docfall 2 015 - West Suburban Special Recreation Association
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fall 2 015 - West Suburban Special Recreation Association
fall 2015 hablamos español Board of Directors Board Meetings berwyn park district clyde park district village of elmwood park park district of forest park park district of franklin park village of harwood heights hawthorne park district norridge park district north berwyn park district park district of oak park river forest park district The Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 5:00pm. Call the office for a meeting schedule and locations. The public is invited to attend. jeff janda larry banks al schmidt steve thomas joseph d. modrich michael gadzinski dennis raleigh mark desalvo joseph c. vallez kassie porreca mike sletten West Suburban Special Recreation Association 2915 maple street, franklin park, il 60131 847.455.2100 ··· voice or tty office hours 8:30 am – 5:00 pm ··· monday through friday WSSRA Staff Marianne Birko Gretchen Dennis Robert A. Foster Maryellen Bilek Annie Hart April Ryan Nathan Sheade Elizabeth Pliego Carlos Marroquin Brittany Prysock Aaron Glickson Lisa Gershak Noelia Hernandez Karina Marroquin Laurie Kibler Christopher Swasko Luz Rocha-Serrano Larry Feldt Mike Zych 226 219 238 228 230 231 240 236 233 234 239 221 222 220 224 executive director superintendent of recreation superintendent of safety & operations outreach specialist staff manager program manager recreation specialist recreation specialist recreation specialist recreation specialist recreation specialist finance manager registrar receptionist lekotek leader graphic designer wssra driver/lekotek leader wssra driver wssra driver 245 245 245 [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] Key to Abbreviations Table of Contents ADD ADHD ALZ AUT DD EC ED HI LD MI MH MLH PI SL SO SP VI Fall Calendar 3 Alzheimer’s Children & Youth 6–9 Autism Swim Lessons 10 Early Childhood Teens & young Adults 11 - 18 Emotional Disturbance holiday hullaballoos 8, 14, 15 Learning Disability Sports, Fitness, & SO 19 - 21 Mental Impairment Older Adults 22-23 registration 26-30 Attention Deficit Disorder Attention Deficit Hyperactivity Disorder Developmental Disability Hearing Impairment Multiple Handicaps Mental Health Physical Impairment Speech and Language Delay Special Olympics Severe and Profound Mental Impairment Visual Impairment Registration Update All Fall 2015 registration is taken on a first come, first served basis fall deadline september 11th, 2015 Our Program Guide A great effort has been made to assure the accuracy of the information provided in our Program Guide. Due to the large amount of information, however, errors and changes may occur related to program schedules, locations, transportation and fees. WSSRA reserves the right to make adjustments as necessary. WSSRA will make every effort to notify participants of changes and corrections as quickly and efficiently as possible. We apologize for any inconvenience our errors may cause. follow us on /wssra @wssra On the Cover Frank makin' plays for the Bobcats Gold Basketball team wssra.net1 Program locations EMERGENCY PHONE BERWYN The purpose of this phone number Havlicek School 6401 15th St............................ 708.795.2450 Jefferson School 7035 16th St............................ 708.795.2454 Liberty Recreation Center 6445 W 27th Pl........................ 708.795.2891 Morton West High School 2400 Home Ave...................... 708.222.5700 North Berwyn Park District Community Center 1619 Wesley Ave ................... 708.749.4900 PAV Berwyn YMCA 2947 S Oak Park Ave.............. 708.749.0606 Proksa Park 3001 Wisconsin Ave............... 708.795.2892 is to allow access to WSSRA for emergencies only during non-office hours. 1. The phone may be called Monday through Friday, from 5:00pm to 11:00pm, Saturday, 7:00am to 11:00pm when programs are in session only. 2. Leave a message with your phone number at 708.491.3779 and a WSSRA staff will return your call if necessary. 3. The emergency phone should not be a substitute for calling the office for non-emergency questions, such as pick up times. WWW.WSSRA.NET Check out the WSSRA on the web for directions to program locations and up to date program information. Email your comments to us: [email protected] CICERO Cicero Community Center 2250 49th Ave......................... 708.477.6308 Cicero West School 4937 W 23rd St ...................... 708.780.4487 Clyde Park District Stadium 1909 S Laramie Ave ............... 708.652.3545 Columbus West School 5425 W 31st . .......................... 708.780.4482 Hawthorne Park District 5200 W 29th Pl........................ 708.863.6511 Morton East High School 2423 S Austin Blvd.................. 708.222.5264 Unity East Junior High School 2115 S 54th Ave...................... 708.863.8229 Woodbine School 3003 S 50th Ct . ...................... 708.652.8884 ELMWOOD PARK Elmwood Park Recreation Center 2 Conti Pkwy............................ 708.452.3935 Elmwood Park Family Aquatic Center 2 Conti Pkwy............................ 708.452.3935 Elmwood Park High School 8201 W Fullerton Ave............. 708.452.7272 FOREST PARK Circle Lanes 7244 Circle Ave ...................... 708.366.2810 Field Stevenson School 925 Beloit Ave ........................ 708.366.5703 Park District of Forest Park 7501 Harrison St .................... 708.366.7500 Forest Park Middle School 925 Beloit Ave ........................ 708.366.5703 FRANKLIN PARK Centre at North Park 10040 Addison St................... 847.928.8478 Enger School 10401 W Grand Ave .............. 847.455.5299 Franklin Park Community Center 9560 Franklin Ave .................. 847.455.2852 Franklin Park Ice Arena 9711 Waveland Ave . ............. 847.671.4268 Karate for Kids 10125 W Grand Ave .............. 847.349.5425 O'Hare CrossFit 9100 Belden Ave ................... 708.417.8502 WSSRA Office 2915 Maple St......................... 847.455.2100 HARWOOD HEIGHTS Harwood Heights Village Hall 7300 Wilson Ave .................... 708.867.7200 MELROSE PARK Mannheim Middle School 2600 Hyde Park Ave .............. 847.455.5020 NORRIDGE Norridge Park District 4631 N Overhill Ave .............. 708.457.1244 OAK PARK Andersen Center 820 Hayes Ave . ...................... 708.524.2050 Barrie Recreation Center 1101 S Lombard Ave ............. 708.383.6905 Carroll Recreation Center 1125 S Kenilworth Ave........... 708.383.6906 Dole Center 255 Augusta St ....................... 708.848.7050 Field Recreation Center 935 Woodbine Ave . .............. 708.383.6907 Fox Recreation Center 624 S Oak Park Ave................ 708.383.6908 Gymnastics & Recreation Center (GRC) 21 Lake St . .............................. 708.725.2200 Irving School 1125 S Cuyler Ave ................. 708.524.3090 Longfellow Recreation Center 610 S Ridgeland Ave ............. 708.383.6909 Longfellow School 610 Highland Ave................... 708.524.3060 Oak Park Conservatory 615 Garfield St........................ 708.725.2400 Oak Park Country Club 2001 Thatcher Ave.................. 708.453.5554 Oak Park River Forest High School 201 N Scoville Ave ................. 708.383.0700 Rehm Park 515 Garfield St........................ 708.848.9661 Ridgeland Commons Rec Complex 415 Lake St.............................. 708.725.2300 Whittier School 715 N Harvey Ave................... 708.524.3080 RIVER FOREST Keystone Center 7920 Central Avenue.............. 708.366.6660 2wssra.net HEALTHY START 10:00 – 11:30am Franklin Park Community Center MONDAY Fall 2015 SPECIAL EVENTS on milwaukee! September 2 – 3 parent date night October 16 holiday hullabaloos december 21 december 22 december 23 december 28 december 29 december 30 WALK-N-DINE 9:30am – 12:15pm TUESDAY WEDNESDAY THURSDAY Sunny Side Up 11:00am – 12:30pm Park District of Forest Park FRIDAY wssra boot camp 9:00 – 10:00am Dole Center Oak Park SATURDAY Saturday Fun Club 9:00 – 11:30am Carroll Center Oak Park TEAM UP 9:30 – 11:00am Franklin Park Community Center TOWERS SOCIAL 12:30 – 2:30pm Franklin Towers Franklin Park WILDCARD WEDNESDAYS 9:30 – 12:00pm Franklin Park Community Center YOGA FOR WELLNESS 10:00 – 11:15am Village of Harwood Heights Outdoor Adventures 9:15am – 12:15pm Park District of Forest Park Building #4 SUPER SATURDAYS 12:15 – 2:45pm Carroll Center Oak Park Imagination Station 9:30am – 12:00pm North Berwyn Park District SWIM LESSONS 3:10 – 6:00pm PAV YMCA Berwyn SATURDAY BOWLING LEAGUE 1:00 – 3:00pm Circle Bowling Lanes Forest Park afte r n oo n s SUPER BOWLERS 4:15 – 5:30pm Circle Bowling Lanes Forest Park HOT SHOTS 6:00pm – 9:00pm Park District of Forest Park Building #4 Yoga for All 7:00pm – 7:45pm Dole Center Oak Park Swim Lessons 6:30 – 7:30pm Morton East High School SOCIALITES 6:00pm – 9:00pm Carroll Center Oak Park MOONLIGHTERS 6:00pm – 9:00pm Carroll Center