(19598,13,372,'167.4','QLD',''),(19599,13,372,'167.5','4341',''),(19600,13,372,'167.6','Australia',''),(19601,13,372,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(19602,13,372,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(19603,13,372,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(19604,13,372,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(19605,13,372,'104','64340de336e232.29692981.png',''),(19606,13,372,'106.3','Suzie',''),(19607,13,372,'106.6','Proos',''),(19608,13,372,'105','2022-10-24',''),(19609,13,372,'198','2021-11-10',''),(19610,13,372,'199','2023-11-10',''),(19611,13,372,'63','0',''),(19612,13,372,'2d1f4b015aebcb88af4728fd0647dee06c02485d04faf6eee57eeb98818a7e834429c0e80cca3554dd2e2e5135ac999f59d09d9996935266697d1cd9760e1b28','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:73:\"Cody-Proos-NDIS-430299342-NDIS-Psychological-Report-111021-Greg-Jones.pdf\";}',NULL),(19613,13,372,'f160914461d18dbf32677ff0ce12b1da7b3f1363369151f9353c8d33a1a8235c6eaf529324ae84f1fc77cfee96639b797685f126dc514368ba182e1daf001c09','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:39:\"Cody-Proos-2021-NDIS-Interim-Report.pdf\";}',NULL),(19614,13,372,'74ae894102207b7b4c6975dfb39837094a1491aee03d9325165bbfa5f0c477db43a8d861e9b3d7caeb6374e0c23867650913651456fe25323883a67eee28b189','a:3:{s:4:\"path\";s:110:\"/home/opentr9/v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:3:\"url\";s:104:\"https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/\";s:9:\"file_name\";s:40:\"Cody-Proos-NDIS-Progress-Report-2021.pdf\";}',NULL),(19615,13,372,'gravityformsrecaptcha_score','disconnected',NULL),(19616,13,372,'gppcmt_pretty_id','36676f',NULL),(19617,13,372,'46','40de367023',''),(19618,13,372,'fg_easypassthrough_token','1887a691004fa5d36ba343e188eb5830',NULL),(19619,13,372,'gpfr_stashed_file_urls','',NULL),(19620,13,372,'is_approved','3',NULL),(19621,13,372,'gvmaps_lat_64','',NULL),(19622,13,372,'gvmaps_long_64','',NULL),(19623,13,372,'gvmaps_lat_141','',NULL),(19624,13,372,'gvmaps_long_141','',NULL),(19625,13,372,'gvmaps_lat_167','',NULL),(19626,13,372,'gvmaps_long_167','',NULL),(19627,13,372,'gpaa_lat_64','',NULL),(19628,13,372,'gpaa_lng_64','',NULL),(19629,13,373,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19630,13,373,'48','Support Coordinator',''),(19631,13,373,'47.3','Don',''),(19632,13,373,'47.6','McLaughlin',''),(19633,13,373,'49','0407923474',''),(19634,13,373,'50','Don@tarampaassist.com.au',''),(19635,13,373,'51','My client would like to engage in the hikes program with a psychologist help with increasing his emotional regulation.',''),(19636,13,373,'38','NDIS',''),(19637,13,373,'187','431 339 483',''),(19638,13,373,'6','HIKES©',''),(19639,13,373,'162','HIKES©',''),(19640,13,373,'163','Beginner Hiker',''),(19641,13,373,'185','none known',''),(19642,13,373,'170','My client hasn\'t done any known hiking previously',''),(19643,13,373,'60.3','Arthur',''),(19644,13,373,'60.6','Cornwell',''),(19645,13,373,'64.1','12 Walters St',''),(19646,13,373,'64.3','Lowood',''),(19647,13,373,'64.4','Qld',''),(19648,13,373,'64.5','4311',''),(19649,13,373,'64.6','Australia',''),(19650,13,373,'66','Autism',''),(19651,13,373,'67','Gaming, cars and vehicles, farm animals, livestock and poultry. This activity would be perfect for Arthur as it would allow him to engage with a psychologist outside of the home away from the computer to assist him to build his social and community skills, develop an awareness of his emotions, triggers and reactions and improve his overall mental and physical health and well-being.',''),(19652,13,373,'174','develop awareness of his emotions, triggers