Board Game Group for Teens

January School Holidays 2026

Registration & Service Agreement

Please note this group is currently fully booked. Please complete this form if you would like to express your interest for future groups.

This group provides participants the opportunity to develop a range of skills and facilitate social connections, whilst playing activities such as Settlers of Catan, Ticket to Ride, 5-minute Dungeon, Unstable Unicorns and Dominion. This group is ideal for adolescents aged 14 - 17 years who enjoy games and want to build their focus, organisation and social skills while connecting with others.

Facilitated by Occupational Therapists, Speech Pathologists and other Allied Health Professionals and supported in a 1:2 ratio, there will be opportunities for guidance, reflection and tailored support to apply what you learn beyond the game table - supporting success with everyday routines and social interactions. No prior experience with these games required – come to learn!

Aims of the group:

Build key executive functioning skills such as planning, flexibility, working memory, attention and problem-solving.
Learn about different social communication preferences, e.g., talking about shared interest, initiating conversations, finding compromises, perspective taking etc.
Explore different types of play: constructive, cooperative and social play with rules and improvisational flexibility
Support the development of self-advocacy within social interactions e.g., making suggestions about solutions to problems, contributing to party decisions, taking turns and empowering others to be involved

Please note this group is currently fully booked. Please complete this form if you would like to express your interest for future groups.

Please note that the submission of this form does not guarantee entry into this group. Your responses will be reviewed to ensure clinical suitability of the group and to ensure that appropriate supports can be put in place for your child. Our team will be in touch with you in the coming weeks with more information to confirm these details.

Service details

Location: Autism SA Elizabeth

Duration: 2 hour session and 30 minutes non-face-to-face

Full Program Cost: $242.49

I would like to attend the following session(s): *

I understand this group is no longer available and would like to register my interest for this group in future school holidays.

Participant details

Participant first name *

Participant last name *

Parent/Caregiver first name *

Parent/Caregiver last name *

Participant birth date *

Email Address *

Phone number: *

Other, please specify below

About the participant

Diagnosis and/or medical conditions (please detail): *

Does the participant have any current care plans? (Such as OEDCP, Continence, Seizure, Anaphylaxis) *

YesNo

If 'yes', which type of plan(s):

Do any of these plans require emergency medication administration (such as EpiPen, midazolam, Asthma Puffer)? *

YesNo

If 'yes', please specify

Please upload relevant care plan/s

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How does your child communicate? *

Please advise what AAC device your child uses

Does your child frequently display any of the below behaviours? Please tick which are relevant. Please note, this does not preclude your child from attending our group, but instead assists us to support their participation. *

Other, please specify

How does the individual engage in structured group games/play? *

Independently participates in all games (including movement games, question and answer games, role play etc)Engages in any game with support from an adult (e.g. to take turns, to follow instructions)Engages independently but only for preferred activities/activities of their own choiceRequires consistent support from an adult to participate in a group game (i.e. is unsure what to do, experiences challenges with allowing peers to lead)

Note: Based on the information provided, we recommend 1:1 AHA support to enhance the participant's strengths and ensure they achieve the best possible outcomes from the program. To choose this option, tick "Yes" for AHA support further down on this registration form.

Additional Comments

How does the individual manage being in a room with up to 5 other peers and 3 adults? *

Independently manages by acknowledging others personal space and boundaries and allowing others to be around themRequires support to understand others body language and how to respond (i.e. personal space)Able to manage being in the same room for short periods of time with adult support to access a break out room as requiredIs not currently able to be in a room with peers for longer than 5-10 minutes even with adult support

Note: Based on the information provided, we recommend 1:1 AHA support to enhance the participant's strengths and ensure they achieve the best possible outcomes from the program. To choose this option, tick "Yes" for AHA support further down on this registration form.

Additional Comments

How does the individual manage high levels of excitement or over-arousal? *

Independently regulates when excited or overwhelmedIs able to regulate in a group with peers with adult supportBenefits from 1:1 adult support to move away (i.e. into another room) to regulateRequires long periods of time (i.e. 30 minutes – 1 hour) to regulate themselves

Note: Based on the information provided, we recommend 1:1 AHA support to enhance the participant's strengths and ensure they achieve the best possible outcomes from the program. To choose this option, tick "Yes" for AHA support further down on this registration form.

Additional Comments

Does your child have any specific interests that they enjoy? *

YesNo

If yes (please describe interests below) *

I confirm that the description of the group above match the participant's NDIS goals and what they would like to get out to the group *

Is there anything specific that you are hoping to achieve from your child’s involvement in this group?

Is there any other information you would like us to know about your child?

Registration/Service Agreement

Please complete and submit this form to register for the program. Once complete, your answers to the below questions will form your Service Agreement. You will be asked to agree to our Terms and Conditions and the costs of the program. You will receive a copy of your answers once submitted.

Please indicate whether you will be funding the group by NDIS or Fee for Service (FFS) *

NDISFee For Service

I am *

Plan ManagedSelf ManagedAgency Managed

I give approval for a Service Booking to be made for the value of the program *

NDIS Number *

NDIS Plan Dates *

Plan Manager Name *

Plan Manager Email *

Please upload a copy of your NDIS plan

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How much will it cost?

Full program price is $242.49

Each session includes 2 hours face to face and 30 minutes non face to face support.

The cost of the program is in line with NDIS rates.

Please note if using NDIS funding, this will come from your Improved Daily Living Budget.

The relevant policies are:

T&C's Autism SA NDIS

T&C's Autism SA FFS

Additional 1:1 Allied Health Assistant Support

If you feel your child would benefit from one-to-one support during the group program, we can provide an allied health assistant to support your child for the entire duration of the program. Please note this is an additional charge of $173.58 per session they attend.

Would you like to arrange additional 1:1 support for your child? *

No, my child does not require additional 1:1 support from an Allied Health AssistantYes, I would like to add 1:1 support for my child from an Allied Health Assistant and am aware this is an additional cost of $173.58 per session.

Duty of Care

Parents are not required to remain onsite for the duration of the program. However, please ensure that you are contactable in the event of an emergency.

Medication:
If your child or the person you support required routine medication administration, we will not be responsible for administering this during group times. Please ensure you are available to administer.

Accident and Incident Process:
Our staff are first aid trained. In the event of an accident, our staff will provide first aid treatment to your child (if required) and document the incident through our incident management system.

In the event of a serious accident, our staff will seek medical assistance and call an ambulance if required. Any costs associated with the ambulance will be invoiced to the parents/caregiver.

Where medical assistance is required, our staff will first seek medical guidance and then contact parents/caregivers.

Food Allergies:

Please be mindful that children in our program may have allergies. Nuts and eggs, including foods containing nut products, are not permitted onsite.

Photographic/Video Release Authority

I grant Autism SA, its representatives, employees and suppliers the right to take/use photographs/videos of myself and/or my child/children and my property during attendance at the above-identified event for use in Autism SA marketing collateral such as annual reports, publicity materials, advertising, social media and web content.

Response *

Yes, I grant Autism SA the rights aboveNo, I do not grant Autism SA the rights above

I have read and accept the Terms and Conditions of this service, including the cancellation policy *

I have adequate funding available under my Improved Daily Living Budget, and this does not expire during the dates I wish to book *

I would like to receive communications about other Autism SA service vacancies.

Captcha *

Please sign *

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