WSSRAWSSRA · WSSRF BOWL-A-THONSaturday, March 14 12:30 – 3:00pm Circle Lanes, Forest Park Call...

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Enriching lives through recreationEnriching lives through recreationWSSRAWSSRAWSSRAWSSRA

CHECK OUT OUR SUMMER DAY CAMP INFORMATION ON PAGES 11-18!

WSSRFWSSRF

BOWLBOWL- A -THONTHON

Saturday, Saturday, March 14March 14

12:30 12:30 –– 3:00pm 3:00pmCircle Lanes, Circle Lanes, Forest ParkForest Park

Call the WSSRA office at 847-455-2100 for more information!

Have Fun while raising funds for WSSRA!Have Fun while raising funds for WSSRA!

Benefit Concert Benefit Concert at the Wire at the Wire Featuring

$25 in Advance $30 at the door

www.sonsofchicagomusic.com

Tickets

Saturday,Saturday,January 18January 18Doors open at 7:30pm

All Ages Show(Individuals under the age of 21 must be accompanied by an adult)

ACCESSACCESSfor

Working Together


Table of ContentsWINTER/SPRING CALENDAR ........................................ 7SPECIAL EVENTS .................................................. 2,51,52TRIPS ............................................................................8-9SCHOOL DAYS OUT ...................................................... 10SUMMER DAY CAMP ..............................................11-18CHILDREN & YOUTH ...............................................19-22SWIM LESSONS ............................................................ 23TEENS & YOUNG ADULTS ......................................24-27SOCIAL CLUBS ........................................................28-30ADULTS ....................................................................31-32SPORTS & FITNESS ....................................................... 33SPECIAL OLYMPICS .................................................34-38REGISTRATION FORMS ...........................................43-48REGISTRATION INFORMATION & POLICIES ..........49-50

Registration UpdateRegistration is taken on a first come, first served basis.

Winter/Spring 2020 deadline: .........January 17th, 2020

Key to AbbreviationsADD Attention Deficit DisorderADHD Attention Deficit Hyperactivity DisorderALZ Alzheimer’sAUT AutismDD Developmental DisabilityEC Early ChildhoodED Emotional DisturbanceHI Hearing ImpairmentLD Learning DisabilityMI Mental ImpairmentMH Multiple HandicapsMLH Mental HealthPI Physical ImpairmentSL Speech and Language DelaySO Special OlympicsSP Severe and Profound Mental ImpairmentVI Visual Impairment

For more program information please contact....

follow us on /wssra @wssra @w.s.s.r.a

West Suburban Special Recreation Association2915 maple streetfranklin park, il 60131847.455.2100 - voice or tty

office hoursmonday through friday 8:30 am – 5:00 pm

Our Program GuideA 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.

Kelly Baran Swim programs, Adults(pages 23, 31-32)

Christina FernandezChildren & Youth(pages 19-21)

Chris SturmSpecial Olympics(pages 34-38)

Carlos MarroquinDay Camp(pages 11-18)

Sylvia DobbinsSocial Clubs & Young Adults(pages 24-30)

Mia Leyba Teens & After School ProgramsInclusion Support (pages 24-27)


WHO WE AREWHO WE ARE

The Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 4:00pm. Call the office for a meeting schedule and locations. The public is invited to attend.

WSSRA StaffMarianne Birko ................226 .......................executive director .................................................................... [email protected] Hart ........................230 .......................superintendent of safety & operations ....................................... [email protected] Ryan .........................231 .......................superintendent of recreation ...........................................................aprilr@wssra.netCarla Pakenas ...................219 .......................staff manager .................................................................................. [email protected] Marroquin ............232 .......................program manager ......................................................................... [email protected] Sturm ...........235 .......................inclusion manager ............................................................................ [email protected] Walsh ....................240 .......................public relations coordinator .......................................................nicolew@wssra.netKelly Baran .......................239 .......................recreation specialist .........................................................................kellyb@wssra.netMia Leyba .........................236 .......................recreation specialist ........................................................................... [email protected] Dobbins..................238 .......................recreation specialist ....................................................................... [email protected] Fernandez ........234 .......................recreation specialist ................................................................... [email protected] Gershak .....................221 .......................finance manager .................................................................................. [email protected] Hernandez ............222 .......................registrar .............................................................................................. [email protected] Escalera ............................................receptionist .................................................................................... [email protected] Casas ................................................receptionist ......................................................................................... [email protected] Clasen .....................................................school liason ....................................................................................... [email protected] Harmon Bell .............224 .......................fund development specialist/lekotek leader [email protected] Rocha-Serrano ...........224 .......................lekotek leader ........................................................................................ [email protected] Feldt ......................................................wssra driverMike Zych .......................................................wssra driverFrank Quaranta ..............................................wssra driver

The West Suburban Special Recreation Association is part of your local park district or village recreation department. We provide recreation programs for individuals who have any type of disability. Your park district or village governs the operation of the Association.

