Fall 2013 - Vernon Township

Vernon Township
Free Shred Day at
Vernon Township
When: Monday, October 7,
2013
Where: Vernon Township
Administration Office, 3050
N. Main St., Buffalo Grove, IL
60089
Time: 11:30 a.m. until 2:30
p.m.
Secure shredding services will
be provided by Opportunity
Secure Data Destruction. All
materials are used in recycling
efforts. One way to prevent
identity theft is to shred personal documents such as cancelled or unused checks, old
insurance policies, old bills,
old medical records, invoices.
PLEASE NO MAGAZINES
OR NEWSPAPERS.
In order to accommodate as
many residents as possible we
are limiting each resident to
two boxes.
If you have any questions
please feel free to call the
township at (847) 634-4600.
Fall 2013
From the Supervisor’s Desk
Holidays of Hope
Every year, as the holidays approach, families in Vernon
Township gather to celebrate with festive food, decorations
and gifts. It is sometimes easy to forget that there are
families in the township that are struggling just to put food
on the table. Holiday festivities and gifts are not in the
picture for these families.
Vernon Township offers the following holiday programs to
help less fortunate families in the township.
Thanksgiving Dinner Basket Program
William Peterson
Township Supervisor
The Thanksgiving Baskets provide township families
with a non-perishable Thanksgiving dinner. A gift card can be included for the purchase of a
turkey or perishable items. Vernon Township will assign a family to you and supply a list of
suggestions for the basket. Delivery of baskets to the township is on Friday, November 22nd.
Holiday Gift Program
The holiday gift program provides families an opportunity to receive gifts during this
wonderful time of the year. The township will provide you with the family’s wish list that
can be used to purchase the family’s gifts. Gifts will be accepted at the township on either
Monday, December 9th or Tuesday, December 10th.
If you and your family wish to sponsor a family or you feel your family would benefit from
these programs please contact Kathie at (847) 634-4600 by October 4, 2013.
Vernon Township services are available to residents in all or portions of the villages of Buffalo Grove, Indian Creek, Lincolnshire,
Long Grove, Mettawa, Mundelein, Riverwoods, Vernon Hills, the City of Lake Forest, and unincorporated Vernon Township.
The Vernon Township Newsletter is
published periodically by Vernon Township
as a public information service for Township
residents. Free copies are available at the
Township Administrative Center.
Supervisor
William E. Peterson
[email protected]
Highway Commissioner
Bryant Schroeder
[email protected]
Clerk’s Corner
Vernon Township Cemeteries
The Vernon Township Cemetery is located in Lincolnshire at the corner of Old Half Day
Rd. and Milwaukee Ave. (behind strip mall). Grave sites and mausoleum spaces are
available for purchase. The mausoleum contains 64 crypts, and 24 columbarium niches.
Each individual crypt or niche can be personalized on the front at your discretion.
Assessor
Gary Raupp
[email protected]
Vernon Township is selling the crypts for $5,000 each and a niche for $700. The individual
grave sites are $800.00.
Town Clerk
Barbara Barnabee
[email protected]
The Diamond Lake Cemetery is located on Route 60 (east of Route 45) in Mundelein, IL
Trustees
Krystyna Luby
[email protected]
Mike Theisen
[email protected]
Robert Kelly
[email protected]
Kyle Steininger
[email protected]
Grave sites are also still available at the cost of $800.00
If you are interested in purchasing a crypt, niche or grave site please call 847-634-4600
and ask for Barbara Barnabee.
Attention All College Students
Make Sure You Are Registered To Vote
Business Hours
Monday through Friday
The Temporarily Absent Student Program is available to students away at school. This
program simplifies voting for students who wish to receive an application for ballot at their
school address prior to each election. A student must be a registered voter in order to
enroll in this program.
Administrative Center . 8:30 a.m. - 4:30 p.m.
Assessor . . . . . . . . . . . . 8:30 a.m. - 4:30 p.m.