Oak Park eve n i n gs Urbanites 3:00 – 5:00pm West Leyden High School FOOD CRITICS 6:30 – 9:15pm Barrie Center Oak Park CITY SLICKERS 6:00pm – 9:00pm Park District of Forest Park Building #4 Tumbling into Fun 3:15 – 4:30pm Jefferson School Berwyn Cross-Fit 6:30 – 7:30pm O’Hare Cross-Fit FRIDAY SHOW TIME Time Varies Barrie Center Oak Park Ice Skating 4:45 – 5:45pm RCRC Oak Park SWIM LESSONS 7:30 – 8:15pm Mannheim Middle School Dinners Delight 6:00 – 8:30pm WSSRA Office Teen Scene 3:00 – 5:00pm West Leyden High School BOBCATS BASKETBALL Unity Jr. High Cicero Zumba 7:00 ‑ 8:00pm Cicero Community Center Cicero AMT 6:15pm – 6:55pm Dole Center Oak Park SWIM LESSONS 6:00 – 7:00pm OPRFHS Girl’s Pool WEEKLY WORKOUT 7:00 – 8:15pm Park District of Franklin Park STINGRAY SWIM TEAM 7:00 – 8:10pm OPRFHS Girl’s Pool Now We’re Cookin’ 7:30 – 9:00pm Park District of Forest Park Explore the Arts 4:15 – 5:30pm Keystone Center River Forest TAE KWON DO 7:15 – 8:00pm Karate for Kids Franklin Park AQUA ATHLETICS 8:15 – 9:00pm OPRFHS Girl’s Pool West Suburban Special Recreation Foundation The West Suburban Special Recreation Foundation (WSSRF) is an Illinois not-for-profit corporation that exists to raise funds for WSSRA. The funds raised by the WSSRF help expand programming and support additional needs of WSSRA when necessary. To learn more about WSSRF, call Marianne Birko at the WSSRA office. The WSSRF needs you! New Members The WSSRF welcomes new members. Please consider joining! No one on the Foundation is asked to do more than they can handle, yet by working together, WSSRF raises $20,000 each year to support WSSRA programs. At each meeting, Foundation members have the opportunity to give input and ideas about program offerings. So come join the fun and help WSSRF improve and expand programs for persons of all ages with disabilities. 4wssra.net Get involved! WSSRA is looking for energetic & caring staff to assist in recreation programs for individuals with disabilities. You will: · Meet new people while participating in fun recreation activities · Enjoy personal growth · Have a flexible schedule (Morning, afternoon, evening & weekend hours available) · Gain leadership skills · Enhance self-esteem by being part of a team that brings out the best in everyone For more information, call 847.455.2100 or visit wssra.net Staff Spotlight You know their voices, they've helped you register for programs, and answered any questions you may have– now, get to know them! Noly Hernandez, Registrar, has been with WSSRA for 18 years and Karina Marroquin, Receptionist, will celebrate 3 years in our front office. You can’t see it over the phone, but these two are always smiling and working hard to get you the necessary reminders, information, and help get your questions answered. They are critical in the day to day operation of WSSRA, won’t you take a minute and get to know a little bit about them? personal interests Noly: Spend time with my family and friends, love being outside. I love nature and watching movies. Karina: I like to spend time with my family and play with my baby Sammie. favorite movies Noly: The Notebook and Lilo and Stitch Karina: Grease and Dumb and Dumber favorite sports teams Noly: The Cubs Karina: All Chicago sports teams favorite food favorite thing about wssra Karina: The people I work with and getting to know the different families. Noly: Serving families and letting them know what services we could offer them so Noly: I love everything! they could enjoy life to the fullest! I love helping families answering any question Karina: Ceviche they have and making them happy. wssra.net5 children & youth Imagination Station Ice Skating All Abilities All Abilities Build a rocket ship and blast off for the moon! Protect your castle from invaders! All you need to bring each week is your imagination—we’ll build, create and design using the Imagination Playground ® . Lace up your skates and glide onto the ice. No previous skating experience is necessary. Through skating, participants may: Ages 3 – 7 ··· Saturdays, 9:30am –12:00pm North Berwyn Park District Community Center program fee: $10.60 / week OR DATEReg # September 26 429-01 October 3 429-02 October 10 429-03 October 17 429-04 October 24 429-05 $51.75 / 9 weeks DateReg # October 31 429-06 November 7 429-07 November 14 429-08 November 21 429-09 · Experience enjoyment through independent movement · Improve balance and coordination · Increase overall fitness Ages 8-22 ··· Tuesdays, 4:45 – 5:45pm Ridgeland Commons Rec Complex, Oak Park dates: September 8 – October 27 round trip trans trans fee: $48.40 registration #: 417 fee: $40.80 Tumbling Into Fun Super Bowlers All Abilities All Abilities Run, jump, spin, and roll—just part of the fun we’ll tumble Into! Participants will also enjoy a snack and craft at program. Hit the lanes with WSSRA and learn the fundamentals of bowling. Bumpers and adaptive equipment is available if needed. Ages 3-6 ··· Wednesdays, 3:15 – 4:30pm Ages 7-22 ··· Fridays, 4:15 – 5:30pm Jefferson School, Berwyn Circle Lanes, Forest Park dates: September 23 – November 18 dates: September 25 – November 20 registration #: 414 round trip trans fee: $25.90 registration #: 427 trans fee: $54.45 fee: $53.35 Explore the Arts Parent Date Night All Abilities All Abilities Grab your brush, sponge, or use your fingers to paint. Build a pot with clay or create a collage. Add some music and we’ll be dancing. There’s no limit to the elements we’ll explore! We’ll keep the kids busy with ice skating, bowling, pizza and more while you enjoy a night out! Adults, if you’re looking for something to do, come to the WSSRF Fallin’ For Our Stars event tonight! See page 4 for event details. Ages 3 – 12 ··· Mondays, 4:15 – 5:30pm dates: September 21–November 16 Ages 3-22 ··· Friday, 6:30pm – 11:00pm Keystone Center, River Forest Ridgeland Commons Recreation Complex, Oak Park round trip trans trans fee: $48.40 registration #: 487-01 registration #: 407 fee: $37.00 no program october 12 6wssra.net date: October 16 fee: $30.00 children & youth Sign up for both! Autism Movement Therapy and Yoga For All meet back-to-back on Wednesday nights! Autism Movement Therapy ® Yoga for All All Abilities All Abilities Experience this innovative and creative program under the guidance of a certified Autism Movement therapist. We use movement and music to help develop balance, coordination, sequencing and much more! Participants will be introduced to beginner yoga positions, meditative practice and stretching exercises in a fun, playful environment. The program will focus on body control, increased strength and flexibility, and relaxation techniques. Ages 7-15 ··· Wednesdays, 6:15 – 6:55pm Ages 7-15 ··· Wednesdays, 7:00 – 7:45pm Dole Center, Oak Park Dole Center, Oak Park dates: September 23 - November 18 dates: September 23 - November 18 round trip trans trans fee: $54.45 round trip trans trans fee: $54.45 registration #: 412 fee: $22.35 registration #: 409 fee: $15.55 Lekotek Tae Kwon Do All Abilities All Abilities Borrow toys from WSSRA’s toy lending library—we have over 2,000 toys!! Our certified Lekotek leaders will guide you through a monthly play session and introduce you to a variety of adaptive toys, making play possible for ALL children. Lekotek offers: This class is designed to captivate the interest of our youngest student. Karate for Kids teaches the American Tae Kwon Do Association curriculum based on positive mental attitude and high goal setting. The building blocks for this system include: · Relaxing, guided play sessions · Home loan of up to six toys monthly · Opportunities to focus on the abilities of children · Positive parent/child interactions · Self-esteem building · Sibling play and fun! For children birth – 6 years North Berwyn Park District, Irving School in Berwyn, or WSSRA office · Self-control · Courtesy · Friendship · Confidence · Self-awareness · Self-esteem · Perseverance · Self-improvement · Respect · Dedication Ages 9-14 ··· Mondays, 7:15-8:00pm Karate for Kids, Franklin Park Call WSSRA to schedule individual sessions uniform fee: $40.00/one-time fee for new participants in addition to program fee paid directly to Karate for Kids registration #: 401 dates: September 21–November 16 fee: $60-$175 dependant on family size and income. Fee includes monthly toy loans and up to 9 play sessions. no program october 12 registration #: 413 fee: $60.00 wssra.net7 holiday hullaballoos Looking for something fun to do during the holidays? Look no further! Sign up for some of our Holiday Hullabaloo events! Space is limited so register today. Holiday Hullabaloo events are open to all abilities. Participants need to bring a lunch for each event. Snacks will be provided. Detailed information will be sent prior to the events in December. Ages 3 - 11 time: 9:00am – 3:00pm round trip trans trans fee: $6.05/event