brochure

Transcription

brochure

South Suburban Special
Recreation Association
Providing Therapeutic Recreation Services Since 1973
Fall 2016 l Registration Deadline: September 2, 2016
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Country Club Hills • Frankfort Square
Hazel Crest • Homewood-Flossmoor
Lansing • Matteson • Oak Forest
Olympia Fields • Park Forest
Richton Park • Tinley Park
N
After
School
Program
Please see page 6 for details.
Table of Contents
SSSRA Administrative Office
19910 80th Avenue
Tinley Park, IL 60487
Office Hours 9:00 am - 5:00 pm
(815) 806-0384
711 (Illinois Relay System)
(815) 806-0390 (FAX)
www.sssra.org
SSSRA Staff
Janet Porter, CTRS
Lisa Drzewiecki
Pam Alvarado
Tammy McMahon
Heather Specht, CTRS
Katie Lucas, CTRS
Rob Hentschel
Alexandra Szymanski, CTRS Regina Ross-Ellison
Sandy DeFrancesco
Laura Pubins
Anna Broccolo
John Braun
Executive Director
Superintendent
Operations Manager
Program Manager
Inclusion Manager
Support Staff Manager
Recreation Specialist
Recreation Specialist
Finance & Office Manager
Secretary/Registrar
Secretary/Registrar
Public Relations Manager
Vehicle Maintenance Coordinator
SSSRA Members
Country Club Hills Park District
Frankfort Square Park District
Hazel Crest Park District
Homewood-Flossmoor Park District
Lan-Oak Park District
Matteson Recreational Division
Oak Forest Park District
Olympia Fields Park District
Park Forest Recreation & Parks Department
Richton Park Parks & Recreation Department
Tinley Park-Park District
Dwone Ross, Sr.
Audrey Marcquenski
Joseph Bertrand
Stephanie Simpson
Oralethea Davenport
Anthony Burton
Cindy Grannan
Denise Will
Anna Soloff
Geneen Robinson
Sandra Wolff-Chevalier
The SSSRA Board of Directors meets at 9:00 am on the
fourth Thursday of the month at the SSSRA Office.
21-23 Adults with Physical Disabilities
Programs & Special Events
6
After School Program
31-32 Annual Information Form
5
Behavior Guidelines
4
Disability Codes
7-9
Early Childhood Programs
9-10 Early Childhood Special Events
30
First Timer Participant Coupon
3-5
General SSSRA Information
21
Healthy Minds, Healthy Bodies
3
Inclusion Services Information
5
Participant Expectations
5
Program Cancellation Information
35
Program Locations & Directions
5
Program Policies
9
Program Sponsors
30
Refund Policies
33-34 Registration Form
30
Registration Policies
30
Scholarship Information
25-29 Special Events
25
Special Events for All
19-20 Special Olympics Medical Application
17-18 Special Olympics Programs
11
Teen Programs & Special Events
12-16 Teen & Adult Programs
24
Teen & Adult Programs and Special Events
for Individuals with Severe and
Profound Disabilities
4
Transportation Information
16Trips
5
Weather Guidelines
5
Wellness Guidelines
7-9
Youth Programs
9-10 Youth Special Events
Registration Deadline
September 2, 2016
Do not delay, register today!
Ensure that the program you wish to attend is not
cancelled by registering early. Unfortunately, if there
are not enough registrants, the program must be
cancelled. Please register early!
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SSSRA Mission Statement
To promote the power of choice and to enhance the quality of life of
individuals of all abilities, by providing accessible recreation in an
environment that promotes dignity, success, and fun.
General Information
What is SSSRA?
SSSRA is a therapeutic recreation program that is an extension of
eight park districts and three recreation and parks departments.
It is organized to provide individuals with disabilities or special
needs, the opportunity to be involved in year-round recreation.
Vision Statement
To be a quality resource that impacts the lives of the community, by evolving with their needs.
Who is Eligible for SSSRA Programs?
SSSRA programs are for individuals from birth through adult
who are in special education classes, sheltered workshops, or
who have recreational needs not met by traditional park district
programs. This could include individuals who have varying
degrees of physical disabilities, intellectual disabilities, learning
disabilities, emotional difficulties, hearing or visual impairments,
and developmental delays.
Who is a SSSRA Resident?
Persons residing in the SSSRA member agencies are considered
residents. These agencies are: Country Club Hills Park District,
Frankfort Square Park District, Hazel Crest Park District,
Homewood-Flossmoor Park District, Lan-Oak Park District,
Matteson Parks and Recreation Department, Oak Forest Park
District, Olympia Fields Park District, Park Forest Recreation
and Parks Department, Richton Park Parks and Recreation
Department, and Tinley Park - Park District. SSSRA reserves
the right to verify residency and special education services.
Americans with Disabilities Act
SSSRA is subject to and will comply with the Americans with
Disabilities Act (ADA), which prohibits discrimination on the
basis of disability against persons who meet essential eligibility
requirements for services. If you have any questions about our
services in regard to the ADA, please call us at (815) 806-0384.
Inclusion Services at SSSRA
SSSRA is committed to providing new and challenging leisure
and recreation activities for all of our participants. We recognize
that a park district or recreation department program may better serve an individual’s needs. SSSRA works with our eleven
member agencies to assist individuals with making the transition
from special recreation to these programs. Our professional staff
can help you choose an appropriate program, provide referral
services, conduct any necessary staff training, secure support
staff, or supply adaptive equipment or communication devices. If
you or a family member wish to participate in a park district or
recreation department program, please contact Heather Specht
at (815) 806-0384.
Safety Precautions
Some participants in SSSRA programs and special events may
be carriers of infectious disease(s). Staff and volunteers have
been provided in-service training concerning proper hygienic
procedures. SSSRA seeks to provide a safe environment for all
of our participants, staff, volunteers, and the public. If you have
any specific questions, please call the SSSRA Executive Director
or Superintendent at (815) 806-0384.
Atlanto-Axial Instability (AAI)
Because of the risk of injury, Special Olympics Illinois has
established a policy which states that any participant with Down
Syndrome, involved in any Special Olympics sport/activity, must
obtain a x-ray, submit a letter from their physician, and complete
the Special Olympics Illinois medical form. The letter must state
that the individual does not have atlanto-axial instability prior
to participating in the program. All programs in the brochure
which require AAI clearance are marked with the AAI symbol.
Please contact the SSSRA office for more information.
SSSRA and SWSRA Cooperative Agreement
SSSRA has a cooperative agreement with South West Special
Recreation Association (SWSRA). This agreement enables
participants who reside in SSSRA and SWSRA resident
communities to participate in most programs offered by either
association at resident rates. Please note that this does not include
day camp, vacation trips, away camps, and weekend trips. Special
services such as scholarships and door-to-door transportation are
not included in this agreement. Registrations will be processed
after the deadline is reached for agency residents. SWSRA
serves the residents of: Alsip, Blue Island, Merrionette Park,
Midlothian, Palos Heights, Posen, Summit, and Worth.
We hope that through this agreement, each agency’s residents
will have expanded opportunities for program participation. For
additional information about this agreement, please call SSSRA
at (815) 806-0384. To receive a copy of the SWSRA brochure,
call the SWSRA office at (708) 389-9423.
SSSRA and LWSRA Cooperative Agreement
SSSRA has a cooperative agreement with Lincolnway Special
Recreation Association (LWSRA). This agreement enables
participants who reside in SSSRA and LWSRA resident
communities to participate in most programs offered by either
association at resident rates. Please note that this does not include
day camp, vacation trips, away camps, and weekend trips. Special
services such as scholarships and door-to-door transportation are
not included in this agreement. Registrations will be processed
after the deadline is reached for agency residents. LWSRA serves
the residents of: Frankfort, Mokena, Manhattan, New Lenox,
Peotone, and Wilmington.
We hope that through this agreement, each agency’s residents
will have expanded opportunities for program participation. For
additional information about this agreement, please call SSSRA
at (815) 806-0384. To receive a copy of the LWSRA brochure,
call the LWSRA office at (815) 320-3500.
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General Information
Program Options
SSSRA assigns designations for individuals in targeted disability
groups for each program. The groups targeted are suggestions. We
will attempt to accommodate all individuals. Please contact the
SSSRA office if you would like to discuss your program options.
Disability Codes
ADD
Attention Deficit Disorder
ADHD
Attention Deficit Hyperactivity Disorder
AAI
Atlanto-Axial Instability
AUTAutism
BD
Behavior Disorder
CP
Cerebral Palsy
DD
Developmentally Delayed
DS
Down Syndrome
ID
Intellectual Disability
LD
Learning Disability
MUL
Multiple Handicaps
PD
Physically Disabled
PDD
Pervasive Developmental Delay
SED
Severe Emotional Disability
SPSevere/Profound
Program Times
Parents or individuals providing transportation for participants
should make drop-offs and pick-ups at the times listed for the
program. SSSRA staff use the time before the program to meet
with staff and set-up. Please be prompt after the program as some
staff are expected at another program. SSSRA staff are instructed to
stay with participants until they are picked up. If a participant may
walk home, or will be picked up by someone other than parents, a
permission note signed and dated by the parent, must be given to
the Program Supervisor.
Early Arrival or Late Pick-Up Fee
Participants arriving more than 15 minutes prior to a program or
special event will be charged a $10 fee for every 15 minutes early.
Please pick-up participants at the designated time. If parents/
guardians are not on time for participant pick-up, a $10 fee will be
assessed for every 15 minutes late.
SSSRA is not responsible for participants’ safety until the
scheduled program time.
Brochure Errors
Our staff have made every effort to prepare this brochure as
accurately as possible; however, errors can occur. Circumstances
may require that adjustments be made to programs, fees, schedules,
etc. SSSRA reserves the right to make any such adjustments. The
staff apologize for any inconvenience these errors or adjustments
may cause.
Brochure Mail Delivery
SSSRA relies upon the post office for mail deliveries of our seasonal
brochures. SSSRA assumes no responsibility for mail delivery. If
for some reason you do not receive a brochure, please pick one up
at your park district, recreation department, or the SSSRA office.
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Transportation
SSSRA has implemented these transportation procedures to
ensure participants ride safely in our vehicles.
1. All passengers must be sitting in seats or wheelchairs with
belts securely fastened. The driver will not proceed until all
seat belts are fastened.
2. All wheelchairs must have brakes that are in good working
order and can stop the chair from moving.
3. SSSRA has established transportation policies to ensure the safety of all passengers. If SSSRA staff determines it would be dangerous to transport an individual, SSSRA reserves the right to refuse to transport that person.
4. Persons riding in Amigo-type wheelchairs may have to
transfer into a vehicle seat and use a seat belt. Amigo-type
wheelchairs are not designed to transport individuals in
moving vehicles.
5. Late registrants may not have transportation during the first week of programs due to routing changes. Participants are notified if a problem occurs.
6. When transportation is included in special events, the use
of vans or buses may change as necessary to accommodate
group sizes and needs.
7. A minimum of three participants is required for a vehicle
route to run. If there are not enough participants for the
route, you will be notified.
8. If participants do not use SSSRA transportation and plan
to be dropped off or picked up at a special event, please
notify the SSSRA office prior to the event. Parents/
guardians/group home staff are required to notify the
program supervisor upon participant arrival and departure.
9. State law does not require the use of car seats in SSSRA
buses, as they weigh more than 9,000 pounds. However, as a
best practice, the association uses car seats whenever possible,
for children under the age of 8.
Pick-Up Points
1. Special events have centralized pick-up and drop-off
locations.
2. There are different codes for each pick-up point.
Transportation is based on registration for each pick-up
point. Please be sure to indicate which pick-up point you
will use by documenting the correct code for the program
you are registering for.
3. SSSRA cannot wait more than 10 minutes at the pick-up point due to demanding vehicle schedule.
Transportation: Door-To-Door, Persons with Physical
Disabilities, and Day Camp
1. SSSRA drivers will assist participants to and from their
front door; driveways/walks must be clear of debris/
obstacles. SSSRA staff will not enter residences.
2. Persons unable to be in a house alone should have
someone meet the van at the designated time of return.
SSSRA cannot wait more than 5 minutes due to the
demanding vehicle schedule.
3. SSSRA transports in-district participants only for
door-to-door service.
4. For door-to-door transportation, you will be called with
your pick-up time prior to the program date.
5. A minimum of three participants is required for a vehicle
route to run. If there are not enough participants for the
route, you will be notified.
6. Door-to-door transportation is available on a limited basis
as indicated by this symbol.
General Information
Participation Guidelines When Illness Occurs
Behavior Guidelines
1. Fever of 100 degrees or higher.
2. Vomiting within the last 24 hours.
3. Persistent diarrhea in conjunction with other symptoms.
4. Contagious rash or a rash of unknown origin.
5. Persistent cough and/or cold symptoms.
6. “Pink eye” (conjunctivitis) or discharge from the eye.
7. Symptoms of mumps, measles, chicken pox, strep throat,
flu, impetigo, coxsackie virus, head lice, mites, and ringworm.
8. Runny nose with yellow or green discharge, which
indicates infection.
9. Fatigue, due to illness, that will hinder participation and enjoyment of the program.
10.SSSRA may request that a participant submit a doctor’s release in order to participate in SSSRA programs or
special events.
1. Participants must show respect to all participants, staff and
volunteers.
2. Participants must refrain from threatening or causing bodily
harm to self, other participants, or staff.