Assessor . . . . . . 9:00 a.m. - 12 noon, Saturday
The Student Program form is available at Vernon Township or on line at www.countyclerk.
lakecountyil.gov.
Vernon Township Administrative Center
3050 Main Street
Buffalo Grove, IL 60089
Town Board Meetings
Monthly board meetings are held the
second Saturday of each month. For more
information, call (847) 634-4600. The
Annual Town Meeting is held on the second
Tuesday in April at 7:00 p.m.
Notice
In compliance with the Americans With
Disabilities Act (ADA), Vernon Township
requests that persons with disabilities who
require certain accommodations in order to
attend and/or participate in these meetings,
or have questions about the accessibility
of the meetings or facilities, to please
contact the ADA coordinator at 634-4600,
48 hours prior to the meeting to assure that
reasonable accommodations will be made
for them.
Township Phone Numbers
Township Administrative Center . . 634-4600
Assessor’s Office . . . . . . . . . . . . . . 634-4602
Highway Department . . . . . . . . . . . 634-4600
Dial-A-Ride . . . . . . . . . . . . . . . . . . 634-4600
Township Parks & Recreation . . . . . 634-1542
Township Fax . . . . . . . . . . . . . . . . . 634-1569
Assessor Fax . . . . . . . . . . . . . . . . . 634-0654
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| Vernon Township | Fall 2013
Meet Your Vernon Township Officials
William Peterson
Supervisor
Bryant Schroeder
Highway
Commissioner
Gary Raupp
Assessor
Barbara Barnabee
Clerk
Krystyna Luby
Trustee
Mike Theisen
Trustee
Robert Kelly
Trustee
Kyle Steininger
Trustee
From the Desk of the Assessor
Expect your assessment notices earlier this year. Assessment notices are supposed to be sent out by Lake County around August this year.
Recent legislation required Township Assessors to return the assessment roll to the county by July 15th versus October 15th for past
years. Assessment information can be found on the Lake County’s web page at www.lakecountyil.gov.
Check Your Tax Bills
By now you should have received your tax bill from the Lake County Treasurer’s Office. We would advise you at this time to look over
your bill and make sure you are receiving the exemptions you are eligible for from the list below.
Homestead Limited Exemption everyone receives this exemption as long as the property is the primary residence. Primary residence
means you live at that property; it is the address that appears on your driver’s license and is NOT a rental property. If you are not
receiving this exemption, please call our office so that it can be corrected. If you are receiving the Homestead Limited Exemption on
more then one property, it is essential to call our office as well to get this corrected. Receiving an exemption on more than one property
is against the law.
Senior Homestead Exemption is for those of you who are 65 years or older.You should see this on your tax bill as long as you have
contacted our office to sign up for it. For the 2013 tax bill payable in 2014, this exemption will go up from $4,000 to $5,000.
Senior Freeze Exemption is an additional exemption for seniors whose income is $55,000 or below. This exemption freezes only the
assessment NOT the tax rate. The tax dollars requested by your taxing bodies’ yearly budgets divided by the total taxable assessment of
their district equals the tax rate. All the tax rates are calculated by the tax extension office of the Lake County Clerk.
Vernon Township Inspections
The Vernon Township Assessor’s Office does inspections on properties within the township throughout the year. No advance phone calls
are made by the assessor’s office, as this would be unfeasible because of the amount of inspections made daily. Upon an inspection, the
field personnel will come to the door first with identification. The property owner can either provide the information requested or the
Assessor’s Office will estimate the information. If possible the information will be obtained from the exterior. Inspections are triggered
by:
•
•
•
•
•
Information not in the records that has been obtained from appraisal reports, multiple listings, and neighbors comparing properties.
Building permits issued by the various villages
Building permits issued by Lake County for unincorporated areas of Vernon Township
Field check requested by a Deputy Assessor when an old record card is not totally clear.
Request made by the property owner.