Board of Directors

Board Meetings

BERWYN PARK DISTRICT .................... MIKE GIANATASIOCLYDE PARK DISTRICT ................................. LARRY BANKSVILLAGE OF ELMWOOD PARK ........................ AL SCHMIDTPARK DISTRICT OF FOREST PARK ............ JACKIE IOVINELLIPARK DISTRICT OF FRANKLIN PARK ........ JOSEPH MODRICHVILLAGE OF HARWOOD HEIGHTS ............ANNA WEGRECKIHAWTHORNE PARK DISTRICT .................. DENNIS RALEIGHNORRIDGE PARK DISTRICT ..........ANNEMARIE FLAHERTYNORTH BERWYN PARK DISTRICT.................MARK SLADEKPARK DISTRICT OF OAK PARK .................. KASSIE PORRECARIVER FOREST PARK DISTRICT ..................... MIKE SLETTENVILLAGE OF NORTH RIVERSIDE ................. TERESA MROZIKVILLAGE OF RIVERSIDE .........................RON MALCHIODI

West Suburban Special Recreation FoundationThe 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 MembersThe 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 $40,000 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.

wssra.net Winter/Spring 2020wssra.net Winter/Spring 202055

STAFF SPOTLIGHTSTAFF SPOTLIGHT

WSSRA wants your feedback!

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

assistance!

Larry Feldt

Larry Larry FeldtFeldt

Thank you

for your years2525of service to

WSSRA!We will miss your positive

attitude, great sense of humor & warm smile!


FACILITIESFACILITIESBENSENVILLEWhite Pines Golf Course500 W. Jefferson St. ............... 630.766.0304

BERWYNHavlicek School6401 15th St .......................... 708.795.2450Jefferson School7035 16th St .......................... 708.795.2454Liberty Recreation Center6445 W 27th Pl ...................... 708.795.2891Morton West High School 2400 Home Ave ..................... 708.222.5700North Berwyn Park District Community Center1619 Wesley Ave .................. 708.749.4900PAV Berwyn YMCA2947 S Oak Park Ave .............. 708.749.0606Proksa Park3001 Wisconsin Ave .............. 708.795.2892

CICEROCicero Community Center 2250 49th Ave ....................... 708.477.6308Clyde Park District Stadium1909 S Laramie Ave .............. 708.652.3545Drexel Elementary School5407 W 36th St ...................... 708.652.5532Duck Pond Pool5105 31st StFreshman Center1801 S 55th Ave ..................... 708.863.2200Hawthorne Park District5200 W 29th Pl ...................... 708.863.6511 Lincoln Elementary School3545 S 61st Ave ..................... 708.652.8889Manor Park5800 W Park Ave ................... 708.427.8244Morton East High School2423 S Austin Blvd ................. 708.222.5264Unity East Junior High School 2115 S 54th Ave ..................... 708.863.8229

ELMWOOD PARKElmwood Park Recreation Center2 Conti Pkwy .......................... 708.452.3935Elmwood Park Family Aquatic Center2 Conti Pkwy .......................... 708.452.3935Elmwood Park High School8201 W Fullerton Ave ............ 708.452.7272

FOREST PARKCircle Lanes7244 Circle Ave ..................... 708.366.2810Field Stevenson School925 Beloit Ave ....................... 708.366.5703Park District of Forest Park7501 Harrison St ................... 708.366.7500Forest Park Middle School925 Beloit Ave ....................... 708.366.5703Grant White School147 Circle Ave ....................... 708.366.5704