Meeting location to be determined activity date reg # fee Giddy Up! We’re heading to Equestrian Connection, Lake Forest for horseback riding, hiking, art therapy and more! Monday December 21 482-01 $28.60 Strike out with a 300! Enjoy a day of pin clashing at Circle Lanes. Tuesday December 22 482-02 $28.60 A Whole New World Come join us for a day themed around the Wonderful World of Disney! Wednesday December 23 482-03 $21.45 It’s a Bird, It’s a Plane, It’s a day at Pelican Harbor! Bring your flip flops, swim suit, and a lunch to enjoy at Bolingbrook Park District’s Indoor Aquatic Park. Monday December 28 482-04 $28.60 Missing that Summer Sun? Look no further than this in-house taste of summer activity filled day with “Summer in December!” Tuesday December 29 482-05 $21.45 Lions, Tigers, and Bears, Oh My! Come for a day filled with your favorite animals at the Brookfield Zoo Wednesday December 30 482-06 $28.60 8wssra.net Tell us how we’re doing! saturdays Saturday Fun Club ALL ABILITIES Ages 3 – 6 ··· Saturdays, 9:00am – 11:30am Barrie Recreation Center fee: $10.60/week wssra wants your feedback! Super Saturdays ALL ABILITIES Ages 7 – 11 ··· Saturdays, 12:15 – 2:45pm Barrie Recreation Center fee: $10.60/week activity We want your feedback and suggestions regarding the programs for which you have registered. Please take 3-4 minutes to help us improve the services we offer. All answers are anonymous, confidential, and will be used only by WSSRA. Just visit wssra.net and click on “tell us what you think!” Thanks for your reg #: 404 reg #: 406 date reg # Make a Splash! It’s time to get wet and wacky with some water games today! Sept 26 404-01 Park A Palooza! Monkey tag, Freeze tag, Blob tag, and more! There’s no limit to the fun we’ll have at the playground today! Oct 3 404-02 Walk the Plank! Arrrrrre you ready for some pirate themed games today? Oct 10 404-03 Dino-ROAR! Let’s celebrate Jurassic World with a dinosaur party! Oct 17 404-04 Monster Inc., WSSRA Edition Sulley and Boo invite you to a monster themed day of games and crafts! Oct 24 Brainssss! It’s a zombie invasion this Halloween! Join your friends for some living-deadawesome games! Oct 31 Banana! Nothing is sillier or more fun than our Minion party today! Nov 7 Crayola Kids! It’s an art party today! Get ready for a colorful mess! Nov 14 Sensory Saturday! It’s time to tickle our senses this Thanksgiving season! Nov 21 406-01 406-02 406-03 406-04 404-05 406-05 404-06 406-06 404-07 406-07 404-08 406-08 404-09 406-09 assistance! wssra.net9 swim l essons ALL ABILITIES WSSRA conducts swim lessons to allow all individuals to progress from beginner to advanced swimming abilities. Our swim lessons cover fundamental body positions, breath control, stroke drills, and age appropriate safety skills. If you are looking to learn more advanced, competitive, and technical strokes to improve your swimming check out or Stingray Swim Team page! WSSRA swim lessons use the progressive American Red Cross Learn-To-Swim program. Parents are responsible for locker room supervision and assistance. Public health code requires that anyone with possible incontinence must wear protective, rubber pants in addition to a swim diaper. oak park river forest high school Monday 3 years & up 6:00 – 6:30pm Sept 21 – Nov 16 451-01 $30.40 Monday Advanced Swimmers: must swim pool length 6:00 – 6:50pm Sept 21 – Nov 16 451-02 $39.90 Monday 3 years & up 6:30 – 7:00pm Sept 21 – Nov 16 451-03 $30.40 Sept 23 – Nov 18 451-04 $38.10 no program oct 12 no program oct 12 no program oct 12 mannheim middle school, melrose park Wednesday 3 years & up 7:30 – 8:15pm no program nov 11 Morton east high school, cicero Thursday 3 years & up 6:30 – 7:00pm Sept 24 – Nov 19 451-05 $32.35 Thursday 3 years & up 7:00 – 7:30pm Sept 24 – Nov 19 451-06 $32.35 Friday 3 – 6 years 3:10 – 3:40pm Sept 25 – Nov 20 451-07 $30.40 Friday 3 – 6 years 3:45 – 4:15pm Sept 25 – Nov 20 451-08 $30.40 Friday 3 – 6 years 4:20 – 4:50pm Sept 25 – Nov 20 451-09 $30.40 Friday 7 years & up 4:55 – 5:25pm Sept 25 – Nov 20 451-10 $30.40 Friday 7 years & up 5:30 – 6:00pm Sept 25 – Nov 20 451-11 $30.40 pav ymca, berwyn 10wssra.net no program oct 23 no program oct 23 no program oct 23 no program oct 23 no program oct 23 outdoor adventures MI, DD, LD, VI We fill our Saturday mornings with fun and thrills as we explore our communities. The vans will depart 5 minutes after scheduled start time for our out trips! We do a lot of indoor AND outdoor activities each week. Please make sure that you are dressed for both! Ages 12 – 22 ··· Saturdays, 9:15am-12:15pm Park District of Forest Park, Building #4 fee: $14.00/week Please see weekly program descriptions for any changes in fee or program time activity date reg # D.I.Y D.A.Y. You make it. You take it. We’re putting our crafting skills to the test today as we create art from Pinterest. September 26 431-01 Tracks of America All aboard for the Chicago Botanical Garden! We are going to spend the day walking along their Model Railroad Garden featuring landmarks from across America. Time change today! 9:00am – 1:00pm October 3 431-02 Grill Master Enjoy the fall weather with a grill challenge and some outside games today! October 10 431-03 October 17 LEGO to the Arboretum We’re visiting the Morton Arboretum today to check out Nature Connects®: Art with LEGO bricks by Sean Kenney. We’ll see 13 larger-than-life sculptures inspired by nature and built from our favorite bricks. 431-04 Boo at the Zoo! Take a spin on the Creepy Carosel or the Haunted Hayride. After we escape the Crazed Maze, we’ll see what the animals are up to at Brookfield Zoo. October 24 431-05 Build Your Own Burrito! Today is taco morning! We’re celebrating Day of the Dead a little early with some food, sugar skull painting, and games! October 31 431-06 Pajama Jam! Roll out of bed and come to program in your nighties! We’re celebrating early mornings with a pajama dance and sleepover games November 7 431-07 Knights of the WSSRA table We’re off to Adventure Realm where arcades, Magiquest game play, and Knights Quest laser tag are the journey for the day! November 14 431-08 November 21 Turkey Bowl It’s the season to give thanks, eat food, and celebrate football! Share some fun and food with your friends at our football themed holiday feast. 431-09 wssra.net11 teens & young adults Sunny Side Up Now We’re Cookin’ dd, mlh, hi DD, MLH, HI Turn the fun up to 350 degrees at our morning cooking program! We’ll learn to make different recipes and enjoy eating them too! Fall back into the kitchen with WSSRA! Program participants will enjoy making their own healthy creations and bringing recipes home. Ages 15 ··· Fridays, 11:00am – 12:30pm Ages 15 and older ··· Thursdays, 7:30 – 9:00pm Park District of Forest Park, Main Building Park District of Forest Park, Main Building dates: September 25 – November 20 dates: September 24 – November 19 round trip trans round trip trans trans fee: $54.45 registration #: 434 fee: $58.60 trans fee: $54.45 registration #: 433-01 fee: $58.60 Show Time Food Critics MI, DD, AUT, MLH MI, DD, AUT, MLH Enjoy a night with popcorn and the big screen! In order to minimize disturbance to other movie patrons, participants must be able to focus on a movie for two hours with minimal breaks. Wok and Roll with this season’s dishes at some of the most popular Asian restaurants in town! Lively discussion about what we liked best each week is all part of the fun. Participants must be able to sit for a meal with minimal interruptions to others. Bring $25 to cover your food and share of the tip. Participants need to bring $20 for ticket and snacks. Ages 15 and older ··· Fridays Ages 15 and older ··· Fridays, 6:30 – 9:15pm Barrie Recreation Center Barrie Recreation Center pick up point trans trans fee: $2.75/week · WSSRA Office · Cicero McDonald’s pick up point trans trans fee: $2.75/week · WSSRA Office · Cicero McDonald’s program fee: $12.75/week program fee: $12.25/week activity date reg # destination date reg # WSSRA will notify participants of the movie & times on the Wednesday before the show. October 30 460-01 New Star Restaurant 7444 W North Ave, Elmwood Park Sept 25 461-01 High School Musical…The Musical! Take a break from the big screen and join us for a live stage production by the students at West Leyden High School. Cost of ticket is covered with this week’s registration fee. November 6 6:00pm 460-02 No Food Critics tonight Check out Saturday Night Social Clubs and sign up for the NEDSRA Homecoming Dance! Oct 2 Joy Yee Noodle 1335 S Halsted St, Chicago Oct 9 461-02 New China Buffet 8339 W North Ave, Melrose Park Oct 16 461-03 WSSRA will notify participants of the movie & times on the Wednesday before the show. November 20 Panda Express North Riverside Mall Food Court Oct 23 461-04 Noodles & Company 7215 Lake St, River Forest Nov 13 461-05 12wssra.net 460-03 