1. ADAPTIVE DANCE PROGRAM Intervention Leaders, Ballet Chelsea Amount Requested: $8,690 Intervention also funding in:  Year 1: $xxxx  Year 2: $xxxx  Year 3: $8,191  Year 4: $7,000 Year 5: Chelsea Friends and Family Wellness Coalition Continuing or New Intervention:  Continuing

2. Adaptive Dance Program Brief Description I. Ballet Chelsea wishes to continue, and to enhance, this program for residents with limited physical and mental disabilities, so giving them the health benefits of exercise designed specifically for their limitations. II. The new classes will cover special ed. students currently not included in the program and to people who have Alzheimer’s and who live at home. III. The current 9 classes per week will be extended to 13 starting in August 2016 ( or when additional funding is available). Link to Coalition’s 1 & 5 year plans The program addresses the ‘Connection with Others’ and the encouragement of everyone to ‘Move More’. It provides support and strategies for social and emotional wellbeing. For some participants it is increasing their self confidence substantially particularly the younger members of the classes. For others it is adding strength, flexibility and ability to carry out tasks that may have been difficult before. Everyone benefits from Moving More no matter what their age and ability. These classes reach the population least able to attend other classes due to their mobility, confidence or the fact that existing classes do not cater for disabilities. Year 5: Chelsea Friends and Family Wellness Coalition

3. List all the goals of the intervention 1. The main goal this year is to increase the number of classes and locations offered in order to cover residents who cannot currently benefit from the existing classes. In order to achieve this goal we need to train a number of additional teachers to lead these classes Year 5: Chelsea Friends and Family Wellness Coalition The aim of these programs is to develop and offer different exercise classes for the very different skill levels of people with disabilities. So far, 9 different classes have been offered at 7 different centers. The classes differ tremendously from major motor skill development for pre-school special education, to line dancing in order to learn sequencing skills at high school level, to the building of strength and improve balance for the senior members. Since these classes began we have learnt that there are many of the population who need such exercise opportunities but who do not attend any of the 7 centers. The proposal is to add two new classes in August 2016. These will be for special ed. students who are integrated into main stream school classes and hence do not attend the special ed. programs currently offered by BC. These are primarily pre-teens and teens. It is proposed to operate these classes on a drop in basis at the BC studios. The second class will be for Alzhimer’s patients who currently live at home and who attend specific meetings with their carers at Silver Maples. We are proposing to hold a number of training sessions for teachers this summer consisting of 8 hours training and mentorship to ensure that there are a sufficient number of qualified teachers to support these programs. For the primary goal provide the following information

4. Units of Engagement It is estimated that a total of 130 people will participate in this program with the average time at each class being 0.75 hours. The estimated number of weeks is 42 throughout the year. Therefore there will be 4095 units of engagement Of these numbers 30 relate to new participants resulting in 945 U of E. Key Evaluation Data Examples of data other than participants and number of events: This varies tremendously across the participants. Seniors are asked to set their own goals and then report back at the end of the program( ability to lift arms or legs higher, to move limbs in a pattern for longer than before etc.) Special ed. students have individual goals set for them by their teachers and physical therapist ( being able to lift and carry items, walking in a straight line, balancing on one leg etc.) The drop-in classes will have goals set by the teacher in conjunction with the student’s parents. They might include confidence building, teamwork, coordination and the enjoyment of movement to music. Year 5: Chelsea Friends and Family Wellness Coalition

5. Responsible Parties & Organizations Year 5: Chelsea Friends and Family Wellness Coalition There are no permits needed for this program. Times and dates of each class are agreed between the program teacher and the administrator of each location. Marketing is carried out by each location Additional support staff such as carers/ special ed. assistants/ parents assist where necessary. The program teacher meets regularly with the managers/ supervisors at each center to determine and agree intervention improvements. Other organizations involved are : Chelsea School District, WISD, St. Louis Center, Silver Maples, Chelsea Retirement Community, Chelsea Senior Center Other organizations and interested parties are also being approached for funding so that this program can continue to grow and operate. We are asking for support from Chelsea Foundation, United Methodist Community Foundation, Alzheimer’s Foundation and Chelsea Education Foundation.

6. Marketing Plan  Each center is responsible for the marketing of their classes. This is mainly in the form of the details being given in newsletters for residents, visitors or carers.  A new class will be offered, if funding is available, for special ed. students not covered by the existing classes, to attend at the Ballet Chelsea Studios. This class will be marketed by Ballet Chelsea with material being distributed through the school district. Year 5: Chelsea Friends and Family Wellness Coalition

7. Proposed Budget (Total Budget = $ 18,000 ) How $8,735 funds from 5HF will be used Examples are: Marketing = $ 0 Compensation = $8,260 Materials = $ 130 Consumables = $ 0 Training = $ 300 Total $ 8,690 Training – 6 hours of training for 2 people How $9,265 funds from other organizations will be used Examples are: Marketing = $ 50 Compensation = $9,260 Materials = $ 0 Consumables = $ 0 Training = $ 0 Total $9,310 Includes some teaching time plus all administration time. Marketing of the new program. Year 5: Chelsea Friends and Family Wellness Coalition

8. Movin’ and Groovin’ at Chelsea Retirement Community

9. Catrina’s Creative Movement Class at North Creek Elementary