Roos Recreation Center7329 Harrison St ................... 708.366.7500

FRANKLIN PARKCentre at North Park10040 Addison St .................. 847.928.8478Franklin Park Community Center9560 Franklin Ave ................. 847.455.2852Franklin Park Ice Arena9711 Waveland Ave .............. 847.671.4268Pool on Pacific9715 Pacific Ave .................... 847.455.2858O'Hare CrossFit9100 Belden Ave ................... 708.417.8502WSSRA Office2915 Maple St ....................... 847.455.2100

HARWOOD HEIGHTSHarwood Heights Village Hall7300 Wilson Ave ................... 708.867.7200

NORRIDGELeigh School8151 W. Lawrence Ave .......... 708.456.8848Norridge Park District4631 N Overhill Ave ............... 708.457.1244

NORTH RIVERSIDEKomarek School 8940 W 24th St ...................... 708.447.8030North Riverside Community Room 2359 S. DesPlaines Ave .......... 708.442.5515

OAK PARKAndersen Center820 Hayes Ave ...................... 708.725.2000Barrie Recreation Center1011 S Lombard Ave ............. 708.725.2000Carroll Recreation Center1125 S Kenilworth Ave........... 708.725.2000Cheney Mansion220 N Euclid Ave .................... 708.725.2500Dole Center255 Augusta St ...................... 708.725.2000Dynamic Lynks1100 Lake St #LL65 ...............708-620-2373Field Recreation Center935 Woodbine Ave ............... 708.725.2000Fox Recreation Center624 S Oak Park Ave ................ 708.725.2000Gymnastics & Recreation Center (GRC)21 Lake St ............................. 708.725.2000Imaginarium Sensory Room228 Madison .......................... 708.455.2100Irving School1125 S Cuyler Ave ................. 708.524.3090Longfellow Recreation Center610 S Ridgeland Ave ............. 708.725.2000Longfellow School715 S Highland Ave ................ 708.524.3060Oak Park Conservatory615 Garfield St ....................... 708.725.2400

Oak Park Country Club2001 Thatcher Ave................. 708.453.5554Oak Park River Forest High School 201 N Scoville Ave ................ 708.383.0700Rehm Park515 Garfield St ....................... 708.848.9661Ridgeland Commons Rec Complex415 Lake St ............................ 708.725.2300West Cook YMCA255 S Marion St #3103 .......... 708.383.5200Whittier School715 N Harvey Ave .................. 708.524.3080

RIVER FORESTKeystone Center7920 Central Avenue ............. 708.366.6660

RIVERSIDEHistoric Water Tower 10 Pine Avenue ...................... 708.442.7025

WWW.WSSRA.NETCheck out WSSRA on the web for

directions to program locations and up to date program information.

Email your comments to us: [email protected]

The purpose of this phone number 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.

E M E R G E N C Y P H O N E

WIN

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SPRING

4/6 - 5/17

W

inter EscapePage 8

Recognition BanquetPage 51

WDSRA

Swim

Meet

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SO District

Aquatics Page 36

Spring Getaw

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SO Pow

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Flap Jack Bunny Hop

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SEASPAR Bowling

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Derby Gala

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SO Spring G

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Sunday Fundaypage 22

Tumble into Funpage 21

Gymnastics

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Healthy Startpage 33

School Day Out

page 10

Teen Scenepage 25

Swim

Lessons page 23

Bobcats Swim

Teampage 35

Walk-N

-Dine page 31

Yogapage 31

Ice Skating page 19

Stress M

anagement

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Bobacats Softball

page 36

Weekly W

orkoutpage 33

Wild Card

Wednesdays Page 31

Berwyn Excursionspage 26

SO Pow

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page 35

Fun Fitnesspage 19

Yoga for Allpage 19

Swim

Lessonspage 23

SO Track &

FieldClinic

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Healthy Start Page 33

Windy City

Explorerspage 32

Child-Caregiver Playgroup

Page 19

Teen Scenepage 25

Swim

Lessons page 23

Mini-M

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Music M

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Advanced Golf

page 33

Now

We’re Cookin’

page 27

International Passortpage 27

Swim

Lessonspage 23

Aqua ExercisePage 33

Food Critics page 27

Friday Show Tim

e page 27

Little Sports

Young Athletes page 20

Sensory Explorerspage 20

SibshopsPage 21

Outdoor

Adventurespage 24

Horseback Ridingpage 24

Saturday FU

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Sensory Saturdayspage 20

Saturday Bow

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Moonlighterspage 28

Hot Shotspage 29

City Slickers page 30

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OVERNIGHT TRIPSOVERNIGHT TRIPS