Broadway Tour Team Up! HI, VI, PI, MLH, DD AUT, DD See a live Broadway production! Participants must be able to focus on a 2+ hour performance with minimal interruptions. This is to minimize disturbance to other audience members. WSSRA is pleased to partner with Community Support Services (CSS) in its offering of the Team Up program. WSSRA provides a fitness component once a week to individuals who are enrolled in the program. Ages 15 and older ··· Friday, December 18 meeting location: Barrie Recreation Center destination: Bank of America Theatre time: 6:15pm registration #: 481 fee: $41.00 Gotta Dance Like the half-time performances at sporting events? Like musicals? Then Gotta Dance is for you! This Broadway bound musical is inspired by true events, this musical takes you through the first-ever senior dance team for a professional basketball team. See them make their journey towards busting a move on center court! Music by Emmy, Grammy, Tony, and Oscar winner Marvin Hamlisch. Witness a true Tony Award-nominee performances by Matthew Sklar and Nell Benjamin who have also starred in “The Wedding Singer” and “Legally Blonde.” This program is grant-funded through the Community Mental Health Board of Oak Park. Oak Park residents only. 22 and older ··· Wednesdays and Thursdays, 8:30 – 1:30pm dates: Ongoing now – March 2016 criteria: Participants must meet residency criteria, must be successful socially with a 1:4 staffing ratio, and must be independent in personal care. to register or for more information: Contact Francisca Favela at Community Support Services, 708.354.4547 wssra.net13 holiday hullaballoos Looking for something fun to do during the holidays? Look no further! Sign up for some of our Holiday Hullabaloo events! Space is limited so register today. Holiday Hullabaloo events are open to all abilities. Participants need to bring a lunch for each event. Snacks will be provided. Detailed information will be sent prior to the events in December. Ages 12 - 17 time: 9:00am – 3:00pm round trip trans Meeting location to be determined trans fee: $6.05/event activity date reg # fee Giddy Up! We’re heading to Equestrian Connection, Lake Forest for horseback riding, hiking, art therapy and more! Please pack a lunch. Monday December 21 483-01 $28.60 Hocus Pocus, Abracadabra Here comes Mark Doetsch to perform a mind-blowing live magic show! See cards be torn apart and put back together, cards jumping to the top of the deck, during this magic themed day! Tuesday December 22 483-02 $28.60 Lions, Tigers, and Bears, Oh My! Come for a day filled with your favorite animals at the Brookfield Zoo Wednesday December 23 483-03 $28.60 A Whole New World Come join us for a day themed around the Wonderful World of Disney! Monday December 28 483-04 $21.45 Crash Landing Into Splash Landing We'll visit the indoor water park at the Glenview Park District. Tuesday December 29 483-05 $28.60 Missing That Summer Sun? Look no further than this in-house taste of summer activity filled day with “Summer in December!” Wednesday December 30 483-06 $21.45 14wssra.net holiday hullaballoos Ages 18 - 26 time: 9:00am – 3:00pm round trip trans Meeting location to be determined trans fee: $6.05/event activity date reg # fee Giddy Up! We’re heading to Equestrian Connection, Lake Forest for horseback riding, hiking, art therapy and more! Please pack a lunch. Monday December 21 490-01 $28.60 Hocus Pocus, Abracadabra Here comes Mark Doetsch to perform a mind-blowing live magic show! See cards be torn apart and put back together, cards jumping to the top of the deck, during this magic themed day! Tuesday December 22 490-02 $28.60 A Whole New World Come join us for a day themed around the Wonderful World of Disney! Wednesday December 23 490-03 $21.45 Lions, Tigers, and Bears, Oh My! Come for a day filled with your favorite animals at the Brookfield Zoo Monday December 28 490-04 $28.60 Strike Out With a 300! Enjoy a day of pin clashing at Circle Lanes Tuesday December 29 490-05 $28.60 Missing That Summer Sun? Look no further than this in-house taste of summer filled day with “Summer in December!” Wednesday December 30 490-06 $21.45 wssra.net15 teens & young adults Teen Scene Urbanites West Leyden life students West Leyden transition students Mondays, 3:00 - 5:00pm Thursdays, 3:00 - 5:00pm Students will be picked up for program at WLHS by WSSRA. Students will be picked up for program at WLHS by WSSRA parent pick-up after program is the wssra office at 5:00 parent pick-up after program is the wssra office at 5:00 fee: $5.00/week fee: $5.00/week Home only transportation is available to students who live in WSSRA partner communities trans fee: $3.00/week Home only transportation is available to students who live in WSSRA partner communities trans fee: $3.00/week activity date Last Days of Summer! Let’s enjoy the last days of summer outdoors! Well play water games and enjoy the sun as summer melts away. Sept 21 Ice Cream, You Scream! Let’s take a break and grab some ice cream with some friends! activity date 458-01 Aye Aye Captain Calling all Pirates! Come join us on a scavenger hunt for some long lost treasure at North Park! Sept 24 446-01 Sept 28 458-02 All a-Board! Bring your favorite board games for some Trivia fun! We’ll have snack available too! Oct 1 446-02 Head on Down to the Alley! Come join us as we head down to the Brunswick Zone to see who’s got the best throw in town! Oct 5 458-03 Fore! Grab your gold clubs as we hit the greens for some glow-in-the-dark fun at the Putting Edge! Bring extra money for arcades. Oct 15 446-03 Grab a Book! We’re heading over to the Franklin Park Library to see what’s new on the shelf, and to research some neat topics! Oct 19 458-04 Spooky Halloween! Put on your favorite Halloween costume and join us for some spooky fun! Oct 29 446-04 Spooky Halloween! Put on your favorite Halloween costume and join us for some spooky fun! Oct 26 458-05 Nov 12 Shop 'Til We Drop! Christmas is right around the corner and you can never start shopping too early! Let’s hit the HIP to see what we can find! 446-05 Are You Ready for Some Football? Football season is here and we're getting down and dirty with some flag football! We’ll be playing all different kinds of sports so bundle up and come ready! Nov 2 458-06 We All Fall Down! Let’s get outside and collect some leaves as we create some crazy fall crafts! Nov 9 Nov 16 Shop 'Til We Drop! Christmas is right around the corner and you can never start shopping too early! Let’s hit the HIP to see what we can find! 16wssra.net reg # 458-07 interested in joining the saturday night fun? Jump to the next page, we have tons of exciting programs for ages 15 and up! 458-08 Call the office and we'll help you get into the right group ··· 847.455.2100 reg # moonlighters & socialites join the saturday night fun! Join a club for some Saturday evening fun! We'll visit some of our favorite local attractions with friends while focusing on enhancement of social skills. Activities planned are intended for adults who want to venture out in the name of fun! Call Liz at the office and we'll help you get into the right group ··· 847.455.2100 MI, AUT, DD Ages 15 and older ··· Saturdays, 6:00-9:00pm ··· Carroll Center, Oak Park pick-up point: WSSRA Office or Cicero McDonald’s trans fee: $2.75 per week moonlighters reg #: 475 socialites reg #: 473 When Social Clubs are scheduled to attend sporting events, plays, concerts, etc, our return to the meeting locations is approximate. WSSRA will remain at these events until they end. If the group is going to be more than 15 minutes late, staff will attempt to contact families with updated information. activity date reg # fee Octoberfest! Join us for some fall fun in Berwyn as they host their Oktoberfest with live bands, food September 19 475-01 $14.30 Don your best dress, suit and tie! We’re heading to the NEDSRA Homecoming dance for a night of food, dancing, and fun with our friends from other SRA’s. Friday event! ··· Formal dress is recommended Friday October 2 475-02 $20.40 Bear Down and Gear Up! Football season is hear time to cheer on your favorite football team, enjoy some football party snacks, and enjoy some sports talk at our very own Football Party! October 10 475-03 $12.25 Boo at the Zoo! Come Join the Brookfield Zoo and celebrate Halloween with a variety of events featuring costume contest, costume parade, treats, and holiday animal exhibits! October 17 475-04 $14.30 Pumpkin Cravings and Carvings! Spend an evening of pumpkin carving and we’ll be the judge for the contest! Dress for a mess October 24 475-05 $14.30 Get Spooked at the Spook Shed! Enjoy a little scare or an evening of pumpkin picking, cotton candy, and harvest fun at Sonny Acres Farm in West Chicago! Dress for the weather ··· Bring money for food and tickets October 31 475-06 $16.35 High School Musical…The Musical! Join us for