The Friendship Space

Our April school holiday program has now been filled. You are welcome to complete the form below to be placed on our waitlist, and you will be contacted if cancellations occur or new sessions are created. If you’d like to learn about other programs on offer during the school holidays, or further information on our services and supports, please contact our Pathways Team on 1300 288 476.

Thank you for your interest in this program.

What Is The Friendship Space?

The Friendship Space is a 1-2 day school holiday program for children aged 7-9years old, where the group will come together in a safe ‘Friendship Space’ to learn and develop social skills for the school and OSHC environment.

Activities across the 2 days will include Lego building activities, arts, and outdoor school yard games – with all activities designed to work with the participants on building friendship skills that will be able to be used in a typical school yard and with their peers.

Please fill out the booking form below to secure your place.

This program is being delivered at the Redwood Park Foundation Skills Group Site: Redwood Park Centre, 257-259 Grenfell Rd Redwood Park.

This school holiday program for 7-9 year olds will run at Redwood Park Foundation Skills Group Site from 9.30am - 3.00pm on the following dates. Participants can elect to attend one, or both, sessions.

Tuesday 13th April
Thursday 15th April

Please note: Attendance is limited to 10 participants per day. If registration capacity is reached you will be advised.

Cost

The cost for this program is $465.60 per day including a combination of face to face support and non face to face support. If you are using NDIS funding, this can be funded under the Improved Daily Living (CB Daily Activities) Budget.

Service Agreement

Once complete, your responses to the below questions will form your service agreement. You will be asked to agree with program costs and terms and conditions, and will receive confirmation of your registration as well as a copy of your answers. You may withdraw from the program without incurring any fees by contacting FriendshipSpace@autismsa.org.au at least 2 business days prior to your session.

Your Name: *

Client Name: *

Client Date of Birth:

Client Suburb: *

E-Mail Address: *

Mobile

Other Phone:

I would like to be contacted by: *

I am funded by: *

NDIS Participant number: *

NDIS Plan Dates: *

My NDIS Funding is: *

Plan Manager company name: *

Plan Manager email address for invoicing: *

Attach NDIS Plan if available.

Browse

Please note that the below information will help us to determine if this program is suitable for your child.

Is LEGO one of your child's interests? *

YesNo

Communication

Is your child able to listen to, and follow, verbal instructions? *

YesNo

Can your child describe a picture using words? *

YesNo

Is your child able to understand non-verbal prompts such as pointing? *

YesNo

Building skills

Does your child have the fine motor skills to be able to use LEGO? *

YesNo

Please select the tasks that your child is able to do: *

My child can sort LEGO pieces by shape, colour, size and functionMy child can find LEGO specific pieces by looking at a picture or by matching a similar pieceMy child can identify and verbally label LEGO pieces using colour, shape, size and function

Does your child have Behaviours of Concern? *

YesNo

Behaviours of Concern include: hitting, kicking, biting, running away, throwing objects, knocking over furniture, self harm, continuous screaming, threatening behaviour, spitting and high frequency non-compliance.

Please describe the Behaviours of Concern *If your child does present with Behaviours of Concern, they may be more suited to one to one LEGO Therapy or other programs at Autism SA. We would still like to hear from you - please still submit this form, and a Pathways Consultant will be in touch to discuss this further.

Does your child require any regular medication to be administered during the day? *

YesNo

If yes, please provide details (an additional form will need to be completed if medication is required to be administered by Autism SA staff): *

Does you child have any health support needs i.e asthma, allergies, seizures? *

YesNo

If yes, please provide details. A copy of your child's care plan will be required. *

Is your child independent with toileting? *

YesNo

If no, what support do they require?

I would like to attend the following dates at Redwood Park (you may select more than one): *

Tuesday 13th AprilThursday 15th April

Before submitting, please make yourself aware of Autism SA's Term's and Conditions.

T&C's Autism SA NDIS

T&C's Autism SA FFS

I have read and understand the Autism SA Terms and Conditions, including the cancellation policy, and I agree to the terms within it. Cancellations must be made 2 business days ahead of the scheduled session or the cost of the session will be charged as a cancellation fee. *

I agree to pay the costs of $465.60 per day (either via NDIS or FFS/out of pocket). *

As an Agency-Managed participant, I agree to Autism SA creating a Service Booking under my Improved Daily Living budget for the value of the sessions requested. *