and reactions and improve overall mental and physical health and well-being',''),(19653,13,373,'70','No',''),(19654,13,373,'72','No',''),(19655,13,373,'74','180',''),(19656,13,373,'75','90',''),(19657,13,373,'76','Low',''),(19658,13,373,'80.3','Talitha',''),(19659,13,373,'80.6','Williams',''),(19660,13,373,'81','parent/mother',''),(19661,13,373,'82','0402 368 797',''),(19662,13,373,'85.11','I don\'t have any reports',''),(19663,13,373,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(19664,13,373,'112','Plan Managed Assist Plan Management',''),(19665,13,373,'113','elizabeth@assistplanmanagers.com.au',''),(19666,13,373,'117','Capacity Building | Improved Daily Living',''),(19667,13,373,'146.3','Wednesday',''),(19668,13,373,'152','Mid Morning - approx 8am-11am',''),(19669,13,373,'57','Yes',''),(19670,13,373,'164','Pick Up',''),(19671,13,373,'167.1','12 Walters St',''),(19672,13,373,'167.3','Lowood',''),(19673,13,373,'167.4','Qld',''),(19674,13,373,'167.5','4311',''),(19675,13,373,'167.6','Australia',''),(19676,13,373,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(19677,13,373,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(19678,13,373,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(19679,13,373,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(19680,13,373,'104','64340de7568662.19131518.png',''),(19681,13,373,'106.3','Don',''),(19682,13,373,'106.6','McLaughlin',''),(19683,13,373,'105','2022-10-24',''),(19684,13,373,'198','2022-02-21',''),(19685,13,373,'199','2024-02-21',''),(19686,13,373,'63','0',''),(19687,13,373,'gravityformsrecaptcha_score','disconnected',NULL),(19688,13,373,'gppcmt_pretty_id','784f25',NULL),(19689,13,373,'46','40de785551',''),(19690,13,373,'fg_easypassthrough_token','e276a0edf04fadcb601589f8ee0095ca',NULL),(19691,13,373,'gpfr_stashed_file_urls','',NULL),(19692,13,373,'is_approved','3',NULL),(19693,13,373,'gvmaps_lat_64','',NULL),(19694,13,373,'gvmaps_long_64','',NULL),(19695,13,373,'gvmaps_lat_141','',NULL),(19696,13,373,'gvmaps_long_141','',NULL),(19697,13,373,'gvmaps_lat_167','',NULL),(19698,13,373,'gvmaps_long_167','',NULL),(19699,13,373,'gpaa_lat_64','',NULL),(19700,13,373,'gpaa_lng_64','',NULL),(19701,13,374,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19702,13,374,'48','Parent',''),(19703,13,374,'47.3','Lisa',''),(19704,13,374,'47.6','Wilkes',''),(19705,13,374,'49','0408033273',''),(19706,13,374,'50','Lisa@podiatrypoint.com.au',''),(19707,13,374,'51','My son who is 13 has stargharts disease but loves riding his bike. One of his goals is to be able to continue riding his bike safely while still expanding his skillset even as his vision deteriorates.',''),(19708,13,374,'38','NDIS',''),(19709,13,374,'187','431901020',''),(19710,13,374,'6','RIDES©',''),(19711,13,374,'53','SKILLS-TRAX©',''),(19712,13,374,'54','Beginner Rider',''),(19713,13,374,'58','Yes',''),(19714,13,374,'59','Has been riding with us as a family mostly road and bike touring. Has recently taken up mountain biking with his friends. Goes to jubilee amd mount peel as well as riding around our house.',''),(19715,13,374,'60.3','Mitchell',''),(19716,13,374,'60.6','Wilkes',''),(19717,13,374,'61','402109@twgs.qld.edu.au',''),(19718,13,374,'194','0408933272',''),(19719,13,374,'64.1','956 Blanchview Road',''),(19720,13,374,'64.3','Silver Ridge',''),(19721,13,374,'64.4','QLD',''),(19722,13,374,'64.5','4352',''),(19723,13,374,'64.6','Australia',''),(19724,13,374,'66','Stargardts disease. Current vision 6/38',''),(19725,13,374,'67','He is just starting out in mountain biking so this program would be perfect to teach him the right way to do things. His vision means that he needs