2016 WINTER/SPRING GUIDE - Bolingbrook Park District

Transcription

Lily Cache Special Recreation Association
2016 winter/spring Guide
lilycachesra.org
Registration
B e g i n s
d e c e m b e r
RESIDENT:
NON-RESIDENT:
9
23
D i s c o v e r Recreational Programs and Opportunities for People With Disabilities
1
Serving Bolingbrook and Plainfield Park Districts
201 Recreation Drive, Bolingbrook
P 630.739.1124
Relay 800.526.0844
lilycachesra.org
Lily Cache Special Recreation Association is a cooperative
extension of the Bolingbrook Park District and Plainfield
Park District that provides year-round recreation programs
for individuals with disabilities.
LC SRA S ta ff
R egis t r at i o n begi ns
december
L csra resident: 9
L C S R A non - resident: 2 3
Faci l i t y Di r ec tory
Lily Cache Special Recreation Assocation (LCSRA)
P (630) 739-1124 | Relay (800) 526-0844
Jill Mukushina, Manager of Special Recreation
[email protected] | 630.783.6583
ACC: Annerino Community Center
Sherrie Izban, Therapeutic Recreation Supervisor
BRAC: Bolingbrook Recreation & Aquatic Complex
200 S. Lindsey Lane, Bolingbrook
Carrie Gascoigne, Therapeutic Recreation Supervisor
HPC: Heritage Professional Center
24023 West Lockport Street, Plainfield
Gina Petkus, Therapeutic Recreation Supervisor
OAKS: Hidden Oaks Nature Center
475 Trout Farm Road, Bolingbrook
LC SRA A dv iso ry Boa r d
Nick Baird, Director of Revenue Facilities
Bolingbrook Park District
PREC: Plainfield Recreation/Administration Center,
23729 W. Ottawa Street, Plainfield
TS:
The Streams
24319 Cedar Creek Lane, Plainfield
Carlo Capalbo, Executive Director
Plainfield Park District
I n de x
Cheryl Crisman, Director of Recreation
Behavior/Code of Conduct & Wellness Guidelines
4
Month at a Glance
5-7
Ron Oestreich, Executive Director
Kim Smith, Director of Marketing and Customer Care
Corinne Vargas, Senior Designer/Graphic Artist
Who We Are3
Programs8-21
Code of Conduct Form
22
Medication Dispensing Permission & Form
23
Medication Dispensing Information
24
Annual Information Form25-26
Special Olympics Form27-28
Registration Form/Information 29-30
More about LCSRA31
2
Meet Dom
Hello! I’m Dom Pizzuto, though
many of our Special Olympics
athletes and their families
probably know me better as
Coach Dom. I just completed
my fourth year with LCSRA this
past September. I was even
lucky enough to be named
LCSRA employee of the year
for 2014! I work a lot with our
adult programs, including
the Community Cruisers day
program, Special Olympics
basketball, floor hockey,
and softball. I love working
with our participants in a
recreational setting, because
while other types of supports
are important, I believe
everyone deserves to get out and find some enjoyment. I’m also
a firm believer in setting individual expectations and providing the
positive support needed to teach each participant. I do this because
it enhances their sense of accomplishment and self-worth in a very
meaningful way. I hope to see you out supporting our teams at a
Special Olympics game or event soon. Go Lions!
W ho W e A r e
Lily Cache Special Recreation Association
(LCSRA) represents the partnership between
Bolingbrook and Plainfield Park Districts in their
mission to serve the special needs population.
Our goal is to provide recreational programs which
build self-esteem and promote a lifetime of growth.
LCSRA strives to go beyond the normal range of
services and programs offered by schools or other
agencies. Lily Cache Special Recreation Association
fosters an environment which allows individuals to
discover their own unique potential and abilities.
LCSRA serves individuals with disabilities which
can include but are not limited to physical disabilities, developmental disabilities, communication
disorders, emotional/behavior disorders, and autism
spectrum disorder.
Participants and Programs
Our programs are as diverse and engaging as the
participants they serve. From social events, seasonal camps and imaginative trips to competitive
Special Olympic sports, LCSRA programs offer
many benefits, including:
• Improved self-confidence and self-esteem
• Greater independence
• Social interaction and relationship-building
• Reinforce existing skills
• Opportunities to explore new skills/talents
• Build friendships and sense of community
• Memories for life
Like LCSRA on Facebook for more program
information, great photos and to share
feedback with us.
3
behavior/code of conduct
& wellness guidelines
To ensure that all LCSRA participants enjoy programs and events to their fullest,
and in the interest of safety, we use the following guidelines :
Behavior/Code of Conduct
LCSRA will attempt reasonable accommodations to enable participants to meet behavior expectations.
• Show respect to all participants, staff, and public.
• Listen to and comply with staff direction and program rules.
• Allow others in the program and others at public facilities to enjoy the activity without disruption (within reason).
• Refrain from using foul language, discussing inappropriate topics or other offensive behavior.
• Refrain from threatening or causing bodily harm or offensive physical contact to self, other participants, staff or public.
• Show respect to equipment, supplies, and facilities.
Additional rules are developed for specific programs as deemed necessary by the staff. If inappropriate
behaviors occur, a prompt resolution will be sought specific to each individual. LCSRA reserves the right to
dismiss participants whose behavior endangers the safety of themselves or others.
Wellness Guidelines
In consideration of other participants and staff, and to prevent the spread of contagious illnesses, it is
recommended that participants refrain for programs when any of the following conditions exist:
• Fever of 100° or higher
• Vomiting within the last 24 hours
• Persistent diarrhea in conjunction with other symptoms
• Contagious rash or a rash of unknown origin
• Persistent cough and/or cold symptoms
• Eye infections or discharge from the eye
• Symptoms of mumps, measles, chicken pox, strep throat, flu, impetigo, or Coxsackie’s virus
• Runny nose with yellow or green discharge
• Lice or mites
• Fatigue due to illness that hinders participation in a program
Please notify LCSRA if the participant contracts any contagious illness that will affect their attendance at
a program.
Participants should return to programs at the doctor’s recommendation, or, if not under a doctor’s care,
when the symptoms have clearly passed.
4
Calendar at a glance
January
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
2
Junior Basketball
9
SO District
Junior Basketball
Tournament
Dinner Movie B
Sensory Art
Lunch Bunch
HangTime
16
Junior Basketball
Sensory Art
Lunch Bunch
HangTime
Cosmic Ice Skating
23
Junior Basketball
Dinner & Movie A
Saturday Socializers
3
4
Cruisers 2
5
LCSRA Basketbal
Cruisers1
6
Cruisers 1 & 2
7
Cruisers 1
8
Cruisers 2
10
11
Swim Team
Swim Lessons
Cruisers 2
12
LCSRA Basketball
Cruisers 1
13
Gymnastics
Cruisers 1&2
Fitness
Book Cooks
14
SO Bowling League
Rhythmic Gymnastics
Cruisers 1
Bowling
15
Social Club
Glow with the Flow
Dance
Cruisers 2
17
18
NO SWIM TEAM
NO SWIM LESSONS
Cruisers 2
School’s Day Out
25
Swim Team
Swim Lessons
Cruisers 2
19
LCSRA Basketball
Cruisers 1
20
Gymnastics Cruisers
1&2
Fitness
Book Cooks
27
Gymnastics Cruisers
1&2
Fitness
Book Cooks
21
SO Bowling League
Rhythmic Gymnastics
Cruisers 1
Bowling
28
SO Bowling League
Rhythmic Gymnastics
Cruisers 1
Bowling
22
Cruisers 2
29
Cruisers 2
30
Junior Basketball
SO District Basketball
Tournament
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
Swim Team
Swim lessons
Cruisers 2
2
LCSRA Basketball
Cruisers 1
Backstage Pass
Musical Theatre
9
LCSRA Basketball
Bocce
Cruisers 1
Backstage Pass
Musical Theatre
3
Gymnastics
Cruisers 1 & 2
Fitness
Book Cooks
10
Gymnastics
Cruisers 1 & 2
Fitness
Book Cooks
4
SO Bowling League
Rhythmic Gymnastics
Cruisers 1
Bowling
11
SO Bowling League
Powerlifting
Rhythmic Gymnastics
Paralympic Boccia
Cruisers 1
Bowling
5
Cruisers 2
Cubs Game
6
Sensory Art Lunch
Bunch HangTime
12
Social Club
Valentine’s Dance
Cruisers 2
Friday Friends
13
SO Area Swim Meet
ITRS Junior Basketball
Tournament
Power Soccer
Wheelchair Table
Tennis
Dinner and Movie B
Sensory Art
Lunch Bunch
HangTime
20
Power Soccer
Wheelchair Table
Tennis
Movin’ to the Music
Musical Melodies
Lunch Bunch
HangTime
27
Power Soccer
Wheelchair Table
Tennis
Dinner and Movie A
Chicago Family
Paloza
Musical Melodies
Lunch Bunch
HangTime
24
26
LCSRA Basketball
Cruisers 1
31
February
Sunday
7
Games Day
Teen Book Club
8
Swim Team
Track & Field
Swim Lessons
Cruisers 2
14
ITRS Basketball
Tournament
15
NO SWIM TEAM
Track & Field
Cruisers 2
School’s Day Out
16
LCSRA Basketball
Bocce
Cruisers 1
Backstage Pass
Musical Theatre
17
Gymnastics
Cruisers 1 & 2
Book Cooks
18
SO Bowling League
Powerlifting Rhythmic
Gymnastics
Paralympic Boccia
Cruisers 1; Bowling
19
Mardi Gras Mambo
Cruisers 2
Friday Friends
21
Scrambled Eggs w/
Side of Slots
Family Game Time
22
Swim Team
Track & Field
Cruisers 2
Swim Lessons
23
Bocce
Cruisers 1
Backstage Pass
Musical Theatre
24
Gymnastics
Soccer Team
Cruisers 1 & 2
Fitness
Parent Corner
Stretching
Singing & Studio
25
SO Bowling League
Gymnastics
Paralympic Boccia
Cruisers 1
NO BOWLING
26
Cruisers 2
Friday Friends
28
29
Swim Team
Track & Field
Swim Lessons
Cruisers 2
Partners Club
5
March
