MY PROGRAM CHOICES6th JanuaryHope Butterfly Colony, Surry Hills Library Opal & Companion 13th February & 9th Marchcard Movie time 20th January, 10th February, Swimming

Term 1 : Monday, 6th January to Friday 27th March 2020

Name: ______________________________________ DSA Community Solutions site: East Hills

Thank you for choosing to purchase a place in one of our quality programs.We offer a variety of group based and individualised programs in our centre and community locations.There are four terms per year. You will have the opportunity to make a new program selection each term. To change your program choices or to make a new program selection within the term, please contact your Service Manager. Here is a summary of the programs you can select, including costs, program locations, what you need to wear or bring with you each day. To secure a place in your chosen program, please submit this signed form no later than Friday, 20th December, 2019.

These are the DSA Programs I choose to participate in.

Signature: _______________________________________________

0490 428 7151300 372 [email protected]

MY PROGRAM CHOICES

Live life the way you

choose

For more information call Cindy Frearson, Service Manager on

Date/Time Activity Cost per activity Yes

Independent Living SkillsMorning Cooking $5 per day 6th & 13th January Tuna Pasta with Salad 20th & 27th January Butter Chicken w/h rice, tomato chutney, pappadums 3rd & 10th February Beef Stir Fry wrap card17th & 24th February Chicken pila with tomato salsa2nd & 9th March Moussaka with eggplant and garlic bread 15th & 23rd March Spinach lasagne with tomato wedges

Afternoons Social & Recreational Building relationships through games No cost Sensory relaxation through pamper parlour No cost

All day (activities are rotated weekly) My Community: Health & Wellness $10 + $5 transport/ 6th January Hope Butterfly Colony, Surry Hills Library Opal & Companion 13th February & 9th March Movie time card20th January, 10th February, Swimming27th January Hit the Gym - full on fitness3rd February Ten Pin Bowling17th February NSW Art Gallery: 50 Years of Kaldor Art Project24th February Culture & Cuisine2nd March Swimming followed by lunchtime fitness in Hyde Park 16th March White Sensory Room 23rd March Swimming

All day My Community: Health & Wellbeing Day Trippers Transport All day Ten Pin Bowling $8/week + transport

Community Access/Outreach Entry + transport/Opal 1:1 Participant specific & Companion card

Monday

Please pack a hat, sunscreen and a water bottle. Please carry lunch from home or money to buy lunch, morning and afternoon tea, if desired.


Social & Recreational All Day Art & Craft $30 per term7th & 14th January Making scratch paper/Scratch paper art 21st January Australia Day dot painting 28th January Foam sheet creations - bookmarks4th & 11th February Shadow Art18th February Pyssla Beads25th February Paint Chip Art3rd & 10th March 3D Foam Art17th March Salt Painting24th March Activity of your choice

Social & Recreational Morning Games & Fun - building relationships No costAll day Relaxation/Sensory Stimulation (Centre based)

My CommunityAfternoon Lids for Kids - supporting Envision Hands No costAll day Swimming & lunch in the park Pool entry + transportAll day Walking in the park for Fitness Transport

All day Community Access Entry, Transport/ 1:1 Participant Specific Opal/Companion card

All day Independent Living Skills 2:1 Participant specific Entry, Transport/ Opal/Companion card card

Tuesday



Social & Recreational Morning Music Break Concerts, Sydney Conservatorium Opal/Companion of Music cards Karaoke fun

All day Relaxation / Sensory stimulation No cost

All day Train Travel Opal/Companion card

Afternoon Independent Living Skills Money Handling Skills No cost 2:1 Participant Specific Opal/Companion card

Health & FitnessAll day Ball sports: soccer, cricket, catching & throwing $5 transport or Opal

Walking for Fitness /Companion card

All day Swimming/Gym 1:1 participant specific

Community Access All day 1:1 Participant Specific Entry, transport or Opal/Companion Card

Wednesday


ThursdayDate/Time Activity Cost per activity Yes

All day My Community: Health & Wellbeing Day trippers $10 per day +9th January Ten Pin bowling $5 transport or16th January & 6th February Swimming Opal/Companion 23rd January Fishing at Gunnamatta Baths, Cronulla card30th January Slot Car racing, Arncliffe13th February Movie magic 20th February BBQ & Camping 27th February Australian Design Centre, Darlinghurst5th March Swimming 12th March Shine Shed, Campbelltown19th March Aqua Biking / Kayaking26th March Movies

Social & Recreational Morning Lunch in the Park Transport/Opal

All day Mens Shed companion card

All day Social drinks $5 per weekAll day Relaxation / Sensory stimulation (Centre based) No cost

My Community: Health & Wellness FocusAfternoon Lids for Kids ‘Envision Hands’ No cost, Opal/ Companion cardAll day Walking for Fitness No cost, Opal/ Companion card

All day Community Access Entry, Transport 1:1 Participant Specific Opal/Companion Card



Social & Recreational Morning Drama, Charades, Poetry No cost Reading and Story telling

Creative knitting

My CommunityAll day Photography & BBQ $5 per week+10th January MacArthur Park transport cost or 17th January Fitzpatrick Park, Picnic Point Opal/Companion 24th January Auburn Japanese Gardens card31st January Blacktown Chinese Gardens7th February Mirambeena Regional Park14th February Lizard Log Park21st February Captain Cook Landing Place28th February Lake Moore6th March Plough and Harrow13th March Gunnamatta Bay, Cronulla20th March Mt Annan Botanical Gardens 27th March Royal Botanical Gardens, Sydney City

All day Social & Recreational Friday BBQ Picnic $5 + transport

Relaxation/Sensory Stimulation (Centre based) No cost

All day Independent Living Support Entry + Transport or 1:1 support (Participant Specific) Opal/Companion card

Friday


PLEASE NOTE:• Disability Services Australia (DSA) will endeavour to support you to participate in your chosen program selections.• If DSA cannot deliver your program choice, we will contact you to discuss alternative program options.• DSA can provide individualised programs with one to one staff support in the location of your choice. Please contact your Service Manager to request a quote if you

would like to purchase an individualised program.• In addition to the programs offered each day, DSA provides a variety of fun and interesting short activities to suit your interests that can be enjoyed: before a program

starts, between programs or any time you would like a break from the structured program. • Where you make a request for DSA to offer a new or different program based on your interests and what is available in the local community, DSA will make every effort to

meet your request within your capacity to pay. • Costs are shown in this document.• The ‘Program Choices Guide’ provides information about the program aim, what it includes and what you will be doing.• By signing this form you/your nominated decision maker agree to pay for the service you receive from DSA. • Some program choices involve physical activity. You accept responsibility to check with your doctor before participating in these. • I understand this document is the record of my program selections with DSA. I understand DSA will claim the cost of staff support from my funding and any eligible

activity expenses covered by my funding. I agree to pay any out of pocket activity expenses not covered by my funding.

____________________________________________ _____________________________________________ Customer /Nominated Decision Maker - Printed Name Customer / Nominated Decision Maker - Signature Date Signed ___________________________________________

We value your feedback.In this space, please tell us if there’s any activity not included in this program that you would like to participate in.

Documents

MY PROGRAM CHOICES6th JanuaryHope Butterfly Colony, Surry Hills Library Opal & Companion 13th February & 9th Marchcard Movie time 20th January, 10th February, Swimming