a live stage production by the students at West Leyden High School. Friday November 6 475-07 $14.30 Gobble Gobble Gobble! It’s a Thanksgiving soiree tonight and we are the chefs! Let’s celebrate the month of thanks by cooking up our own Thanksgiving dishes! November 14 475-08 $16.35 Evening Wildlife Encounter! Ever wonder what zoo animals do at night? Tonight’s the opportunity to have a party with the animals at Lincoln Park Zoo! November 21 475-09 $16.35 vendors, and more entertainment all located in the Historic Depot District! Bring money for food and tickets 473-01 473-02 473-03 473-04 473-05 473-06 473-07 473-08 473-09 wssra.net17 hot shots & city slickers MI, AUT, DD Ages 15 and older ··· Saturdays, 6:00-9:00pm ··· Park District of Forest Park, Building #4 pick-up point: WSSRA Office or Cicero McDonald’s trans fee: $2.75 per week hot shots reg #: 472 city slickers reg #: 474 When Social Clubs are scheduled to attend sporting events, plays, concerts, etc, our return to the meeting locations is approximate. WSSRA will remain at these events until they end. If the group is going to be more than 15 minutes late, staff will attempt to contact families with updated information. activity date reg # fee Octoberfest! Join us for some fall fun in Berwyn as they host their Oktoberfest with live bands, food vendors, and more entertainment all located in the Historic Depot District! Bring money for food and tickets September 19 472-01 $14.30 Don your best dress, suit and tie! We’re heading to the NEDSRA Homecoming dance for a night of food, dancing, and fun with our friends from other SRA’s. Friday event! ··· Formal dress is recommended Friday October 2 472-02 $20.40 Get Spooked at the Spook Shed! Enjoy a little scare or an evening of pumpkin picking, cotton candy, and harvest fun at Sonny Acres Farm in West Chicago! Dress for the weather ··· Bring money for food and tickets October 10 472-03 $16.35 Bear Down and Gear Up! Football season is hear time to cheer on your favorite football team, enjoy some football party snacks, and enjoy some sports talk at our very own Football Party! October 17 472-04 $12.25 Boo at the Zoo! Come Join the Brookfield Zoo and celebrate Halloween with a variety of events featuring costume contest, costume parade, treats, and holiday animal exhibits! October 24 472-05 $14.30 Remember the Gh’oul Times! Enjoy some frightful finger foods and witches brew at tonight’s friendly good time Halloween themed social! Don’t forget your costume for a costume contest! October 31 472-06 $12.25 High School Musical…The Musical! Join us for a live stage production by the students at West Leyden High School. Friday November 6 472-07 $14.30 Thanksgiving Soiree! It’s a Thanksgiving feast tonight and we are the chef’s! Let’s celebrate the month of thanks by cooking up our own Thanksgiving dishes! November 14 472-08 $16.35 Pumpkin Carving Contest! Spend an evening of pumpkin carving and we’ll be the judge for the contest! Dress for a mess November 21 472-09 $14.30 18wssra.net 474-01 474-02 474-03 474-04 474-05 474-06 474-07 474-08 474-09 sports, fitness & special olympics CrossFit Saturday Bowling League ALL ABILITIES Mi, aut, dd, mh Come join us for our new fitness program, that will involve highintensity interval training, Olympic weightlifting, plyometrics, powerlifting, cardio, and other exercising. We ask that the participant be able to: · Follow multi-step direction with minimal prompting · Remain with the group with minimal prompting 13 and older ··· Thursdays, 6:30 - 7:30pm O'Hare Cross Fit dates: October 1 - November 12 round trip trans trans fee: $42.35 registration #: 428 fee: $80.00 Zumba® Sharpen your bowling skills while spending time with friends. An adaptive ball and bowling ramp will be available. Don’t forget to sign up for the NSSRA tournament! Ages 13 and older ··· Saturdays, 1:00 – 3:00pm Circle Lanes, Forest Park dates: September 26 – November 21 pick up point trans trans fee: $24.75 · WSSRA Office · Harwood Heights Village Hall · Cicero McDonald’s · Elmwood Park Recreation Center registration #: 410 fee: $79.30 NSSRA Bowling Tournament All Abilities Dance, dance, dance your way to a healthier you! We promise to keep moving in this Latin and international dance fitness program. 13 and older ··· Wednesdays, 7:00 – 8:00pm Cicero Community Center, Cicero dates: September 23 - November 18 round trip trans trans fee: $54.45 registration #: 426 fee: $49.65 Saturday, December 5 Brunswick Zone, Deerfield ··· 10:00am – 1:00pm pick up points · WSSRA Office · Fox Park, Oak Park registration #: 432 fee: $20.40 Healthy Start Aqua Exercise MLH, MI, AUT, DD Aqua exercise is one of the best exercises for the body with minimal gravitational pull, all muscle groups are worked out. Workouts cover cardio and strength. While having fun in the pool with your friends to various-upbeat music, you will also improve your strength, flexibility, mobility, resting heart rate, and range of motion. All Abilities Start your week with a healthy dose of exercise! We’ll emphasize: · Stretching · Flexibility · Moderate aerobics · Use of exercise equipment Exercise routines will be monitored by staff to meet your individual needs. 15 and older ··· Mondays, 8:15 – 9:00pm 21 and older ··· Mondays, 10:00 –11:30am OPRF Girl's Pool Franklin Park Community Center dates: September 21 - November 16 dates: September 21 - November 16 round trip trans trans fee: $48.40 round trip trans trans fee: $48.40 registration #: 448 fee: $38.10 registration #: 445 fee: $44.40 no program october 12 no program october 12 wssra.net19 Special Olympics Illinois Special Olympics provides year round sports training in a variety of Olympic-type sports for individuals who are 8 years and older and who have mental impairments or closely related developmental disabilities. The program gives athletes opportunities to develop physical fitness, demonstrate courage, experience joy and participate in the sharing of skills and friendship with their families and other athletes. WSSRA supports the mission of Special Olympics through the participation in the following sports: Aquatics, Basketball, Bowling, Softball, Track & Field, Volleyball, and Gymnastics. Criteria for Participation Good Sportsmanship All Special Olympic athletes must have a current, completed We all share a responsibility in making the Special Olympics Application for Participation in Illinois Special Olympics on training and competition program a positive experience that file with the Special Olympic coordinator at WSSRA. This form promotes the growth & development of our athletes. With this contains 4 sections: belief, we have identified expectations for our WSSRA Athletes, · Athlete information Parents, & Spectators: · Parent or Guardian Authorization & Medical Authorization WSSRA’s Expectations of Athletes · Health Insurance and Emergency Information · Demonstrate respect for the rules of the sport · Medical Clearance (MUST be completed by a physician) · Demonstrate respect for coaches, teammates, Applications for Participation in Illinois Special Olympics are valid for 2 years based on the earliest signed date on the medical application form. See page 26 for the application. opponents, opposing coaches and officials. Failure to do so may result in loss of playing time · Come to practices and games ready to play with a positive attitude. Anyone interested in participating, starting a new sport, or WSSRA’s Expectations of Spectators volunteering please contact the WSSRA Special WSSRA spectators are asked to provide positive support during Olympic Coordinator. practice and competition. Negative comments are incredibly detrimental to team morale. Spectators are expected to: · Show respect & positive support for ALL WSSRA athletes and our opponents. · Show respect & positive support for ALL WSSRA coaches, opposing coaches, officials, and other spectators · Be a role model for proper behavior and demonstrate good sportsmanship, and self-discipline. Failure to do so will result in removal from the practice or competition and may jeopardize your attendance at future events. 