3. Participants must refrain from using foul language or
discussing inappropriate topics.
4. Participants must show respect for equipment, supplies, and
facilities.
5. Additional rules may be developed for specific programs
and athletic programs as deemed necessary by staff.
6. If inappropriate behavior occurs, a prompt resolution will
be sought specific to each individual’s situation. SSSRA
reserves the right to dismiss participants whose behavior
endangers the safety of themselves or others.
To prevent the spread of contagious illnesses, it is recommended
that participants refrain from attending programs when any of the
following conditions exist:
SSSRA promotes the concept of “equal fun for everyone.”
Participants are expected to exhibit appropriate behavior at all
times. SSSRA’s behavior guidelines have been developed to help
make the programs safe and enjoyable for all participants.
Please notify the SSSRA office if the participant contracts any
contagious illness that will affect his/her attendance at the program. Participants should return to programs at the recommendation of the doctor, or, if not under a doctor’s care, when the symptoms have clearly passed.
Program Cancellations
Program Policies
1. At the scheduled program time, if no participants arrive within
the first 30 minutes, the program session will be cancelled, and staff will be sent home. No refunds will be given.
2. SSSRA staff look at all circumstances three hours prior to the starting time of the program or transportation route, to determine if the program should be cancelled.
3. If the program is cancelled, program staff attempt to reach
all participants by phone to inform them. You will only be
called if the program is cancelled.
4. SSSRA attempts to extend programs to make up missed dates.
5. SSSRA will call/send a letter announcing program extensions.
1. SSSRA reserves the right to determine participant
appropriateness for programs and special events.
2. When arriving and departing a program, parents/guardians/
group home staff are required to notify the program
supervisor.
3. If a participant cannot attend a program, he/she cannot
send a substitute in their place.
4. When participants of varying ages and ability levels are in
the same program, SSSRA will group them appropriately.
5. SSSRA provides an approximate 1:4 staff-to-participant ratio.
6. While SSSRA staff will assist participants with their
belongings at programs, SSSRA cannot be responsible for lost or stolen property. Participants should not bring valuables
to programs.
7. Vacation Trips, Weekend Trips, and Overnights: Participants
must have independent self-help skills, be able to work
successfully in a 1:4 staff to participant ratio, and have
participated in SSSRA weekly programs.
8. With your child’s best interest in mind, parents are invited to
their child’s first program meeting. Our instructors have
found that parent and/or sibling distractions during the
program time affects the quality of their instruction. Our
instructors always welcome the opportunity to discuss a
participant’s progress with parents at any time.
Participant Expectations
1. Participants must have bowel and bladder control or arrive at
the program wearing Depends or similar items under
clothing. If this is a concern, please contact the SSSRA office.
2. Overall appearance should be clean (Hair, face, teeth,hands,
nails, etc.).
3. Clean, dry clothing.
4. Appropriate attire for program participation (i.e. tennis shoes,
warm-ups or loose/comfortable fitting clothing for athletic/
sports/exercise programs).
SSSRA attempts to hold programs whenever possible. However,
inclement weather occasionally makes it difficult for staff and
participants to travel to program locations. SSSRA’s cancellation
policies are as follows:
Severe Weather Guidelines
In the event of severe weather, cancelling programs may be in the
best interest of our participants. For the safety of our participants,
supervisors may make the decision to cancel a program in progress,
should weather become questionable. The following guidelines
will be used to determine cancellations:
Severe Cold Weather
• Outdoor programs: Temperature range of 0 degrees or less,
including wind chill.
• Programs with transportation: Temperature of 0 degrees or
less, including wind chill.
• All programs (including indoor): Snowstorm situations
when driving restrictions (winter storm or blizzard warning
in which authorities have advised not going out unless
necessary) and emergency accident plans (state and local
police) are in effect.
Severe Hot Weather
•
•
•
Outdoor programs, or indoor sites without airconditioning, a heat index of 100 degrees or higher.
Programs with transportation: Heat index of 100 degrees
or higher.
All programs (including indoor): Weather situations when a tornado warning is in effect for Lake, Will, Cook and/or
DuPage counties.
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After School Program
Please join us for this new and exciting program as SSSRA offers an After
School Program. Each day will consist of structured activities, including
gym time, arts & crafts, snack time, and homework/quiet time. The After
School Program is based on the Summit Hill School District 161 calendar.
There will be no program on half days or days there is no school.
Transportation for your child needs to be set up through your child’s school
district or through private arrangements. SSSRA does not provide transportation services. No scholarship funds are available for this program. Parents/guardians should drop off/pick up their child at the west end of the
building. Look for the Frankfort Square Park District drop off sign.
Children ages 5 - 12
Mary Drew School
20130 S Rosewood Dr, Frankfort
2:30 - 6:00 pm
Min/Max: 6/10
• Gym Time
• Arts & Crafts
• Snack Time
• Homework/Quiet Time
Registration Deadline: September 16
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MONDAYS
TUESDAYS
WEDNESDAYS
THURSDAYS
FRIDAYS
ALL DAYS
Oct 3 - Dec 19
No program
Oct 10, Nov 21
10 days
R: $200
NR: $800
Code: 26201
Oct 4 - Dec 20
No program
Nov 8, 22
10 days
R: $200
NR: $800
Code: 26202
Oct 5 - Dec 21
No program
Nov 23
11 days
R: $220
NR: $880
Code: 26203
Oct 6 - Dec 22
No program
Nov 24
11 days
R: $220
NR: $880
Code: 26204
Oct 7 - Dec 16
No program
Oct 7, Nov 25
9 days
R: $180
NR: $720
Code: 26205
Oct 3 - Dec 22
No program
Oct 7, 10;
Nov 8, 22, 23, 24, 25
51 days
R: $1,020
NR: $4,080
Code: 26206
Early Childhood & Youth Programs
Swim Lessons
SSSRA has partnered with British Swim School and their certified instructors to provide quality swim lessons to our participants. In the progressive classes, swimmers are introduced to
basic water skills, breath holding, and a number of submerging
progressions, which will eventually lead the child to unassisted
swimming. Swimming activities will encourage self-confidence,
strengthen gross motor skills, and assist in following directions.
Swim lessons are taught in a 1:2 staff to participant ratio. Please
note that we share the pool with the public.
Please note that participant’s guardian/caregiver must assist
with personal needs, i.e. dressing.
Please note 3 locations.
LA Fitness, Tinley Park
Mon, Oct 10 - Dec 5
R: $104, NR: $716, LWSRA & SWSRA: $179
Min/Max: 2/4
4:00 - 4:30 pm
4:30 - 5:00 pm
Code: 26101
Code: 26102
Tinley Park Fitness Center
Sat, Oct 15 - Dec 10, No program November 26
R: $84, NR: $636, LWSRA & SWSRA: $159
Min/Max: 2/4
9:00 - 9:30 am
9:30 - 10:00 am
10:00 - 10:30 am
10:30 - 11:00 am
Code: 26106
Code: 26107
Code: 26108
Code: 26109
Music and Movement
Dancing to the music, reenacting a story, singing, and playing
various instruments are just some of the activities your child
will engage in during Music and Movement! This structured
program will challenge your child’s creativity and expression
while building their abilities to follow directions, take turns,
and interact with their peers.
Due to the generosity of Ecolab, Inc., this program is offered
free of charge for residents.
Children ages 2 - 5
Tony Bettenhausen Recreation Center, Tinley Park
Mon, Oct 10 - Dec 5
4:30 - 5:15 pm
R: FREE, NR: $176, LWSRA & SWSRA: $44
Code: 20215
Min/Max: 4/10
Fitness Class
New!
I like to move it, move it! Join your friends for an exercise class.
Each week we will engage in some sort of exercise including
aerobics, strength building, dance fitness, and more. This will be
a great class to build endurance, strength, and most importantly
have fun!
Mon, Oct 10 - Dec 5
5:00 - 5:45 pm
R: $32, NR: $128
Code: 20313
Min/Max: 4/10
Sports Camp
New!
Ready to get your child involved in sports but are unsure of
their interests? Well, this is the program for you! Each week,
your child will experience a new sport including: t-ball, soccer,
basketball, track and field, and more.
Due to the generosity of Walmart, this program is offered free
of charge for residents.
Find us on Facebook
facebook.com/sssra1973
Children ages 2 - 5
Matteson Community Center (Oakwood)
Tues, Oct 11 - Dec 6
4:00 - 4:45 pm
Code: 20214
Min/Max: 4/10
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Early Childhood & Youth Programs
Junior Hoopsters
Look out Bulls, the future players are signing up for Junior
Hoopsters! Players will develop skills such as dribbling and
shooting while learning more about the game of basketball.
This is a great transition program to prepare athletes for Special
Olympics Basketball.
5:00 - 5:45 pm
R: $59, NR: $236
Code: 20312
Min/Max: 4/12
Bumper Bowl
This favorite program is guaranteed to provide a “striking”
good time. Our bowling programs provide an opportunity for
all ability levels to participate in this popular sport. Bumpers
are placed in the gutters so you will be able to concentrate on
skill development and technique while enjoying the success of
watching the pins fall. Bowlers will be grouped according to
age and ability. This program includes two games or 1½ hours
of bowling, whichever comes first.
Children ages 2 - 5, 6 - 12
Centennial Lanes, Tinley Park
Wed, Oct 12 - Dec 7
4:30 - 6:00 pm
R: $88, NR: $352
Code: 23501
Min/Max: 4/10
Children ages 2 - 5, 6 - 12
Oak Forest Bowl, Oak Forest
Thurs, Oct 13 - Dec 8, No program November 24
4:15 - 5:45 pm
R: $78, NR: $312
Code: 23502
Min/Max: 4/10
Floor Hockey
New!
Future hockey stars will be introduced to basic floor hockey
skills. Participants will interact in a group setting while working on passing, shooting, and puck movement. The class will
consist of individual basic drills and group games.
Richton Park Community Center
Wed, Oct 12 - Dec 7
5:00 - 5:45 pm
R: $34, NR: $136
Code: 20314
Min/Max: 6/12
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Gymnastics
SSSRA is excited to be partnered with Gym-Kinetics and their
certified instructors to provide gymnastics to our participants!
Children will experience a wide range of gross motor activities
while being introduced to the sport of gymnastics. Each class
will provide your gymnast with a new experience on the trampoline, balance beam, bars, and vault, along with many other
gross motor activities implemented into the program in a fun
and safe environment. Staff from SSSRA will assist each gymnast while a Gym-Kinetics staff runs the program. SSSRA’s
gymnastics program will be taught in a small group setting,
however, other gymnasts and classes will be in the facility during this time.
Due to the generosity of Suburban Service League, Frankfort,
this program is offered at a discounted rate for residents, ages
4 - 6.
Gym-Kinetics, Mokena
Wed, Nov 2 - Jan 18, No program December 28
Children ages 4 - 6
5:00 - 5:50 pm
R: $49, NR: $516, LWSRA & SWSRA: $129
Code: 20216
Min/Max: 5/6
6:00 - 6:50 pm
R: $129, NR: $516
Code: 20315
Min/Max: 5/6
Ice Skating Lessons
Learn the basic skating skills such as forward skating, stopping, and backward skating. Once skaters master the basics, advanced skills will be introduced accordingly. Program curriculum is based on the international standards of the Ice Skating
Institute’s Special Skater Program. Fee includes skate rental.
Homewood-Flossmoor Ice Arena
4:00 - 4:45 pm
R: $89, NR: $356
Code: 23506
Min/Max: 4/10
Early Childhood & Youth Programs & Special Events
Adapted Dance
Now is your chance to dance! SSSRA has partnered with
Dance Images and their experienced instructors to offer the
dance program. This ballet style class is offered to participants
who like to move and groove to the music. Adapted Dance focuses on dance basics and positive peer interaction. Ballet shoes
are recommended for this class, and are available for purchase
through the studio.
Due to the generosity of Ecolab, Inc., this program is offered
free of charge for residents.
Children ages 2 - 7
Dance Images, Tinley Park
4:45 - 5:30 pm
Code: 20217
Min/Max: 4/12
Friday Drop In
Calling all parents! It is your turn for a night out on the town.
Drop the kids off for a fun filled evening of games, music, arts
and crafts, and a movie. Dinner will be provided each week.
Feel free to send your kids in comfy clothes. Siblings are welcome, but must be listed on the registration form and sign a
waiver.
Due to the generosity of St. Margaret Mary Parish, this program is offered at a discounted rate for residents, ages 2 - 5.
Animal Therapy
Sign up for an opportunity to interact with Rainbow Animal Assisted Therapy Dogs. We will learn how to groom, pet,
walk, interact with, and give treats to dogs. These activities will
help develop motor and communication skills, and instill a
sense of self-esteem while building confidence.
Please note dates listed.
Marie Irwin Community Center, Homewood
Sat, Oct 22, Nov 12, Dec 10
12:00 - 12:30 pm
R: $24, NR: $96
Code: 20305
Min/Max: 3/6
Pumpkin Decorating
Let’s decorate pumpkins together! Use your imaginative talents
to create a special pumpkin of your very own. Pumpkins and
carving materials included in the fee.
Irons Oaks Environmental Learning Center,
20000 Western Avenue, Olympia Fields
Sat, Oct 22
2:30 - 3:30 pm
R: $10, NR: $20
Code: 21006
Min/Max: 4/12
Fri, Oct 14 - Dec 9, No program November 25
Children ages 2 - 5
4:30 - 7:30 pm
R: $49, NR: $436, LWSRA & SWSRA: $124
Fee includes participant and 1 additional guest.