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
Bocce
Cruisers 1
Backstage Pass
Musical Theatre
2
Gymnastics
Soccer Team
Cruisers 1 & 2
Fitness
Dr. Seuss’ Birthday
Party
3
SO Bowling League
Gymnastics
Paralympic Boccia
Cruisers 1
Bowling
4
Social Club
Shamrock Shuffle
Dance
Cruisers 2
Friday Friends
5
SO District Swim Meet
Power Soccer
Wheelchair Table
Tennis
Dinner and Movie B
Musical Melodies
Lunch Bunch
HangTime
Chords for Kids
6
SO Area Gymnastics
Qualifier
Teen Book Club
7
NO SWIM TEAM
NO TRACK & FIELD
Cruisers 2
8
Bocce
Cruisers 1
Backstage Pass
Musical Theatre
9
Gymnastics
Soccer Team
Theater Night“Addams Family”
Cruisers 1 & 2
Fitness
10
SO Bowling League
Gymnastics
Paralympic Boccia
Cruisers 1
Bowling
11
Celebrity Look-ALikes Dance
SO STATE
BASKETBALL
Cruisers 2
Friday Friends
12
Power Soccer
Wheelchair Table
Tennis
SO STATE
BASKETBALL
Musical Melodies
Lunch Bunch
HangTime
13
SO STATE
BASKETBALL
14
Swim Team
Track & Field
Swim Lessons
Cruisers 2
15
Bocce
Cruisers 1
Backstage Pass
Musical Theatre
16
Gymnastics
Soccer Team
Cruisers 1 & 2 Fitness
17
SO Bowling League
Gymnastics
Paralympic Boccia
Cruisers 1
Bowling
18
Cruisers 2
Friday Friends
19
Power Soccer
Wheelchair Table
Tennis
Dinner and Movie A
Musical Melodies
Lunch Bunch
HangTime
20
21
Swim Team
Track & Field
Swim Lessons
Cruisers 2
Partners Club
28
NO SWIM TEAM
NO TRACK & FIELD
22
Blackhawks Game
Bocce
Cruisers 1
Backstage Pass
Musical Theatre
29
Bocce
23
Gymnastics
Soccer Team
Cruisers 1 & 2
Fitness
Tiny Tots
30
Gymnastics
Soccer Team
Milwaukee Overnight
Trip
Tiny Tots
24
SO Bowling League
Gymnastics
Paralympic Boccia
Bowling
31
NO SO BOWLING
LEAGUE
Powerlifting
Rhythmic Gymnastics
NO PARALYMPIC
BOCCIA
Milwaukee Overnight
Trip
25
26
NO POWER SOCCER
NO WHEELCHAIR
TABLE TENNIS
27
6
April
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
2
Power Soccer
Wheelchair Table
Tennis
9
So Area Bocce
Tournament
Power Soccer
Wheelchair Table
Tennis
Dinner and Movie B
A Sensory Friendly
Film
16
Power Soccer
Wheelchair Table
Tennis
Chicago Wolves
Game
Blacklight Mini Golf
Yoga
Lunch Bunch
HangTime
23
Power Soccer
Wheelchair Table
Tennis
Dinner and Movie A
Yoga
Lunch Bunch
HangTime
30
Power Soccer
Wheelchair Table
Tennis
Yoga
Lunch Bunch
HangTime
3
Teen Book Club
4
NO SWIM TEAM
NO TRACK & FIELD
Cruisers 2
5
Bocce
Cruisers 1
Therapeutic Riding
6
Soccer Team
Cruisers 1 & 2
Kids in the Kitchen
7
NO SO BOWLING
LEAGUE
Powerlifting
Paralympic Boccia
Cruisers 1
Lil’ Senses
8
Mexican Fiesta
Cruisers 2
Friday Friends
10
11
Swim Team
Track & Field
Swim Lessons
Cruisers 2
12
Bocce
Cruisers 1
Therapeutic Riding
13
Soccer Team
Cruisers 1 & 2
Aquacise
Kids in the Kitchen
Tiny Tots
14
SO Bowling League
Powerlifting
Paralympic Boccia
Cruisers 1
Bowling
Lil’ Senses
15
Social Club
Cruisers 2
Restaurant Reviewers
Friday Friends
17
Day in Galena Trip
Family Fitness
18
Swim Team
Track & Field
Swim Lessons
Cruisers 2
19
Softball Team
Cruisers 1
Therapeutic Riding
20
Soccer Team
Cruisers 1 & 2
Aquacise
Kids in the Kitchen
Tiny Tots
21 SO Bowling
League
Powerlifting
Paralympic Boccia
Cruisers 1
Bowling
Lil’ Senses
22
Cruisers 2
Friday Friends
24
SO Soccer Qualifier
25
Swim Team
Track & Field
Swim Lessons
Cruisers 2
Partners Club
26
Softball Team
Cruisers 1
Therapeutic Riding
27
Soccer Team
Cruisers 1 & 2
Aquacise
Kids in the Kitchen
Tiny Tots
28
SO Bowling League
Powerlifting
Paralympic Boccia
Cruisers 1
Bowling
Lil’ Senses
29
Cruisers 2
Friday Friends
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
SO Powerlifting
Qualifier
Teen Book Club
2
Swim Team
Track & Field
Swim Lessons
Cruisers 2
3
Softball Team
Cruisers 1
Therapeutic Riding
4
Soccer Team
Spring Golf Club
Cruisers 1 & 2
Aquacise
Kids in the Kitchen
Star Wars Day
5
SO Bowling League
Paralympic Boccia
Cruisers 1
Bowling
Lil’ Senses
6
Cruisers 2
Friday Friends
Cubs Game
8
9
Cruisers 2
Partners Club
10
Softball Team
Cruisers 1
Therapeutic Riding
11
Soccer Team
Spring Golf Club
Cruisers 1 & 2
Aquacise
Kids in the Kitchen
12
SO Bowling League
Cruisers 1
Bowling
Lil’ Senses
13
Social Club
Spring Formal Dance
Cruisers 2
Friday Friends
7
SO Area Spring
Games
Power Soccer
Wheelchair Table
Tennis
Dinner and Movie B
Yoga
Lunch Bunch
HangTime
14
Saturday Night Fever
Dinner and Movie A
Yoga
Lunch Bunch
HangTime
15
ITRS Soccer
Tournament
16
Cruisers 2
17
Softball Team
Cruisers 1
Therapeutic Riding
18
Spring Golf Club
Cruisers 1 & 2
19
Cruisers 1
20
Cruisers 2
Cosmic Bowl
21
22
Family Bowl
23
24
Softball Team
Therapeutic Riding
25
Spring Golf Club
26
27
28
29
30
31
Softball Team
May
7
REC Club
LCSRA offers an after school program for students in Valley View
School District enrolled in S.T.E.P. This program promotes social
skills and daily living skills through a variety of recreation and
community based activities. For more information please contact
Carrie Gascoigne at 630-783-658.
Community Cruisers
Community Cruisers is a recreation based program developed
to meet the needs of young adults with disabilities that are
no longer eligible for school services. The program provides
opportunities for individuals to reach their full potential through
recreational activities that promote positive peer interactions,
community integration, and some basic life skills. All interested
participants need to complete paperwork which includes an
intake assessment to evaluate which of the two programs is
most appropriate for each individual. If you are interested in the
program please contact Carrie Gascoigne at (630) 783-6585 or
[email protected] for further information.
W eek ly Progr a ms
Swim Lessons
Ages 3 years & up
Dive right in to fun while learning swim skills, strengthening
muscles and increasing coordinating. Lessons are taught in
small groups or one on one ratio and are conducted at the
Pelican Harbor Indoor Pool.
Dates
Jan 11-Feb 8
Jan 11-Feb 8
Jan 11-Feb 8
Jan 11-Feb 8
Feb 22-Mar 21
Feb 22-Mar 21
Feb 22-Mar 21
Feb 22-Mar 21
April 11-May 2
April 11-May 2
April 11-May 2
April 11-May 2
Time
5:00-5:30 pm
5:30-6:00 pm
6:00-6:30 pm
6:30-7:00 pm
5:00-5:30 pm
5:30-6:00 pm
6:00-6:30 pm
6:30-7:00 pm
5:00-5:30 pm
5:30-6:00 pm
6:00-6:30 pm
6:30-7:00 pm
Code
15400A
15400B
15400C
15400D
15400E
15400F
15400G
15400H
15400I
15400J
15400K
15400L
Deadline
Jan 4
Jan 4
Jan 4
Jan 4
Feb 15
Feb 15
Feb 15
Feb 15
April 4
April 4
April 4
April 4
Day: Monday
Location: BRAC, Pelican Harbor Indoor Pool
LCSRA Resident Fee: $54
LCSRA Non-Resident Fee: $68
No Class: January 18, February 15, March 7 & 28, April 4
Key Contact: Carrie Gascoigne
8
Therapeutic Riding
Ages 8 years & up
This program offers individuals with special needs the opportunity to benefit from the movement of a horse in a controlled and
safe environment. Some benefits of therapeutic riding include
social interactions, self-confidence, communication, and more. Although the movement of the horse has proven benefits to the
body and mind, the bond between the horse and rider cannot be
put into tangible terms. During class, participants will learn basic
horse grooming, feeding and riding.Instructed by Kris Mondrella
each rider will work towards his/her individual goals. Participants
must be able to tolerate wearing a helmet and closed toed shoes
for the entire session and may not exceed 150 pounds. Doctor’s
consent is required in order to participate in this program.
Time
5:00-5:45 pm
5:45-6:30 pm
Code
25461A
25461B
Day: Monday
Dates: April 11-May 16
Location: Sunrise Center North, Mokena
Fee: $325
Deadline: March 21
Key Contact: Sherrie Izban
Partners Club
Ages 7-17 years
Everyone has unique talents and abilities. Let’s bring both
children with disabilities and children without disabilities all in
one group to enjoy a night of fun recreational activities. We will
learn about people’s differences and how best to support each
other. This is a perfect class for siblings and close friends to
do together.
Day: Mondays
Date: February 29, March 21, April 25, May 9
Times: 7:00 -8:30 pm
Location: Annerino Community Center
LCSRA Resident Fee: $24 15453A
Deadline: February 15
Key Contact: Gina Petkus
Backstage Pass
Ages 8-21 years
Do you love the theatre but the limelight is not for you? You can
be an essential part of the show by joining Backstage Pass.
Together we are going to build our set for the Musical Theatre
production that debuts on March 22. We will be dabbling in set
design, props, costumes, lighting, sound and so much more. The
show cannot go on without the crew! This class will be led by a
music therapist who will assist us in connecting through music
as we prepare for the show. This class is contingent of Musical
Theatre running.
Day: Tuesday
Dates: February 2-March 22
Time: 5:30-6:30 pm
Location: Heritage Professional Center
15449A
Deadline: January 19
Year-round programs for individuals with disabilities
Musical Theatre
Ages 8-21 years
Musical Theatre is a form of artistic expression and can be
celebrated by all individuals. Over the course of 7 weeks, we will let
our creative juices flow as we prepare to entertain family and friends
in a small performance. The session would incorporate movement,
improvisation, singing and acting and culminate with a final group
performance on March 22. Weather you prefer a small part or a large
one, a singing part or a dancing part, come and join us for this new
experience. This class will be led by a music therapist who will assist
us in connecting through music as we prepare for the show.
