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COME ALONG!

For parents and carers of school aged young people with adisability

THIS IS A FREE EVENTFOR PARENTS ANDCARERSATTENTION! HOW TO APPLY TO BE A PART OF THIS EVENTPLEASE FILL IN ALL FIELDS OF THE REGISTRATION FORM AND FAX TO: (07) 3237 1497 or email to registrations@workforce.org.auFOR MORE INFORMATION PLEASE CALL: (07) 3404 1497FREE CALL NUMBER AVAILABLE FOR PARENTS & UNPAID CARERS: 1800 851 848

FACILITATED BY JOHN FLANAGAN

AGES AND STAGES

School Age Years

Wednesday18 April 2012

9.30 for 10.00am2.00pm

Southport SharksCorner Musgrave andOlsen AvenueSouthport

Ages and Stages School Age will provide an opportunity for

parents and carers of school aged young people with a

disability to come together, to hear about some of the sup-

ports, services and resources available, as well as future

trends in service provision. Come along and just listen or ac-

tively participate through a combination of: Q&A; small

group discussions and access to info stalls & informal net-

working (or just come and listen).

John Flanagan (B Soc Wk, Masters of Gestalt Therapy) has had anextensive history in working in direct service delivery with youngpeople and their families, Veterans and trauma related issues as wellas in organisational development and training. In recent years, Johnsprimary work focus has been as a private consultant in the area ofteam building, consumer engagement and organizationaldevelopment and review.

DISABILITY SECTOR TRAINING FUND

SOUTH COAST REGION

The Disability Sector Training Fund (DSTF) target group includes: workers in community based organisations who receive funding from Dept of Communities, Disability Ser-vices; unpaid carers; and family members of people with a disability. DSTF is funded by Dept of Communities, Disability Services.

Specific learning outcomes include:

Networking with other parents and carers

Increase knowledge of service system and how to best

to access what is needed

OR

Friday27 April 2012

9.30 for 10.00am -2.00pm

Fitzys LoganholmeCorner Bryants Roadand Pacific HighwayLoganholme

APPLICATIONS MUST BE

RECEIVED BY:Thursday 5 April 2012

SESSION ATTENDANCE NUMBERSMAY BE LIMITED

SPEAKERS AND TOPICS INCLUDE:PARENT TO PARENT, FSG, FAMILY PLANNING QLD, DISABILITYSERVICES, SPORTS GROUPS, EDUCATION AND NATIONALDISABILITY INSURANCE SCHEME

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AGES & STAGES SCHOOL AGE YEARSSOUTHPORT: Wednesday 18 April 2012Southport Sharks- Corner Musgrave and Olsen AvenueLOGANHOLME: Friday 27 April 2012Fitzys Loganholme- Corner Bryants Road and Pacific Highway(applications close: Thursday 5 April 2012)

THIS IS A FREE EVENTFOR PARENTS AND CARERSPLEASE COMPLETE THE REGISTRATION FORM BELOWIf this event is over-subscribed, preference will be given to our target group and unpaid parent carers. Upon closing date you will receiveconfirmation of your place via email. If you are unsuccessful you will receive a full refund and notification. Please call (07) 3234 0190 if youwish to confirm your registration has been received, as the Workforce Council will not be responsible for attendance opportunities lost due toapplications not being received. This activity closes 14 days prior to activity date. Substitutions will be accepted with prior notification. No re-

funds will be given without written notification of cancellation at least 7 days before the activity. No Shows will be charged the full registrationfee. No payments can be accepted at the event.Application form will become a tax invoice on payment. Payment must bereceived prior to attendance.

Name/sPLEASE PRINT CLEARLY 1. 2.If you have more than 2 people interested in attending, please tick and we will contact you if this act ivity does not fill out

Service Name

OrganisationAre you a parent/family member or unpaid carer of a person with a disability? Yes NoDo you work for a Service that is funded by the Department of Communities (Disability Services)? Yes NoWhat is your position? Direct Support Worker Management Committee Member Coordinator/managerOther:______________

Address Personal address Work addressTown/suburb Postcode

E-mail

Phone Fax Total Amount Payable $I WISH TO ATTEND: SOUTHPORT - Southport Sharks LOGANHOLME - Fitzys LoganholmeDo you have any essential dietary requirements? (please also state to whom this applies) _____________________________________

We endeavour to accommodate the dietary needs of participants wherever possible; however, this is at times limited by the catering optionsavailable at individual venues.Do you have any disability related needs that may require support? (please contact us to arrange details)______________________________

OFFICE USE ONLY: ACTIVITY IDs - SOUTHPORT - 5445 LOGANHOLME - 5444 AO:VNPHOTOGRAPHY

On occasion, the Workforce Council will document events through the use of audio, video and/or still photography. These recordings maythen be used by the Workforce Council in appropriate publications including but not limited to newsletters, flyers, brochures and websites.Ifyou do not consent to having photos/audio/audiovisuals of you participating in this activity used in future promotional materials, pleaseindicate below and you will be provided with instruction on how to be excluded upon signing in at the registration desk.

I CONSENT I DO NOT CONSENT Signed: Date:HOW TO PAY

IF PAYING BY CREDIT CARD:Complete all fields of the credit card payment form below

Send completed application by fax to (07) 3234 1497 or email toregistrations@workforce.org.au DO NOT post the original copyor duplication of payment may occur

A receipt will only be sent on request

WE DO NOT ACCEPT CREDIT CARD PAYMENTS BY PHONE

IF PAYING BY CHEQUE OR MONEY ORDER:FAX YOUR COMPLETED APPLICATION TO (07) 3234 1497 OR EMAILTO registrations@workforce.org.auCOPY THIS FORM FOR YOUR RECORDS AND POST THE ORIGINAL WITH

CHEQUE OR MONEY ORDER MADE OUT TO: HEALTH AND COMMUNITYSERVICES WORKFORCE COUNCIL INC TO ADDRESS: GROUND FLOOR,303 ADELAIDE STREET, BRISBANE QLD, 4000. YOUR CERTIFICATE WILLNOT BE ISSUED UNLESS THIS FORM IS RECEIVEDA RECEIPT WILL ONLY BE SENT ON REQUEST

REMITTANCE ADVICE

PAYMENT TYPE: VISA MASTERCARD CHEQUE/MONEY ORDER AMOUNT PAYABLE: $___________________CREDIT CARD NUMBER: _______________________________________________ EXPIRY DATE : ______ / 20______NAME ON CARD: PHONE NUMBER:

REGISTRATION FORM & TAX INVOICEABN: 32 330 317 817DSTFSOUTH COAST REGION

The information provided by you on this form is collected by the Workforce Council for the purposes of recording participant data for reporting purposes. Information identifying individuals will notbe released to a third party except where required by law or requested by your employer, where your employer has paid for thi s activity. For further information refer to the Workforce Councils

Confidentiality Policy at www.workforce.org.au

THISISAFR

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