Additional guests are $25 each day.
Code: 20218
Min/Max: 5/6
4:30 - 7:30 pm
R: $124, NR: $436
Fee includes participant and 1 additional guest.
Additional guests are $25 each day.
Code: 20316
Min/Max: 6/15
Fall Program Sponsors
Thank you to the following sponsors for
enabling us to offer programs, special events
and transportation services for free or at a
discounted rate for our residents.
Ecolab, Inc.
GKN Foundation
St. Margaret Mary Parish
Suburban Service League
Walmart
9
Early Childhood & Youth Programs & Special Events
Play Time
Kids just want to have fun! This program is all about being with
friends and having a good time! Kids will engage in a variety of
games, crafts, and other structured activities.
Due to the generosity of GKN Foundation, this program is
offered free of charge for residents.
Children ages 2 - 5
Sat, Oct 22
1:00 - 2:00 pm
Code: 20908
Min/Max: 4/12
Dave & Buster’s
Join your friends in trying out Dave & Buster’s in Orland
Park! Here we will have the opportunity to play hundreds of
games. SSSRA will provide a $20 game card for each participant. Please eat lunch before you arrive, and feel free to bring
additional money for games.
Dave & Buster’s, 49 Orland Park Pl., Orland Park
Sat, Nov 5
1:30 - 3:30 pm
R: $32, NR: $64
Code: 21007
Min/Max: 6/12
Chuck E. Cheese
Join your friends for an awesome afternoon of food and fun.
Chuck E. Cheese is filled with games, rides, tunnels, and slides
specifically designed for your little ones. Fee includes a pizza
lunch and 16 game tokens. Feel free to send your child with
money for more game tokens.
Due to the generosity of GKN Foundation, this program is
offered free of charge for residents.
Children ages 2 - 5
Chuck E. Cheese, 16090 S. Harlem Ave., Tinley Park
Sat, Nov 19
1:00 - 3:00 pm
Code: 20906
Min/Max: 4/10
10
Movie Day
New!
Lights, camera, action! Join your friends for an afternoon at
the movies. We plan on seeing a G or PG movie that will be
selected closer to the event. The fee only includes admissions,
so please bring money if you wish to purchase snacks.
Marcus Chicago Heights Cinema
Sat, Dec 3
1:00 pm showtime
R: $23, NR: $46
Code: 21008
Min/Max: 6/12
LocationDeparture
SSSRA Office, Tinley Park 11:45 am
Coyote Run Golf Course, Flossmoor 12:15 pm
You will be notified of your pick-up time.
Gingerbread Houses
Let’s decorate pre-made gingerbread houses together! Use your
imaginative talents to create a special house of your very own.
Houses and decorating materials included in the fee.
Due to the generosity of St. Margaret Mary Parish, this
program is offered free of charge for residents.
Children ages 2 - 5
Frankfort Square Park District, Island Prairie Nature Center
Sat, Dec 17
11:00 am - 12:00 pm
Code: 20907
Min/Max: 4/12
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Teen Programs & Special Events
Open Gym
Come join us for an evening of different activities. We will start
off by doing warm-ups and stretching, and then choose what
activities to do next. Some choices include basketball, softball,
soccer, track & field, and more. Participants may bring a friend.
Guest must sign an SSSRA waiver and be listed on the registration form.
Ice Skating
New!
Do you enjoy ice skating or would you like to learn? Join your
friends as we spend the afternoon at the Homewood-Flossmoor Ice Arena. Please dress warm as it does get cold on the
ice. Admission and skate rentals are included in the fee. Please
make sure to eat before you arrive.
Persons ages 13 - 20
Wed, Oct 12 - Dec 7
4:00 - 4:45 pm
R: $43, NR: $172
Code: 22712
Min/Max: 6/12
Sun, Oct 30
1:00 - 2:30 pm
R: $12, NR: $24
Code: 23108
Min/Max: 4/12
Fit-Tastic
Elves’ Workshop
Shape up weekly as we work out with a goal to improve our
wellness. We will work on building our balance, muscle tone,
strength, and gym etiquette. Please wear comfortable clothing,
gym shoes, and bring a bottle of water.
Homewood-Flossmoor Racquet & Fitness Club
6:30 - 7:30 pm
R: $35, NR: $140
Code: 22711
Min/Max: 6/12
Young Adult Social Club
Liven up your Friday nights by joining your friends at Young
Adult Social Club! All of our activities place a strong emphasis
on socialization. You will be mailed a schedule of events and
transportation times one week prior to the start of the program.
Participants must be able to work successfully in a 1:4 staff to
participant ratio, and display appropriate table manners.
Various Community Outings
7:00 - 9:00 pm (times may vary)
R: $142, NR: $568
Code: 22705
Min/Max: 6/12
New!
To the North Pole we go! We are looking for hard working, fun
loving elves to join our workshop. Build holiday wreaths, gift
bags, and other winter crafts to take home. We will keep warm
and jolly while we work by sipping hot chocolate and eating
Mrs. Claus’ famous cookies.
Matteson Community Center (Matteson Avenue)
Sun, Dec 18
1:00 - 3:00 pm
R: $13, NR: $26
Code: 23109
Min/Max: 4/12
Oktoberfest
Fall 2016
• Lunch
• Hayrides
• Pumpkin Decorating
• Games
• Much More
All SSSRA Participants and Family
SSSRA Office, Tinley Park
Saturday, October 1
12:30 - 3:00 pm
Please see page 25 for more details.
11
Teen & Adult Programs
Swim Lessons
SSSRA has partnered with British Swim School and their certified instructors to provide quality swim lessons to our participants. In the progressive classes, swimmers are introduced to
basic water skills, breath holding, and a number of submerging
progressions, which will eventually lead to unassisted swimming. Swimming activities will encourage self-confidence,
strengthen gross motor skills, and assist in following directions.
Swim lessons are taught in a 1:2 staff to participant ratio. Please
note that we share the pool with the public.
Day Trippers
Come spend Mondays with your friends from SSSRA. Different activities are scheduled every other week. All of our activities place a strong emphasis on socialization and community
integration. Door-to-door transportation is provided for residents, and participants will be notified of their pick-up time.
Non-residents will need to meet at the SSSRA office and will
be notified of the departure time. Participants must be able to
work successfully in a 1:4 staff to participant ratio, and display
appropriate table manners.
October 10: Morton Arboretum
We will start the season off by going to the Morton Arboretum.
In October, they are hosting their Scarecrow Trail. Together, we
will walk the trails and admire the scarecrows created by local
scout troops and vote for our favorites! Dress appropriately and
please bring a lunch, we will be having a picnic on the Arboretum grounds.
4:00 - 4:30 pm
4:30 - 5:00 pm
October 24: Phillips Park Zoo
Before it gets too cold outside, we will visit the Phillips Park
Zoo. They have 41 different species in their zoo, and in the park
they have a beautiful sunken garden that we will be able to visit.
Dress appropriately and please bring a lunch, as we will be eating in their Picnic Pavillion.
Please note that participant’s guardian/caregiver must assist
with personal needs, i.e. dressing.
Persons ages 13 and older
LA Fitness, Tinley Park
Mon, Oct 10 - Dec 5
R: $104, NR: $716, LWSRA & SWSRA: $179
Min/Max: 2/4
Code: 26101
Code: 26102
November 7: Red Robin & Oak Forest Bowl
As a group, we will enjoy lunch at Red Robin. Afterward, let’s
see who can bowl the high score at Oak Forest Bowl. Lunch
and bowling are included in the fee.
November 21: Hollywood Casino
Let’s go throw our luck around at the Hollywood Casino in Joliet! Prior to walking around the casino floor, we will be having
lunch at their restaurant. Lunch is included in the fee. Please
bring additional spending money.
SSSRA Gift Cards
SSSRA gift cards are now available at our
office. A great gift for any occasion!
Call 815-806-0384 for more information.
December 5: Holiday Shopping
It’s that time of the year again to do some holiday shopping!
Bring your shopping list, and we will help find gifts for your
friends and family! We will be having lunch in the food court
(included in the fee). Please bring additional spending money.
You will be notified of your pick-up time for
door-to-door transportation.
Mon, Oct 10, 24; Nov 7, 21; Dec 5
9:00 am - 5:00 pm (times may vary)
R w/Trans: $179, NR: $716
Code: 25001
Min/Max: 6/10
12
Healthy Eaters
Join us weekly as we work together to create healthy snacks
that are good for our bodies. We will discuss the importance
of diet and exercise, and how to choose food that will provide
nutrition to us. We will work together to change our eating
habits and be healthy!
Mon, Oct 10 - Dec 5
5:30 - 6:30 pm
R: $65, NR: $260
Code: 22901
Min/Max: 6/10
Drama Club
There’s no business like show business! Here is your big chance
to become a star! We will work on pantomime, facial expressions, and vocal levels. Performing is a great way to improve
verbal and social skills, while building self-confidence. Using
props and costumes, we will perform at the Fall Arts Recital
and Drama Show on Monday, December 12 at 7:00 pm.
Freedom Hall, Park Forest
Mon, Oct 10 - Dec 5
Fall Arts Recital and Drama Show Monday, December 12, 7:00 pm
6:00 - 7:30 pm
R: $89, NR: $356
Code: 22902
Min/Max: 6/20
Stage Crew
New!
Get those creative ideas flowing, and be part of the Fall Drama
production as an SSSRA Stage Crew member. You will be creating and making the props and stage set-ups for the Drama
Show in December. This may include drawing, painting, hammering, etc. Stage Crew will take part in dress rehearsals and
showtime. If you don’t want to be on the stage, but want to be
part of the action of theater, this program is for you.
SSSRA Office, Tinley Park;
Dress Rehearsal and Show - Freedom Hall, Park Forest
Wed, Oct 12 - Dec 7
Dress Rehearsal - Mon, Dec 5
Fall Arts Recital and Drama Show - Mon, Dec 12
5:30 - 6:30 pm
R: $57, NR: $228
Code: 22939
Min/Max: 6/15
Weight Lifting and Water Aerobics
Ready to get in shape and feel energized? We will spend half of
the program in the pool, working on core muscle strengthening
and overall body conditioning. The other half of the program
will be in the weight room to work on cardiovascular exercises as well as overall strength training. Please bring workout
clothes, gym shoes, a water bottle, swimsuit, and towel. Participants may want to consider bringing a key lock for the lockers.
participant ratio. Please note that we share the pool with the
public.
Matteson Community Center (Matteson Ave)
Mon, Oct 10 - Dec 5
6:30 - 8:30 pm
R: $78, NR: $312
Code: 22904
Min/Max: 6/12
Monday Night Raw
Liven up your Monday nights and spend it watching WWE
Monday Night Raw, a wrestling experience like no other! Here
you will be able to talk about the show as the action happens
and engage in friendly competition as you guess who will win
each match. Snacks will be provided.
Mon, Oct 17 - Dec 5, No program November 21
7:00 - 9:00 pm
R: $51, NR: $204
Code: 22940
Min/Max: 6/12
Chef’s Kitchen
Join us at Chef ’s Kitchen where every week is a culinary
experience. Learn new culinary skills that can last you a
lifetime. Enjoy your creation that was prepared along with
your SSSRA friends! Participants must be able to work
successfully in a 1:4 staff to participant ratio, and display
appropriate table manners. Stay for Crafty Creations following
this program.
Please note 2 locations and days.
4:30 - 6:30 pm
R: $87, NR: $348
Code: 22906
Min/Max: 6/12
4:30 - 6:30 pm
R: $77, NR: $308
Code: 22916
Min/Max: 6/12
13
Crafty Creations
Explore your creative side and use your unique talents to make
beautiful crafts! Join us for this exciting program, and experience the fun of using your imagination! Help strengthen your
fine motor skills and self-esteem through artistic self-expression. Participants must be able to work successfully in a 1:4 staff
to participant ratio. Don’t forget to sign up for Chef ’s Kitchen
to enjoy dinner before this program.
Please note 2 locations and days.
6:45 - 7:45 pm
R: $57, NR: $228
Code: 22907
Min/Max: 6/12
6:45 - 7:45 pm
R: $51, NR: $204
Code: 22917
Min/Max: 6/12
Fine Arts Club
Join us as we encourage you to explore your artistic abilities
through fun art and activities. Each week you will find something inspirational and it will let you be creative and develop
your own masterpiece. We may work on jewelry making, painting, clay, drawing, charcoal and more.
4:30 - 5:30 pm
R: $84, NR: $336
Code: 22924
Min/Max: 6/12
Rake Knitting
Come learn how to rake knit, where knitting is done without
needles! This program is designed to teach participants how
to knit by using a circular frame and yarn. We will work on
enhancing fine motor skills while creating a new hat, scarf, or
some other masterpiece.
5:45 - 6:45 pm
R: $61, NR: $244
Code: 22930
Min/Max: 6/12
14
Bingo
B-I-N-G-O! Enjoy yourself and have some fun while playing the game of Bingo! Participants will have the chance every
week to win a prize.
Eisenhower Center, Lansing
6:45 - 7:45 pm
R: $39, NR: $156
Code: 22937
Min/Max: 6/12
Bowling
This favorite program is guaranteed to provide a “striking”
good time. Our bowling programs provide an opportunity for
all ability levels to participate in this popular sport. Bowlers
will be grouped according to age and ability. This program includes two games or 1½ hours of bowling, whichever comes
first. Bowling ramps are available. Supervisors will keep track of
participant’s bowling averages for Special Olympics.