Day: Tuesday
Time: 6:30-7:30 pm
15450A
Kids in the Kitchen
Ages 6-17 years
Food always tastes better when you share it with others! In this hands
on class, we will be making a main course and dessert or appetizer
for each class. Pictorial recipes will be provided for all participants
to follow and create a scrumptious meal. After working hard in the
kitchen, we will sit back with our friends and enjoy the fruits of
our labor.
Ages
Times
6-12 years
13-17 years
Code
4:30-6:00 pm
6:15-7:45 pm
Day: Wednesday
Date: April 6-May 11
Location: Heritage Professional Center LCSRA Resident Fee: $66
LCSRA Non-Resident Fee: $83 Deadline: March 23
25444A
25444B
Fitness
Frenzy
Fitness
Frenzy
(Years)
10-17
18 & up
Aquacise
10-17
Aquacise
18 & up
Date
Jan 13Mar 23
Jan 13Mar 23
April 13May 11
April 13May11
Code
LCRA Res/
Non-Res
Deadline
Location
15403A
$84/$105
Jan 4
ACC
15403B
$84/$105
Jan 4
ACC
15403C
$64/$80
April 4
BRAC
15403D
$64/$80
April 4
BRAC
Day: Wednesday
Time: 6:15-7:00 pm
No Class: February 17
Day: Wednesday
Dates: January 13-February 17
Time: 6:00-7:30 pm
Tiny Tots
Ages 6 months - 3 years
Come and enjoy this parent child class to enhance your child’s
development. This group is for all children, typically developing
and children with special needs. The children will participate in
both structured and unstructured play times. Activities that will
be included this session are story time, songs, games, snack,
gross and fine motor activities and much more. This class will
also allow parents to network with other parents and share
thoughts, ideas, challenges that they face day to day. This
class is designed to meet the needs of the parents and children
in the group. Each session a speaker will be selected depending on the topic that the group would like more information
about.
6-18 months
18-36 months
It is important to keep up a regular fitness program so as to maintain your
weight and health. Physical activity can help keep you strong, happy, and
healthy. LCSRA fitness classes can help motivate you to stay physically
active and in shape. Fitness Frenzy will include a variety of different fitness
activities led by LCSRA staff. Aquacise will be at Pelican Harbor in the
indoor pool focusing on a variety of exercises in the water.
Ages
Let books come alive in this interactive class. In Book Cooks
participants will read books at their reading level on their own
prior to class. During class we will have a chance to discuss
the books that were read and create a review of each book. In
class, we will read a picture book as a group that corresponds
to the theme. Various discussion questions will be explored to
stretch the participant’s comprehension. Finally, we will cook
a dish that was highlighted in the books and taste our finished
product!
Ages
LCSRA Fitness Classes
Class
Book Cooks
Ages 8-13 years
Times
9:00-10:00 am
10:15-11:15 am
Code
25110A
25110B
Day: Wednesday
Date: March 23-April 27
No Class: April 6
Deadline: April 1
Key Contacts: Gina Petkus & Kathy Hassert
9
Bowling League
Join your friends for a fun, relaxing hour of socializing while
participating in this non-competitive sport. Staff will provide basic
instruction for beginner bowlers, while working with the return
bowlers on different strategies to improve their game. Scores
will be recorded each week. Bumpers and ramps are available
as needed. The cost includes use of the lanes, shoes, and two
games of bowling.
Ages
(Years)
5-17
18 & up
5-17
18 & up
Date
Code
Deadline
LCSRA Res Fee /
Non-Res Fee
Jan 14-Mar 24
Jan 14-Mar 24
April 14-May 12
April 14-May 12
15410A
15410B
25410A
25410B
Jan 4
Jan 4
April 4
April 4
$114/$143
$114/$143
$84/$105
$84/$105
Day: Thursday
Time: 4:00-5:00 pm
Location: Brunswick Zone, Romeoville
No Class: February 25
Lil’ Senses
Ages 2-6 years with parent
Children learn best by real life experiences. They take in the
world around them through their senses and form opinion based
on these experiences. In Lil’ Senses we will discover a theme a
week and fully explore it with all five senses through hands on
activities. Please wear comfortable loose fitting clothes that are
ok to get messy.
Day: Thursday
Date: April 7-May 12
Time: 11:00-11:45 am
Location: The Stream, Plainfield LCSRA Resident Fee: $45 25446A
Deadline: March 24
Ages 2-6 years with parent
Little children are filled with a ton of energy and meeting those
high energy needs are especially challenging in the winter. In
this class, we will learn a number of finger plays, nursery rhymes
and songs. We will get our bodies active to a number of different
musical selections. In addition, we will explore a number of
different instruments, all lead by a music therapist. Day: Saturday
Time: 9:00-9:45 am
15451A
10
Social Club
Ages 21 years & up
Friday nights are great for visiting with old friends and making
some new ones. Enjoy activities and social opportunities locally
and in neighboring communities. Program times may vary
depending on scheduled events. A schedule with complete
details will be provided the week prior to the first meeting date. You don’t want to miss an exciting evening of this Friday fun club.
Day: Friday
Dates: January 15 - Glow with the Flow
February 12 - Valentine’s Dance
March 4 - Shamrock Shuffle April 15 - Main Event Melee
May 13 - Spring Formal
Time: Varies
Location: Varies
15102A
Deadline: January 3
Transportation: provided from Plainfield and Annerino
Friday Friends
Ages 8-18 years
Does your child have trouble making and maintaining friends?
Do they have a difficult time relating to their peers? Do they
struggle with understanding the perceptions of others? The
focus of this group will be how to develop social skills and then
how to implement them in recreational activities. Participants
must be able to role play scenarios, discuss feelings and use
symbolic thinking. This group will primarily meet in house but
will also attend events in the community so that participants can
apply what they have learned in “real life” scenarios. LCSRA
reserves the right to determine if this program is appropriate for
an individual.
Date
Feb 12-Mar 18
Feb 12-Mar 18
Apr 8-May 13
Apr 8-May 13
Ages
8-14
15-18
8-14
15-18
Deadline
Jan 29
Jan 29
Mar 25
Mar 25
Day: Friday
Time: 6:00-8:30 pm
Transportation
PREC: Pick up: 5:30 pm/ Drop Off: 9:00 pm
ACC: Pick up: 6:00 pm/ Drop Off: 8:30 pm
Code
15412A
15412B
25443A
25443B
Ages 18 years & up
Calling all foodies! Join us as we head off to different restaurants
each week to enjoy some good eats and time with friends.
LCSRA will cover the cost of lunch each week.
Day: Fridays
Times: 11:00 am- 1:00 pm
Location: Various local restaurants
25458A
Dates: April 15, April 29, and May 13
Deadline: April 4
Transportation
ACC: Drop off: 10:00 am / Pickup: 2:00 pm
PREC: Drop off: 10:30 am / Pickup: 1:30 pm
Dinner and Movie
Enjoy a meal and the new 2016 releases. The movie choice,
restaurant, along with times for each program will be
communicated to participants no later than 2:00 pm on the
Friday prior to the program. Fee includes movie admission, staff
supervision, and transportation. Participants are responsible for
the cost of their dinner, including tip and any concession snacks
at the theater.
Age (Years)
Rating
8-16
G or PG
17 & up
PG or PG13
Dates
Jan 23, Feb 27, Mar 19,
April 23, May 14
Jan 9, Feb 13, Mar 5,
April 9, May 7
Code
15408A
15408B
Day: Saturday
Time: Varies
Location: Various restaurants and movie theaters in the
community
Deadline: January 4
Transportation: Provided from Plainfield and Bolingbrook
Ages 8-16 years
Are you ready for some fun? Let’s hang out with our friends
and enjoy a variety of recreational experiences. Some activities
that we will be participating in this season include: going to the
theatre, make your own lunch, games, jumpies, arts and crafts
and much more. A schedule with the details will be sent out a
week prior to the first trip.
Day: Saturday
Dates: January 23, February 27, March 12, April 16, May 7
Time: Varies
Location: Varies
15448A
Deadline: January 9
Transportation: ACC & PREC
Teen Book Club
Ages 14-21 years
Grab a book and get to know some friends over brunch.
Participants will read the selected book or have the book read
to them prior to the assigned meeting date. On the meeting date,
friends will come together to discuss the book over a delicious
meal. Please be prepared to answer questions and fully
participate in the discussion. Book selections will be chosen on
February 7. Please bring money for a light breakfast. You will
receive a schedule the week of the first class.
Day: Sunday
Dates: February 7, March 6, April 3, May 1
Time: 11:00 am-Noon
Location: Varies
Transportation: ACC & PREC
speci a l e v en t s
Glow with the Flow
Ages 13 years & up
Tonight we will glow in the dark and dance the night after
enjoying a pizza dinner and receive our party favor. This dance
is included in the social club schedule.
Day: Friday
Date: January 15
Time: 6:30-9:00 pm
Location: LWSRA Building, New Lenox
Fee: $25
15445A
Deadline: January 3
Transportation
PREC: Pick- up 5:30 pm /Drop-off 9:45 pm
ACC: Pick-up 6:00 pm /Drop-off 10:15 pm
Cosmic Ice Skating
Ages 8-17 years
Register for all 3 cosmic events and get $5 off total
Brrr…it’s cold outside so come on in, grab a hot chocolate and
skate the night away. The lights will be off and the disco ball will
be spinning at Rocket’s Rockin’ Public Skate. Previously skating
experience is recommended.
Day: Saturday
Date: January 16
Time: 8:10 pm-10:10 pm
Location: Rocket Ice Arena, Bolingbrook
Transportation
ACC: Pick up 7:45 pm/Drop off 10:45 pm
PREC: Pick up 7:15 pm/ Drop off 11:15 pm
Fee: $24 15457A
Deadline: January 8
11
School’s Day Out
Ages 5-15 years
What’s better than having a day off of school? Spending time
with friends of course! Today we will be heading out to Top Golf’s
new location in Naperville. Activities include golf, giant jenga,
interactive video games, pool and much more. Lunch will be
provided so no need to pack a bag!
Day: Monday
Date: January 18
Time: 10:00 am-2:00 pm
Location: Top Golf, Naperville
Transportation
ACC: Pick up 9:00 am/ Drop Off 3:00 pm
PREC: Pick up 9:30 am/ Drop Off 2:30 pm Fee: $5415404A
Deadline: January 4
School’s Day Out
Ages 5-15 years
What’s better than having a day off of school? Spending time
with friends of course! Today we will be starting the day off with
some arts and crafts. Next, we will be heading over to Luigi’s for
a fun day of making our own pizza, bowling, arcade games, laser
tag and a ton of fun!