Further information and details will be sent upon registration. This camp is designed for our WSSRA participants who are: • responsible for independent personal care (feeding, dressing and toileting) •Devoidofemotionaloutburststhatrequire1:1staffing • Successful socially within 1 staff per group of 4 participants

Sign up for a weekend trip to Camp Henry HornerCamp Henry Horner, in Ingleside, IL. We will be getting outdoors for some wilderness fun along with these other great activities: • High & Low rope courses • Hiking • Rock Climbing •Zip-lining•Sledding•Campfires•Arts&Crafts • Archery • Dance • Storytelling Activities are subject to change based on weather.

Fee: $2Fee: $2550.60.655

Winter EscapeWinter EscapeFeel like getting away for this Winter!?Feel like getting away for this Winter!?Feel like getting away for this Winter!?Feel like getting away for this Winter!?Winter EscapeWinter Escape Overnight Overnight

TripTrip

Jan 10 - 12 2020Jan 10 - 12 2020(Ages: 13-older)

Fee: $250.65Fee: $250.65

Spring GetawaySpring GetawayFeel like getting away for Spring Break!?Feel like getting away for Spring Break!?

Spring GetawaySpring Getaway Overnight Overnight TripTrip

(Ages: 13-older)

Further information and details will be sent upon registration. This camp is designed for our WSSRA participants who are: • Require assistance with personal care and daily living skills • May require hand-over-hand assistance for participation in recreation activities • Require smaller staff to participant ratio for behavioral and emotional support

Sign up for a weekend trip to Camp Henry Horner,Camp Henry Horner, in Ingleside, IL. We will be getting outdoors for some wilderness fun along with these other great activities: • High & Low rope courses • Hiking • Rock Climbing • Zip-lining • Sledding • Campfires • Arts & Crafts • Archery • Dance • Storytelling Activities are subject to change based on weather.

March 27-29 2020March 27-29 2020


OVERNIGHT TRIPSOVERNIGHT TRIPS

Activities will include: • Hoover Dam Tour • Cirque du Soleil • Swimming • Casinos • Dining at popular resturants • Shopping on the Vegas Strip & much more!

What’s included: • Airfare • Transportation • Lodging • 3 meals per day • Daily activities

Viva Las Vegas!August 30 - September 3, 2020

Viva Las Vegas!Viva Las Vegas!(Age: 21 & up)

WSSRA is taking a trip to the city that never sleeps, Las Vegas, Nevada! End your Summer with a 5 day/4 night trip to take in all the sites that

Las Vegas has to offer. See the bright lights of the iconic Vegas strip and check out a few marvelous shows! Register now for the trip of a lifetime!

Registration Deadline: May 29, 2020 Registration will be a lottery.

A $300.00 nonrefundable deposit is required at the time of registration. The deposit will only be refunded if the participant is not drawn in the lottery. Trip is limited to 12 particpants. Scholarships are not aviable for this trip.

Eligible Participants: • Participants who are responsible for independent personal care including feeding, dressing and toileting • Participants who are independent in mobility either walking or wheeling • Participants who are successful socially at a 4:1 staffing ratio • Participants who are devoid of emotional outburst that require 1:1 staffing

Please contact April Ryan with questions concerning eligibility requirements.

Fee: $1,695 (Price may vary by $100 depending on group size and airfare rates)

Museum of Science & Industry(Age: 7 – 22) All Abilities

Whir and whiz your way through the Museum of Science and Industry with WSSRA! Please bring a lunch that does not need to be refrigerated.

Meeting Location: 228 Madison, Oak ParkDay Dates Time Fee Mon 2/17 9:00am-3:00pm $31.80 Round Trip Trans Fee: $6.50


SCHOOL DAYS OUTSCHOOL DAYS OUT

What’s Cookin’, Good Lookin’?(Age: 7 – 22) All Abilities

Roll, flip, and top your way to the best pizza you’ve ever had! WSSRA will be attending a professional cooking class where we will learn the ins and outs to good pizza!


Looking for something to do on those school holidays? Look no further! WSSRA has fun activities planned to keep the kids busy.

Artastic!(Age: 7 – 22) All Abilities

Bring your creations to life at Kid’s Clay Room. We will be hand-building clay pottery and paint our masterpieces! Please bring a lunch that does not need to be refrigerated.