Wed, Oct 12 - Dec 7
4:30 - 6:00 pm
R: $88, NR: $352
Code: 22910
Min/Max: 6/30
4:15 - 5:45 pm
R: $78, NR: $312
Code: 22911
Min/Max: 6/30
Minute to Win It
Come see how fast you can perform fine motor, gross motor,
and organizational skills, and challenge your friends with fun
filled games. We will be playing games from the show “Minute
to Win It,” such as Junk in the Trunk, Defying Gravity, and
Mega Bubble. Let’s see how many challenges you can complete
in under 60 seconds!
Wed, Oct 12 - Dec 7
5:30 - 6:30 pm
R: $55, NR: $220
Code: 22931
Min/Max: 4/12
Thanks to Staff
Jean Arola
Alyssa Ashmore
Rebecca Atwood
Donna Bailey
Melanie Bagnola
Deb Baker
Jasmine Baker
Amanda Bergfors
Alli Boerema
Bridgette Bova
Jennifer Braun-Denton
Dana Browne
McKayla Brzeszkiewicz
Eric Buksa
Jorgianna Calombaris
Michael Carr
Hannah Casey
Christina Chapan
Amanda Comp
Shannon Cotter
Beth Cullotta
Tina Delbovo
Andrea DiCicco
Nancy DiGangi
Brooke Dittman
Sandra Dittman
Amanda Draeger
Jack Dunlavy
Kevin Dunn
Terry Elliott
Bridgett Flynn
Caitlin Franson
Austin Fritzgerald
Madeline Gannon
Sara Grygus
Ryan Hagen
Amy Hainzinger
Brian Hedinger (V)
Linda Hentschel
Lora Irwin
Alexa Jerkatis
Lisa Jurgenson
Lindsey Justin
Stephanie Keene
Nathan Kies
Mallory Kowaleski
Victoria Kozlowski
Anita Kunkes
Emily Leader
KaTrina Lindsey
Ariana Lueder
Kathleen Lucas
Mara Maday
Marisa Marchionda
Kelly McGrail
Colleen McKeown
Scott McMahon
Bridget Melody
Augusta Miller
Colleen Murray
Josh Mutter
Maple Nance
Shannon Nemec
Kasey Nemitz
Callie Nolan
Christina Orengo
Sara Osoba
Lauren Ostrowski (V)
Nikki Panozzo
Melissa Pasierb
Niyati Patel (V)
Vishesh Patel (V)
Ausra Petry
Olivija Petry
TJ Petry
Terry Petry
Tammy Pruitt
Monica Randall
Shevon Reed
Rebecca Reidenga
Ryan Roche
Bethany Romain
Ellie Roseen
Bob Sandusky
Katie Scaramella
Kelly Schramm
Kendall Serafini
Nicole Sharp
Rachel Smith
Lexi Snedden
Erika Sodergren
Christie Soto
Colleen Spain
Brianna Specht
Reid Specht II (V)
Kristina Spychalski
Jeff Stachura
Valerie Stachura
DJ Staska
Jordan Stein
Rachel Sugrue
Tom Vargo
Steffani Vizdal
Kristina Welke
Ian West
Niya Williams
Karen Wolske
Danelle Wonderlick
Alex Zappavigna
Kristina Zappavigna
Shelby Zagorski
Michael Zwartz
Aerobics
Are you ready to burn off some energy? Aerobics will get you
into shape, strengthen your muscles, and increase your level of
cardiovascular fitness. You will learn exercises that you can do at
home. We will begin with aerobic activity, and then move into
stations to work with weights and other exercise equipment. Be
sure to register for Let’s Dance following this program.
Wed, Oct 12 - Dec 7
6:00 - 7:00 pm
R: $47, NR: $188
Code: 22913
Min/Max: 6/20
Let’s Dance
Let’s dance to all your favorite tunes! We will work on dance
steps, turns, and combinations, as well as learning interactive
dances to all your favorite songs. This program will enhance
your gross motor skills and encourage socialization. So grab
your dancing shoes and get out on the dance floor! Don’t forget
to sign up for Aerobics before this program.
Wed, Oct 12 - Dec 7
7:15 - 8:15 pm
R: $36, NR: $144
Code: 22914
Min/Max: 6/20
Fast Food and Flicks
Lights, Camera, Action! Join your friends for an evening of
entertainment! After enjoying a fast food dinner, we will watch
one of the newest hit movies. We plan on seeing a 7:00 pm
movie that is rated G, PG, or PG-13. The fee includes dinner
and a movie, so if you would like a snack, please bring money.
participant ratio, and display appropriate table manners.
Please note dates listed.
Wed, Oct 19; Nov 2, 16, 30
7:00 pm Showtime
R: $113, NR: $452
Code: 23001
Min/Max: 6/20
Departure: SSSRA Office, Tinley Park: 4:45 pm
Coyote Run Golf Course, Flossmoor: 5:15 pm
Return: You will be notified of pick-up time each week
15
Fitness and Fun
Take time for fun and fitness - it is good for the body and the
mind. Join your friends and keep in shape by exercising and using a variety of workout equipment. This is a great opportunity
to enhance coordination, balance, strength, and muscle tone.
Be sure to wear workout clothes and bring a bottle of water.
participant ratio.
Spend Saturday night with your friends, having fun out on the
town! Different activities are scheduled each week. We may
dine out, attend a sporting event, or have a dance party. All
of our activities place a strong emphasis on socialization skills.
You will be mailed a schedule of events and transportation
times one week prior to the start of the program. Participants
must be able to work successfully in a 1:4 staff to participant
ratio, and display appropriate table manners.
Oak Forest Park District - Fitness Center
10:00 - 11:00 am
R: $45, NR: $180
Code: 22919
Min/Max: 6/15
Fall Trip
Hazel Crest Park District - Fitness Center
9:30 - 10:30 am
R: $45, NR: $180
Code: 22918
Min/Max: 6/10
Flag Football
SSSRA is offering this fast paced program to anyone who
wants to have some fun while learning the basic skills of football. We will work on skills such as throwing, catching, kicking,
and hiking.
12:30 - 1:30 pm
R: $36, NR: $144
Code: 22938
Min/Max: 6/12
Animal Therapy
Sign up for an opportunity to interact with Rainbow Animal
Assisted Therapy Dogs. We will learn how to groom, pet, walk,
interact with, and give treats to dogs. These activities will help
develop motor and communication skills, and instill a sense of
self-esteem while building confidence.
Sat, Oct 22; Nov 12; Dec 10
12:30 - 1:00 pm
R: $24, NR: $96
Code: 22920
Min/Max: 3/6
16
Saturday Night Social Club
7:00 - 9:00 pm (times may vary)
R: $135, NR: $540
Code: 23002
Min/Max: 6/32
YMCA Camp Pinewood
Are you ready for a mini getaway? Join your friends as we head
to YMCA Camp Pinewood in Twin Lake, Michigan! We will
have the opportunity to experience climbing, archery, canoeing,
GAGA ball, and arts and crafts. Worried about the cold fall
nights? Campers and staff will be sleeping in heated cabins and
enjoy many campfires.
Please note: Campers must have independent self-help skills
and be willing and able to stay with the group. Campers must
be able to work successfully in a 1:4 staff to participant ratio,
display appropriate table manners, and have participated in
SSSRA weekly programs within the last year. SSSRA reserves
the right to determine the appropriateness of participants for
this trip.
For more information about Camp Pinewood, please contact
Pam Alvarado and/or Tammy McMahon.
Due to the generosity of Ms. Gwen Bohannon, the fall trip is
offered at a reduced fee.
Persons ages 13 an older
YMCA Camp Pinewood, Twin Lake, Michigan
Fri, Oct 7 - Sun, Oct 9
9:00 am (Fri) - 5:00 pm (Sun) - time subject to change
R: $111, NR: $222, LWSRA & SWSRA: $222
Code: 21806
Min/Max: 6/15
Location
Departure (Fri) Return (Sun)
5:00 pm
Special Olympics Programs
Special Olympics Medfest
Special Olympics Illinois has teamed up with medical professionals from Advocate Health Group to provide FREE
sports physicals for intellectually disabled individuals already
participating, and those interested in getting involved in Special Olympics sports. Register today and a medical application form will be mailed to you with instructions. This is not a
staffed event, so athletes must be accompanied by a parent or
group home staff throughout the whole process.
Registration deadline for Medfest is August 26, 2016.
Special Olympics Athletes
Orland Park Sportsplex
11351 W. 159th Street, Orland Park
Thurs, Oct 13
10:00 am - 2:00 pm
(You will be notified of appointment time)
R: FREE, NR: FREE
Code: 21502
Min/Max: 1/25
Special Olympics Powerlifting
Conditioning (AAI)
Keep in powerlifting shape by conditioning through the off
season. Workouts will be designed to keep working on cardio
and physical fitness and prepare athletes for the winter competition season. If you are interested in powerlifting as a new
sport, try this conditioning program to get into shape.
Quality Classic Health and Fitness, Park Forest
6:30 - 7:30 pm
R: $39, NR: $156
Code: 20704
Min/Max: 4/10
Athletic Banquet
If you have participated in any of the Special Olympics sports
with SSSRA in 2016, then come celebrate with us! The Athletic Banquet will celebrate all of the athletes, highlight their
accomplishments, and present awards for the year. Before the
program, we will enjoy dinner. This is not a staffed event.
Athletes who have participated in Special Olympics in 2016
Wiley’s Grill, Coyote Run Golf Course, Flossmoor
Thurs, Jan 26
6:30 - 8:30 pm
Athlete is FREE, Guests are $12 per person
Please indicate the number of guests on the registration form.
*Please note that if you register, but do not show up for the
program, you will be charged a $37 fee.
Code: 31501
Min/Max: 20/100
Young Athletes™ is an innovative sports play program for children ages 2 - 7, with and without intellectual disabilities. This
program will be beneficial on multiple levels for your child,
including helping the children improve physically, cognitively,
and socially. This program focuses on two specific levels of play.
Level 1 includes physical activities focused on developing motor tracking and hand-eye coordination. Level 2 concentrates
on the application of physical activities through sports and developing skills consistent with Special Olympics sports play.
Activities will consist of walking and running, balancing and
jumping, trapping and catching, throwing, striking, kicking,
and advanced skills.
Children ages 2 - 7
11:30 am - 12:15 pm
R: $39, NR: $156
Code: 20701
Min/Max: 6/12
Special Olympics Swim Team
Conditioning (AAI)
Get ready for the upcoming competition season! Weekly workouts include stroke technique, endurance training, relay team
training, and building upper body strength. Swimmers must
already be able to swim a full lap of the pool comfortably. Athletes will have the opportunity to participate in the Tinley Park
High School Swim Invitational in October and the SEASPAR
Swim Meet in November. Participants must be able to work
successfully in a 1:4 staff to participant ratio.
11:00 am - 12:00 pm
R: $66, NR: $264
Code: 20702
Min/Max: 6/12
State Competition Fees
Please note that fees for state competition
will not be prorated unless for medical
reasons. On average, fees are subsidized
between 35 - 50%.
17
Special Olympics Programs
Special Olympics Senior Basketball (AAI)
Come join one of the SSSRA Basketball teams as they compete against other Special Recreation Associations. A team
schedule with game and travel times will be provided at the
second practice. You will be notified of team locations after
the first week. Teams will attend the ITRS and Area 7 Special
Olympics Basketball Tournaments. Uniforms are provided for
athletes. Participants must be able to work successfully in a 1:4
staff to participant ratio. Team locations will be determined after the first practice.
All athletes must have a current Special Olympics Medical
Application on file with SSSRA by November 18, 2016.
All athletes will report to the Matteson Community Center
(Matteson Ave) for the first week.
Please note: program fee does not include State Competition
Hazel Crest, Frankfort Square or Matteson
Tues, Nov 1 - Feb 28, No program Dec 20, Dec 27
6:30 - 8:00 pm
R: $129, NR: $516
Code: 20705
Min/Max: 6/45
Special Olympics Individual
Basketball Skills (AAI)
New!
Not ready for the competitiveness of the Special Olympics Basketball program, but want to enhance your dribbling, shooting,
and passing skills? Then this is the program for you! We will
encourage participants to partake in fun and playful activities
that will prepare them for the Special Olympics Basketball Individual Skills Competition.
Hazel Crest Recreation Center
Mon, Oct 31 - Feb 27, No program Dec 19, Dec 26
6:00 - 7:00 pm
R: $37, NR: $148
Code: 20708
Min/Max: 6/12
Special Olympics Senior Basketball &
Individual Basketball Skills Tournaments
Area 7 Tournament
Location TBA
January 28, 2017 (confirmation pending)
State Basketball Tournament
Illinois State University
March 10 - 12, 2017 (confirmation pending)
Time TBA
$167
Code: 31901
18
Special Olympics
High School Basketball (AAI)
Come join the SSSRA Basketball team as they compete
against other Special Recreation Associations. Athletes must
be 21 years or younger in 2017 to be eligible to play on the
high school team. A team schedule with game and travel times
will be provided at the second practice. Teams will attend the
Area 7 Special Olympics Basketball Tournament. Uniforms are
provided for athletes. Participants must be able to work successfully in a 1:4 staff to participant ratio.