20wssra.net sports, fitness & special olympics Stingray Swim Team Weekly Workout Stingray Swim Team is a training and team building program for those who have excelled in WSSRA swim lessons and can now swim at least one length (25m) of the pool independently. Athletes are pushed and challenged to continually develop their competitive swimming skills further with our dedicated coaches and staff. Training consists of consecutive lap-swimming throughout the program along with technique refinement. Stingray members are encouraged to participate in Special Olympic Competition, but not obligated to do so. Swim team members are not eligible to register for WSSRA swim lessons. MLH, MI, AUT, DD Don't forget to sign up for swim meets below! Mondays, 7:00 – 8:10pm Oak Park River Forest High School, Girl's Pool dates: September 21 - November 16 no program october 12 round trip trans trans fee: $48.40 registration #: 441 fee: $52.00 SEASPAR Swim Meet Saturday, November 21 Downers Grove North High School pick up points · WSSRA Office · Fox Park, Oak Park registration #: 442-01 Finish your day with a great workout! Improve your physical condition with: · Exercise stations · Weight lifting · Low impact aerobics 13 and older ··· Tuesdays, 7:00 – 8:15pm Franklin Park Community Center dates: September 22 - November 17 round trip trans trans fee: $54.45 registration #: 447 fee: $41.65 Bobcat Basketball MI, AUT, DD The WSSRA Bobcat Basketball philosophy emphasizes teamwork, good sportsmanship, and giving one’s best in a safe and healthy environment. Competitiveness will come from the game itself and not from emphasis on the score. Players will: · Learn the fundamentals of basketball · Learn and play different positions · Be a part of a team and learn the importance of teamwork Ages 15 and older ··· Tuesdays, 6:30 – 8:00pm Locations TBD You will be notified of practice and game locations once teams have been established. fall practice season fee: $15.30 September 22 – November 17 Registration Deadline: September 18 pick up point trans · WSSRA Office FVSRA Swim Meet Transportation fee cannot be adjusted to a weekly basis registration #: 499 Saturday, December 5 game season Norris Recreation Center, St. Charles November - February pick up points registration #: 499 · WSSRA Office · Fox Park, Oak Park registration #: 443-01 trans fee: $24.75 Fee: $112.20 / Program fee includes practice & game season fee: $15.30 wssra.net21 older adults Walk & Dine don't miss a single week! On dates that Walk & Dine doesn't meet, Shop & Dine does! Sign up for both programs so you don't miss any Fall fun! Call the office and we'll help with any questions ··· 847.455.2100 Adults PI, VI, HI, MLH Walk or wheel your way to a healthier heart with your friends at WSSRA! We’ll end each week with lunch at a local restaurant. Participants must be independent in mobility. Participants will be responsible for purchasing their own lunch. Older adults ··· Tuesdays, 9:30am – 12:15pm round trip trans trans fee: $6.05/week program fee: $11.25/week destination date reg # Chicago Botanical Gardens Lunch at Jimmy Johns September 22 467-01 Lindberg Park, Oak Park Lunch at Panera Bread September 29 467-02 Proksa Park, Berwyn Lunch at Yia Yia’s October 6 467-03 Redman Park, Bensenville Lunch at Culver's Franklin Park October 20 467-04 Dominican University, River Forest Lunch at Russell’s Barbeque October 27 467-05 Garfield Park Conservatory Lunch at Tasty Dog November 3 467-06 Commons Park North Riverside Lunch at Buffalo Wild Wings November 17 467-07 Shop & Dine Adults PI, VI, HI, MLH We’ll hit the stores, stock up on necessities, and end each week with lunch. Participants must be independent in mobility. Participants will be responsible for their purchases and lunch. Older adults ··· Tuesday, 9:30am-12:15pm round trip trans trans fee: $6.05/week program fee: $11.25/week 22wssra.net destination date reg # Harlem & Irving Plaza, Norridge Lunch at the food court Oct 13 466-01 Rosemont Outlet Malls Lunch at Food Court Nov 10 466-02 older adults Towers Social Wildcard Wednesdays Adults PI, VI, MLH Adults PI, VI, HI, MLH Join us one Friday a month for socializing, games and trivia. We’ll enjoy coffee and a light snack while we play cards “Garbage” style. Start your day with some card shuffling fun! Light & healthy refreshments will be served. Sign up for the weeks that fit your schedule! Older adults ··· Fridays, 12:30 – 2:30pm Franklin Towers, Franklin Park round trip trans trans fee: $6.05/week program fee: FREE date reg # September 18 479-01 October 23 479-02 November 20 479-03 December 11 479-04 Older Adults ··· Wednesdays, 9:30 – 12:00pm Franklin Park Community Center round trip trans trans fee: $6.05/week program fee: $10.60/week date reg # date reg # September 23 465-01 October 28 465-06 September 30 465-02 November 4 465-07 October 7 465-03 November 11 465-08 October 14 465-04 November 18 465-09 October 21 465-05 Yoga for Wellness Adults PI, VI, HI, Chronic Illness Did you know that yoga can help improve flexibility, balance, breathing and concentration? Plus, it can help decrease stress and improve your mood! Join WSSRA as we start the day with breathing exercises and gentle stretching and yoga. Yoga poses will be taught in a seated position in chairs. Can’t commit to every week? That’s okay! Now you can register based on the number of classes you want to attend. Once you register, you will receive your punch card in the mail. Bring your card to class with you each time you attend. Cards will expire at the end of December, 2015. Older adults ··· Tuesdays, 10:00 – 11:15am Village of Harwood Heights Diner’s Delight Adults PI, VI, MLH Enjoy an evening of food, games and socializing. Sign up for a 3-week session. The first two weeks, we’ll order dinner in to the WSSRA office and enjoy some gaming. We’ll go out to eat our third week. Supervisor will bring dinner choices for the first week of each session—after that—it’s up to the group to determine our following feasts! Participants are responsible for purchasing their own meal. Older adults ··· Thursdays, 6:30 – 8:30pm, meets at WSSRA Office round trip trans trans fee: $6.05/week session one dates: September 24, October 1 & October 8 registration #: 462-01 dates: October 6 – December 29 fee: $22.95 session two no program nov 3, nov 24, dec 1 passes reg # fee 10 Classes 469-01 $26.50 8 Classes 469-02 $21.20 5 Classes 469-03 $13.25 3 Classes 469-04 $7.95 dates: October 15, October 22, & October 29 registration #: 462-02 fee: $22.95 session three dates: November 5, November 12, & November 19 registration #: 462-03 fee: $22.95 wssra.net23 thank you for generously donating the 2015 derby gala dessert buffet west suburban special recreation association FALL 2015 REGISTRATION FORM mail to: wssra, 2915 maple street, franklin park, il 60131 ··· fax to: 847.455.2157 ··· signed registration must be received by september 11, 2015 participant’s name:_ ______________________________________________________________________________birth date:_______________________ address:_________________________________________________________________ city/state: _ _____________ zip:_____________________________ home phone:____________________________________ park district/village:_ ____________________________________________________________ parent or guardian name:_________________________________________________________________________________________________________ email address: parent/guardian work phone:_____________________________________________ parent/guardian cell phone:______________________________ who should be contacted if parent/guardian is unavailable? name:___________________________________phone:__________________________ present school/workshop/other:_ ________________________________________ teacher/supervisor name:_________________________________ participant disability:_____________________________________________________________________________________________________________ does participant use wheelchair/walker? specify:____________________________ ______________________ can participant transfer? *yes *no is participant subject to seizures? *yes *no is medication taken at program? *yes *no if yes, please complete and return seizure information form list any medication:______________________________________________________________________ list any allergies:_ _______________________________________________________________________________________________________________ does participant have a communicable disease? *yes *no program # if yes, please explain:______________________________________________________ program name day fee trans program & trans fee subtotal total due: Fee Payment Option ··· Please Check One ··· payment is expected at registration unless other arrangements are made * total payment enclosed * credit card * visa * total payment to follow (if faxed) * request scholarship * payment plan arranged with bob foster * master card card number: expiration date: _____ / _____ i have read the waiver release of all claims and hold harmless agreement on the reverse side and unless i have checked no under the three authorizations, i approve them. _________________________________________________ parent/participant/guardian signature __________________________ date HOLD HARMLESS RELEASE ON REVERSE SIDE West Suburban Special Recreation Association WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in the programs. 