Family Relief Referral Form

You can apply for family relief and its services by downloading and printing the applicable form below. 

Please fill out and remit to our office (contact us here).

These forms are available in Acrobat Acrobat PDF.
If you do not have Adobe Acrobat Reader, get it here.

Family Relief Worker Application

Download form (PDF)


March Break Camp Registration

Download form (PDF)


Travel Expense Form

Download form (PDF)


Client Expense Form

Download form (PDF)


Summer Student Camp Application 2010 (Worker)

Download form (PDF)


Authorization to Redirect Admistration of Assistance for Children with Severe Disabilities/Special Services at Home Monies

Download form (PDF)


Family Relief Referral Application Form

Download form (PDF)


Passport Application

Passport is an initiative designed to enhance community participation supports for individuals who have a developmental disability. It is designed for young people who are:

a) Preparing to leave or have left school, and
b) Seeking community participation supports.

Download form (PDF)


Special Services at Home Program

The SSAH program is available for children and adults with a developmental disability and children with a physical disability who are residents of Ontario. SSAH can help individuals with disabilities to live at home with their families by providing time-limited funding to purchase supports and services not available elsewhere in the community.

Download form (PDF)


Parent Relief Worker Guide

Download form (PDF)


September 2007 Newsletter

Download form (PDF)


Summer Worker Guidebook 2008

Download form (PDF)


Bus Trip Waiver

Download form (PDF)


2010 Summer Camp Application

Download form (PDF)



Wet & Wild Weekends

 

Next Weekend: 

 

July 10, 2010

Swimming, Karaoke,

Games, Pizza, & Movies

Contact your caseworker to sign up.

 



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Calypso Park

Jul 24 -

Calypso

 

Park

Bus trip: Saturday July 24, 2010

Dive into the adventure of CALYPSO fantasy water world!!! Over 35 waterslides, more than 100 water games, over 100 lifeguards, Canada's biggest wave pool, volleyball courts, resturants, ice cream shop, and much-much more!! Check it out at: www.calypsopark.com

Cost: $70 (includes entrance and bus)*Lunch and extra cost not included are not included in this price"

This trip can be paid by cash, cheque, or from your family relief account.  If you have any questions regarding your funding please contact your caseworker.  If you presently have no funding available you will be billed directly.  



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Positive Behaviour Change Workshop

Nov 14 - Come learn and discuss ways to increase positive behaviours.

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Understanding & Managing Changing Behaviours Associated with Aging Processes

Nov 01 -

Dr.Lindy Kilik and Dr. Katherine Buell -

Nov. 1st, 2007 - 2:00- 4:00pm

30 Bennett Street, Carleton Place

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