Please note: If this program is canceled due to low enrollment,
athletes may play on the senior team.
Persons ages 14 - 21 (or younger in 2017)
Indian Trail School, Frankfort Square
Tues, Nov 1 - Feb 28, No program Dec 20, Dec 27
6:30 - 8:00 pm
R: $129, NR: $516
Code: 20707
Min/Max: 6/45
Area 7 Tournament
Location TBA
Jan 8 (confirmation pending)
State Basketball Tournament
Illinois State University
March 10 - 12 (confirmation pending)
Time TBA
$167
Code: 31901
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- □ Black/African American
□ Asian
□ Other ________________________________________
Parent’s/Guardian’s
Home Telephone
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Parent’s/Guardian’s City
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D
Sex (M or F)
Y
Witness ___________________________________________ Date ________________
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Agency #
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No □
No □
No □
No □
No □
Dosage
City _______________ State ____ Zip ______
Address ______________________________
Print Name ___________________________
Doctor’s Signature ______________________
Examination Date ______________________
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
Other ______________________________
Hepatitis
Deaf
Blind
Epileptic/Seizures
Diabetic
Heart Problems
Yes □
No □
Does the athlete have or is the athlete:
Yes □
Is the athlete clear of Atlantoaxial Instability?
No □
Yes □
Date of x-ray ____________________
If yes, have x-rays of the C1-C2 vertebrae
been taken and examined?
Does athlete have Down Syndrome?
PLEASE CHECK MEDICAL INFORMATION
MEDICAL CLEARANCE
Phone (_____)_________________________
Athlete’s Email Address ____________________________________________________ Original parent/guardian and doctor signatures are required by the office of Special Olympics Illinois. Faxed and/or copied signatures will not be accepted.
Parent’s Email Address _____________________________________________________ (Check appropriate box)
Print Name _________________________________________ Date ________________
□ Athlete is own guardian
Signature of Parent □
and/or Legal Guardian □ ___________________________________________________
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 established 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, hereby 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 singing 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 PARENT AND/OR GUARDIAN of the above specified Entrant, have
I, THE UNDERSIGNED ADULT ENTRANT, have read and fully understand the provisions
read and fully understand the provisions of the above release and have explained them to
of the above release and/or have had them explained. I hereby agree that I will be bound
said Entrant. I hereby agree that I and said minor will be bound thereby, and I shall defend
thereby and I shall defend Special Olympics Illinois and hold it harmless from disaffirmaSpecial Olympics Illinois and hold it harmless from any disaffirmation thereof by said minor.
tion thereof.
PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE
Policy Number ________________________________________________
Y
Medical Insurance Company ________________________________________
- - Emergency
Contact Phone (_______)________________________________________
Birthdate
M
M
SOILL Rev. 8-1-10
Person to be contacted
in case of emergency ______________________________________________
Parent’s/Guardian’s (Please Circle One) Home Address
HEALTH INSURANCE & EMERGENCY INFORMATION (Required for Processing)
Ethnicity
Zip Code
State
Athlete’s City
Athlete’s Mailing Address
Agency Name
Athlete Name (last name, space, first name)
ATHLETE INFORMATION
605 E. Willow St. · Normal, IL 61761-2682 · 309-888-2551
Valid Application for Participation is mandatory for all competitors
APPLICATION FOR PARTICIPATION IN SPECIAL OLYMPICS ILLINOIS
S1-7
19
S1-8
Instructions for Completing the Application for Participation
The Application for Participation (App) must be filled in completely. Apps with blank sections or attachments
(exception: letter from State Office of Guardianship, 2a below) will not be accepted.
This App is valid for 2 years from the date of the examination date, regardless of the parent/guardian/Entrant signature
date.
Parent/guardian and doctor signatures must be original and both original signatures must be on the same App
form. Faxed signatures, phone consents or verbal consents will not be accepted.
If Entrant was listed on the Sex Offender Public Registry or the Child Murder and Violent Offender Against Youth
Registry but has since been removed, contact the Special Olympics Illinois office for instructions before
submitting this application.
ATHLETE INFORMATION AND HEALTH INSURANCE & EMERGENCY INFORMATION
1. The first two sections must be filled in completely. The ethnicity information is requested to assist in the organizational
outreach efforts.
PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE
2. The Parent or Legal Guardian must read, sign and date the Parent/Guardian Authorization and Media Release.
a. The section must be signed and dated as printed. Deletions or alterations to the section will result in an invalid
App. (Exception: Deletion of the last paragraph regarding medical treatment and attachment of a letter of
explanation and 24-hour emergency telephone numbers from the State Office of Guardianship. As of January
1, 1987, the letter of explanation must be attached.)
b. Only one of the two signature blocks must be completed. Special Olympics Illinois works under the
understanding that this section may be signed by either:
• The (biological or adoptive) parent unless the athlete has been designated a ward of the state;
OR
• The legal guardian; this person must be legally assigned for the individual;
OR
• The athlete if he/she is over the age of 18 and has not been designated as needing and having been assigned
a legal guardian. A witness signature is necessary if the athlete’s signature is unrecognizable (for example, if
the athlete’s signature is an “X.”)
MEDICAL CLEARANCE
3. The Medical Clearance section must be completed, signed and dated by a medical practitioner licensed to administer
physical examinations by the state in which he/she practices. As of September 1, 1990, the Special Olympics Illinois
Application for Participation is the only Medical Clearance form which will be accepted as valid by Special
Olympics Illinois.
This person, by signing the Medical Clearance, is stating that the athlete is in good health and can safely participate in
Special Olympics sports training and competition. It is strongly suggested that the person administering the physical
examination possess the following:
•
•
Background and preparation in giving sports physical examinations.
Qualifications to administer examinations that would not compromise his/her area of specialty.
AFTER COMPLETING THE APPLICATION ...
4. Send the original copy of the Application for Participation to the Area Director who will send the App to the Special
Olympics Illinois Chapter office. The Chapter office will validate the Application for Participation and send a copy of the
App with an approved stamp back to the SOAD (Special Olympics Athletic Director). An Application for Participation will
not be validated until all information is correct and completed on the approved form.
5. Special Olympics Illinois requires that all Applications for Participation be presented prior to and no later than the
established Medical App deadline of a Chapter championship level event (Winter Games, State Basketball Tournament,
Summer Games, Outdoor Sports Festival, Fall Games, Floor Hockey or State Bowling Tournament). All Apps for the
event in question must be valid throughout the completion of that Chapter competition.
Applications for Participation for athletes participating in District Tournaments and Sectional Tournaments must be
received before the entry deadline or with registration materials.
Applications not on file or in receipt by the specified deadline will not be accepted.
20
Programs, Adapted Sports, and Special Events
Suggested for Adults with Physical Disabilities
Day Trippers
As of June, 2016, SSSRA welcomed the 52 veterans into the
Healthy Minds Healthy Bodies program. Over the past three
years, the Healthy Minds Healthy Bodies program has welcomed veterans from World War II, Korean War, Vietnam,
Kuwait, Operation Iraqi Freedom, and the War in Afghanistan. In May, 2016, the Lan-Oak Park District began offering
the Healthy Minds Healthy Bodies program at the Eisenhower
Fitness Center in Lansing. There are now five locations that offer the Healthy Minds Healthy Bodies program. Our goal for
the 2016-2017 year will be to add one new location, so be sure
to look for updates.
Come spend Mondays with your friends from SSSRA. Different activities are scheduled every other week. All of our activities place a strong emphasis on socialization and community
integration. Door-to-door transportation is provided for residents, and participants will be notified of their pick-up time.
Non-residents will need to meet at the SSSRA office and will
be notified of the departure time. Participants must be able to
work successfully in a 1:4 staff to participant ratio, and display
appropriate table manners.
October 10: Morton Arboretum
We will start the season off by going to the Morton Arboretum.
In October, they are hosting their Scarecrow Trail. Together, we
will walk the trails and admire the scarecrows created by local
scout troops and vote for our favorites! Dress appropriately and
please bring a lunch, we will be having a picnic on the Arboretum grounds.
As a reminder about the program, a membership is offered to
a disabled Veteran with a disability rating of 10% or higher for
one year, a membership for a training partner for one year, and
ten personal training sessions for the veteran. Healthy Minds
Healthy Bodies is offered at the following fitness facilities:
October 24: Phillips Park Zoo
Before it gets too cold outside, we will visit the Phillips Park
Zoo. They have 41 different species in their zoo, and in the park
they have a beautiful sunken garden that we will be able to visit.
Dress appropriately and please bring a lunch, as we will be eating in their Picnic Pavillion.
Eisenhower Fitness Center
2550 178th Street
Lansing
November 7: Red Robin & Oak Forest Bowl
As a group, we will enjoy lunch at Red Robin. Afterward, let’s
see who can bowl the high score at Oak Forest Bowl. Lunch
and bowling are included in the fee.
H-F Racquet & Fitness Club
2920 W. 183rd Street
Homewood
Matteson Community Center
20642 Matteson Avenue
Matteson
Oak Forest Health & Fitness Center
15601 S. Central Avenue
Oak Forest
Tinley Fitness
8125 W. 171st Street
Tinley Park
For more information about Healthy Minds Healthy Bodies,
please contact Tammy McMahon at (815) 806-0384 x 14 or
[email protected]
November 21: Hollywood Casino
Let’s go throw our luck around at the Hollywood Casino in Joliet! Prior to walking around the casino floor, we will be having
lunch at their restaurant. Lunch is included in the fee. Please
bring additional spending money.
December 5: Holiday Shopping
It’s that time of the year again to do some holiday shopping!
Bring your shopping list, and we will help find gifts for your
friends and family! We will be having lunch in the food court
(included in the fee). Please bring additional spending money.
Mon, Oct 10, 24; Nov 7, 21; Dec 5
9:00 am - 5:00 pm (times may vary)
R w/Trans: $179, NR: $716
Code: 20603
Min/Max: 3/10
21
Bingo & Pizza
Come join us for an afternoon filled with fun, food, and friendly competition. We will be playing BINGO and enjoying pizza.
Everyone will be a winner, and you’ll be sure to go home with
some awesome prizes.
Persons ages 21 and older with a physical disability
Mon, Oct 17
12:00 - 2:00 pm
R: $15, R w/ Trans: $27, NR: $30
Code: 21310 (w/o Trans), 24610 (R w/ Trans)
Min/Max: 3/10
Bowling
Bowling provides a great opportunity to socialize and sharpen
your bowling skills. An adaptive bowling ball and ramp are
available. The program includes two games or 1½ hours of
bowling, whichever comes first.
Persons ages 21 and older with physical disabilities
1:00 - 2:30 pm
R w/o Trans: $88, R w/ Trans: $196, NR: $352
Min/Max: 3/10
Lunch and a Movie
Let’s join some friends for lunch and a movie! We will start
with lunch at Fuddruckers, then head over to Marcus Chicago
Heights Cinema. The fee includes lunch and a movie, so if you
would like a snack, please bring money.
Fuddruckers, Matteson; Marcus Chicago Heights Cinema
Wed, Dec 14
11:00 am - 4:00 pm
R: $41, NR: $82
Code: 21304
Min/Max: 3/10
22
Hot Tub and Swim
Pull out your swimsuit and come on out to the gym for some
time in the water! We will have the option of swimming in the
pool or enjoying time in the hot tub. This will be a great time
to play games in the pool or socialize with friends in the hot
tub, your choice!
Persons ages 21 and older with a physical disability
1:00 - 2:00 pm
R: $35, R w/ Trans: $131, NR: $140
Min/Max: 3/10
Craft Club
Craft Club is designed for adults with physical disabilities who
would like to explore their creative side. Each week we will
be working on a new art project that you will be able to take
home. This program will focus on fine motor skills as well as
socialization.
11:00 am - 12:00 pm
R: $71, R w/ Trans: $167, NR: $284
Min/Max: 3/10
Oktoberfest
Join us for an afternoon of food, friends, and fun! We will enjoy
lunch, hayrides, pumpkin decorating, games, and much more!
Friends and family are welcome. Please include number of
guests on the registration form. This event will be held rain or
shine. All guests must sign an SSSRA waiver, and indicate the
number of guests on the registration form. Participants must be
accompanied by a parent, guardian, or group home staff. This is
not a staffed event.
Sat, Oct 1
12:30 - 3:00 pm
R: FREE* for participant and up to 3 guests,
$12 for each additional guest
R w/ Trans: $14 per person
NR: $14 per person
*Please note that if you do not show up for the program, you
will be charged a $23 fee for each no show in your party.
Min/Max: 3/10
Shedd Aquarium
We will be heading to downtown Chicago to visit the Shedd
Aquarium. Over 32,000 animals call Shedd their home. We
will be looking and learning about the animals and their environment through the numerous exhibits. Lunch will be enjoyed at the Bubble Net Food Court. Fee includes admission
and lunch. Please bring money for snacks and souvenirs.
Due to the popularity of this program we are offering 2 dates.
Please let us know which date would be your first choice.
Shedd Aquarium, Chicago
Sun, Oct 30
11:00 am - 3:30 pm
R: $43, R w/ Trans: $57, NR: $86
Min/Max: 3/10
OR
Sun, Nov 13
11:00 am - 3:30 pm
R: $43, R w/ Trans: $57, NR: $86
Min/Max: 3/10
Singin’ in the Rain
Transportation Information
Please refer to the Transportation Guidelines on page 4.