Day: Monday
Date: February 15
Time: 10:00 am-2:00 pm
Location: Luigi’s Pizza & Fun Center, Aurora
Transportation
ACC: Pick up 9:00 am/ Drop Off 3:00 pm
PREC: Pick up 9:30 am/ Drop Off 2:30 pm Fee: $4915404B
Games Day
Ages 18 & up
Looking to get out of the house and beat the winter blues?
Then gather your favorite board game, video game, or card game
and join your friends for an afternoon of socializing and friendly
competition. Please bring a snack to share, LCSRA will provide
pizza and drinks.
Day: Sunday
Date: February 7
Times: 1:00 pm-4:00 pm
Fee: $2815464A
Transportation
ACC: Drop off: 1:00 pm / Pickup 4:00 pm
PREC: Drop off 12:30 pm / Pickup 4:30 pm
Mardi Gras Mambo Ages 13 years & up
Mambo the night away with friends! Enjoy music from a DJ,
dancing and snacks at the dance.
Day: Friday
Date: February 19
Time: 7:00-9:00 pm
Location: Oak Lawn Park District Pavilion
Fee: $ 19
15420A
Transportation
ACC: Pick-up 6:00 pm/ Drop-off 10:15 pm
Valentine Dance
Ages 13 years & up
Share the love at the annual Valentine dance. The evening will
include a DJ, dinner and prizes. This dance is included in the
social club schedule.
Day: Friday
Date: February 12
Time: 7:00-9:30 pm
Location: Joliet Park District Multi-Purpose Center
Fee: $25 15302A
Transportation:
ACC: Pick-up 6:00 pm / Drop-off 10:30 pm
PREC: Pick- up 6:30 pm /Drop-off at 10:00 pm
12
Scrambled Eggs with a Side of Slots
Ages 21 years and up
Back by demand….an LCSRA casino trip! Don’t forget to
bring your good luck charms because we want you to win BIG!
Someone is bound to be a winner so why can’t it be you? We
will be going out for breakfast before heading out to the casino;
breakfast is included in the fee. Please bring a picture ID and
money for gaming.
Day: Sunday
Date: February 21
Time: 11:00 am-1:00 pm (at the Casino)
Locations: Denny’s for breakfast/Harrah’s Casino in Joliet
Fee: $35
15446A
Transportation
PREC: Pick- up 9:00 am /Drop-off 1:30 pm
ACC: Pick-up 9:30 am /Drop-off 2:00 pm
Family Game Time!
All ages welcome
Sunday is a day for families to spend together and connect
with each other. Get out of the house and join us for pizza, pop
and games! We will have many board games and interactive
games ready for you to try this afternoon and you will have the
opportunity to socialize with many LCSRA families. This is a
great opportunity for your child to socialize with their peers and
introduce you to all the friends that they have made while doing
programs. All participants must be accompanied by a registered
family member. This is not a staffed event.
Day: Sunday
Date: February 21
Time: 1:00-4:00 pm
Fee: $915458A
Parent Corner
Parent’s Resource Series
Ages 18 years & up
Being a parent of a child with special needs can be challenging
at times. There never seems to be enough time or energy.
Tonight we will be making some no fuss freezer meals for those
days that seem to have far too little of both time and energy.
As we make our meals, enjoy getting to know other LCSRA
parents in a low key environment. No child care will be provided,
however this session runs at the same time as “Stretching,
Singing and Studio”.
Day: Wednesday
Date: February 24
Time: 6:30-8:00 pm
Fee: $515417A
Stretching, Singing and Studio
Ages 5-13years
Tonight’s the night to get together with our friends and enjoy
three great activities. First, we will be warming up our entire
bodies with some stretching and cardio. Next, we will work out
our singing voices for our karaoke and dance party. Finally, we
will wind down with some arts and crafts. What a great way to
spend a summer evening.
Day: Wednesday
Date: February 24
Time: 6:30-8:00 pm
Fee: $12 15455A
Chicago Family Paloza
Ages 8-17 years
Don’t let those winter blues get you down! From the moment
you arrive, there will be hands-on interactive activities, games
and entertainment. Some activities that you can choose from
include: indoor zip-lining, inflatables, slides, and carnival rides. Plus, experience magicians, stilt walkers and face painters all
under one roof. The winter never felt so much like summer!
Day: Saturday
Date: February 27
Time: 11:00 am-3:00 pm
Transportation
ACC: Pick-up 10:15 am / Drop-off 4:15 pm
PREC: Pick-up at 9:45 am/ Drop-off at 3:45 pm
Fee: $26 15449A
Dr. Seuss’ Birthday Party
Ages 6 years and under with Parent
From “One Foot, Two Foot, Red Foot, Blue Foot” to “ Oh the
Places, You’ll Go!” Dr. Seuss has a story that has touched our
hearts and fostered a love of reading in the young. Let’s get
together and celebrate the birthday of one of childhood’s famous
icons. Our party will include arts and crafts, story time, songs,
games, and of course CAKE!
Day: Wednesday
Date: March 2
Time: 9:00-11:00 am
Fee: $915415A
Shamrock Shuffle
Ages 13 years & up
Shuffle the night away to a DJ after enjoying dinner and prizes. This dance is included in the social club schedule.
Day: Friday
Date: March 4
Time: 6:30-9:00 pm
Location: Orland Park Civic Center
Fee: $38
15305A
Transportation:
PREC: Pick- up at 5:45 pm/ Drop-off at 9:45 pm
13
Theater Night - “Addams Family”
Ages 13 years & up
THE ADDAMS FAMILY features an original story, and it’s every
father’s nightmare. Wednesday Addams, the ultimate princess
of darkness, has grown up and fallen in love with a sweet, smart
young man from a respectable family. A man her parents have
never met. And if that weren’t upsetting enough, she confides
in her father and begs him not to tell her mother. Now, Gomez
Addams must do something he’s never done before - keep a
secret from his beloved wife, Morticia. Everything will change
for the whole family on the fateful night they host a dinner for
Wednesday’s “normal” boyfriend and his parents. The Oak
Lawn’s Park District Community Theater Troupe will bring this
musical to life with its singing and theatrics.
Day: Wednesday
Date: March 9
Time: 8:00-10:30 pm
Location: Oak Lawn Park District
Fee: $18
15447A
Transportation:
PREC: Pick- up 6:15 pm /Drop-off at 11:15 pm
Celebrity Look-A-Likes Dance
Ages 13 years & up
It’s time to be a STAR! Come dressed as your favorite
celebrity. Prizes will be awarded. Delicious snacks and drinks
will be served.
Day: Friday
Date: March 11 Time: 7:00-9:30 pm
Location: Joliet West Township High School
Fee: $925304A
Transportation:
ACC: Pick-up 6:00 pm/ Drop-off 10:30 pm
PREC: Pick- up 6:30 pm / Drop-off 10:00 pm
Chicago Blackhawks Game
This year promises to be exciting for the Blackhawks. Why not
join in on the excitement? Hockey is a game of strength, agility
and speed, and in the NHL the action never stops. Come watch
as the Stanley Cup Champion Blackhawks take on the Dallas
Stars. Bring at least $20 for concessions and extra money for
souvenirs. Staff will call parents or guardians before leaving the
United Center with pick up times. PLEASE NOTE: our seats are in
Section 303 in Rows 5, 6 and 7.
Day: Tuesday
Date: March 22
Time: 7:00 pm puck drops
Location: United Center, Chicago
Fee: $139
15104A
Deadline: March 1
Transportation
ACC: 5:30 pm/ TBA--staff will call with the return time
14
Milwaukee Spring Break Overnight Trip
Ages 18 years & up
Milwaukee has so much to offer. In just two short days we will
tour the sites and take in as much as we can. A detailed schedule
of the trip will be sent out 2 weeks prior as well as a packing list
and other important paperwork for the overnight stay.
Day: Wednesday - Thursday
Date: March 30-31
Time: March 30, 10:00 am -March 31, 1:00 pm
Location: Milwaukee, WI
Fee: $30025459A
Deadline: March 1
Transportation
ACC: Drop off: 10:00 am on March 30 / Pickup: 1:00 pm on
March 31
PREC: Drop off: 9:30 am on March 30 / Pickup: 1:30 pm on
March 31
Mexican Fiesta Dinner Dance
Ages 13 and up
Hola amigos! This evening fiesta with friends will include a
Mexican dinner, your favorite DJ and a surprise giveaway. Day: Friday
Date: April 8
Time: 6:30-9:00 pm
Location: LWSRA Building, New Lenox
Fee: $3425306A
Deadline: March 18
Transportation
Chicago Wolves Game
Ages 8 years and up
Don’t miss this action packed afternoon watching AHL hockey
with your friends. Come cheer on your Chicago Wolves to victory
as they take on the Iowa Wild. Fees include ticket, transportation
and staff supervision. Participants should bring at least $15 for
the concessions and extra money if they would like to purchase
souvenirs. LCSRA will stay until the game is over. Staff will call
parents or guardians before leaving the Allstate Arena with pick
up times.
Day: Saturday
Date: April 16 15416A
Game Time: 7:00 pm
Location: Allstate Arena, Rosemont
Fee: $39
Deadline: April 1
Transportation:
PREC: Pick- up 5:30 pm / Drop-off TBA
ACC: Pick-up 6:00 pm/ Drop-off TBA
Blacklight Mini Golf
Ages 8-17 years
Blast off to outer space and enjoy a thrilling game of black light
mini golf. Putt your way through 18 holes of alien planets, giant
robots, flying saucer and space creatures. If you want an extra
challenge, add 3D glasses to the mix and your ball will seem as
though it’s floating through the scenery.
Day: Saturday
Date: April 16
Time: 11:00 am-1:00 pm
Location: Space Golf, Orland Park
Transportation:
ACC: Pick up: 10:15 am / Drop off: 1:45 pm
PREC: Pick up: 9:45 am / Drop off: 2:15 pm
Fee: $2425447A
Deadline: April 2
Day in Galena
Ages 18 years & up
Join LCSRA and experience the vintage charm and contemporary
spirit of Galena. We will explore some of the historical sites, take
the trolley tour around town and stop to eat at one of the quaint
restaurants. LCSRA will over the cost of lunch. There will be a lot
of walking so please wear comfortable shoes. This trip is not accessible for individuals who utilize wheelchairs.
Day: Sunday
Date: April 17
Time: 10:00 am-4:00 pm
Location: Galena
Fee: $4925456A
Deadline: March 24
Transportation
ACC: Drop off: 9:00 am / 4:30 pm
PREC: Drop off: 9:30 am / 5:00 pm
Family Fitness
Family Event
Sunday is a day for families to spend together and connect
with each other. Get out of the house and join us for healthy
appetizers and fitness fun! Rotate through a variety of stations
including Zumba, obstacle course, push up/sit up contest,
and much more. All participants must be accompanied by a
registered family member. This is not a staffed event.