All of Vernon Township property record cards are now in the process of being converted to computer drawings. Any questions regarding
this may be answered by the assessor’s office Monday-Friday from 8:30-4:30 and Saturday from 9:00-12:00.
Temporary Handicapped Placards
Vernon Township issues temporary handicapped placards valid for up to 90 days. The Township can issue only one placard for 90 days in
a year period. If your physician states that you need the placard longer, you will need to take your application to one of the Secretary of
State offices for processing. The Secretary of State offices can issue a placard up to 6 months.
If you need a Permanent placard, Vernon Township can issue a temporary placard for 90 days, make a copy of your application and then you
will mail the application to Springfield for the permanent placard.
If you have any questions please feel free to call the township at (847) 634-4600.
Vernon Township | Fall 2013 |
3
Highway Department Briefs
2nd Annual Recycle O Rama
On Saturday, April 20th Vernon Township Highway Department hosted its 2nd Annual Recycle O Rama. Approximately 700 cars came
through the 4 hour event dropping off in some cases double the amount of items collected at last year’s event. The items collected are as
follows:
20 tons of electronics
200+ cell phones
45 boxes of books
1439 cans of paint 3 boxes of corks
90 pounds of crayons 200 eye glasses 402 ink/laser cartridges 700 ton of paper 2 gallon bags of pop tops
811 shoes for recycle/reuse
500+ fluorescent light bulbs
22 fire extinguishers
31 propane tanks
20 boxes of non-perishable food
Partners for this event include: SWALCO, Lion’s Club of Vernon Hills, Earth Paints, Pro-Shred, Records Management, Creative Crayons,
Secure the Call, Ink Cartridge World (Libertyville), Green Spot, and Extinguish Fire Protection.
Thank you to all the hard working men and women that volunteered their time and energy to help at this year’s event, we could not have
done it without you.
Because of the tremendous success of this event, next spring we will be hosting another Recycle O Rama. We plan to add additional items
to be recycled.
Year Round Electronics Collection
Vernon Township Highway Department continues with its year round electronic recycling program. A dumpster is located on the west
side of the township offices for electronics to be dropped off and properly recycled. This is an unmanned program so if you require help
to remove the items from your vehicle, please call ahead and make an appointment. (847)634-4600. The hours for drop off are Monday
through Friday from 8:00 a.m. until 3:00 p.m.
Items Accepted: Personal Computers, Monitors, Computer Drives, Keyboards, Modems, Mainframes, Scanners, Printers, PDA
Organizers, Cellular Phones, Televisions, Stereos, MP3 Players, CD Players, DVD Players, VCR’s, Cameras, Video Games, Fax Machines,
Shredders, Adding Machines, Batteries, Cd’s, Dvd’s, Video & Cassette Tapes, and Small Household Appliances.
Items NOT Accepted: Broken Glass, Air Conditioners, Liquid or Chemical Waste, Electric Fixtures, Fluorescent Light Bulbs,
Dehumidifiers, Packaging Materials, Large Household Appliances.
Spring Clean Up
The first weekend in May is Spring Clean Up for the unincorporated areas of Vernon Township. Once again this year 13 dumpsters were
strategically placed throughout the unincorporated areas of the township and filled to capacity. This service is a great way for the residents
to dispose of mass amounts of garbage at one time.
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| Vernon Township | Fall 2013
Highway Department Briefs (continued from page 4)
April Flood
The April rain brought devastation to the residents of Pekara Subdivision within Vernon Township. Some residents left their homes
until the water receded, while others stayed to fight the battle against the rising water from entering their homes. Many residents in the
subdivision are long time neighbors. They were willing and able to help each other by making and carrying sandbags to their homes.
At the end of such events the highway department asks that the home owners bring their sandbags and debris to the road to be picked
up. A big thank you goes out to the men and women stationed at the Great Lake Naval Base. These men and women came to the aid
of the Township and the residents by removing the sandbags from resident’s yards and filling the township trucks so the bags could be
hauled away.