Limited transportation is available for all programs indicated with the transportation symbol and will be on
a first-come, first-served basis. Please indicate if transportation is needed on your registration form. Transportation is available for residents only. You will be called
during the first week of the program with your pick-up
time. Please note: A minimum of three participants are
required in order to run a vehicle route.
New!
New!
Be prepared to tap your toes and sing along in the splashy adaptation of the celebrated and beloved MGM classic - Singin’
in the Rain! This musical is filled with every memorable moment from the film and a downpour of unforgettable songs. It
is an old-fashioned musical-comedy you won’t want to miss!
Make sure to bring a sack lunch with you. Only small snacks
available at concessions.
Marriott Theatre, Lincolnshire
Sun, Nov 6
1:00 pm showtime
R: $59, R w/ Trans: $73, NR: $118
Min/Max: 3/10
23
Teen & Adult Programs & Special Events
Suggested for Individuals with Severe & Profound Disabilities
Very Special Art
Music Therapy
Persons ages 13 and older with severe & profound disabilities
Mon, Oct 10 - Dec 5
6:45 - 7:30 pm
R: $58, NR: $232
Code: 24801
Min/Max: 4/10
5:45 - 6:30 pm
R: $53, NR: $212
Code: 24803
Min/Max: 4/10
Explore your creative side and use your unique talents to make
beautiful art! We will draw, paint, construct, and more. Join us
for this exciting program, and experience the fun of using your
imagination. Help strengthen your fine motor skills and receptive and expressive language through artistic self-expression.
Fun with Friends
Liven up your Tuesday evenings by joining your friends for
fun! We will participate in many exciting activities throughout
the season! The activities will include arts and crafts, cooking,
music, and more. These activities place a strong emphasis on
socialization, receptive and expressive language, and gross and
fine motor skills. This program is geared towards adults with
severe and profound disabilities.
5:30 - 6:30 pm
R: $58, NR: $232
Code: 24810
Min/Max: 4/10
Gym Walkers
The mall isn’t the only place for walking inside. The gym is a
perfect place to release energy and improve our moods. We will
warm-up, stretch, and get started walking to music. This is a
perfect opportunity to spend time with your peers and have fun
getting your bodies moving. This program is designed for those
who need a structured environment in which to participate.
This program will enhance socialization, gross motor skills, and
receptive and expressive language skills.
Wed, Oct 12 - Dec 7
5:00 - 5:45 pm
R: $38, NR: $152
Code: 24806
Min/Max: 4/10
24
Music has been recognized for its wonderful healing properties. Making music allows us to explore our creativity, self expressions, and increase our energy through the enjoyment of
the activity. Join this exciting program where we will create
music through instrumentation, rhythm, and song.
Hocus Pocus Crafts
New!
It’s almost Halloween, so let’s create some not so scary crafts
to celebrate! Participants will paint and create two pumpkin
decorations that they can take home. This activity encourages
socialization among peers, and helps participants enhance their
gross motor skills.
Sat, Oct 22
2:00 - 3:00 pm
R: $10, NR: $20
Code: 25405
Min/Max: 4/10
Gingerbread House Craft
Enjoy making a cardboard gingerbread house that you can display for years! Completely made out of cardboard, participants
will be able to create and decorate their houses. This activity
encourages participants to socialize and use their gross motor
skills.
Matteson Community Center (Matteson Avenue)
Sun, Dec 18
11:30 am - 12:30 pm
R: $10, NR: $20
Code: 25406
Min/Max: 4/10
Special Events for All
10th Annual Ricky’s Ride
Join us at Oak Forest Bowl to meet and greet the men and
women who are supporting the 10th Annual Ricky’s Ride! This
event has been a huge success and has raised over $94,000 for
SSSRA. Meet the riders, check out some unique motorcycles,
and experience the rumble of over 300 motorcycles at one time!
For more information, please contact Lisa Drzewiecki.
Sun, Sept 18
10:00 am (Motorcycles leave at 11:00 am)
FREE
Code: 13204 (w/o Trans)
14104 (R w/ Trans)
Min/Max: 10/40
Location
DepartureReturn
8:45 am
12:45 pm
Coyote Run Golf Course, Flossmoor 9:15 am
12:15 pm
Oktoberfest
Join us for an afternoon of food, friends, and fun! We will enjoy
lunch, hayrides, pumpkin decorating, games, and much more!
Friends and family are welcome. Please include number of
guests on the registration form. This event will be held rain or
shine. All guests must sign an SSSRA waiver, and indicate the
number of guests on the registration form. Participants must be
accompanied by a parent, guardian, or group home staff. This is
not a staffed event.
Sat, Oct 1
12:30 - 3:00 pm
R: FREE* for participant and up to 3 guests,
$14 for each additional guest
NR: $14 per person
*Please note that if you do not show up for the program, you
will be charged a $23 fee for each no show in your party.
Code: 23202
Min/Max: 50/250
RTA Transit Orientation Presentation
Offering options for travel indepenence
Accessible CTA, Metra and PACE buses and trains are easy to
use and the RTA would love to show you how! It is important
that adults with disabilities stay informed about public transportation options in order to get to school, maintain or begin a
job, and to spend time with friends!
Topics Covered Include:
- An overview of accesibility features on CTA, PACE,
and Metra
- How to plan an accessible trip
- How to figure out where to get off a bus or train
- How to stay safe when riding public transportation
- Information on how to get a reduced fare or free ride permit
- Q&A session with an RTA representative
Tues, Oct 4
6:00 - 7:30
FREE
Code: 21210
Min/Max: 10/40
Trunk or Treat
Trunk or Treat offers everyone a safe, non-scary way to enjoy
Halloween. Cover your vehicle with Halloween decorations,
bring factory packaged candy, dress in your costume, and join
us for fun! Prizes will be awarded for the best decorated vehicle.
There will also be crafts and music. Vehicles must be set up by
1:45 pm.
Sat, Oct 29, Rain Date: Sun, Oct 30
2:00 - 3:30 pm
R: $11, NR: $22
Code: 23206
Min/Max: 8/50 cars
Fall Arts Recital & Drama Show
See your friends perform at Freedom Hall! The Drama Club
has been hard at work all season, and is ready to put on a show
that you will not forget. This event is free, so bring your friends
and family members! Participants must be accompanied by a
parent, guardian, or group home staff. This is not a staffed event.
Freedom Hall, Park Forest
Mon, Dec 12
7:00 pm show
FREE
Code: 23205
Min/Max: 200
25
Special Events
NEDSRA’s “Nifty Fifties”
Homecoming Dance
New!
NEDSRA is hosting their “Nifty Fifties” Homecoming Dance,
and you’re invited. Come out for a night of dancing and you
could possibly be crowned King or Queen of the night. There
will be appetizers, dessert, and a DJ. Don’t miss out on the opportunity to enjoy this 50s themed evening and boogie all night
long.
It’s a ghoulish good time as we head to Great America to enjoy
Fright Fest! Come enjoy roller coasters like the Batman or the
Demon. Enjoy the thrills of the rides during the day and chills
by night as you stroll through a haunted park filled with ghosts,
ghouls, and all types of characters. Bring money for souvenirs
and food. Wear comfortable shoes and dress for the weather.
participant ratio.
LocationDeparture Return
SSSRA Office, Tinley Park 5:00 pm
11:15 pm
10:45 pm
Location
DepartureReturn
8:30 am
9:15 pm
8:45 pm
York Township Building, Lombard
Fri, Sept 30
7:00 - 9:30 pm
R: $26, NR: $52
Code: 21130
Min/Max: 6/40
Scarecrow Festival
Come out and see over 100 scarecrows in St. Charles, Illinois.
There will be entertainment, great food, numerous interactive events, and the famous Autumn on the Fox Art and Craft
Show. Please bring money for souvenirs and additional events.
Money for lunch is included in the fee. Be sure to wear comfortable shoes as this event requires a lot of walking.
St. Charles
Sun, Oct 9
11:00 am - 3:30 pm
R: $37, NR: $74
Code: 21101
Min/Max: 6/20
Location
DepartureReturn
9:00 am
5:30 pm
5:00 pm
Pinstripes
New!
Great America, Gurnee
Sun, Oct 16
10:00 am - 7:30 pm
R: $71, NR: $142
Code: 21102
Min/Max: 10/20
Sports Day
New!
This program is a great way to play all your favorite sports in a
day! There is no commitment to one sport at Sports Day. You
and your friends will pick which sport you would like to play!
Soccer, football, basketball, volleyball - you name it, almost everything will be available and you decide what you want to play.
Please wear athletic clothing and shoes.
Mary Drew School, Frankfort
Fri, Oct 21
6:30 - 8:00 pm
R: $9, NR: $18
Code: 21132
Min/Max: 6/20
Konow’s Corn Maze
New!
Pinstripes offers a unique dining and entertainment experience.
You will have the opportunity to play your friends in bocce or
even lace up your bowling shoes as Pinstripes offers both bocce
and bowling on site. Don’t miss out on this exciting Friday
night out. Dinner is inclued in the fee.
Konow’s offers many fun fall activities, including 2 corn mazes.
They also have hay rides, a petting zoo, and live music! Wear
appropriate shoes, the grounds in the corn maze can be uneven. Participants must have the physical stamina to walk for a
long distance. Make sure to eat lunch prior to the program, and
bring money if you wish to purchase a snack and/or a pumpkin.
9:45 pm
9:15 pm
6:00 pm
5:30 pm
Pinstripes, Oak Brook
Fri, Oct 14
6:00 - 8:30 pm
R: $39, NR: $78
Code: 21131
Min/Max: 6/20
26
Great America Fright Fest
Konow’s Corn Maze, Homer Glen
Sun, Oct 23
2:00 - 5:00 pm
R: $19, NR: $38
Code: 21133
Min/Max: 6/20
Special Events
Monster Mash
Hoe Down
Community Recreation Center, Country Club Hills
(confirmation pending)
Fri, Oct 28
7:00 - 9:00 pm
R: $19, NR: $38
Code: 21103
Min/Max: 6/40
LWSRC Building
1900 Heather Glen Drive, New Lenox
Fri, Nov 4
6:30 - 9:00 pm
R: $26, NR: $52
24208 (R w/ Trans - Tinley Park)
24209 (R w/ Trans - Richton Park)
24211 (R w/ Trans - Oak Forest)
24229 (R w/ Trans - Lansing)
24212 (R w/ Trans - Flossmoor)
Min/Max: 10/40
Calling all ghosts and goblins! Start planning your costume
design. The 8th Annual Monster Mash Dance is about to take
place. There will be costume judging and plenty of tricks and
treats this frightfully fun night. Dinner will be provided.
Shedd Aquarium
We will be heading to downtown Chicago to visit the Shedd
Aquarium. Over 32,000 animals call Shedd their home. We
will be looking and learning about the animals and their environment through the numerous exhibits. Lunch will be enjoyed at the Bubble Net Food Court. Fee includes admission
and lunch. Please bring money for snacks and souvenirs.
Due to the popularity of this program we are offering 2 dates.
Please let us know which date would be your first choice.
Shedd Aquarium, Chicago
Sun, Oct 30
11:00 am - 3:30 pm
R: $43, NR: $86
Code: 21106
Min/Max: 6/15
4:45 pm
Coyote Run Golf Course, Flossmoor 10:15 am 4:15 pm
OR
Sun, Nov 13
11:00 am - 3:30 pm
R: $43, NR: $86
Code: 21137
Min/Max: 6/15
4:45 pm
Swing your partner round and round. We’re going to have a
rip-roarin’ good time. We will enjoy square dancing with our
SRA friends, a full western meal, and some good old fashioned
fun!
10:00 pm
Richton Park Community Center 5:15 pm
10:00 pm
Tichan House, Oak Forest 5:15 pm
10:00 pm
5:15 pm
10:00 pm
9:30 pm
Singin’ in the Rain
New!
Be prepared to tap your toes and sing along in the splashy adaptation of the celebrated and beloved MGM classic - Singin’
in the Rain! This musical is filled with every memorable moment from the film and a downpour of unforgettable songs. It
is an old-fashioned musical-comedy you won’t want to miss!
Make sure to bring a sack lunch with you. Only small snacks
available at concessions.
Marriott Theatre, Lincolnshire
Sun, Nov 6
1:00 pm showtime
R: $59, NR: $118
Code: 21134
Min/Max: 6/20
SSSRA Office, Tinley Park 10:00 am 5:30 pm
Bingo and Pizza
Join us for an evening of BINGO and a sizzling pizza party!
Remember to bring your favorite good luck charms. Everyone
is a winner today and will go home with awesome prizes.
Sat, Nov 12
1:00 - 3:00 pm
R: $12, NR: $24
Code: 21109
Min/Max: 6/40
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Special Events
Wii Games
Get ready for an afternoon of friendly competition as you and
your friends play some of the best Wii games. See who can get
the highest score in bowling or get the most stars in the Just
Dance game. A snack will be provided during the program.
Sun, Nov 13
2:00 - 3:30 pm
R: $10, NR: $20
Code: 21135
Min/Max: 6/20
Pilgrim Rock Dance
We will celebrate the settlers who founded this great country,
America. Celebrate Thanksgiving with all of your friends from
other SRAs, and dine the way the pilgrims did. Finally, dance
the night away and socialize with your friends.