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 connected with or associated with such activities and involve substantial risks of injury. I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating 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 that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs. I do hereby fully release and discharge the West Suburban Special Recreation Association and the other released parties from any and all claims for injuries, damages 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 West Suburban Special Recreation Association and any and all other 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”, 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 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 advisement or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement. In case of emergency, I give my permission for the participant to receive any first aid, transportation or medical attention that may be required. You may return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile transmission to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form. to communicate with school / health care personnel* I authorize counsellors, teachers, case workers, therapists, or physicians to communicate with WSSRA about the participant’s needs as they relate to WSSRA’s provision of recreation services to the participant. WSSRA will keep confidential all information obtained through such communications. yes no to disclose information to wssra member partners* WSSRA may disclose to my home park district or municipality information about the participant’s and my involvement in WSSRA programs or activities, including our names, telephone number, address, program registrations, and the participant’s age and disability, provided that my home park district or municipality shall not redisclose that information without my express written consent. yes no to release information for publicity purposes* I authorize the use of photographs or descriptions of the participant or of me in publicity materials about WSSRA programs and services, which may appear in newspapers, member partner brochures, video presentations, web sites and other similar mediums or displays. yes no *I understand that I can change my decisions regarding the statements above at any time for any reason by delivering a written notice to WSSRA, prohibiting further disclosure information. we welcome your input! We invite you to share with us your program ideas and comments about our services: _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ you can also email us your input at [email protected] | support wssra by following us on 28wssra.net /wssra @wssra West Suburban Special Recreation Association SEIZURE INFORMATION date:____________________________ Please complete this form if the participant experiences seizures, or return a copy of your child’s seizure plan from his/her school. Please update this form whenever there is a change in the seizure plan and submit it with your registration. You will be asked to review this once a year and provide any necessary updates. CONTACT INFORMATION participant name:_________________________________________________________________________________________________________________ person completing form:_ ________________________________________________________________________________________________________ parent/guardian:_________________________________________________________________________________________________________________ parent/guardian home phone:___________________________________ work:_ ___________________________cell:____________________________ emergency contact:______________________________________________________________________________________________________________ emergency contact home phone:________________________________ work:_ ___________________________cell:____________________________ emergency contact relationship:__________________________________________________________________________________________________ email address: what is the best way to communicate with you about the participant's seizure?:_ _______________________________________________________ ________________________________________________________________________________________________________________________________ current seizure related medication: medication name dosage time of intake 1. Seizure Type (please check): * Generalized tonic-clonic seizures (grand mal seizures) are the most common and best known type of generalized seizure. They begin with stiffening of the limbs (the tonic phase), followed by jerking of the limbs and face (the clonic phase). * Myoclonic seizures are rapid, brief contractions of bodily muscles, which usually occur at the same time on both sides of the body. Occasionally, they involve one arm or a foot. People usually think of them as sudden jerks or clumsiness. * Atonic seizures produce an abrupt loss of muscle tone. They produce head drops, loss of posture, or sudden collapse. Because they are so abrupt, without any warning, and because the people who experience them fall with force, atonic seizures can result in injuries to the head and face. Protective headgear is sometimes used by children and adults. * Absence seizures (petit mal seizures) are lapses of awareness, sometimes with staring, that begin and end abruptly, lasting only a few seconds. There is no warning and no after-effect. * Simple partial show no loss of consciousness. Sudden jerking, sensory phenomena. Lasts about 90 seconds. * Complex partial last about 1-2 minutes in which consciousness is impaired or lost. May have an aura. Symptoms include: Automatisms such as lip smacking, picking at clothes, fumbling. They may be unaware of the environment and may wander. Following the seizure they are often unaware of the seizure event and can be confused and sleepy. * Status epilepticus If seizures are prolonged, or occur in a series, there is an increased risk of status epilepticus. The term literally means a continuous state of seizure. 2. When was your/the participant’s last seizure? _____ /_____ /______ How long does the seizure last?______________________________________ How long was the longest seizure?_______________________________________________________________________________________________ 3. Describe what a typical seizure looks like (be specific) :_____________________________________________________________________________ ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ wssra.net29 West Suburban Special Recreation Association SEIZURE INFORMATION continued 4. Are you/the participant aware that they are about to have or have just had a seizure? yes no 5. Are there any symptoms or triggers prior to the onset of your/the participant’s seizure? (i.e. stomach pain, fear, smells, sounds, lights) Explain: _________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ 6. Has there been any recent change in your/the participant’s seizure pattern? yes no Explain: _________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ 7. Have you/the participant ever been hospitalized for continuous seizures? (Status epilepticus) yes no Explain: _________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ 8. Please list below the necessary steps you would like WSSRA to take in the event of a seizure: 1. Call 911 for a seizure over ______ minute(s). WSSRA will call 911 if a seizure lasts 5 minutes 2. ____________________________________________________________________________________________________________________________ 3. ____________________________________________________________________________________________________________________________ 9. Please describe what constitutes an emergency for you/ the participant:_ ____________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ 10. Do you/the participant have a VNS (vagal nerve stimulator)? yes no If yes, contact WSSRA at 847.455.2100 to discuss further. 11. Is there any other information that WSSRA should know?