Projects
•
•
•
Grind & black top the western portion of Horatio Gardens
Ditch work on Easton Ave, Pet Lane, Marie Ave
Tree trimming throughout the unincorporated areas of the township
September is National Preparedness Month
Be Prepared for Emergencies with Three Steps
There are three simple things every household can do to ensure they are prepared for an emergency: know where to go, build your
emergency kit, and create an emergency communications plan.
National Preparedness Month, sponsored by the U.S. Department of Homeland Security, is a nationwide effort held each September to
encourage Americans to take simple steps to prepare for emergencies in their homes, businesses and schools. For more information on
preparing for emergencies, visit: www.alertlakecounty.com.
Stevenson Parking at Prairie View Metra Station
Parking permits for Stevenson students
wishing to park at the Prairie View Metra
station for the next school year are now
available. Stevenson student parking is
granted per a special agreement between
Metra and Vernon Township. Students
are required to park in the east parking
lot closest to Route 22/Half Day Road.
Parking is by Permit Only.
Monthly
Individual Months
$30.00
1st Half of School Year
August through December
$115.00
2nd Half of School Year
January through June
$145.00
Full School Year
August through June
$260.00
Vernon Township | Fall 2013 |
5
Vernon Township Food Pantry
Vernon Township Food Pantry has received many generous donations
from the community. The township is very grateful to everyone who
has donated.
The pantry helps families throughout the year and relies on the
community to keep the shelves stocked.
Please check out our Facebook at www.vernontownship.com to see
what the pantry is in need of. You can also call the township to see
what is needed or to schedule a pick up if you have a large donation.
The township accepts donations Monday-Friday from 8:30 a.m. until
4:00 p.m.
6th grade Girl Scout Troop # 41416 from Twin Groves
Middle School provided baby sitting for students and
their siblings during Parent-Teacher conferences in
exchange for non-perishable food items which the girls
donated to the Vernon Township Food Pantry. Keep up
the good work girls.
Avery, a 2nd grader at Sprague School, was given a
school project called “Think Outside the Envelope:
How to Make the World a Better Place with $10.00”.
Avery chose to do a “post-holiday” food drive. Avery
used e-mail, word of mouth and phone calls to solicit
donations. She collected food and cash donations which
she used to purchase additional food products. All
food items were donated to the Vernon Township food
pantry. Vernon Township wishes to thank Avery for
helping the township food pantry.
Passports
Vernon Township accepts passport applications Monday-Friday from 9:00 a.m. until 3:00 p.m. No appointment is necessary, however
during lunch hours we could be very busy. We have passport photo service on site for the fee of $8.00 per set of photos. Reminder:
Vernon Township does not accept credit cards; payment to the US Department of State must be a personal check or
money order. The township will accept cash for the agent fee and photo.
Prior to arriving at the township it would be very beneficial for you to check the Department of State’s website at www.travel.state.gov.
The web site allows you to download appropriate applications, informs you of the documentation you will need to process an application,
and estimates current processing times. Please note that if you fill out the application by hand, use black ink only. Forms completed in
other color ink will have to be re-written.
If you have any further questions please call the township at (847) 634-4600.
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| Vernon Township | Fall 2013
New Program Comes to Vernon Township
Attention All Seniors And Soon To Be Seniors!!!!!
Do you need help with a Medicare Issue? SHIP can help!
Figuring out Medicare, Supplemental Insurance, and Drug plans is NOT fun! The Senior Health Insurance Program (SHIP) can help. If
you have questions about a medical bill, need help choosing a supplemental policy, are shopping for the best Part D plan, or see if you
qualify for reduced premiums---make an appointment with a SHIP representative. SHIP also provides personalized orientations to
BOOMERS that are about to join Medicare and can fill you in about the new preventive services. Specially trained volunteer counselors
provide FREE counseling on ALL your Medicare matters.
The SHIP representative will be at the Vernon Township Administration building on the third Wednesday of each month from 9:00 AM
until 12 Noon, beginning August 21.