Romeoville Recreation Center
Fri, Nov 18
6:30 - 9:00 pm
R: $32, NR: $64
Code: 24213 (Trans - Tinley Park)
24214 (Trans - Richton Park)
24216 (Trans - Oak Forest)
24227 (Trans - Lansing)
24217 (Trans - Flossmoor)
Min/Max: 10/40
10:30 pm
10:30 pm
10:30 pm
5:00 pm
10:30 pm
10:00 pm
Bears on the Big Screen
We’re looking for all “Da Bears” fans to watch the game on the
big screen! We’ll experience an NFL game with fellow Bears
fanatics. The Bears take on the New York Giants. Enjoy great
food and good times.
Buffalo Wild Wings, 7301 183rd Street, Tinley Park
Sun, Nov 20
11:45 am - 2:45 pm
R: $23, NR: $46
Code: 21104
Min/Max: 6/20
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Friendsgiving
New!
Friendsgiving is a celebration of Thanksgiving lunch with
friends, and this program will let you enjoy the afternoon with
friends you are grateful for. Participants will come together to
cook and enjoy their very own traditional Thanksgiving meal.
Sun, Nov 20
12:00 - 2:00 pm
R: $12, NR: $24
Code: 21136
Min/Max: 6/20
Holiday Dance
Start the holiday season with good cheer at the SSSRA Holiday Dance! We will enjoy great music, refreshments, and a visit
from you know who! Sign up early so that you don’t miss out
on the fun.
The Clubhouse at Dolphin Lake, Homewood
Fri, Dec 2
7:00 - 9:00 pm
R: $17, NR: $34
Code: 21112
Min/Max: 10/40
Holiday Magic at Brookfield Zoo
Come see your favorite animals all aglow from the magic of
nearly a million holiday lights at Brookfield Zoo. The park will
come to life with carolers, celebrity storytellers, live music, magicians, and much more. We will stop for dinner on the way to
the zoo. December weather can be cold, so please dress appropriately. Please bring money for snacks and souvenirs.
Brookfield Zoo
Sun, Dec 4
5:00 - 8:30 pm
R: $33, NR: $66
Code: 21113
Min/Max: 6/30
10:00 pm
9:30 pm
Special Events
Christmas Ball
Happy Holidays to All! Join us for a year-end event with your
friends from other Special Recreation Associations. Enjoy an
elegant evening with a delicious dinner, followed by dancing
and a visit from Old St. Nick! Group home staff or aides accompanying participants must pay the $60 registration fee.
Please note fee reflects dinner price only.
Elements Conference & Banquet Center
16235 South LaGrange Road, Orland Park
Fri, Dec 9
6:30 - 10:00 pm
R: $60, NR: $120
24221 (R w/ Trans - Tinley Park)
24222 (R w/ Trans - Richton Park)
24224 (R w/ Trans - Oak Forest)
24228 (R w/ Trans - Lansing)
24225 (R w/ Trans - Flossmoor)
Min/Max: 6/40
11:00 pm
11:00 pm
11:00 pm
5:15 pm
11:00 pm
10:30 pm
Holiday Shopping and Lunch
When you’re making your list, you had better check it twice,
because we are going out shopping, now isn’t that nice! Remember to keep your family and friends in mind when we go
to South Lake Mall. Staff will help you find that perfect gift.
participant ratio. Lunch is provided. Please come with a list.
South Lake Mall, Merrillville, IN
Sun, Dec 11
10:30 am - 3:30 pm
R: $24, NR: $48
Code: 21115
Min/Max: 6/20
Illumination: The Experience
We are off to explore the Morton Arboretum’s Illumination!
We will walk a one mile paved trail, while engaging your senses
with dazzling projections, trees that respond to your touch and
sound, and vivid electric colors throughout. Participants will
be able to hug a tree to make it glow, sing to a tree to make it
change colors, and interact with lights with a swipe of a hand.
Due to the nature of the LED lights during the program, participants with a seizure disorder who could be effected should
not register. Please eat dinner before you arrive.
Morton Arboretum, Lisle
Fri, Dec 16
6:00 - 8:00 pm
R: $26, NR: $52
Code: 21126
Min/Max: 6/20
9:30 pm
9:00 pm
New Year’s Eve Bash
Ring in the New Year with your friends from SSSRA! We will
have an awesome sleepover bash! After dinner on Friday, we
will play games, socialize, and watch a movie. Breakfast will
consist of fruit, cereal bars, donuts, and juice. You will need
to bring pajamas and extra clothes. Participants must have
independent self-help skills, be able to work successfully in a
1:4 staff to participant ratio, and have participated in SSSRA
weekly programs. SSSRA reserves the right to determine the
appropriateness of participants for this event.
LaQuinta Hotel, 7555 W. 183rd Street, Tinley Park
Fri, Jan 6 - Sat, Jan 7
5:00 pm (Fri) - 9:00 am (Sat)
R: $69, NR: $138
Code: 21116
Min/Max: 6/20
4:30 pm
4:00 pm
Find us on Facebook
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How to Register
1. Please completely fill in the registration form provided on
pages 33 and 34.
2. Send completed form with payment to SSSRA Registration:
19910 80th Avenue
Your cancelled check is your receipt. No confirmation will be
sent. You will only be notified if a program is cancelled. Payment options include check, money order, VISA, MasterCard,
or Discover Card. Cash will only be accepted in person, at the
SSSRA office.
Refund Policies
1. A full refund will be issued if a program is cancelled.
2. If a participant drops a program prior to the start and no
costs have been incurred, a $5 per program service fee will be
charged and a refund will be issued.
3. If a participant drops a special event and SSSRA has incurred
no costs due to purchase of tickets, rentals, deposits, etc., a $5
service fee per event will be charged and a refund will be issued.
4. In the event of prolonged illness or moving, a $5 service fee
will be charged for each program and/or event, and a pro-rated
refund issued. A doctor’s notice is required for illness.
5. A pro-rated refund may be given if SSSRA deems the program is inappropriate for a participant.
6. A refund will not be provided for cancellations due to inclement weather.
7. No refunds will be issued for amounts under $5.
8. All refunds will be issued by check on a monthly basis.
9. Participants who receive a scholarship will receive prorated
refunds when applicable.
10.Fees will not be prorated if participants register for an event on
the same day as a scheduled weekly program because programs
and special events are already subsidized between 50-65%.
Non-Resident Registration and Fees
1.
2.
3.
4.
Because SSSRA is supported through the tax dollars of its
member communities, the non-resident fees reflect a more
equitable rate in relation to that of its tax supporting members
and the actual cost of providing the programs. Non-resident
policies are as follows:
Non-resident fees are four times the resident fee for programs,
four times the resident fee for day camps and two times the
resident fee for special events.
The non-resident pays the entire fee to SSSRA at the time
of registration. Some local park districts or recreation departments may reimburse a portion of your fee.
Non-residents are ineligible for scholarships.
Non-resident registrations will be processed after the registration deadline, if vacancies still exist in the programs.
Scholarships
1. Any household balance due from a previous program season
must be paid in full before any registration is accepted for the
current season. The balance due must be paid with cash, check,
money order, VISA, MasterCard, or Discover Card.
2. Multiple Program Registration Discount: SSSRA residents will
receive a $25 discount when they register for $200 or more in
programs and/or special events. Please note: Winter and Spring
are separate seasons. Completed registration forms and full payment must be in the SSSRA office by 5:00 pm on the registration
deadline date for this to apply. No exceptions will be made to
any of the criteria listed. Does not apply to Day Camp or Trips.
3. Registration forms will be accepted by walk-ins, mail, facsimile,
or online. However, an individual is not considered registered
until the SSSRA office has received payment in full along with
the completed and signed registration form and waiver. When
sending a fax to SSSRA, it is mutually understood that the
facsimile document shall substitute for and have the same legal
effect as the original form. Please contact the SSSRA office to
confirm that your fax was received.
4. Due to increased volume of participants and programs, payment
in full should accompany the registration form. Contact the
SSSRA Executive Director to make any payment plan arrangements, if necessary.
5. Registrations are processed on a first-come, first-served basis.
6. Programs have a minimum and maximum size. Program minimum must be met by member agency resident. If your registration is received after a program is filled, your name will be placed
on a waiting list. You will be notified after a deadline only if the
program is full and you did not get in.
7. Participant ages listed in the brochure are approximations. If your
child is close to the ages listed, and is interested in the program,
please call the Superintendent to discuss a solution.
8. If vacancies exist after the registration deadline, siblings and
individuals without disabilities will be allowed to register for
designated programs, as considered appropriate by SSSRA staff.
9. A $32 fee will be charged by Old Plank Trail Community Bank
for any returned checks.
10.If you register after the registration deadline or after a program
begins, you may not be able to attend that program the following
week.
First Time Participants—$15 Off
New participants with disabilities living in SSSRA member
districts are eligible for $15 off of the total season registration
fee by:
1. Clipping the coupon below and attaching it to your
completed registration form.
2. Deducting $15 off the total fee from your payment.
3. Mailing the registration form and coupon by the program deadline to the SSSRA office.
alid for all programs except day camps and weekend trips. Siblings,
V
spouses, out-of-district participants, and parents are not eligible
for the discount.
SSSRA is in a position to offer scholarships in the form of fee discounts to SSSRA residents
with disabilities who would like to participate in one or more programs, but who cannot afford
the total fees charged. The SSSRA Board of Directors has established specific guidelines
for the administration of scholarships. Persons requesting a scholarship must complete a
Scholarship Request Form (available at the SSSRA office or at www.sssra.org) and submit
it to the SSSRA Executive Director, along with the completed registration form, and a
deposit. The deadline for requesting scholarships for the program session is the same as the
registration deadline. Participants who receive day camp scholarships may be responsible for
paying fees for any weekly programs or special events they register for. SSSRA reserves the
right to request proof of financial circumstances, including tax return documents, when needed.
30
SSSRA “First Timer”
Participant Coupon
$15 off
Good for one SSSRA program
(excludes day camp, weekend trips,
and non-residents)
Annual Information Form
Date_____________
To register for any SSSRA programs, an Annual Information Form must be annually updated
and filed with SSSRA. Once an updated form is on file, you may mail, fax, or bring in your
registration form. Online registration is available for residents.
19910 80th Avenue
815-806-0384 (phone)
815-806-0390 (fax)
www.sssra.org
Participant’s Name_______________________________________________________________ Nickname ________________________________
Address ___________________________________________________ City______________________________ State _____ ZIP_____________
Phone _________________________________ E-mail __________________________________________________________________________
Parent(s)/Guardian(s) Name_______________________________________________________________
Parent(s)/Guardian(s) Address ____________________________________________ City_______________________ State _____ ZIP_________
Parent(s)/Guardian(s) Phone - Home ________________________ Work ________________________
Place a checkmark beside the phone number you would like us to use first.
Cell ________________________
Parent(s)/Guardian(s) E-mail ________________________________________________________________________________
Date of Birth _____/______ /______ Gender ________ Height __________ Weight __________ Hair Color __________ Eye Color ___________
Race* (optional)___________________ Primary Language Used at Home ___________________
*For identification purposes only.
Primary Disability ________________________________________ Secondary Disability/Medical Condition ______________________________
Current Medications/Dose/Frequency_________________________________________________________________________________________
________________________________________________________________________________________________________________________
Allergies ________________________________________________________________ Dietary Restrictions _______________________________
Is participant subject to seizures? _______ Type & Frequency _________________________________ Date of Last Seizure _____/______ /______
What action do you take in the event of a seizure? _______________________________________________________________________________
If participant has Down Syndrome, has he/she been tested for Atlanto-Axial Instability?
Yes
No
If yes, were results positive? ____________ If so, please attach a copy of medical exam.
School/Place of Employment ___________________________________________ Teacher/Supervisor ____________________________________
Group Home/Residential Facility ________________________________________ Manager/Caseworker _________________________________
Emergency Information
Emergency Contact _______________________________________________________ Relationship _____________________________________
Phone - Home _________________________ Work _________________________
Cell _________________________
Doctor’s Name __________________________________ Doctor’s Phone _________________________ Hospital Affiliation __________________
Daily Living Skills
Communication
Verbal/speaks clearly
Verbal/speech is difficult to understand
Has difficulty expressing needs
Gestures/points
Uses sign language
Uses hearing devices/hearing aides
Uses a communication board/schedule/pictures
Explain _____________________________________________________________________________________________________
Mobility
Walks independently
Uses manual wheelchair
Uses motorized wheelchair
Uses other assistive device for mobility
Explain _____________________________________________________________________________________________________
Bathroom
Toilets independently
Needs to be monitored
Needs assistance
Explain ____________________________________
Eating
Eats independently
Needs assistance
Explain ____________________________________
Dressing
Dresses independently
Needs some assistance
Cannot dress independently
Explain _____________________________________________________________________________________________________
31
Daily Living Skills continued
Showering
Showers independently
Needs assistance
Explain ____________________________________
Hair Care
Does hair independently
Needs assistance
Explain ____________________________________
Swimming
Swims independently
Can swim a little
Cannot swim at all
Extreme fear of water
Interaction/Socialization Skills
Social Interaction
Initiates social interaction on own
Socializes with verbal prompting
Avoids social interactions
Explain _____________________________________________________________________________________________________
Prefers
Being Alone
with Peers
with Adults
Explain ________________________________________________
Is Most Successful in
Large groups
Small groups
Other
Explain ________________________________________________
Responds Better to
Males
Females
Either
Explain ________________________________________________
Please list any sensory issues your child/the participant may have: ______________________________________________________________
Behaviors/Conduct
Following Directions
Can follow directions independently
Needs verbal prompting
Needs step-by-step assistance
Explain___________________________________________________________________________________
Please check all that apply
Short attention span
Easily distracted
Hyperactivity
Tendency to run or wander off
Oppositional/defiant
Manipulative
Verbal outbursts
Instigates behavior
Self-abusive behaviors
Tantrums/meltdowns
Physical aggression to others
Steals
List other inappropriate behaviors here: ___________________________________________________________________________________
If you checked yes to any behaviors above, please provide a detailed explanation: _____________________________________________________
_______________________________________________________________________________________________________________________
What are the known triggers to the behaviors above? ____________________________________________________________________________
_______________________________________________________________________________________________________________________
Does the participant respond to specific behavior management techniques used at home, school or work?