Day: Sunday
Date: April 17
Time: 1:00-4:00 pm
Fee: $1525448A
Deadline: April 3
Star Wars Day
Ages Under 6 years with Parent
May the 4th be with you! George Lucas created the first Star
Wars movies in the 70s and they are still popular today. Come
dressed in your favorite Star Wars attire for a day of arts and
crafts, story time, songs, games and theme related treats.
Day: Wednesday
Date: May 4
Time: 9:00-11:00 am
Fee: $925418A
Deadline: April 27
Spring Formal Dinner Dance
Ages 13 years & up
Dinner, flowers and a picture are included in this spring-fling you
are sure to enjoy with your friends! This dance is included in the
social club schedule.
Friday: Friday
Date: May 13
Time: 6:30-9:00 pm
Location: Apollo Recreation Center, Alsip
Fee: $49
25305A
Deadline: April 22
Transportation:
PREC: Pick- up 5:00 pm / Drop-off at 10:15 pm
Saturday Night Fever
Ages 13 years & up
Here is your chance to show off your “moves” as you dance the
night away to the latest tunes spun by Orland Park’s resident DJ.
The evening includes dinner, dance contest and prizes.
Day: Saturday
Date: May 14
Time: 6:30-9:00 pm
Location: Civic Center, Orland Park
Fee: $41
25109A
Deadline: April 22
Transportation
15
Compe t i t i v e Spor t s
Chicago Cubs Game
All ages welcome
Parent and siblings are welcome (up to 2 people)
Take me out to the ball game! Come cheer on your Chicago Cubs
as they take on the Washington Nationals at the friendly confines
of Wrigley Field. Program fee includes ticket and transportation.
Please bring money for snacks and souvenirs. LCSRA will stay
until the game is over. Staff will call parents or guardians before
leaving Wrigley Field with pick up times.
Day: Friday
Date: May 6
Time: 1:00 pm game
Location: Wrigley Field, Chicago
Fee: $59
25415A
Deadline: April 1
Transportation
ACC: 10:00 am / staff will call with the return time (Taking
coach bus)
Cosmic Bowl
Ages 8-17 years
“Fox Bowl is your Cosmic Bowling Home in Wheaton.
Laser Lights, Disco Lights, Black Lights with haze machines
pumping out fog. LOUD heart pounding music from our state
of the art sound system!” Cost of the event includes two games
and shoes.
Day: Friday
Date: May 20
Time: 6:00-7:30 pm
Location: Fox Bowl, Wheaton
Transportation
ACC: Pick up 5:30 pm/ Drop off 8:30 pm
PREC: Pick up 5:00 pm/ Drop off 8:00 pm
Fee: $24 25449A
Deadline: May 6
Family Bowl
Family Event
Sunday is a day for families to spend together and connect with
each other. Get out of the house and join us for an afternoon
of bowling. This will be a recreational bowling experience that
encourages socialization with other LCSRA families. Cost of the
event includes two games and shoes. All participants must be
accompanied by a registered family member. This is not a staffed
event.
Day: Sunday
Date: May 22
Time: 1:00-4:00 pm
Fee: $1525460A
Deadline: May 8
16
Swim Team
Ages 8 years & up
Dive into the deep blue with the LCSRA Swim Team. Swim team
is designated for swimmers who want to compete. Practices
focus on swim endurance and stroke mechanics. The team
competes in the Special Olympics qualifiers (Area is February and
District is in March…. both at Stagg HS).
Day: Monday
Date: January 11-May 2
Time: 7:00-8:00 pm
Location: Bolingbrook Recreation & Aquatic Complex
15401A
Deadline: January 4
No Class: January 18, February 15, March 7, March 28 or April 4
Swim Team Qualifiers
Area Meet on February 13
District Meet on March 5
Track & Field
Ages 8 years & up
Join fellow athletes in training for the Area track meet, held at
Thornwood High School in South Holland in May. Events
include, but are not limited to, the 100-meter run, softball throw,
standing long jump, shot put and the 400-meter relay. Athletes
earning a gold medal at the Area meet qualify for the Special
Olympics Summer Games, held at Illinois State University, June
10, 11 and 12. Be sure to wear a good pair of running shoes and
no jeans may be worn.
Time
6:00-7:00 pm
7:00-8:00 pm
Age (Years)
8-15
16 & older
Code
15418A
15418B
Day: Monday
Date: February 8-May 2
Location: Brooks Middle School Outdoor Track & ACC
(Depending on weather)
No Class: March 7, March 28 or April 4
Transportation
PREC: Pick- up 5:30 pm / Drop-off 8:30 pm
Track & Field Meet
SO AREA SPRING GAMES on May 7
Bocce
Ages 8 years & up
Bocce, a favorite family game, is one of Special Olympics’ most
relaxing competitive sports. Learn to toss, roll, hit and score
points while learning the rules of the game. We will practice indoors, going outside when the weather permits. Participants will
have the opportunity to compete in the Area Tournament.
No jeans may be worn for this program.
Day: Tuesday
Date: February 9-April 12 Time: 6:00-7:00 pm
Transportation:
PREC: Pick-up 5:30 pm/ Drop-off 7:30 pm
Gymnastics Team
Ages 8 Years & Up
Join the LCSRA Special Olympics Gymnastic Team. Gymnasts
work on strength and coordination while training in tumbling,
acrobatic skills, and limited apparatus work. This program is for
participants who can sequence six or more skills to compose
a routine for Special Olympics competition. Competition is in
March in Palatine. Wear a leotard or fitted clothing. No jeans may
be worn.
Day: Wednesday
Date: January 13-March 30
Time: 8:15 - 9:15 pm
15419A
Deadline: January 4
Bocce competition: April 9
Gymnastics Competition
SO Area Qualifier on March 6
Softball Team
Grab your mitt and swing into spring as a member of the LCSRA
Lions Softball Team! Over the course of the season, athletes
work to improve their skills through practices and games against
area special recreation associations. The team will compete in
the ITRS tournament in July and the Area tournament in August
at Inwood Park in Joliet. A detailed game schedule and uniforms
are available the second week of practice. All uniforms must be
returned at the end of the season. Times will vary, please refer to
your detailed schedule.
Day: Tuesday
Date: April 19-August 2
Time: 6:30-8:00 pm
Location: Wildcat Field
25411A
Deadline: March 31
Transportation
PREC: Pick- up 6:00 pm/ Drop-off 8:30 pm (varies for away
games)
Soccer Team
Ages 13 years & up
We will be joining our friends from SEASPAR again this year
to further develop our skills in soccer. Coaches focus on skills
such as dribbling, passing and shooting. Teamwork and good
sportsmanship are emphasized. Games are planned with other
SRAs. Some games may be on different nights and times. We
will also participate in the SO Tournament in April and the ITRS
tournament in May. If our team earns a gold medal at the SO
tournament we will advance to the Special Olympics Summer
Games at Illinois State University, Friday, June 10-Sunday,
June 12. Bring a water bottle to practice. Athletes should wear
athletic clothing and gym shoes.
Day: Wednesday
Date: February 24-May 11 Time: 5:30-6:30 pm
Location: Lily Cache Soccer Field & Annerino Community Center
(for inclement weather)
25445A
Softball Tournaments
SO Tournament on August 7 ITRS Tournament on July 10
Soccer Tournaments
SO Tournament on April 24 ITRS Tournament on May 15
17
LCSRA Spring Golf Club
Ages 8 Years & Up
LCSRA has “hooked” up with Mistwood Golf Corse to provide
our golfers with spring instruction. Staff will assist golfers with
etiquette and rules of the sport, while moving you closer to the
pin practicing at the driving range and then advancing to course
play hopefully in the last two weeks. This is also great preparation for Special Olympics Competition in July.
Ages (Years)
8-12
13 & up
Time
5:00-6:00 pm
6:15-7:15 pm
Date
May 4-June 8
May 4-June 8
Day: Wednesday
Location: Mistwood Golf Club in Romeoville
LCSRA Non-Resident Fee: $47 Deadline: April 20
Code
25451A
25451B
Rhythmic Gymnastics Team
Ages 8 years & up
This sport combines the beauty and grace of dance and the
agility of gymnastics. Gymnasts learn combination of ballet
and dance, incorporating basic gymnastics skills and hand
apparatus-such as rope, hoop, ball and ribbon. This program is
for participants who can sequence six or more skills to compose
a routine for Special Olympics competition. Competition is in
March in Palatine. Wear a leotard or fitted clothing. No jeans may
be worn.
Level
1
2
Time
6:00-7:00 pm
7:15-8:15 pm
Date
Jan 14-Mar 31
Jan14-Mar 31
Day: Thursday
Location: LCSRA Community Room
Deadline: January 4
Gymnastics Competition
SO Area Qualifier on March 6
Code
15419B
15419C
Special Olympics Bowling League
Ages 8 & up
Calling all Special Olympic athletes! This is the opportunity for
you to get involved in bowling on the competitive level. Coaches
will give instruction on how to improve your game and prepare
you for the competition in 2016. Bumpers will not be used for this
program. The fee includes shoe rental, an hour on the lane.
Day: Thursday
Date: January 14-May 12
Time: 5:00-6:00 pm
15470A
No Class: March 31 and April 7
Deadline: January 5
18
Powerlifting
Ages 16 years & up
Sign up for the LCSRA powerlifting team. We will pump
(clap!) you up. Through participation in this program, you
will gain strength, build muscles and increaser your overall
endurance. Besides focusing on overall weight training, we
will concentrate on the bench press and dead lift for the Special
Olympics qualifying meet in May. Please Note: LCSRA reserves
the right to determine if this program is appropriate for
an individual.
Day: Thursday
Date: February 11-April 28 Time: 5:00-6:15 pm
Location: Bolingbrook Recreation & Aquatic Complex
15430A
Powerlifting Competition
SO Area Qualifier on May 1
A da p t i v e Spor t s Offer i n gs
Power Soccer
Ages 7 Years & Up
Participants use an oversized soccer ball and maneuver
their power chairs to dribble, pass, shoot, and score goals. A
footguard is attached to the front of the power wheelchair and the
game is on. This program is an introduction to Power Soccer and
is designed for beginners. Foot guards are provided. LCSRA is
partnering with our friends from SEASPAR to offer this new sport.
Day: Saturday
Date: February 13-May 7 Time: 9:30-10:30 am
Location: Westmont Community Center
15469A
No Class: March 26
Wheelchair Table Tennis
Ages 8 Years & Up
Table tennis is an enjoyable and fast-paced recreational
competitive activity for individuals with disabilities. Two of the
main reasons for its popularity are that it can be played almost
anywhere and it can be easily adapted to meet an individual’s
ability level. LCSRA is partnering up with our friends from
SEASPAR to offer this sport.