Please call (847) 634-4600 to make an appointment. At your appointment, you will be asked to provide a complete list of all your
medications and the dose of each one.
Transportation Options in Lake County
The Township offers residents transportation options in the form of a Pace Dial a Ride bus service and discount taxi coupons through
American Taxi. Our Dial a Ride service runs Monday through Friday within the township boundaries. Please call 847-634-4600 for
additional information on the bus. Discount taxi coupons through American Taxi are available for township residents who are seniors and/
or disabled. American Taxi is available seven days a week and can take residents most places within the Chicagoland area. For additional
information on the taxi service please call 847-634-1542.
In addition to the above transportation options, Pace operates routes that run from the southern end of Lake County up to Waukegan.
Pace Route 272 begins in Niles at Golf Mill Shopping Center and runs along Milwaukee Avenue to Westfield Hawthorn Shopping Center
in Vernon Hills. From Westfield Hawthorn riders may pick up Route 572 which runs through Libertyville and Mundelein, stopping at
College of Lake County, before continuing on Washington Street into Waukegan. These routes do have Monday through Saturday service.
See www.pacebus.com for the route schedule.
Pace also operates a Call-N-Ride service in Vernon Hills and Mundelein. This is a reservation based, shared ride service for the general
public that picks up passengers and takes them to destinations within a designated service area. Please call (224) 735-8678.
For additional information on transportation in Lake County please see the county web site at www.lakecountyil.gov.
2013 Community Events
Listed below are some of the special events happening at the municipalities within Vernon Township. Please contact the particular village
directly for additional information regarding the events.
Buffalo Grove
•
•
Invitational Fine Arts Festival - July 13
Buffalo Grove Days - August 29th to September 2nd
Lincolnshire
•
•
Taste of Lincolnshire - July 26th to 28th
Lincolnshire Art Festival - August 18th & 19th
Long Grove
•
•
Apple Fest - September 27th to 29th
Octoberfest - October 12th & 13th
Vernon Hills
•
Oktoberfest - September 28
Vernon Township | Fall 2013 |
7
Lake - McHenry Veterans and Family Services
The Lake - McHenry initiative provides free, confidential services to:
•
•
•
Any American veteran with any type of discharge
Active duty service members in any branch of the U. S. Armed Forces, including Reserves and National Guard
Family members/support persons of veterans or military service members and families of the fallen
The Lake - McHenry Veterans and Family Services’ mission is to work through a network of agencies to help military personnel, veterans
and their families face challenges before, during, and after deployments.
Lake County residents should call (847) 377-8386 for addition information or to make an appointment.
Secretary of State Mobile Unit And Senior Rules of the Road
The Illinois Secretary of State Mobile Drivers License Facility will be at the:
Vernon Township’s Peterson Park
16652 North Buffalo Grove Rd.
Prairie View, IL 60069
Tuesday, October 15, 2013
Senior Citizen Rules of the Road Class - 9:30 a.m. to 11:00 a.m.
Mobile Unit - 10:00 a.m. until 2:00 p.m.
The following services will be offered:
•
•
•
•
•
License plate sticker renewals only (renewal notice required)
State I.D.’s - (No additional I.D. required if you have your current state I.D. with you, otherwise see the I.D. requirements stated
below)
New State I.D. - (I.D. required: Original Social Security card and birth certificate along with proof of residency)
Vision Screening
Driver’s license renewal
Lake County Prescription Drug Collection Boxes
Lake County Drug Free Communities program has the following sites available for prescription drug drop-off. The blue boxes (which
look like post office mail boxes) are located in the lobby and are accessible 24 hours a day, seven days a week.
At the time of printing the current sites are located at:
Highland Park Police Dept.
1677 Old Deerfield Rd.
Highland Park, IL 60035
Lake Forest Police Dept.
255 W. Deerpath Rd
Lake Forest, IL 60045
Deerfield Police Dept.