to take more time doing these activities and often will need to be familiar with an element before tackling it head on. After a recent crash on his bike that has left him with a broken Humerus we all feel this is an appropriate activity. It will also greatly assist him in his goal to continue participating in this activity with his peers as this is an important element of his soical well being. Mitchell is a highly active child and loves being out doors.',''),(19726,13,374,'174','Be able to ride safely with his peers. He would also dream of being able to race despite his disability.',''),(19727,13,374,'70','No',''),(19728,13,374,'72','No',''),(19729,13,374,'74','160',''),(19730,13,374,'75','46',''),(19731,13,374,'76','High',''),(19732,13,374,'80.3','Lisa',''),(19733,13,374,'80.6','Wilkes',''),(19734,13,374,'81','Mother',''),(19735,13,374,'82','0408033273',''),(19736,13,374,'85.2','Specialist Report',''),(19737,13,374,'85.5','Occupational Therapy Report',''),(19738,13,374,'90','[]',''),(19739,13,374,'186','[]',''),(19740,13,374,'99','[]',''),(19741,13,374,'91','[]',''),(19742,13,374,'98','[]',''),(19743,13,374,'97','[]',''),(19744,13,374,'96','[]',''),(19745,13,374,'95','[]',''),(19746,13,374,'94','[]',''),(19747,13,374,'107','Self / Privately Managed',''),(19748,13,374,'117','Capacity Building | Improved Daily Living',''),(19749,13,374,'57','Yes',''),(19750,13,374,'164','Pick Up',''),(19751,13,374,'63','0',''),(19752,13,374,'gravityformsrecaptcha_score','disconnected',NULL),(19753,13,374,'gppcmt_pretty_id','79d7a4',NULL),(19754,13,374,'46','40de79dcda',''),(19755,13,374,'fg_easypassthrough_token','d16d3a1e457008acf723b2a8606ba14d',NULL),(19756,13,374,'gpfr_stashed_file_urls','',NULL),(19757,13,374,'is_approved','',NULL),(19758,13,374,'gvmaps_lat_64','',NULL),(19759,13,374,'gvmaps_long_64','',NULL),(19760,13,374,'gvmaps_lat_141','',NULL),(19761,13,374,'gvmaps_long_141','',NULL),(19762,13,374,'gvmaps_lat_167','',NULL),(19763,13,374,'gvmaps_long_167','',NULL),(19764,13,374,'gpaa_lat_64','',NULL),(19765,13,374,'gpaa_lng_64','',NULL),(19766,13,375,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19767,13,375,'48','Support Coordinator',''),(19768,13,375,'47.3','Candy',''),(19769,13,375,'47.6','Evans',''),(19770,13,375,'49','0499522444',''),(19771,13,375,'50','candy@tarampaassist.com.au',''),(19772,13,375,'51','My client would like to access a psychologist, to assist him with emotional regulation, and to manage his anxiety and depression. Curtis prefers to see therapists out of the home, so in a clinic or park. I feel that the hiking group would be good for Curtis as it will give him the chance to express himself without feeling like he is being watched or judged. \r\n\r\nCurtis tells me he was admitted into hospital 2 years ago for psychosis and been gang stroked with his twin brother. He found out in the beginning of this year he has Autism. Curtis gets stressed easily and he feels that he does not understand this world. Curtis also has anxiety which stops him forming doing things.  \r\nCurtis uses the computer a lot and that is where he finds a lot of information which is not good for him. He spends too much time in his room away for everyone else. Curtis doesn\'t like to leave the house cause the way he looks he tells himself all the time. \r\nEarly warning signs in me. Examples: anxiety, more than three sad days, letting hygiene slip, not playing, slowed down/sped up, irrational/paranoid/delusional thoughts/verbiage, isolating, impulsive behaviours where money concerned. \r\n\r\nWhen things are breaking down, Curtis begins to feel overtired/oversensitive, he has irrational responses, he experiences voices, delusional thoughts and becomes preoccupied, can’t stop thinking about other things.  \r\nsome of his triggers are Internet, Numbers, Big crowds/busy environments.',''),(19773,13,375,'38','NDIS',''),(19774,13,375,'187','431993567',''),(19775,13,375,'6','HIKES©',''),(19776,13,375,'162','HIKES©',''),(19777,13,375,'163','Beginner Hiker',''),(19778,13,375,'185','not that I am aware',''),(19779,13,375,'170','Curtis has had no prior hiking experience that I am aware of',''),(19780,13,375,'60.3','Curtis',''),(19781,13,375,'60.6','Stokes',''),(19782,13,375,'61','curtisstokes@outlook.com',''),(19783,13,375,'194','0429407654',''),(19784,13,375,'64.1','32 Knox Lane North',''),(19785,13,375,'64.3','Fernvale',''),(19786,13,375,'64.4','Qld',''),(19787,13,375,'64.5','4305',''),(19788,13,375,'64.6','Australia',''),(19789,13,375,'66','Autism, anxiety, depression, experiences, voices, delusional thoughts.\r\n\r\nAsthma when younger, however has not experienced Asthma for many years. Does not take any medication for it',''),(19790,13,375,'67','Curtis likes to garden, potter around the yard and Bunnings. \r\n\r\nthis program would be perfect for Curtis as he prefers to engage with services away from his home environment as he lives with his parents and twin brother and feels that he gets distracted more at home and doesn\'t like to share everything in front of his family.',''),(19791,13,375,'174','Curtis would like to gain some coping strategies, and emotional regulation so that he is able to manage his anxiety and depression better.',''),(19792,13,375,'70','Yes',''),(19793,13,375,'71','Invega sustenna 100mg every four weeks. Olanzapine 25mg a day. \r\n\r\nCurtis is under a Treatment Authority with a mental health team. \r\n\r\nAs his support coordinator I do not have all information relating to medication, it would be better to obtain this information from his Mother Mariss stokes 0429 407 654',''),(19794,13,375,'72','No',''),(19795,13,375,'74','165',''),(19796,13,375,'75','75',''),(19797,13,375,'76','Low',''),(19798,13,375,'80.3','Marissa',''),(19799,13,375,'80.6','Stokes',''),(19800,13,375,'81','Parent/mother',''),(19801,13,375,'82','0429407654',''),(19802,13,375,'85.3','Psychology Report',''),(19803,13,375,'90','[]',''),(19804,13,375,'186','[]',''),(19805,13,375,'99','[]',''),(19806,13,375,'91','[]',''),(19807,13,375,'98','[]',''),(19808,13,375,'97','[]',''),(19809,13,375,'96','[]',''),(19810,13,375,'95','[]',''),(19811,13,375,'94','[]',''),(19812,13,375,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(19813,13,375,'112','Assist Plan Management',''),(19814,13,375,'113','invoices@assistplanmanagers.com.au',''),(19815,13,375,'114','0499 918 541',''),(19816,13,375,'117','Capacity Building | Improved Daily Living',''),(19817,13,375,'146.4','Thursday',''),(19818,13,375,'150','Mid Morning - approx 8am-11am',''),(19819,13,375,'57','Yes',''),(19820,13,375,'164','Pick Up',''),(19821,13,375,'167.1','32 Knox Lane North',''),(19822,13,375,'167.3','Fernvale',''),(19823,13,375,'167.4','Qld',''),(19824,13,375,'167.5','4305',''),(19825,13,375,'167.6','Australia',''),(19826,13,375,'104','64340de7a32c31.35501612.png',''),(19827,13,375,'106.3','Candy',''),(19828,13,375,'106.6','Evans',''),(19829,13,375,'105','2022-10-20',''),(19830,13,375,'63','0',''),(19831,13,375,'gravityformsrecaptcha_score','disconnected',NULL),(19832,13,375,'gppcmt_pretty_id','7c3308',NULL),(19833,13,375,'46','40de7c394c',''),(19834,13,375,'fg_easypassthrough_token','aa5f9765e82b8729111e129952a18b22',NULL),(19835,13,375,'gpfr_stashed_file_urls','',NULL),(19836,13,375,'is_approved','',NULL),(19837,13,375,'gvmaps_lat_64','',NULL),(19838,13,375,'gvmaps_long_64','',NULL),(19839,13,375,'gvmaps_lat_141','',NULL),(19840,13,375,'gvmaps_long_141','',NULL),(19841,13,375,'gvmaps_lat_167','',NULL),(19842,13,375,'gvmaps_long_167','',NULL),(19843,13,375,'gpaa_lat_64','',NULL),(19844,13,375,'gpaa_lng_64','',NULL),(19845,13,376,'5','I\'m