Day: Saturday
Time: 11:00 am-Noon
Location: Darien Sportsplex Eagles Room, Darien
15110A
No Class: March 26
Paralympic Boccia
All ages welcome
Join LCSRA in Paralympic Boccia, designed for individuals
whose physical impairment is their primary disability. Boccia is a
game of precision in which the object is to place the balls closest
to the target. Adaptive ramps are available to make the sport
accessible for all individuals.
Day: Thursday
Time: 6:45-7:45 pm
Location: Tibbot Elementary School, Bolingbrook
15106A
No Class: March 31
19
progr a ms for pa r t i cipa n t s wi t h au t ism
Sensory Art
Ages 6-21 years
This program is specifically designed for youth on the autism
spectrum. Each week, participants will create their own
masterpieces using different textures to stimulate their senses. Some of the projects will use food to encourage participants
to incorporate their sense of taste. Visual schedules will be provided if needed. Please wear older clothes that can get messy.
Date
Jan 9-Feb 13
Jan 9-Feb 13
Ages (Years)
6-14
15-21
Deadline
Dec 26
Dec 26
Day: Saturday
Time: 10:00-11:00 am
No Class: January 23 & 30
Code
15407A
15407B
Feb 20-Mar 19
Feb 20-Mar 19
Ages (Years)
6-14
15-21
Deadline
Feb 6
Febr 6
Day: Saturday
Time: 10:00-11:00 am
20
Date
Apr 16-May 14
Apr 16-May 14
Musical Melodies
Ages 6-21 years
spectrum. Individuals of all ages and all abilities can benefit
from listening and playing music. Many studies have found
that children with autism spectrum disorders (ASD) particularly
respond well to music. This class will provide a variety of musical
selections to listen to, play along with and move our bodies to.
This class will be taught by a music therapist.
Date
Yoga
Ages 6-21 years
spectrum. By being calm and in control of your body, you have
an easier time controlling your behavior, learning new skills and
enjoying the world around you. Yoga helps you become more
centered so that you are open to achieving those skills. It also
reduces anxiety while providing a strong core workout. Please
come dressed in athletic wear and bring a water bottle and yoga
mat to each class. If you are having trouble securing a yoga mat
please contact Gina for arrangements.
Code
15405A
15405B
Ages (Years)
6-14
15-21
Deadline
Code
Apr 2
Apr 2
25417A
25417B
Day: Saturday
Time: 10:00-11:00 am
Lunch Bunch
Ages 6-21 years
spectrum. Come and bring your lunch, eat with friends and enjoy
an afternoon of conversation. The focus of this group will be
conversational skills, eye contact and various social skills. Please
bring a sack lunch each class.
Date
Ages
(Years)
Deadline
Code
Jan 9-Feb 13
Jan 9-Feb 13
Feb 20-Mar 19
Feb 20-Mar 19
April 16-May 14
April 16-May 14
6-14
15-21
6-14
15-21
6-14
15-21
Dec 26
Dec 26
Feb 6
Feb 6
Apr 2
Apr 2
15413A
15413B
15413C
15413D
25413A
25413B
LCSRA
Resident
Fee
$9
$9
$12
$12
$12
$12
Day: Saturday
Time: 11:00 am-Noon
Non
Resident
Fee
$12
$12
$15
$15
$15
$15
Hang Time
Ages 6-21 years
This program is specifically designed as a social club for youth
and teens that are on the autism spectrum. It is very important
to enjoy a variety of recreational opportunities with our friends
no matter what challenges we may have. This class is designed
to teach the social skills that are needed for youth with autism to
participate in social events. Each session will consist of in house
skill building and one community outing that is specifically
designed for youth/teens on the spectrum. Field trip times will
vary depending on availability. You will receive a schedule on
the first day of the session. Date
Ages
(Years)
Deadline
Code
Jan 9-Feb 13
Jan 9-Feb 13
Feb 20-Mar 19
Feb 20-Mar 19
Apr 16-May 14
Apr 16-May 14
6-14
15-21
6-14
15-21
6-14
15-21
Dec 26
Dec 26
Feb 6
Feb 6
Apr 2
Apr 2
15304A
15304B
15304C
15304D
25442A
25442B
LCSRA
Resident
Fee
$42
$42
$59
$59
$59
$59
Day: Saturday
Time: Noon-1:00 pm
Non Resident
Fee
$54
$54
$74
$74
$74
$74
A Sensory Friendly Film
Ages 6 years & up, families welcome
“Get up and walk, dance, sing and shout!” This program is
specifically designed for youth on the autism spectrum and their
families. AMC Showplace in Naperville will have their lights up,
the sound turned down and encourage any forms of self expression by the participants. This is a great way for families to
enjoy their favorite movies in a safe and accepting environment.
Ages
6-18
18 & up
Code
25441A
25441B
Day: Saturday
Date: April 9
Time: 10:00 am show time
Location: AMC Showplace, Naperville
Deadline: March 19
Transportation
ACC: Pick up 8:30 am/1:30 pm
PREC: Pick up 9:00 am/1:00 pm
Chords for Kids
Ages 3 and up, families welcome
Tonight we will be heading over to North Central College for
a musical performance specifically designed for people with
Autism. Participants are free to express themselves to the music.
Songs range from instrumental pieces to popular tunes such as:
“YMCA” and “Spider Pig” and songs from “Sponge Bob Square
Pants”.
Ages (Years)
3-17
18 & up
Code
15421A
15421B
Day: Saturday
Date: March 5
Time: 7:00-9:00 pm
Location: North Central College, Naperville
Transportation
ACC: Pick up: 6:15 pm/10:15 pm
PREC: Pick up: 5:45 pm/9:45 pm
21
LCSRA Code of Conduct form
To ensure that all LCSRA participants enjoy programs and events to their fullest, and in the interest of safety, we use the
following guidelines:
Behavior
LCSRA will attempt reasonable accommodations to enable participants to meet behavior expectations.
Show respect to all participants, staff, and public.
Listen to and comply with staff direction and program rules.
Allow others in the program and others at public facilities to enjoy an activity without disruption (within reason).
Refrain from using foul language, discussing inappropriate topics or other offensive behavior.
Refrain from threatening or causing bodily harm or offensive physical contact to self, other participants, staff or public.
Show respect to equipment, supplies, and facilities.
Remain with the group at program.
Additional rules are developed for specific programs as deemed necessary by the staff. If inappropriate behaviors occur,
a prompt resolution will be sought specific to each individual. LCSRA reserves the right to dismiss participants whose
behavior endangers the safety of themselves or others.
Discipline Procedure
Under ordinary and usual circumstances, if a participant exhibits inappropriate actions, the following general guidelines
will be followed:
1. Warning
2. Time out or removal from the situation
3. Report to supervisor
4. Discussion with parent and implementation of a behavior plan
Ordinarily, if a participant’s behavior does not improve depending on the severity of the act, the participant will be
dismissed from the program. However, LCSRA reserves the right to dismiss a participant whose behavior endangers
the safety of him/her self, others, or property, at any time. The Therapeutic Recreation Supervisor or Manager of Special
Recreation will make final determination on dismissals. If a dismissal is made, refunds for unused sessions will be
determined on an individual basis.
I have read and agree to abide by this code of conduct.
_____________________________________________________________________________________________
Signature of ParticipantDate
_____________________________________________________________________________________________
Signature of Parent/ Guardian Date
22
medication dispensing procedures
Parental Procedures and Responsibilities
The parent / guardian must:
1.Complete the Permission to Dispense Medication/Waiver and Release of All Claims form (below).
2.Complete and sign the Medication Dispensing Information form.
3.Deliver all medications to the program supervisor in the original prescription bottle (you can request an extra bottle from your pharmacy).
The bottle must contain the participants name, medication, dosage, and time of day medication is to be given.
4.Verbally communicate with program supervisor any specific instructions regarding the medication.
5.Medication will not be administered if the above procedures are not completed.
Staff Procedures and Responsibilities for Dispensing Medications
Program supervisor / staff must:
1.Ensure that the Permission and Waiver to Dispense Medication Form and the Medication and Dispensing Information Form are fully completed and signed by the parent/guardian prior to the dispensing of any medication; all forms will be included in the program information
given to staff.
2.Ensure that only authorized staff accept medication which may include: program manager or supervisor or program lead staff.
3.Verbally communicate with the parent/guardian regarding any specific instructions regarding the dispensing or storage of the medication. It
is also the responsibility of the authorized staff who receive medication to properly store it in a locked cabinet or refrigerator as needed. It is
extremely important that stored medication is out of reach of other patrons and participants in the program.
4.Obtain copies of all waivers, internal procedures, medication information forms, and medication logs when obtaining the prescription medication to be transported to the program site. All medication stored at a program site must be secured and only available to authorized staff.
5.Program coordinators / leaders responsible for dispensing medication must strictly follow all written instructions on the medical information
form and information on the original prescription container. In the event that conflicting dispensing information exists, medication cannot be
administered until the parent/guardian is reached in order to obtain specific instructions.
6.Unless otherwise arranged, only paid and trained park district staff will be allowed to dispense medication.
7.Staff responsible for dispensing medication will fully complete the medication log sheet. These logs will be turned into the program supervisor and will be kept and stored for at least three years upon the conclusion of the program.
PERMISSION TO DISPENSE MEDICATIONS
Waiver and Release of All Claims
The Bolingbrook Park District and LCSRA will not dispense medication to a minor child or other participant until the Permission and Waiver to
Dispense Medication and Medication Information Forms have been fully completed by a parent/guardian. Please review the Park Districts and
LCSRA’s internal procedures on dispensing medication.
I ________________________________________________the parent /guardian of ___________________________________
give permission to the staff of Bolingbrook Park District /LCSRA to administer the medications listed below to my child.
I understand it is my responsibility to give the medication directly to the program staff in the original prescription containers.
PARTICIPANTS NAME ______________________________________________________________________________________
NAME OF MEDICINE AND COMPLETE DOSAGE INSTRUCTIONS:
___________________________________ ___________________________________ ______________________________
___________________________________ ___________________________________ ______________________________
___________________________________ ___________________________________ ______________________________
In all cases the recommended dosage of any medication will not be exceeded. If after administering medication there is an adverse reaction,
I give permission to the Bolingbrook Park District /LCSRA staff to secure from any licensed hospital physician and/or medical personnel any
treatment deemed necessary for immediate care. I agree to be responsible for payment for any and all medical services rendered.
Waiver and Release of All Claims
I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to my minor child.