850 Waukegan Rd
Deerfield, IL 60015
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| Vernon Township | Fall 2013
Lake Zurich Police Dept.
200 Mohawk Trail
Lake Zurich, IL 60047
Lake Bluff Police Dept.
45 Center Dr.
Lake Bluff 60044
Recreation Programs
Prime Timers
This friendly group gathers every Monday from 11:30 a.m. – 3 p.m. We meet at our newly renovated Community Service Building (2900
North Main Street in Buffalo Grove). Typically our gatherings consist of a card game called Hand and Foot (a variation of Canasta). Never
played it? We’d love to teach you or hear what games you’d like to play or learn to play.
Over the next couple of months we’ve included some fun trips! Check out our schedule and fill out the program registration form for all
selected trips. For further questions call (847) 634-1542.
Event
Date
Register by
Cost
Max Participants
Lunch at Lindy’s Landing
August 5, 2013
July 29, 2013
$5 Transportation
$17 Lunch
13 - for transportation
Lunch at Chicago Brauhaus
October 7, 2013
September 23, 2013
$10 Transportation
Lunch cost paid
by participant
13 - for transportation
Second Annual Gingerbread
House Decorating
December 2, 2013 October 31, 2013
Donation of candy
for decorating
15
Railroad Museum Visit, Lunch, Shopping and Ice Cream
Join us as we take a bus ride to Mukwonago Wisconsin where we will leisurely lunch and shop
at the Elegant Farmer. Then we’ll board the historic East Troy Railroad, visit the depot museum
and delight your taste buds at Lauber’s Old Fashion Ice Cream Parlor. We will catch the return
train back to the Elegant Farmer and head back to Vernon Township. The $25 transportation fee
includes transportation from Vernon Township to Elegant Farmer in Mukwonago, WI; train ride
to and from Museum and Laubers Ice Cream Parlor and return to Vernon Township. Lunch and
Ice Cream to be paid for by participant. Please register by August 23, 2013.
AARP Driver Safety Program
The AARP Driver Safety Program is an eight hour program designed to help you understand the
effects of aging on your driving and learn driving strategies that take into account the changes
we experience as we age. Completion of this program may entitle you to receive discounts on
your auto insurance. Attendance on both days is required to receive a certificate that may reduce
your auto premiums. Checks should be made payable to AARP. Registration must be received by
August 9, 2013 or November 15, 2013.
Date: Time:
Days:
Fee: Max:
September 6, 2013
10:15 a.m. - 4:30 p.m.
Friday
$25 Non-Res: $37.50
13
Session 1: Aug 15 - Aug 16
Session 2: Nov 21- Nov 22
Time: 12:00 p.m. - 4:00 p.m.
Days: Thursday & Friday
Place: Peterson Park
Fee: $12 Non-AARP: $14
Min: 15
Marriott Lincolnshire Theatre
Looking for something to do on a Wednesday afternoon? Why not join us for an enjoyable afternoon at the theatre. Another great season
of musicals is available at the Lincolnshire Marriott Theatre. Make a date for yourself and your friends! Come early for lunch at one
of the Marriott Lincolnshire Resort restaurants then enjoy a matinee performance of one of the below popular musicals. The matinee
performances begin at 1 p.m. Tickets (for the theatre only) are $30.00 each. Review the below schedule and send your payment, by the
date shown, to Sharon at the township office
at 3050 N Main St., Buffalo Grove IL 60089.
Show
Performance Date
Payment Due By:
The tickets will be mailed to your home prior
“Dolly Parton’s 9 - 5”
September 11, 2013
August 5, 2013
to each performance. Descriptions of the
“Mary Poppins”
November 13, 2013
October 7, 2013
musicals may be found on the Marriott web
site, www.marriotttheatre.com.