ELIGIBILITYAnyone who has a documented diagnosis of disability and who is 3 years to 22 years (on the first day of camp) and resides in these communities: The Villages of Harwood Heights and Elmwood Park and the Park Districts of: Berwyn, Clyde, Forest Park, Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park, River Forest, Riverside and North Riverside.

DAY CAMP LOTTERYFriday, March 27, 2020Due to the popularity of our WSSRA camps, enrollment is determined by lottery. See registration procedures for information.

CAMP DATESJune 15 - July 31, Monday-Friday Session 1: 6/15 – 7/10 (4 weeks)

Session 2: 7/13 – 7/31 (3 weeks)

No camp on July 3rd

CAMP TIMES & FEES

Preschool Camp (ages 3-6)Choose one or both sessions: Session 1 Dates Time Fee Morning Camp 6/15-7/10 9:00-11:45am $174.35Afternoon Camp 6/15-7/10 12:15-3:00pm $174.35

Session 2 Dates Time Fee Morning Camp 7/13-7/31 9:00-11:45am $137.25Afternoon Camp 7/13-7/31 12:15-3:00pm $137.25

Full-day Camp (ages 7-22) If your child will attend summer school, you must register for half-dayChoose one or both sessions: Session 1 Dates Time Fee 6/15-7/10 9:00am-3:00pm $348.65

Session 2 Dates Time Fee 7/13-7/31 9:00am-3:00pm $275.25

Half-day Camp (ages 7-22) Half-day registration will not be adjusted for participants attending summer schoolChoose one or both sessions: Session 1 Dates Time Fee 6/15-7/10 12:15-3:00pm $174.35

Session 2 Dates Time Fee 7/13-7/31 12:15-3:00pm $137.65

At this time, the 2020 campsites are not confirmed. Typically, sites are in Berwyn, Cicero, Oak Park, Franklin Park, Forest Park and North Riverside. All campers are assigned by WSSRA to a site based upon their age and individual needs.

CAMP LOCATIONS

SUMMER DAY CAMP 2020SUMMER DAY CAMP 2020

Community Cruisers is a program for participants ages 23-40. Participants will enjoy fun recreational activities and have the opportunity to increase social skills and make new friends. This program also emphasizes independence through money management and use of public transportation. Participants will enjoy community outings and volunteer opportunities as well. Choose one, two or all three daysDay Dates Time Fee Mon 6/15-7/27 9:00am-3:00pm $133Wed 6/17-7/29 9:00am-3:00pm $133Fri 6/19-7/31 9:00am-3:00pm $114

SCHOLARSHIPSScholarships may be awarded for a percentage of camp and transportation fees. Scholarship applications must be submitted at least one week prior to registration. You will be notified of your awarded amount within one week of receipt of your scholarship application. Proof of income required.

REGISTRATION PROCEDURES 1. Registration and scholarship forms can be requested via phone at 847.455.2100 or found online at www.wssra.net

2. All forms must be complete, signed, dated and returned to WSSRA by Friday, March 27, by 5:00pm to be entered in the lottery.

3. Day Camp acceptance letters, scholarship award, and your payment information and schedule will be mailed out by April 10.

4. Registration will be accepted after March 27, but a participant can only be added to camp if space is available. WSSRA will notify you.

5. Anyone Registering after May 29 will not start camp on time.

PAYMENT SCHEDULEAt time of registration ......1/2 of your total payment due May 29 .............................. Final 1/2 of your total payment duePayments not made by May 29 will risk losing camp placement

CANCELLATION POLICYCancellations made prior to May 29 will receive a refund less a $25 processing fee. No refunds will be granted for cancellations made after May 29.

TRANSPORTATIONDoor to door transportation is available for an additional fee. Limited spots are available, so transportation requests must be made at the time of camp registration and included on the day camp registration form.

Transportation FeesSession 1 One-way transportation $154.85Round-trip transportation $309.70

Session 2 One-way transportation $122.50Round-trip transportation $244.50

WSSRA will not provide midday transportation for summer school students. Transportation will not be provided for participants who live within 8 blocks of their assigned campsite unless they have a physical disability. Not all buses are air-conditioned.

