MY PROGRAM CHOICES - Disability Services Australia

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MY PROGRAM CHOICES - Disability Services Australia
MY PROGRAM CHOICES
Term 1 : January 11th 2021 to March 26th, 2021 (11 weeks)

Name: ______________________________________

DSA Community Solutions site: Macarthur

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 by 4th
December 2020.
Note that Week 1 of the term is a planning week, so there will be no
outings.                                                                            Live life
                                                                                  the way you
These are the DSA Programs I choose to participate in.                              choose

Signature: _______________________________________________

For more information call Simon McSweyn, Service Manager on
   0490 126 153 | 02 8379 3372
   1300 372 121
   customerconnections@dsa.org.au
   www.dsa.org.au
MY PROGRAM CHOICES - Disability Services Australia
Mondays
Date/Time			Activity		 									Cost 			 Yes
Morning			 Coffee Club @ local venues								                   $10/15 Carry
				P Coffee and cakes 									                                cash or card to
				P Take time out to catch up with friends and peers					     pay. Mileage
				P Enjoy socialising while having morning tea						          charges apply

				Coffee @ the Centre										                               $4 to be
				P Enjoy a hot chocolate or coffee								                   invoiced
				P Add a lamington or slice of cheesecake
				P Enjoy socialising while having morning tea

All day			   Excursions around Campbelltown							Mileage charges
10am - 2pm		 P Explore museums, art centres, local gardens & parks			 apply
				P Have your packed lunch and drinks outdoors
				P Enjoy being outdoors with friends and peers

Afternoon			 Gardening @ Centre										No cost
				P Learn how to grow vegetables and flowers
				P Learn about potting, watering and caring for nature
				P Spend time with friends and peers

  Please pack a hat, sunscreen & a water bottle.
  Please carry lunch, morning & afternoon tea, when required.
MY PROGRAM CHOICES - Disability Services Australia
Tuesdays
Date/Time			         Activity		        										                      Cost 			             Yes
All Day			 Outdoor Summer activities									                          Carry cash/card
				P Visit restaurants for lunch, the local movie cinema					         to pay for lunch
				PHave a picnic lunch at the park, visit the equestrian centre			   Mileage charges
				P Group activity with friends and peers							                     apply

Morning			 Find your groove											                                 No cost
				P Karaoke at the centre
				P Listen to music, dance to your favourite tunes
				P Encourage social participation in a group

All day			 Outdoor Summer activities									                          Carry cash / card
				P Visit restaurants for lunch, the local movie cinema					         to pay
				PHave a picnic lunch at the park, visit the equestrian centre			   Mileage charges
				P Group activity with friends and peers							                     apply

Afternoon			 Creative celebration craft 								                       $5 to be
				P Explore your creativity through art and craft						              invoiced
				P Enjoy projects with friends and peers
				P Create items you can take home

  Please pack a hat, sunscreen & a water bottle.
  Please carry lunch, morning & afternoon tea, when required.
MY PROGRAM CHOICES - Disability Services Australia
Wednesdays
Date/Time			        Activity		         										               Cost      		   Yes
Morning			 Bingo and lunch excursion									                   Carry cash/card
				P Enjoy Bingo at Campbelltown Catholic Club						           to pay for lunch
				P Bring a packed lunch or buy your own 							              Mileage charges
				P Socialise with friends and peers								                  apply

				Social Participation through games								No cost
				P Play board games like bingo, Connect 4
				P Learn social interaction in a group
				P Have fun with friends and peers

Afternoon			 Fit 4 U												                                No cost
				P Enjoy light exercise at the centre
				P Dance, yoga and other activities
				P Fun activity with friends and peers

				Sensory activities											                            No cost
				P Spend quiet time with friends and peers
				P Learn relaxation and calming techniques
				P Gentle massage and exploring senses of touch and smell

  Please pack a hat, sunscreen & a water bottle.
  Please carry lunch, morning & afternoon tea, when required.
MY PROGRAM CHOICES - Disability Services Australia
Thursdays
Date/Time			         Activity		        										                 Cost 			          Yes
Morning			 Bowling fun												Carry cash/card
				P Ten pin bowling at Campbelltown City Bowl 						           to pay
				P Enjoy socialising with friends and peers							            Mileage charges
				P Buy fish & chips to bring back to the centre for lunch				 apply

				Creative Craft and Art project									     $5
				P Painting using different mediums
				P Paper craft, collages, mosaics			  , bags
				P Sewing and repurposing old clothes

Afternoon			 Library visit												                            Mileage charges
				P Visit the local library										                           apply
				P Pick up books, DVDs with support
				P Spend time interacting with friends and peers

				Afternoon tea treats										$4 (to be
				P Learn kitchen techniques like cutting, measuring, hygiene			 invoiced
invoiced)			 P Pick the ingredients, follow the recipe
				P Make sweet and savoury treats to take home

   Please pack a hat, sunscreen & a water bottle.
   Please carry lunch, morning & afternoon tea, when required.
MY PROGRAM CHOICES - Disability Services Australia
Friday
Date/Time			         Activity		        										               Cost 			   Yes
Morning			 Friday fun 											                               $5 (to be
				P BBQ lunch with friends and peers								                  invoiced)
				P Ball games like cricket, soccer, handball
				P Sausage sizzle, hot dogs, hamburgers, chicken burgers

				Sensory activities											                            No cost
				P Enjoy quiet time with friends and peers
				P Learn relaxation and calming techniques
				P Gentle massage and exploring senses of touch and smell

Afternoon			 Movie Magic											$1
				P Pick a movie of your choice
 				P Watch with friends and peers
      			    P Relaxing end of week activity

				Gardening @ the centre									                No cost
				P Planting, watering and weeding
				P Care of plants at the garden in the centre
				P Take home fresh produce from the garden

  Please pack a hat, sunscreen & a water bottle.
  Please carry lunch, morning & afternoon tea, when required.
MY PROGRAM CHOICES - Disability Services Australia
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.

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 en-
    joyed: 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 ___________________________________________
MY PROGRAM CHOICES - Disability Services Australia MY PROGRAM CHOICES - Disability Services Australia MY PROGRAM CHOICES - Disability Services Australia
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