___________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________ 30wssra.net wssra registration & policies REGISTRATION REFUNDS In order to participate in Fall programs, your completed AND signed registration form must be received in the WSSRA office by Friday, September 11. WSSRA registration is taken on a firstcome, first-served basis. Refunds will only be issued when the registrant cannot participate for extended medical reasons and/or hospitalization verified by a physician. Drop off at the wssra office or mail to WSSRA 2915 Maple St. Franklin Park, IL 60131 Fax to 847.455.2157 Scan & email to [email protected] Phone to: 847.455.2100 REGISTRATION OPTIONS A phone-in registration will only hold a spot in program. A completed AND signed registration form is still required in order to start participation. The form can be returned to the WSSRA office using the mail, drop-off, fax, or email options above. The registration form MUST be received by Friday, September 11. If your signed form is not received by this date, you will lose your spot in any of your selected programs that have a wait list. CLOSED PROGRAMS/WAIT LISTS If a program closes because we have reached its maximum enrolment, your participant will be placed on a Wait List once we receive your completed and signed registration form. Wait Lists are reviewed on a weekly basis. You will be notified if additional space in the program becomes available. WSSRA OUTREACH If you are new to WSSRA and need assistance selecting programs or completing your registration form, please contact an Outreach Specialist at the WSSRA office. PAYMENT Payment of program fees is due upon registration unless other arrangements have been made. Billing statements are mailed out once a month. Call the Finance Manager to arrange for a payment plan, Monday – Thursday, 8:30am – noon. A participant may not register for the next season until a balance from previous season is paid. WSSRA Program Supervisors MAY NOT accept payment or registration forms at program. RETURNED CHECKS A $20.00 fee will be charged for any checks returned to WSSRA. The $20.00, as well as the balance, will need to be paid before registering for future programs. SCHOLARSHIP REQUEST WSSRA is in a position to offer scholarships to WSSRA residents for a percentage of fees for two programs each season. Persons requesting a scholarship must complete a scholarship application, which will be mailed to you upon request. Scholarship applications need to be filled out once a year. If you are interested in a scholarship, check the box on the registration form: Request Scholarship. All scholarship applications must be completed and submitted to the WSSRA office. CANCELLED PROGRAMS · If there is low enrolment, a program may be cancelled. ·.A program refund or credit will be issued. · .If a program is cancelled due to unforeseen circumstances . you will be contacted at the soonest possible time. · .A program credit will not be issued for weather-related cancellations. Programs will be made up at the end of a season whenever possible. · .No program credits will be issued for sports tournament cancellations. PARENT DROP-OFF & PICK-UP WSSRA programs are staffed according to the needs of the participants who are registered. If your participant does not show up to program, we will send staff home for the day. Please help WSSRA keep programs running safely with the necessary number of staff by making sure that your participant arrives for program at the start time of program. Please do not drop your participant off prior to the stated program start time. For the safety of your participant, at drop off & pick up, be sure to make contact with a WSSRA staff person. When a program is scheduled to travel (i.e. Saturday nights, outdoor adventures, etc.), The WSSRA vehicles will leave the meeting location promptly at 5 minutes past the program’s listed start time. LATE PICK-UP/DROP-OFF Please make sure that you are on time picking up your participant from program, as well as, home to greet your participant when the WSSRA vehicle drops them off after program. A $10.00 Fee will be charged for every 15 minutes, or portion thereof, that a participant is picked up late or WSSRA vehicle is delayed, after a 10 minute grace period. A notice will be sent to you indicating the fee being charged to your account. wssra.net31 registration & policies PARTICIPANT ILLNESS For the protection of all of the participants in program, your participant must be kept at home or will be sent home if he/she shows any of the following symptoms: · A temperature over 100.3. · Stomach ache accompanied by diarrhea or vomiting. · Any undiagnosed rash. · Sore or discharging eyes or ears. · Profuse nasal discharge (green or yellow). Please keep children with active colds at home. · Have a highly contagious condition such as chicken pox, measles, lice, etc. PARTICIPANT ABSENCE If your participant is not going to attend a program for which you are registered, please notify the WSSRA office as soon as possible. Make sure you leave a voice mail if you call after our office has closed for the day. SAFETY PRECAUTIONS Some participants in WSSRA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service training concerning proper hygienic procedures. WSSRA seeks to provide a safe environment for all of our participants, staff, volunteers, and the public. If you have specific questions, please call the WSSRA executive director or superintendent of safety & operations. WSSRA TRANSPORTATION Transportation by WSSRA is available for some programs and with an additional fee. When offered, transportation information and fees are noted in a program’s registration information in this program guide. All riders must abide by the following WSSRA guidelines. Failure to do so will result in suspension from transportation. Repeat offenders will not be transported by WSSRA. · Riders must stay in their seat with a seatbelt on at all times. · Riders must not deface the vehicle. · Riders must keep their hands and feet to themselves. · Eating is not permitted on WSSRA vehicles. · Parents or participants must notify WSSRA in regard to any change in transportation. · Any registration received after September 11 may result in a late program start or no transportation. · Parents are requested to notify their child’s school on days the child will be picked up by WSSRA. · A participant under the age of 16 must be taken off of the WSSRA vehicle by a responsible person over the age of 12. CAR SEATS Due to state legislation, car seats or boosters must be provided for all children ages seven and under. For more information contact the superintendent of safety & operations. 32wssra.net MEDICATION It is the parent/guardian and participant’s responsibility to inform WSSRA of any medication a participant is taking. This information is important in case of an emergency. Medication information should be noted ion the registration forms, as well as the annual information form. Any changes in medication should be communication to WSSRA. SEIZURES Participants who have had a seizure must complete a seizure information form prior to beginning programs. Please see page 31 for this form. Forms can be found on the WSSRA website, scanned & emailed, or mailed to you. Forms need to be updated as changes with the seizures or medication occurs. INSURANCE The association takes every reasonable precaution to prevent injuries and accidents from occurring. However, if an accident does occur or if you or your participant is injured, you are solely responsible for any costs incurred or caused by an injury that happens in an association program. WAIVER OF LIABILITY WSSRA is insured through a self-insurance pool with other special recreation associations and park districts. Our pool is known as the park district risk management agency (pdrma). As a loss prevention measure, pdrma is requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the WSSRA waiver release form. This must be signed and returned to the WSSRA office before a participant can be in programs each season. Since we do not carry medical or accident insurance for program participants, the release of liability is necessary. The cost of such coverage would make our program fees to high for most to afford. Please review your personal health plan to be certain that you and your family have coverage in instances like these. Our objective is to offer a high-quality program at a reasonable cost. The use of a release of liability, when appropriate, is but one way we are trying to meet that objective. If you have questions, call the WSSRA executive director. We appreciate your continued involvement and support. NON-RESIDENT POLICY WSSRA programs are limited to people who live in the WSSRA partner districts and villages. If you live outside of the WSSRA communities and are interested in participating in a special recreation program, call your park district or village recreation department. Call the WSSRA executive director for more information. September 12, 2015 Concordia University Chicago 8:00am This race is presented by the Community Bank of Oak Park River Forest, the River Forest Park District, Concordia University Chicago, and Fenwick High School. The race is a 3.1 mile USATF-certified and CARA Certified Green Race course through the flat, tree-lined streets of River Forest race proceeds go to benefit WSSRa REGISTRATION IS OPEN! Go to www.signmeup.com/106242 to learn more West Suburban Special Recreation Association 2915 Maple Street, Franklin Park, IL 60131 P 847.455.2100 | F 847.455.2157 www.wssra.net Sponsored by Saturday, December 12 Reg #: 491 Fee: $15.00 - 11 years and older ··· $8.00 - 11 years and younger Train times to be determined Seats are limited! Only 5 tickets per family are available Wheelchair seating is available All children must be accompanied by an adult