Vernon Township | Fall 2013 |
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Youth Recreation Programs
Soccer and Tee Ball
Age: 3 - 4
This program is perfect for a child who is full of energy
and parents who are looking for an introduction to soccer
and tee ball. Socialization, teamwork, following directions,
key motor skills and having fun will be the focus of this
noncompetitive environment. The first 2 weeks of class will
focus on soccer and the second 2 weeks we will work on
tee ball. The last class will be a fun game of each sport.
Sept. 4 - Oct. 9 (6 Weeks)
Day: Wednesdays
Session 1:
4:00 – 4:45 p.m.
Place:
Admin. Playing Fields
Fee (per session): $45 Non-Res: $67.50
Min/Max: 10/20
Flag Football
Age: 7 - 9
Good old American classic! Enjoy the sport of football in a
non-contact environment where junior sized football and
flags are used as an aid for developing an understanding for
teamwork and individual attitude. Players will learn the
rules of the game as well as practice passing, catching, and
kicking along with building strategies for both offense and
defense. Games will be played at the end of each class.
Sept. 4 - Oct. 9 (6 Weeks)
Day: Wednesdays
Session 1:
6:00 – 7:00 p.m.
Place:
Admin. Playing Fields
Fee (per session): $45 Non-Res: $67.50
Min/Max: 10/20
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| Vernon Township | Fall 2013
Beginning Lacrosse
Age: 5 - 8
Lacrosse – the fastest sport on two feet – combines the
best attributes of basketball, hockey, and soccer. Participants will be led in a variety of skills including stick
handling, dodging, shooting, and defense. The emphasis of
this class will be on individual skill development, learning rules, sportsmanship, and scrimmage. A mouth guard
is mandatory but all other equipment will be provided.
Games will be played at the end of each class.
Sept. 4 - Oct. 9 (6 Weeks)
Day: Wednesdays
Session 1:
5:00 – 5:45 p.m.
Place:
Admin. Playing Fields
Fee (per session): $45 Non-Res: $67.50
Min/Max: 10/20
Speed, Agility and
Jump Training - NEW!
Age: 6 - 14
Need to get ready for upcoming tryouts? Our speed, agility,
and jump training session is built to make our participants
faster, stronger, and more agile athletes. Participants
will see improvement over this 6 week course as they
learn about different stretches, training mechanisms, and
repetition drills. This clinic is perfect for pre-season before
school sports start up again, and you could be the fastest
kid on the court! Games will be played at the end of each
class.
Sept. 8 - Oct. 13 (6 Weeks)
Day: Sundays
Session 1:
9:00 – 10:00 a.m.
Place:
Admin. Playing Fields
Fee (per session): $45 Non-Res: $67.50
Min/Max: 10/20
Program Registration Form
Vernon Township
3050 N. Main Street
Buffalo Grove, IL 60089
Recreation Phone: (847) 634-1542
1
Family Information
Family Last Name:
Address:
City, State:
Home Phone: (
Zip Code:
)
Cell Phone: (
)
Email Address:
Alternate Contact and Phone Number:
Name of Father and Work Number:
Name of Mother and Work Number:
2
Registration
First and Last Name
Sex
Birth Date
Age
Program Name
Date of Program
and Session
Time of
Program
Fee
$
$
$
$
$
Please describe any special accommodations needed for the enjoyment of this program:
Under the Americans with Disabilities Act, if you need any accommodations to participate in this activity, please check this box:
3
Payment
Forms of payment include cash or checks payable to: Vernon Township Park Fund
Amount of Payment: $
Check #
Mail or drop off registration and payment to:
Vernon Township, 3050 N. Main St., Buffalo Grove, IL 60089
4
Cash
There is a $30 surcharge on all N.S.F. checks.
Waiver
VERNON TOWNSHIP RECREATIONAL PROGRAM WAIVER AND RELEASE OF ALL CLAIMS
Please read this form carefully and be aware that in registering yourself or your minor child/ward for participation in Vernon Township programs
you will be waiving and releasing all claims for injuries you or your child/ward might sustain arising out of said programs.