applying for MYSELF to participate in a program',''),(19846,13,376,'38','NDIS',''),(19847,13,376,'187','430473305',''),(19848,13,376,'6','HIKES©',''),(19849,13,376,'162','HIKES©',''),(19850,13,376,'163','Beginner Hiker',''),(19851,13,376,'185','Have just completed hiking Kings Canyon in the NT',''),(19852,13,376,'170','I has spinal lumber surgery 5 months ago so I feel  I have lost my confidence and abilities',''),(19853,13,376,'60.3','Shane',''),(19854,13,376,'60.6','Stephens',''),(19855,13,376,'61','Stephens.shane@yahoo.com.au',''),(19856,13,376,'194','0434994995',''),(19857,13,376,'64.1','18 Seppelt Street',''),(19858,13,376,'64.3','18 Seppelt Street',''),(19859,13,376,'64.4','Wilsonton Heights',''),(19860,13,376,'64.5','Qld 4350',''),(19861,13,376,'64.6','Australia',''),(19862,13,376,'66','Shane met the full DSM 5 diagnosis criteria for:\r\n 309.81 Complex Post Traumatic Stress Disorder, with Dissociative Symptoms of Depersonalization and dissociation, with Psychotic features of both auditory and visual intrusions, with nightmares terrors and nightmares.\r\n Major Depressive Disorder, Unrelenting and cyclic, with mixed features of Anxiety and Melancholy.\r\n Panic Disorder, Severe. With additional Physical Disability of:\r\n\r\nChronic Pain Disorder, with extreme loss in daily functioning in body regions inclusive but not limited to shoulders, back, legs, neck wrists and hands as direct impacts upon Shane’s body form enduring years of physical violence and torture as a child and adolescent.',''),(19863,13,376,'67','I love the feeling of air on my skin and freedom',''),(19864,13,376,'174','Better health',''),(19865,13,376,'70','Yes',''),(19866,13,376,'71','Medication, treatment or intervention (includes non-pharmacological supports)\r\n Date started\r\n Date ceased\r\n  Effect on the impairments\r\nOlanzapine 2.5mg daily\r\n21/04/2020\r\nongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\nPregabalin 300mg 2 x daily\r\n26/03/2019\r\nongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\nMirtazapine 45mg 1 x daily\r\n24/06/2019\r\nongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\nValpro EC200 200mg 3 x daily\r\n01/10/2019\r\nongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\nPhysiotherapy\r\nDowns Physiotherapy St Andrews Hospital Toowoomba QLD 4350\r\n01/06/2019\r\nongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\nDr Hardus Cronje Psychiatrist\r\n5 Aubigny Street Toowoomba QLD 4350\r\n01/10/2019\r\nMonthly ongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\nMary Gordon\r\nGrey Matters Psychotherapy Toowoomba QLD 4350\r\nongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\nDr John O’Bryen Downs Rural Medical Whyalla Plaza Toowoomba QLD 4350\r\n01/01/2015\r\nongoing\r\nEffective\r\nPartially effective\r\nNot Effective\r\nUnsure\r\n Not tolerated\r\n Dr Daniel Berge Interventus Pain Specialists Wesley Hospital\r\nSuite 20a Level 10 Auchenflower 4066\r\n  02/02/2019\r\n ongoing\r\n   Effective\r\n  Partially effective\r\n  Not Effective\r\n  Unsure\r\n  Not tolerated\r\n                     Developed by the Transition Support Project, in conjunction with the NDIA, with funding from the Department of Social Services, September 2019.