Yes
No
Explain_________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Does the participant have any unusual fears or concerns?
Yes
No
Explain_________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Personal Interests/Goals
Favorite quiet activities ____________________________________ Favorite active games ______________________________________________
Least favorite activities ____________________________________________________________________________________________________
Favorite food ________________ Favorite color _______________ Hobbies ________________________________________________________
Reasons for participating (please check all that apply)
Physical activity
Socialization/friendships
Group interaction
Skill development
Motor development
Creativity/Self-expression
Self-esteem/Confidence
Responsibility
Entertainment
FUN!
Please identify any specific goals parents/guardians would like to see worked on: _______________________________________________________
T-shirt size
Child
6/8
10/12
14/16
Adults
S
M
L
XL
2XL
3XL
Bowler’s shoe size_________________________________________________________________________________________________________
32
Join Our Mailing List!
E-mail address ____________________________________
Fall 2016 Registration Form
Registration Deadline: September 2, 2016
SSSRA will not share your email address.
Is this your first time participating with SSSRA?
How did you hear about SSSRA?
Family
Yes
No
Publication ______________
Community Expo
Other ______________
Participant’s Name___________________________________________________________________________________________
Address ______________________________________________ City_________________________ State _____ ZIP__________
Date of Birth _____/______ /______ Gender ________
Phone -
Home ________________________
Work ________________________
Cell ________________________
Parent(s)/Guardian(s) Name_______________________________________________________________
Parent(s)/Guardian(s) Address _______________________________________ City__________________ State _____ ZIP_______
Parent(s)/Guardian(s) Phone -
Home _____________________
Work ____________________
Cell _____________________
Group Home/Residential Facility __________________________________ Manager/Caseworker ___________________________
Manager/Caseworker Phone -
Office _____________________
After Hours ____________________
Emergency Contact _________________________________________________ Relationship _______________________________
Phone -
Home _________________________
Work _________________________
Cell _________________________
Primary Disability __________________________________ Secondary Disability/Medical Condition ________________________
Current Medications/Dose/Frequency_____________________________________________________________________________
____________________________________________________________________________________________________________
Does participant take medications at programs or special events?
Yes
No
Allergies ______________________________________________________ Dietary Restrictions _____________________________
Photo Permission: I do hereby grant permission for my/our participant’s picture to be used in promotional materials related to SSSRA. Promotional
materials include, but are not limited to SSSRA brochures and advertising, SSSRA website, Facebook, SSSRA email newsletter, member park district
and recreation department brochures.
Yes No (Unless indicated, photos of participants may be taken and used for publicity).
Waiver, Release of All Claims and Hold Harmless Agreement - Read Carefully!
Emergency
Information
Please read this form
carefully and be aware that, in signing up and participating in South Suburban Special Recreation Association programs, you will be waiving and releasing all claims
for injuries, arising out of these programs, that you or the other named participants might sustain. The terms “I”, “me”, and “my” also refer to parents or guardians as well as participants in the
program. In registering for these programs, you are agreeing as follows:
As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, damages or loss which I may
sustain as a result of participating, in any manner, in any and all activities with or associated with such program. I further recognize and acknowledge that all athletic activities involving strenuous exertion or potential body contact are hazardous recreational activities and involve substantial risks of injury. Documents that are privileged and confidential communications, including but
not limited to, attorney/client privileged communications, reports prepared in anticipation of litigation, and communications between SSSRA and the Park District Risk Management Agency
will not be provided.
I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the SSSRA, any and all other participating or cooperating governmental units,
any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors, and any and all other persons and entities, of whatever nature, might be directly or indirectly liable for any injuries that I might sustain while participating in these programs. (The parties described in the preceding sentence are referred to as “released
parties” in the remainder of this Agreement.)
I do hereby fully release and discharge the SSSRA and the other released parties from any and all claims for injuries, damage or loss which I may have or which may accrue to me on account of
my participation in these programs.
I further agree to indemnify, hold harmless and defend the SSSRA and all other released parties, from any and all claims resulting from injuries, damages and losses sustained by anyone, and
arising out of, connected with, or in any way associated with my conduct and the activities of these programs.
I further understand and agree that the terms such as “participation”, “programs”, and “activities” referred to in this Agreement, include all exercises and physical movements of any nature while
I am participating in these programs and further include the provision of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment
and apparatus, and anything related to my use of the services, facilities or premises involved in these programs, and transportation to and from any events.
I understand the nature of these programs for which I am registering and have read and fully understand this Waiver. Release and Hold Harmless Agreement. I further understand that any
advisements or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become part of this agreement.
Signature of Parent or Legal Guardian ________________________________________________________ Date ______________
33
Fall 2016 Registration Form
Registration Deadline: September 2, 2016
Registration forms will be accepted by walk-ins, mail, facsimile, or online.
An individual is not considered registered until the SSSRA office has
received payment in full, along with the completed and signed registration
form and waiver. When sending a facsimile transmission to SSSRA, it is
mutually understood that the fax document shall substitute for and have
the same legal effect as the original form. Please call the SSSRA office to
confirm that your fax was received.
Non-Resident
Resident Fee
Code
Fee
____________________________________________________________________________________________________________
Program Name
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Guest Name:
____________________________________________________________________________________________________________
Program/Event:
____________________________________________________________________________________________________________
Guest Name:
____________________________________________________________________________________________________________
Program/Event:
____________________________________________________________________________________________________________
Total
____________________________________________________________________________________________________________
An updated Annual Information Form must be on file to complete registration.
Date Waiv
BD
Inf Code Tot Pay Sch ML Rec Trac
Fee
FOR OFFICE USE ONLY
PSBD:
D
1. $
#
D
2. $
#
D
3. $
#
D
4. $
#
D
5. $
#
D
aca:dcfs:sssrA:
other:
Registration form must be filled out completely and signed
by parent or guardian. Return to the SSSRA office with full
payment to be considered registered.
Please write in program choices and sign waiver on reverse side.
All guests must sign a waiver.
34
To be registered you must:
1. Pay previous balance in full.
2. Complete entire registration form.
3.Parent/Legal Guardian must sign form.
4. Full payment must accompany form.
5.Complete Charge Card information below.
MasterCard
VISA
Discover
Account #______________________________________
Expiration Date:______/______ CVC Code:________
Signature:______________________________________
19910 80th Avenue
www.sssra.org
815-806-0384 (phone)
815-806-0390 (fax)
Program Locations
Centennial Lanes
16050 Centennial Circle, Tinley Park
708-633-0500
159th St. to Oak Park Ave. south. Turn right
on Centennial Dr.
Hazel Crest Recreation Center
2701 W. 170th Street, Hazel Crest
708-335-1500
175th to California Ave. north. California
Ave. becomes 170th St.
4450 West Oakwood Lane, Matteson
Harlem Ave. to Lincoln Hwy. east. Turn left
on Lindenwood, left on School, and right on
Oakwood.
Country Club Hills Community
Recreation Center
4709 W. 179th Street, Country Club Hills
708-798-8497
183rd St. to Cicero and turn north. Right on
179th St.
777 Kedzie Avenue, Homewood
708-957-0100
183rd St. to Kedzie south. Ice Arena is located on the east side of the street.
Matteson Community Center
(Matteson Avenue)
20642 Matteson Avenue, Matteson
708-748-1080
Cicero to 207th St. West to Matteson Ave.
Homewood-Flossmoor Racquet &
Fitness Club/Homewood Estates Park
2920 W. 183rd Street, Homewood
708-799-1323
183rd St. 2 blocks east of Kedzie. Fields are
behind the H-F Fitness Club, and the building is on the north side of the street.
Oak Forest Bowl
15240 S. Cicero Avenue, Oak Forest
708-687-2000
Cicero to 153rd. Bowling alley is on northwest corner.
Coyote Run Golf Course
800 Kedzie Avenue, Flossmoor
708-957-8700
183rd St. to Kedzie south. Golf course is
located on the west side before Flossmoor Rd.
Dance Images
18475 Thompson Court, Tinley Park
80th Ave. to 185th St. Turn east to Thompson
Ct. (first left) and turn left (north).
The Clubhouse at Dolphin Lake
18250 Dolphin Lake, Homewood
Harlem Ave. to 183rd St. east. Left onto OrioleAve. Left on 174th St. Right on Ozark Ave.
Eisenhower Center
2550 178th Street, Lansing
708-474-8552
I-80 East to Torrence Ave. south. East at
178th St. Center is on the north side of the
street.
Frankfort Square Park District/Splash Pad/
Island Prairie Nature Center
7540 Braemar Road, Frankfort
815-469-3524
183rd St. to 80th Ave. south. Left on Frankfort Square Road, then left on Benton. Park
District is located on the corner of Benton
and Braemar.
Freedom Hall/Central Park
410 Lakewood Boulevard, Park Forest
708-747-0580
Western Ave. to Lincoln Hwy. west. South on
Orchard to Lakewood Blvd. Building is on
the right side.
Gym-Kinetics
19220 Ridge Road, Mokena
708-479-6969
191st to LaGrange Rd. south. East on
Bormet to Ridge Rd. south.
Hazel Crest Park District and Fitness Center
2600 W. 171st Street, Hazel Crest
708-335-1500
175th to California Ave. north to 171st east.
Building is on the north side of the street.
Indian Trail School
20912 Frankfort Square Road, Frankfort
815-469-6993
Harlem to Route 30 west. Turn north on
Frankfort Square Rd. School is ½ mile past
Shell Station. Enter through gym.
LA Fitness - Matteson
4340 Lincoln Highway, Matteson
708-668-4719
Cicero Ave. to Lincoln Hwy. east. Fitness
center is on the left.
LA Fitness - Tinley Park
18400 Convention Center Drive, Tinley Park
Harlem to 183rd Street. Turn east. Turn right
(south) on Convention Drive.
1301 Hilltop Avenue, Chicago Heights
708-747-0800
Harlem Ave. to Lincoln Hwy. east. Turn left
on Hilltop Ave.
Marie Irwin Community Center
18120 Highland Avenue, Homewood
708-957-7275
Dixie Highway to Ridge Rd., and turn east.
Center is 2 blocks down on the southwest
corner of Ridge and Highland.
Mary Drew School/Champion Park
20130 S. Rosewood Dr., Frankfort
80th Ave. to Pinewood. Turn west. Go to Evergreen and turn right. Go to Spruce and turn
left. Go past the school to Rosewood and turn
right. Park is on the behind the school. To enter the school, use the door on the west side of
the school where the park is located.
Oak Forest Park District/Tichan House/
Fitness Center
15601 South Central Avenue, Oak Forest
708-687-7270
Harlem Ave. to 159th St. Turn east to
Central Ave. north.
Olympia Fields Park District/The Barn/
Silo/Cull House/Disc Golf Course
708-481-7313
Lincoln Hwy. to Western north. The Barn is
on the left (west) side of the street.
Quality Classic Health & Fitness
295 Main Street, Park Forest
708-536-0296
Lincoln Hwy. to Western south to Main St.
west.
4455 Sauk Trail, Richton Park
Harlem Ave. to Sauk Trail, turn east.
SSSRA Office/80th Avenue Pavilion
19910 80th Avenue, Tinley Park
815-806-0384
Vollmer to Harlem north. Turn west on 191st
St. Turn left (south) on 80th Ave. Office is on
the west side of the street.
Tony Bettenhausen Recreation Center/
White Water Canyon/Fitness Center
8125 W. 171st Street, Tinley Park
708-342-4200
183rd St. to 80th Ave. north. Turn west on
171st St. Building is on left (south) side of the
street.
35
Non-Profit Organization
U.S. POSTAGE
PAID
Permit #299
19910 80th Avenue
Thank You for Your Support of SSSRA
S OA R
708-269-7064
soarnonprofit.com
[email protected]
Sojourn Therapeutic Riding Center NFP
enhancing lives through the power of the horse
Swift Outdoor Accessible Recreation
SOAR provides outdoor accessible recreational opportunities for
physically challenged people and families and individuals in need
with a key focus of improving the lives of those with spinal cord
injuries.
Please contact us to get involved, volunteer or donate.
Fundraising Site: www.gofundme.com/3p5rpkeg
We, at Sojourn use equine assisted
activities to proactively contribute
to an individual’s cognitive, physical,
emotional, and social well being.
Therapeutic riding benefits individuals in
the areas of therapy, education, sport,
and leisure. We hope you will enjoy your
journey to Sojourn and find pleasure in
your experiences with our highly trained
equines and staff.
Serving the South Suburbs
708-539-3078
[email protected]
sojourntrc.org
Oktoberfest
Fall 2016
Saturday, October 1
12:30 - 3:00 pm
Please see page 25 for more details.

brochure

Transcription

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