I recognize and acknowledge that there are certain risks of physical injury to participate in the above program(s) and I agree to assume the full risk of
any such injuries, damages, or loss regardless of the severity which I or my child/ward may sustain as a result of participating in any activities connected
to or associated with any such program(s). I waive and relinquish all claims I or my child/ward may have against the Township and its officers, agents,
servants, and employees from any and all claims as a result of participating in any of the above program(s). I hereby fully release and discharge the
Township and its officers, agents, servants, and employees from any and all claims from injuries, damages, or loss which I or my child/ward may have or
which may accrue to me or my child/ward on account of my participation or the participation of my child/ward in any of the above program(s). I further
agree to indemnify and hold harmless and defend the Township and its officers, agents, servants, and employees from any and all claims resulting from
injuries, damages, and losses sustained by me or by my child/ward and arising out, connected with, or in any way associated with the activities of any of
the program(s).
I have read and fully understand the above programs details and waiver and release Vernon Township of all claims.
Signature of Participant or Parent/Guardian (if participant is under 18):
NOTE:
Participants will only be notified of class changes or cancellations.
Please fill out this form completely. Incomplete or inaccurate
information will delay your registration.
Date:
Vernon Township | Fall 2013 |
11
Vernon Township
PRESORTED
STANDARD
U.S. POSTAGE
PAID
Permit No.22
Lincolnshire, IL
60069
3050 N. Main Street
Buffalo Grove, IL 60089
ECRWS
POSTAL CUSTOMER
LOCAL
Policy of Nondiscrimination on the Basis of Handicapped Status The Vernon Township
Government does not discriminate on the basis of handicapped status in the admission
or access to , or treatment of employment in, its programs or activities. Kathie Deyerler, of 3050 Main Street, Buffalo Grove, Illinois has been designated to coordinate
compliance with federal nondiscrimination requirements.
Public Safety Phone Numbers
(Emergency 9-1-1 / police / fire / paramedic (All phones, including cellular)
Non-emergency / Police
Lake County Sheriff’s Police . . . . . . . . . . . . .
Buffalo Grove Police Department . . . . . . . . .
Lincolnshire Police Department . . . . . . . . . . .
Riverwoods Police Department . . . . . . . . . . .
Vernon Hills Police Department . . . . . . . . . .
(847) 549-5200
(847) 459-2560
(847) 883-9900
(847) 945-1130
(847) 362-4449
Non-Emergency / Fire
Buffalo Grove Fire Department . . . . . . . . . . .
Countryside Fire Protection District . . . . . . . .
Long Grove Fire Protection District . . . . . . . .
Lincolnshire / Riverwoods Fire Protection . . .
(847) 537-0995
(847) 367-5511
(847) 634-3143
(847) 634-2512
For Road Conditions
IDOT . . . . . . . . . . . . . . . . (800) 452-4368
Tollways . . . . . . . . . . . . . . (800) 865-5394
Other Numbers
Illinois Poison Center . . . .
Commonwealth Edison . . .
NICOR . . . . . . . . . . . . . . .
Peoples Energy . . . . . . . . .
(800) 222-1222
(800) 334-7661
(888)-642-6748
(847)-336-7400
Practical Street Self-Defense for Adults and Seniors
An on-going, low impact class designed for those new to self-defense, providing returning
students with the opportunity to review and perfect their skills and learn more advanced
techniques. The course will teach students simple and effective self-defense techniques
against the most common unarmed attacks, including defenses against knife, club and gun
attacks, and instruction on defending with a stick or cane. Students with physical limitations
will receive individual instruction on alternative self-defense options. The instructor is a
practicing attorney with over 15 years experience in Kenpo Karate, Krav Maga and Kali,
and will address the legal ramifications of using self-defense. (Students need to be at least 18
years old to participate)
Date: Aug 15- Oct 3 (8 Weeks)
Time: 6:00 p.m. - 7:00 p.m.
Days: Thursday
Place: Peterson Park
Fee: $25 Non-Res: $37.50
Min/Max:
4/20