\r\n9/9\r\n \r\n  Dr David Walker Briz Brain Spine Wesley Hospital Auchenflower 4066\r\n  02/01/2019\r\n 05/03/2019',''),(19867,13,376,'72','No',''),(19868,13,376,'74','155',''),(19869,13,376,'75','99',''),(19870,13,376,'76','Very Low',''),(19871,13,376,'80.3','Allan',''),(19872,13,376,'80.6','Stephens',''),(19873,13,376,'81','Husband',''),(19874,13,376,'82','0407200168',''),(19875,13,376,'85.1','Doctors Report',''),(19876,13,376,'85.2','Specialist Report',''),(19877,13,376,'85.3','Psychology Report',''),(19878,13,376,'85.4','Psychiatrist Report',''),(19879,13,376,'85.5','Occupational Therapy Report',''),(19880,13,376,'85.9','Physiotherapy Report',''),(19881,13,376,'90','[]',''),(19882,13,376,'186','[]',''),(19883,13,376,'99','[]',''),(19884,13,376,'91','[]',''),(19885,13,376,'98','[]',''),(19886,13,376,'97','[]',''),(19887,13,376,'96','[]',''),(19888,13,376,'95','[]',''),(19889,13,376,'94','[]',''),(19890,13,376,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(19891,13,376,'112','Plan Partners',''),(19892,13,376,'113','invoice@planpartners.com.au',''),(19893,13,376,'117','Core Supports | Assistance with Daily Life - Therapy-Related Health Supports',''),(19894,13,376,'146.5','Friday',''),(19895,13,376,'153','Mid Afternoon - approx 3pm-5pm',''),(19896,13,376,'57','No',''),(19897,13,376,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(19898,13,376,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(19899,13,376,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(19900,13,376,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(19901,13,376,'104','64340de7c93e58.96989553.png',''),(19902,13,376,'106.3','Shane',''),(19903,13,376,'106.6','Stephens',''),(19904,13,376,'105','2022-10-21',''),(19905,13,376,'63','0',''),(19906,13,376,'gravityformsrecaptcha_score','disconnected',NULL),(19907,13,376,'gppcmt_pretty_id','7e97b6',NULL),(19908,13,376,'46','40de7e9ca9',''),(19909,13,376,'fg_easypassthrough_token','1b6f951e27b507ef917007d5d11da347',NULL),(19910,13,376,'gpfr_stashed_file_urls','',NULL),(19911,13,376,'is_approved','3',NULL),(19912,13,376,'gvmaps_lat_64','',NULL),(19913,13,376,'gvmaps_long_64','',NULL),(19914,13,376,'gvmaps_lat_141','',NULL),(19915,13,376,'gvmaps_long_141','',NULL),(19916,13,376,'gvmaps_lat_167','',NULL),(19917,13,376,'gvmaps_long_167','',NULL),(19918,13,376,'gpaa_lat_64','',NULL),(19919,13,376,'gpaa_lng_64','',NULL),(19920,13,377,'5','I\'m applying on BEHALF of someone who would like to participate',''),(19921,13,377,'48','Parent',''),(19922,13,377,'47.3','Emma',''),(19923,13,377,'47.6','Jones',''),(19924,13,377,'49','0402768735',''),(19925,13,377,'50','emjjones1988@gmail.com',''),(19926,13,377,'51','To expand Lockie\'s social skills, confidence, motor skills, strength, and many other reasons.',''),(19927,13,377,'38','NDIS',''),(19928,13,377,'187','431915699',''),(19929,13,377,'6','Functional Capacity Assessment',''),(19930,13,377,'60.3','Lockie',''),(19931,13,377,'60.6','Douglas',''),(19932,13,377,'61','emjjones1988@gmail.com',''),(19933,13,377,'194','0402768735',''),(19934,13,377,'64.1','23 Kurtz Street',''),(19935,13,377,'64.3','Kearneys Spring',''),(19936,13,377,'64.4','Queensland',''),(19937,13,377,'64.5','4350',''),(19938,13,377,'64.6','Australia',''),(19939,13,377,'66','ASD level 2\r\nPTSD \r\nAniexty',''),(19940,13,377,'67','Lockie has a need to develop his social skills. He needs to build confidence within himself. Lockie needs to be more active as it helps him be more calm and not be as hyperactive. Lockie excells when learning new skills. He enjoys pushing the limits and pushing himself. \r\nLockies hobbies/activities include circus class, pokemon, minecraft, xbox, reading, playing outside on play equipment, basketball, handball, soccer, climbing trees. \r\nThis program