(ages 23-40)

QUIEN ES ELEGIBLE?Cualquiera que tenga un diagnóstico documentado de discapacidad y que tenga 3 años a 22 años (en el primer día de campamento) y reside en estas comunidades: Los Municipios de Harwood Heights y Elmwood Park y los Distritos de Parque de: Berwyn, Clyde, Forest Park, Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park, River Forest, Riverside y North Riverside.

LOTERIA DE CAMPAMENTO DE DIAViernes, 27 de MarzoDebido a la popularidad del campamento de día de WSSRA, inscripción se determina por una lotería. Refiérase a los procedimientos de inscripción para mas información.

FECHAS15 de Junio - 31 de Julio, 2020, Lunes - ViernesNo ay campamento el 3 de Julio.

Sesión 1: 6/15 – 7/10 (4 semanas)

Sesión 2: 7/13 – 7/31 (3 semanas)

HORARIO Y COSTOS

Campamento Preescolar (edades 3-6)Elija una o ambas sesiones Sesión 1 Fecha Horario Costo Sesión de la mañana 6/15-7/10 9:00-11:45am $174.35Sesión de la tarde 6/15-7/10 12:15-3:00pm $174.35

Sesión 2 Fecha Horario Costo Sesión de la mañana 7/13-7/31 9:00-11:45am $137.25Sesión de la tarde 7/13-7/31 12:15-3:00pm $137.25

Campamento de Día Completo (edades 7-22) Si su hijo/a va a asistir a la escuela de verano, debe registrarse por medio día. Elija una o ambas sesiones Sesión 1 Fecha Horario Costo 6/15-7/10 9:00am-3:00pm $348.65

Sesión 2 Fecha Horario Costo 7/13-7/31 9:00am-3:00pm $275.25

Campamento de Medio Día (edades 7-22) El registro de medio día no se ajustará para los participantes que asistan a la escuela de verano. Elija una o ambas sesiones Sesión 1 Fecha Horario Costo 6/15-7/10 12:15-3:00pm $174.35

Sesión 2 Fecha Horario Costo 7/13-7/31 12:15-3:00pm $137.65

En este momento, los Campamentos no están confirmados. Típicamente los sitios se localizan en Berwyn, Cicero, Forest Park, Franklin Park, Oak Park y North Riverside. Todos los campistas son asignados por WSSRA a un sitio basado en su edad y necesidades individuales.

SITIOS

CAMPAMENTO DE VERANO 2020CAMPAMENTO DE VERANO 2020

Community Cruisers es un programa para participantes de edades 23-40. Los participantes disfrutarán de actividades recreativas y tendrán la oportunidad de mejorar sus habilidades sociales y conocer nuevos amigos. Este programa también enfatiza la independencia a través de la administración del dinero y el uso del transporte público. Los participantes podrán disfrutar de salidas comunitarias y oportunidades para ser voluntarios.Día Fecha Horario Costo Lunes 6/15-7/27 9:00am-3:00pm $133Miércoles 6/17-7/29 9:00am-3:00pm $133Viernes 6/19-7/31 9:00am-3:00pm $114

BECASLas becas pueden cubrir un porcentaje del campamento y gastos de transporte. Las aplicaciones de la beca deben ser completados y enviadas una semana antes de registrase. Se le notificará si usted recibirá una beca y la cantidad de ayuda concedida entre una semana. Comprobante de ingresos necesaria.

PROCEDIMIENTOS DE INSCRIPCIÓN 1. El registro y las formas de la beca se pueden solicitar por el teléfono a 847-455-2100 o en la página de internet wssra.net

2. Todas las formas deben ser completas, firmadas, fechadas, y devuelto a la oficina de WSSRA antes de Viernes el 27 de Marzo, 5:00pm para entrar a la lotería.

3. Cartas de aceptación se enviará con información de la beca, plan de pago, y transportación la semana del 10 de Abril.

4. Los registros recibidos después de 27 de Marzo serán aceptado, pero el participante solo puede entrar al campamento de día si el espacio esta disponible. WSSRA le notificara.

5. Cualquiera que se registre después del 29 de Mayo no comenzará el campamento a tiempo.

HORARIO DE PAGOSAl tiempo de registro ........1/2 de su balance total se debe29 de Mayo ....................... 1/2 de su pago final se debePagos no hechos antes de el 29 de Mayo arriesgaran de perder su lugar en el campamento.

