Social Enrichment 1st Quarter 2023 Registration

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The Farmer's House is committed to providing high quality social enrichment opportunities for people with intellectual disabilities. We know long lasting friendships, acquiring new skills and community engagement are key to a happy and fulfilled life. Our activities are staffed with paid employees and volunteers with a 1:6 ratio of oversight. If a participant requires a higher level of support they are welcome to bring a 1:1 support person with them to our activities. Participants with developmental disabilities who are 16+ years of age are invited to join us.

Below is our schedule of activities for the 1st quarter of 2023. Please complete the form and register for activities you know the participant can attend as space may be limited in some cases. Transportation to/from the activity is on your own unless otherwise noted.

Email *

Name of person completing form *

Phone number *

Name of participant with intellectual disability *

Age of participant *

Some activities are free to participants and some activities have fees to help cover staffing, materials, tickets and food/beverage.

Once you complete the registration form you will receive an email with information on how to pay for the registrations you have completed. If fees are not paid three days prior to the activity the registration will be cancelled.

January 2023 Social Enrichment Activities

Farm to Fork Cooking Class January 11 6-7:30 PM United Methodist Church - $0.00

Bingo Night January 17 6-8 PM Green Hills Library - $5.00

Farm to Fork Cooking Class January 25 6-7:30 PM United Methodist Church- $0.00

February 2023 Social Enrichment Activities

Art Enrichment- Valentine's Day Wreath February 2 6-8 PM Rainbow Location- $0.00

Farm to Fork Cooking Class Feb 8 6-7:30 PM United Methodist Church- $0.00

Valentine's Dance Feb 11 6-8 PM United Methodist Church- $10.00

Disney On Ice Feb 26 3 PM T Mobil Center- $25.00

March 2023 Social Enrichment Activities

Farm to Fork Cooking Class Mar 8 6-7:30 PM United Methodist Church- $0.00

Lunch and Movie Outing Mar 18 11:30-3:30 Chili's/AMC Barry Road - $25.00

Farm to Fork Cooking Class Mar 22 6-7:30 PM United Methodist Church- $0.00

I understand and agree *

If a 1:1 support person is needed I will send one with my participant

I will pay any required fees in advance and registration may be cancelled if fees are not paid

I will notify TFH if plans change and it's not possible to attend the event

I will provide transportation providing drop off and pick up participant on time

Required

I want to support Farmer's House Social Enrichment activities! Please add a donation to my registration

$10.00

$20.00

$50.00

Other:

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Waiver: I hereby release, waive and discharge the Farmer’s House and its respective affiliate companies, parents, officers, directors, agents, contractors, subcontractors and employees from all liability any and all claims, demands, losses or damages on account of any injury, death, or damaged property, arising out of any negligence relating in any way to participating in Farmer's House social enrichment activities. I understand this event is not staffed 1:1 so if my participant requires that level of supervision I will send someone to assist. I give permission for any photos or videos taken at the event to be used in TFH promotions. *

We look forward to hosting enriching activities and helping participants to create a fantastic social network while exploring their community.

You will have the opportunity to pay for your registrations after completing this form. Please see the next page to complete your purchase.

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