would be perfect for Lockie as it will push him and make him be more active. Have something to look forward to doing each week.',''),(19941,13,377,'174','To learn new skills, socialise with new people, listen and follow instructions.',''),(19942,13,377,'70','Yes',''),(19943,13,377,'71','Zactin 20mg in morning\r\nMelatonin compounded 10mg per ML 0.5ml at night\r\nNutralife ProBiotica Kid\'s Daily 1 tablet in morning\r\nNature\'s Way Kids Smart VitaGummies 2 tablets in morning\r\nBlue ventalin take as needed asya action plan 1 puff 4 breaths X 2',''),(19944,13,377,'72','No',''),(19945,13,377,'74','135',''),(19946,13,377,'75','33',''),(19947,13,377,'76','Medium',''),(19948,13,377,'80.3','Emma',''),(19949,13,377,'80.6','Jones',''),(19950,13,377,'81','Mother',''),(19951,13,377,'82','0402768735',''),(19952,13,377,'85.4','Psychiatrist Report',''),(19953,13,377,'85.7','Speech Therapy Report',''),(19954,13,377,'90','[]',''),(19955,13,377,'186','[]',''),(19956,13,377,'99','[]',''),(19957,13,377,'91','[]',''),(19958,13,377,'98','[]',''),(19959,13,377,'97','[]',''),(19960,13,377,'96','[]',''),(19961,13,377,'95','[]',''),(19962,13,377,'94','[]',''),(19963,13,377,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(19964,13,377,'112','My Plan Manager',''),(19965,13,377,'113','accounts@myplanmanager.com.au',''),(19966,13,377,'114','1800 958 018',''),(19967,13,377,'117','Capacity Building | Improved Daily Living',''),(19968,13,377,'146.3','Wednesday',''),(19969,13,377,'146.4','Thursday',''),(19970,13,377,'152','Mid Afternoon - approx 3pm-5pm',''),(19971,13,377,'150','Mid Afternoon - approx 3pm-5pm',''),(19972,13,377,'57','Yes',''),(19973,13,377,'164','Pick Up and Drop Off',''),(19974,13,377,'167.1','23 Kurtz Street',''),(19975,13,377,'167.3','Kearneys Spring',''),(19976,13,377,'167.4','Queensland',''),(19977,13,377,'167.5','4350',''),(19978,13,377,'167.6','Australia',''),(19979,13,377,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(19980,13,377,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(19981,13,377,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(19982,13,377,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability',''),(19983,13,377,'104','64340de7ef63a8.25227398.png',''),(19984,13,377,'106.3','Emma',''),(19985,13,377,'106.6','Jones',''),(19986,13,377,'105','2022-10-18',''),(19987,13,377,'198','2022-03-16',''),(19988,13,377,'63','0',''),(19989,13,377,'gravityformsrecaptcha_score','disconnected',NULL),(19990,13,377,'gppcmt_pretty_id','820c21',NULL),(19991,13,377,'46','40de8211b4',''),(19992,13,377,'fg_easypassthrough_token','5429bbcdb39b2ecff7107e90dc18ae1f',NULL),(19993,13,377,'gpfr_stashed_file_urls','',NULL),(19994,13,377,'is_approved','',NULL),(19995,13,377,'gvmaps_lat_64','',NULL),(19996,13,377,'gvmaps_long_64','',NULL),(19997,13,377,'gvmaps_lat_141','',NULL),(19998,13,377,'gvmaps_long_141','',NULL),(19999,13,377,'gvmaps_lat_167','',NULL),(20000,13,377,'gvmaps_long_167','',NULL),(20001,13,377,'gpaa_lat_64','',NULL),(20002,13,377,'gpaa_lng_64','',NULL),(20003,13,378,'5','I\'m applying on BEHALF of someone who would like to participate',''),(20004,13,378,'48','Parent',''),(20005,13,378,'47.3','Emma',''),(20006,13,378,'47.6','Jones',''),(20007,13,378,'49','0402768735',''),(20008,13,378,'50','emjjones1988@gmail.com',''),(20009,13,378,'51','To expand Lockie\'s social skills, confidence, motor skills, strength, and many other reasons.',''),(20010,13,378,'38','NDIS',''),(20011,13,378,'187','431915699',''),(20012,13,378,'6','Functional Capacity Assessment',''),(20013,13,378,'60.3','Lockie',''),(20014,13,378,'60.6','Douglas',''),(20015,13,378,'61','emjjones1988@gmail.com',''),(20016,13,378,'194','0402768735',''),(20017,13,378,'64.1','23 