Such risks include , but are not limited to , failing to properly administer the medication, failing to observe side effects, failing to assess and / or
recognize an adverse reaction, failing to assess and/or recognize a medical emergency, and failing to recognize the need to summon emergency
medical services.
In consideration of the Bolingbrook Park District /LCSRA administering medication to my minor child , I do hereby fully release or discharge
Bolingbrook Park District/LCSRA, and its officer, agents, volunteers and employees from any and all claims from injuries, damages, and losses I
or my minor child may have (or accrue to me or my minor child), and arising out of, connected with, incidental to, or in any way associated with
the administering of medication.
______________________________________________________________________________________________________________________________
Signature of Parent/ Guardian Date
23
Medication Dispensing information
This form must be completed annually OR if there are changes in medications
DATE COMPLETED: ___________________________________________________________________________
BACKGROUND INFORMATION
Participant’s Name _____________________________________________________ Age ___________________
Address _____________________________________________________________________________________
Parent/Guardian’s Name _______________________________________________________________________
Daytime Phone __________________________________Other Phone __________________________________
Doctor’s Name___________________________________________Phone _______________________________
MEDICATION INFORMATION
Name _________________________________________Dose _____________________Time________________
Dispensing & Storage lnstructions _________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Possible Side Effects ____________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Name _________________________________________Dose _____________________Time________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Name _________________________________________Dose _____________________Time________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
OTHER INFORMATION __________________________________________________________________________________________________
________________________________________________________________________________________________________________________
I understand that it is my responsibility to give the medication directly to program staff with full instructions and in original prescription
bottles. In all cases, medication dispensing can only be changed or modified by completing another Permissioin and Waiver to Dispense Medication Form and Medication Information Form. I hereby acknowledge that the above information provided for the dispensing of medication for my minor child is accurate. I also understand that it is my responsibility to inform the Park District if there are any
changes in the dispensing of medication.
Signature of Parent or Guardian ___________________________________________________________Date: _________________
24
annual information form
Please complete both sides of this form and return to LCSRA. This form must be completed on a yearly basis in order to continue
participation in LCSRA programs and events. Please provide thorough answers. The information gathered from this form helps LCSRA
to plan events and establish goals for programs. Please notify LCSRA of any changes to this form as the need arises.
Participant Name ____________________________________________ Age _____ Birthdate _____/_____/_______ Male ____ Female ____
Address _________________________________________________ City _________________________State _______Zip ___________
Home Phone (_____)_____________________Work Phone (_____)_____________________Cell ( _____)_________________________
Parent/Guardian Name(s)______________________________________ __________________________________________________
Park District____________________________________________
Emergency Contact Name_______________________________Emergency Contact Number (_____ )___________
Email___________________
Emergency Contact Address__________________________________________________Relationship_____________________________
Participants School/Work_________________________________________________School/Work Phone (_____ )_____________________
Disability/Diagnosis__________________________________Description of Diagnosis___________________________________________
Teacher or Case Manager_____________________________________________________Are you a new participant?___________________
Doctor’s Name____________________________Address___________________________________Phone (_____ )________________
Will participant be responsible for self-medication during any programs?
Will staff need to administer medication during any programs? o YES
o NO
o YES
o NO
MEDICAL INFORMATION Please check the appropriate box. If “Yes,” please provide additional information.
Has participant had any injuries or surgeries in the past year that might affect participation? o YES
o NO
_____________________________________________________________________________
If participant has Down Syndrome, have x-rays of the C-1 and C-2 vertebrae been taken and examined? o YES
Is participant clear of Atlanto Axial Subluxation? o YES
o NO
o NO
Is participant subject to seizures? o YES o NO If yes, please note date of last seizure, type and frequency_______________________
Does participant have allergies? o YES
o NO If yes, please list__________________________________________________________
Does participant use any of the following: (Answer each item and provide additional comments in the space provided)
Hearing Aid(s) o YES
o NO ____________________________________________________________________________________
Corrective Eyewear o YES
o NO _________________________________________________________________________________
Orthopedic or Prosthetic Devices o YES
o NO ___________________________________________________________________
Manual Wheelchair o YES
o NO _________________________________________________________________________________
Electric Wheelchair o YES
o NO _________________________________________________________________________________
Stroller o YES
o NO ________________________________________________________________________________________
Walker o YES
o NO ________________________________________________________________________________________
Cane o YES
o NO _________________________________________________________________________________________
CONSENT INFORMATION
Transportation Permission o YES
o NO
Publicity Photo Permission o YES
o NO Transport in Wheelchair o YES
Permission to Consult With Teacher o YES
o NO
Permission to Consult With Caseworker o YES
o NO
o NO
Parent’s Signature_____________________________________________________Date___________________________________
Participant’s Signature (over 21) ________________________________________Date____________________________________
25
DAILY LIVING SKILLS/COMMUNICATION AND BEHAVIOR PLEASE CHECK THE APPROPRIATE BOX. IF
YES, PLEASE PROVIDE ADDITIONAL INFORMATION.
Does participant require assistance with any of the following?
Eating/drinking o YES
o NO ____________________________________
Toileting o YES
o NO ____________________________________
Dressing/undressing o YES
o NO ____________________________________
Money Handling o YES
o NO ____________________________________
Following Directions
o YES
o NO ____________________________________
Orientation to People, Place, Time o YES
o NO ____________________________________
Anticipation of Safety Needs o YES
o NO ____________________________________
Reading o YES
o NO ____________________________________
Writing o YES
o NO ____________________________________
Communication o YES
o NO ____________________________________
Check any special toileting supplies that the participant uses:
oDiaper oLeg bag oCatheter oOther (please list)______________________________
Check any communication tools that the participant uses: oAmerican Sign Language oCommunication Board/Book oPersonal Signs/Gestures
Explain use:_____________________________________________________________________________________
Does the participant respond to specific behavioral techniques?o YES
o NO ______________________________________
Does the participant respond to specific reinforcement devices? (i.e. food, toys, privileges)o YES
o NO _______________________
Does the participant display unusual fears or concerns? o YES
o NO ___________________________________________
Please indicate below any other information in regard to daily living skills, communication and behavior that might assist LCSRA staff:
____________________________________________________________________________________________
____________________________________________________________________________________________
RECREATION PLEASE CHECK THE APPROPRIATE BOX. IF YES, PLEASE PROVIDE ADDITIONAL INFORMATION.
SWIMMING
Does participant require assistance with any of the following?
Pool Entry
o YES
o NO ____________________________________
Submerging Body Parts o YES
o NO ____________________________________
Strokes o YES
o NO ____________________________________
Water Safety Awareness o YES
o NO ____________________________________
Floating o YES
o NO ____________________________________
Indicate what type, if any, of floatation device participant owns or will use: __________________________________________
Does participant require any of the following swim equipment?
Ear Plugs o YES
o NO ____________________________________
Nose Plugs o YES
o NO ____________________________________
Other adapted swim equipment o YES
o NO ____________________________________
Does participant require any adapted recreation equipment (i.e. bowling ramp)?
o YES
o NO If Yes, please describe____________________________________________________
Please note in the space below if participant requires a close staff ratio and why:__________________________________________
MEDICATION
Drug Name
List all medications taken-even if not taken at program
Dose
Time
Reason
Side Effects
I understand that it is my responsibility to give the medication directly to the LCSRA staff with full instructions in individual dosage containers, clearly
labeled envelopes or in original prescription bottles. In all cases, medication dispensing can only be changed or modified by amending this form. I hereby
acknowledge that the above information regarding medication dispensing is accurate. I also understand that it is my responsibility to inform LCSRA if any
changes in the dispensing of medication occurs. In all cases, the recommended dosage of any medication will not be exceeded. If after administering
medication there is an adverse reaction, I give my permission to LCSRA to secure from any licensed hospital physician and/or medical personnel any treatment deemed necessary for immediate care. I agree to be responsible for payment of any and all medical services rendered. I recognize and acknowledge
that there are certain risks of physical injury in connection with the administering of medication to any participant. In consideration of LCSRA administering
medication, I hereby fully release or discharge LCSRA and its officers, agents, employees and volunteers from any and all claims of injury, damages and
losses that the participant may have, arising out of, connected with, incidental to, or in any way associated with the administering of medication. I further
agree to indemnify, hold harmless and defend LCSRA, its officers, agents, employees and volunteers from any and all claims resulting from injuries, damages and losses sustained by the participant and arising out of, connected with, incidental to or in any way associated with the administering of medication.
Parent’s Signature__________________________________________________________Date_________________________
Participant’s Signature (over 21)______________________________________________Date_________________________
26
SPECIAL OLYMPICS application
27
28
ATHLETE INFORMATION
-
White
Hispanic/Latino
Black/African American
Other
Asian
Zip Code
Parent’s/Guardian’s
Home Telephone
State
Policy Number
Medical Insurance Company
-
-
)
-
D
Y
Sex (M or F)
Birthdate
M
M
D
Y
SO ILL Rev. 8-1-10
Date
Parent’s Email Address
Signature of Parent
and/or Legal Guardian
(Check appropriate box)
Print Name
Date
Dosage
No
No
No
No
No
No
Phone (
City
Address
Print Name
)
Doctor’s Signature
Examination Date
State
Zip
I have examined the above-named Entrant
and, in my opinion, there is no mental or
physical reason why he or she should not
participate in the Special Olympics sports
training and competition program. Further
information will be forwarded if required.
Current medication, if any, is specified with
dosage on this application.
Date of last Tetanus shot:
Allergies to medication, if any:
Current Medication
Does the athlete have or is the athlete:
Heart Problems
Yes
Diabetic
Yes
Epileptic/Seizures
Yes
Blind
Yes
Deaf
Yes
Hepatitis
Yes
Other
Does athlete have Down Syndrome?
Yes
No
If yes, have x-rays of the C1-C2 vertebrae
been taken and examined?
Yes
No
Date of x-ray
Is the athlete clear of Atlantoaxial Instability?
Yes
No
PLEASE CHECK MEDICAL INFORMATION
MEDICAL CLEARANCE
SO ILL OFFICE ONLY
Original parent/guardian and doctor signatures are required by the office of Special Olympics Illinois. Faxed signatures will not be accepted.
Athlete’s Email Address
Witness
Entrant
I, on my own behalf or as the undersigned parent and/or legal guardian of the above named applicant (hereafter referred to as the “Entrant”), hereby request permission for the
Entrant to participate in Special Olympics programs. I acknowledge that Special Olympics will screen all entrants using the Sex Offender Public Registry and the Child Murder and
Violent Offender Against Youth Registry and understand that entrants listed on either Registry will be denied participation. I affirm that this Entrant has never been on said Registries
or, if Entrant was listed on either Registry but has since been removed, I will contact Special Olympics Illinois for instructions before submitting this application.