PÓLIZA DE CANCELACIÓNCancelaciones antes de el 29 de Mayo recibirán un reembolso menos $25.00 por costo de proceso. No hay reembolso después del 29 de Mayo.

TRANSPORTACIÓNTransportación de puerta-a-puerta para el campamento es disponible. Hay espacios limitados de transportación, por lo cual si requiere transporte, debe inscribirse para la transportación cuando complete su forma de inscripción.

COSTO DE TRANSPORTACIÓNSesión 1 Transportación de ida $154.85Transportación de ida y vuelta $309.70

Sesión 2 Transportación de ida $122.50Transportación de ida y vuelta $244.50

No se le ofrecerá transportación de medio día para estudiantes que asisten escuela de verano. O si vive dentro de 8 cuadras del sitio del campamento, a menos que tengan una discapacidad física. No todos los autobuses tienen aire-acondicionado.

(edades 23-40)

WEST SUBURBAN SPECIAL RECREATION ASSOCIATION

2020 DAY CAMP REGISTRATION FORMCamper T-shirt size (check one) o YS o YM o YL o S o M o L o XL o 2X o 3X

LOTTERY DEADLINE: March 27, 2020 Fax To: (847)455-2157 Mail To: 2915 Maple Street, Franklin Park, Il 60131

Participant Name:_______________________________________________________________ Date of Birth:________________________________

Disability:__________________________________________________________________________________________________________________

Address: _______________________________________________ City/State:__________________________________ Zip: _________________

Park District/Village: ________________________________ Parent/Guardian Name:_____________________________________________________

Home Phone: _________________________________________________ Cell Phone: ____________________________________________________

Email:

Emergency Contact: ____________________________________________ Emergency Contact Phone: _______________________________________

Present School/Workshop: _______________________________________ Teacher/supervisor name:_________________________________________

Does participant use a wheelchair? o Y o N Specify:______________________________________________________________________________

Is participant subject to seizures? o Y o N IF YES, FILL OUT SEIZURE FORM

Will medication be taken at program? o Y o N List any medications: ________________________________________________________________

Allergies: ___________________________________________________________________________________________________________________

Does participant have a communicable disease? o Y o N If yes, please explain:______________________________________________________

Did you child attend camp last year? o Y o N If yes, where: _______________________________________________________________________

If using WSSRA transportation, is the pick up/drop off location different from above? o Y o N

If yes, address:_______________________________________________________________________________________________________________

HOLD HARMLESS RELEASE ON

REVERSE SIDE

Payment Information:

* FIRST PAYMENT ENCLOSED

* TOTAL PAYMENT ENCLOSED

* TOTAL PAYMENT TO FOLLOW (IF FAXED)

* REQUEST SCHOLARSHIP

* CREDIT CARD * VISA * MASTER CARD

* Total Amount Paid:__________

CARD NUMBER:

expiration date: _____ / _____

V code:________(located on back - 3 digits)

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

Session 1 (6/15 - 7/10) Ages Time Fee

o AM Preschool 3-6 9:00am-11:45am $174.35o PM Preschool 3-6 12:15pm-3:00pm $174.35o Half Day 7-22 12:15pm-3:00pm $174.35o Full Day 7-22 9:00am-3:00pm $348.65o Transport Self Trans $0o WSSRA Round Trip Trans $309.70o WSSRA Home Only Trans $154.85o WSSRA to Camp Trans $154.85

Session 2 (7/13 - 7/31) Ages Time Feeo AM Preschool 3-6 9:00am-11:45am $137.65o PM Preschool 3-6 12:15pm-3:00pm $137.65o Half Day 7-22 12:15pm-3:00pm $137.65o Full Day 7-22 9:00am-3:00pm $275.25o Transport Self Trans $0o WSSRA Round Trip Trans $244.50o WSSRA Home Only Trans $122.25o WSSRA to Camp Trans $122.25

Community Cruisers (6/17 – 7/26)

Ages Time Fee

o Community Cruisers Monday 23-40 9:00am-3:00pm $133o Community Cruisers Wednesday 23-40 9:00am-3:00pm $133o Community Cruisers Friday 23-40 9:00am-3:00pm $114o Transport Self Trans $0o WSSRA Monday Home Only Trans $22.75o WSSRA Wednesday Home Only Trans $22.75o WSSRA Friday Home Only Trans $19.25

Total Due $

West Suburban Special Recreation Association

WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENTPlease 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 counselors, 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.