Kurtz Street',''),(20018,13,378,'64.3','Kearneys Spring',''),(20019,13,378,'64.4','Queensland',''),(20020,13,378,'64.5','4350',''),(20021,13,378,'64.6','Australia',''),(20022,13,378,'66','ASD level 2\r\nPTSD \r\nAniexty',''),(20023,13,378,'67','Lockie has a need to develop his social skills. He needs to build confidence within himself. Lockie needs to be more active as it helps him be more calm and not be as hyperactive. Lockie excells when learning new skills. He enjoys pushing the limits and pushing himself. \r\nLockies hobbies/activities include circus class, pokemon, minecraft, xbox, reading, playing outside on play equipment, basketball, handball, soccer, climbing trees. \r\nThis program would be perfect for Lockie as it will push him and make him be more active. Have something to look forward to doing each week.',''),(20024,13,378,'174','To learn new skills, socialise with new people, listen and follow instructions.',''),(20025,13,378,'70','Yes',''),(20026,13,378,'71','Zactin 20mg in morning\r\nMelatonin compounded 10mg per ML 0.5ml at night\r\nNutralife ProBiotica Kid\'s Daily 1 tablet in morning\r\nNature\'s Way Kids Smart VitaGummies 2 tablets in morning\r\nBlue ventalin take as needed asya action plan 1 puff 4 breaths X 2',''),(20027,13,378,'72','No',''),(20028,13,378,'74','135',''),(20029,13,378,'75','33',''),(20030,13,378,'76','Medium',''),(20031,13,378,'80.3','Emma',''),(20032,13,378,'80.6','Jones',''),(20033,13,378,'81','Mother',''),(20034,13,378,'82','0402768735',''),(20035,13,378,'85.4','Psychiatrist Report',''),(20036,13,378,'85.7','Speech Therapy Report',''),(20037,13,378,'90','[]',''),(20038,13,378,'186','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/Report-CELF5-1.pdf\"]',''),(20039,13,378,'99','[\"https:\\/\\/v2.opentrax.com.au\\/wp-content\\/uploads\\/gravity_forms\\/13-fa52b76f061b0c6043607429a6791e45\\/2023\\/04\\/LD-diagnosis-letter.pdf\"]',''),(20040,13,378,'91','[]',''),(20041,13,378,'98','[]',''),(20042,13,378,'97','[]',''),(20043,13,378,'96','[]',''),(20044,13,378,'95','[]',''),(20045,13,378,'94','[]',''),(20046,13,378,'107','Plan Managed (External company eg. Leap-In, Connect)',''),(20047,13,378,'112','My Plan Manager',''),(20048,13,378,'113','accounts@myplanmanager.com.au',''),(20049,13,378,'114','1800 958 018',''),(20050,13,378,'117','Capacity Building | Improved Daily Living',''),(20051,13,378,'119','https://v2.opentrax.com.au/wp-content/uploads/gravity_forms/13-fa52b76f061b0c6043607429a6791e45/2023/04/LD-NDIS-Plan.pdf',''),(20052,13,378,'146.3','Wednesday',''),(20053,13,378,'146.4','Thursday',''),(20054,13,378,'152','Mid Afternoon - approx 3pm-5pm',''),(20055,13,378,'150','Mid Afternoon - approx 3pm-5pm',''),(20056,13,378,'57','Yes',''),(20057,13,378,'164','Pick Up and Drop Off',''),(20058,13,378,'167.1','23 Kurtz Street',''),(20059,13,378,'167.3','Kearneys Spring',''),(20060,13,378,'167.4','Queensland',''),(20061,13,378,'167.5','4350',''),(20062,13,378,'167.6','Australia',''),(20063,13,378,'101.1','Participant / representative has read (or had clearly explained), understands and agrees to the Privacy Policy',''),(20064,13,378,'102.1','Participant / representative has read (or had clearly explained), understands and agrees to the Terms and Conditions',''),(20065,13,378,'195.1','I have understood the relevant overview document and acknowledge that I will be invoiced for the initial assessment and will make payment within 7 days.',''),(20066,13,378,'103.1','Participant / representative has read (or had clearly explained) and understands this Assumption of Risk and Waiver of Liability','');