I represent and warrant to you that the Entrant is physically and mentally able to participate in Special Olympics, and I submit herewith a subscribed medical certificate. I understand that
if the athlete has Down Syndrome, he/she cannot participate in sports or events which, by their nature result in hyper-extension, radical flexion or direct pressure on the neck or upper
spine unless a full radiological examination establishes the absence of Atlantoaxial Instability. I am aware that the sports and events for which this radiological examination is required
are equestrian sports, artistic gymnastics, diving, pentathlon, high jump, alpine skiing, soccer, soccer skills, powerlifting squat and butterfly stroke and diving starts in swimming.
On behalf of the Entrant and myself, I acknowledge that the Entrant will be using facilities at his/her own risk and I, on my own behalf, herby release, discharge and indemnify
Special Olympics from all liability for injury to person or damage to property of myself and Entrant.
In permitting the Entrant to participate, I am specifically granting permission to Special Olympics Illinois to use the likeness, voice and words of the Entrant in television, radio, films,
newspapers, magazines and other media, and in any form not heretofore described, for the purpose of advertising or communicating the purposes and activities of Special
Olympics and in appealing for funds to support such activities. I understand that by signing below I consent for the Entrant to participate in the Special Olympics Healthy Athletes
Program that provides individual screening assessments of health status and health care needs. The Entrant has no obligation to participate and I understand the Entrant should
seek his/her own medical advice and assistance and Special Olympics is not responsible for the Entrant’s health.
If I am not personally present at Special Olympics activities in which the Entrant is to compete, so as to be consulted in case of necessity, you are authorized on my behalf and at
my account to take such measures and arrange for such medical and hospital treatment as you may deem advisable for the health and well-being of the Entrant.
I, THE UNDERSIGNED ADULT ENTRANT, have read and fully understand the
I, THE UNDERSIGNED PARENT AND/OR GUARDIAN of the above specified
provisions of the above release and/or have had them explained. I hereby agree that I
Entrant, have read and fully understand the provisions of the above release and have
will be bound thereby and I shall defend Special Olympics Illinois and hold it harmless
explained them to said Entrant. I hereby agree that I and said minor will be bound
from disaffirmation thereof.
thereby, and I shall defend Special Olympics Illinois and hold it harmless from any
disaffirmation thereof by said minor.
PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE
Emergency
Contact Phone (
Person to be contacted
in case of emergency
HEALTH INSURANCE & EMERGENCY INFORMATION (Required for Processing)
Ethnicity
Zip Code
Parent’s/Guardian’s City
Athlete’s City
State
Parent’s/Guardian’s (Please Circle One) Home Address
Athlete’s Mailing Address
Agency Name
Athlete Name (last name, space, first name)
Valid Application for Participation is mandatory for all competitors
605 E. Willow St.  Normal, IL 61761-2682  309-888-2551
APPLICATION FOR PARTICIPATION IN SPECIAL OLYMPICS ILLINOIS
program Registration Form
A n u p d at e d A n n u a l I n f o r m at i o n F o r m ( A I F ) i s d u e at t h e b e g i n n i n g o f e a c h y e a r .
Adult/Guardian______________________________________________________________Date ______/______/_______
(Please Print)
First
Last
Address___________________________________________________City_______________________Zip____________
Phone PRIMARY: (________) _________-_____________
SECONDARY: (________) _________-_____________
Email Address
Mail or bring to: Annerino Community Center. 201 Recreation Drive, Bolingbrook, IL 60440 or
Bolingbrook Recreation & Aquatic Complex. 200 S. Lindsey Lane, Bolingbrook, IL 60440
We invite registrations by people with disabilities. If you need assistance to participate, please mark an “x” in YES box. q YES
CODE
PARTICIPANT’S/ PASS HOLDERS NAME
BIRTHDATE
GENDER
FEE
PROGRAM NAME
$1
$5
TIME
TOTAL
Would you like to make a donation to LCSRA’s Scholarship Fund?
q NO q YES please select which amount:
q NO
DAY
$10
Other ($
)
$
PHOTO: I understand that my child/ward or I may be photographed or videotaped while participating in an LCSRA program or facility. I give
permission for photos and videotapes of my child/ward or me to be used to promote LCSRA. Such photos and videotape will remain the
property of the LCSRA.
WAIVER AND RELEASE FOR PARTICIPANTS OR/BY PARENT
Must be signed by parent if under 18.
Please read this form carefully and be aware that in signing up and participating in this program/activity, you will expressly assuming
the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward
might sustain as a result of participating in any and all activities connected with and associated with this program/activity (including
transportation services/vehicle operation, when provided).
I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree
to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a
result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my
child/ward) as a result of participating in this program/activity against the Lily Cache Special Recreation Association (LCSRA), including
its officials, agents, volunteers and employees (hereinafter collectively referred as “LCSRA”).
I do hereby fully release and forever discharge the LCSRA from any and all claims for injuries, damages, or loss that my minor child/
ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with
this program/activity.
I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all
claims. If registering online, your online signature shall substitute for and have the same legal effect as an original form signature.
Signature
Date
(18 years or older or Parent/Guardian)
Note: LCSRA does not carry medical or accident insurance for its participants. The cost of such insurance would make programs
cost prohibitive. We suggest that you look at your own insurance policy to be sure you are adequately covered. LCSRA assumes no
responsibility for personal injuries or loss of personal property.
29
registration information
R egis t r at i on begi ns
december
L csra resident: 9
L C S R A non - resident: 2 3
The following registration procedures have been developed
to provide equal registration preference to all resident ID
card holders.
1. Phone registration will not be accepted unless otherwise
noted.
2. Registration for programs will end 48 hours prior to the
starting date unless otherwise noted.
3. There will be a $35 service charge for returned checks.
NOTE: Fees are subject to change
Registration Procedures
1. Choose the program you want.
2. Complete the registration form. Include the code
numbers indicated.
3. Make checks payable to LCSRA. Program fees may be
combined for each family.
4. Sign the form. All adult participants must sign. Parent
or guardian signature required for participants under 18
years of age.
5. Drop-off or mail your registration to any of the following
locations:
• Annerino Community Center: 201 Recreation Drive,
Bolingbrook, IL 60440
• Bolingbrook Recreation & Aquatic Complex: 200 S.
Lindsey Lane, Bolingbrook, IL 60440
LCSRA is not responsible for lost or misdirected mail.
REFUND POLICY
A full refund will be provided up to two (2) days before the
registration deadline or in the event of no registration
deadline, two (2) days before the start of an activity, event,
or program. After that point, the refund will be pro-rated.
To receive a Request Form, please visit or call one of the
following locations:
Annerino Community Center, 201 Recreation Dr. at
630.739.0272 or Bolingbrook Recreation & Aquatic Complex,
200 S. Lindsey Ln. at (630) 739-1700, or visit us online at
b o l i ng bro o k par k s . org . Your receipt, cancelled check or
proof of ID may be required. Once approved, refund checks
will be mailed within fifteen (15) business days. The completed
Refund Request Form must be returned to one of our customer
service desks two (2) days before activity, event, or program
start date or registration deadline.
SATISFACTION GUARANTEE
At LCSRA, we strive to provide you with quality recreation
activities, events and programs. We are confident that you
will like these programs. So confident that we will ensure our
promise to provide that high quality. The LCSRA guarantees
that you will be satisfied with recreation classes, programs and
services in which you participate. If after completing two classes
you are not completely satisfied, tell us and we will arrange for
you to do one of the following:
1.Repeat the class at no charge
2.Receive full credit that can be applied to any other class,
program or service
3.Receive a full refund
If you are not satisfied we kindly request input on how we can
improve. To receive a Request Form, please visit or call one
of the following locations: Annerino Community Center, 201
Recreation Dr. at 630.739.0272 or Bolingbrook Recreation &
Aquatic Complex, 200 S. Lindsey Ln. at 630.739.1700, or visit
us online at b ol i ngb rookp a rks.org. Your receipt, cancelled
check or proof of ID may be required. Once approved, refund
checks will be mailed within fifteen (15) business days. The
completed Satisfaction Guarantee Request Form must be
completed and returned to one of our customer service desks
before the third class meeting.
Satisfaction Guarantee does not apply to golf course green fees,
pro shop merchandise, adult sport leagues, food or meals, beverages, facility memberships, daily admissions or tickets to entertainment or sporting events, as well as a few select programs.
Online Registration Resident ID card holders
automatically receive their login and password
to register online. If you are a Resident ID
card holder and have not received your login
information, please call our Application Support
Specialist at (630) 783-6517. Nonresidents may
register online by becoming Parkie’s E-club
members. Parkie’s E-Club forms are available at all facilities or
downloadable on the registration page at bolingbrookparks.org.
Nonresidents simply have to fill the form out and drop it off at a
Park District facility. Your login information will be emailed to you.
In order to protect your privacy, fax orders paid by credit card will no longer be accepted.
Credit Cards will still be accepted in person or online.
30
Lily Cache Special Recreation Association (LCSRA) represents the
partnership between Bolingbrook and Plainfield Park Districts in their
mission to serve the special needs population. Our goal is to provide
recreational programs which build self-esteem and promote a lifetime
of growth. LCSRA fosters an environment which allows individuals to
discover their own unique potential and abilities.
For more information, please visit us at
lilycachesra.org
LCSRA would like to thank its
generous donors:
Bolingbrook Family Chiropractic
Bolingbrook Grey Core
Bolingbrook Knights of Columbus
Bolingbrook Lions Club
GM Financial
Jacqueline and David Saylor
Tressler, LLP
Village of Bolingbrook
JOIN OUR MAILING LIST!
Be sure you’re on the list to receive our seasonal brochure full of the latest programs and events. Simply email Jill Mukushina at
[email protected] or call 630.783.6583.
L i l y C a c h e S p e c i a l R e cr e a t i o n Ass o c i a t i o n
Anneri no Com muni ty Cent e r ( A C C ) | 2 0 1 R e c re a t i o n D r i v e , Bo l i n g b ro o k , I L
630. 739 . 1 1 2 4 | R e l a y : 8 0 0 . 5 2 6 . 0 8 4 4
Plainf i el d Rec rea ti on/ Adm i ni s tra t i o n C e n t e r ( PR E C ) | 2 3 7 2 9 W. O t t a w a S t re e t , P l a i n f i e l d
lilycachesra.org
31
201 Recreation Drive
Bolingbrook, IL 60440
l i l ycach e sra .org
l o ok for THE su mme r lc sra guide t he w eek o f Ap ril 25
sat u r day, J uly 9
noon - 6:0 0 pm
Pro ceeds benef i t LC SRA s c holar ships
32

2016 WINTER/SPRING GUIDE - Bolingbrook Park District

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