0 yes 0no

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 re-disclose tHat inforMation WitHout My express Written consent.

0 yes 0no

say cHeese pHotos & Videos are periodically taken of people participating in Wssra & inclusiVe partner district prograMs & actiVities. all persons registering for Wssra and partner inclusion prograMs/actiVities tHereby agrees tHat any pHotograpH or Videotape taken by Wssra May be used for proMotional purposes including its electronic Media, Videotapes, brocHures, flyers and otHer publications WitHout additional, prior notice or perMission and WitHout coMpensation to tHe participant, rigHts to royalties or any otHer consideration noW and in tHe future.

*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.

follow us on /wssra @wssra @w.s.s.r.ayou can also eMail us your input at [email protected] |

Sesión 1 (6/15 – 7/10) Edad Tiempo Costo

o AM (mañana) Preescolar 3-6 9:00am-11:45am $174.35o PM (tarde) Preescolar 3-6 12:15pm-3:00pm $174.35o Medio Día 7-22 12:15pm-3:00pm $174.35o Día Completo 7-22 9:00am-3:00pm $348.65o Transportación Propia Trans $0o WSSRA Ida y Vuelta Trans $309.70o WSSRA A La Casa Solamente Trans $154.85o WSSRA Al Campamento Trans $154.85

Sesión 2 (7/13 – 7/31) Edad Tiempo Costoo AM (mañana) Preescolar 3-6 9:00am-11:45am $137.65o PM (tarde) Preescolar 3-6 12:15pm-3:00pm $137.65o Medio Día 7-22 12:15pm-3:00pm $137.65o Día Completo 7-22 9:00am-3:00pm $275.25o Transportación Propia Trans $0o WSSRA Ida y Vuelta Trans $244.50o WSSRA A La Casa Solamente Trans $122.25o WSSRA Al Campamento Trans $122.25

Community Cruisers (6/15 – 7/31)

Edad Tiempo Costo

o Community Cruisers Lunes 23-40 9:00am-3:00pm $133

o Community Cruisers Miércoles 23-40 9:00am-3:00pm $133o Community Cruisers Viernes 23-40 9:00am-3:00pm $114o Transportacion Propia Trans $0o WSSRA Lunes a la casa solamente Trans $22.75o WSSRA Miercoles a la casa solamente Trans $22.75o WSSRA Viernes a la casa solamente Trans $19.25

Total Due $

WEST SUBURBAN SPECIAL RECREATION ASSOCIATION

FORMA DE REGISTRACIÓN DE CAMPAMENTO DE VERANO 2020MEDIDA DE CAMISETA DEL CAMPISTA o YS o YM o YL o S o M o L o XL o 2X o 3X

FECHA DE LOTERÍA: Viernes, 27 de Marzo, 2020 Fax To: (847)455-2157 ENVíE A: 2915 Maple Street, Franklin Park, Il 60131

Nombre de participante:____________________________________________________ Fecha de nacimiento del participante:________________

Discapacidad: ____________________________________________________________________________________________________________

Dirección:__________________________________________________ Ciudad/Estado: ____________________ Código postal:______________

Teléfono de casa:____________________________________ Distrito de parque/Municipalidad: _______________________________________

Padre/guarda legal: ___________________________________________________________ Teléfono Celular:_____________________________

Correo electrónico:

¿Contacto de Emergencia? Nombre: ____________________________________________ Teléfono:_____________________________________

Escuela: _____________________________________________________ Nombre del maestro/a:________________________________________

¿Usa el participante silla de ruedas/andador? o Si o No, Especifica: _____________________________________________________________

¿Es el participante sujeto a ataques? o Si o No, Si tiene, Por favor de llenar plan de tratamiento para ataques

¿Se toma el medicamento durante el programa? o Si o No , Liste el medicamento:_______________________________________________

Liste sus alergias:_________________________________________________________________________________________________________

¿Tiene el participante una enfermedad comunicable? o Si o o No Si tiene, por favor explique: _____________________________________

Asistió su hijo el campamento el año pasado? o Si o o No, Dónde:____________________________________________________________

Si usa transporte de WSSRA, se recoge en la dirección de arriba? o Si o o No,

dirección diferente: _______________________________________________________________________________________________________

Información De Pago:

* PRIMER PAGO ADJUNTO

* PAGO TOTAL ADJUNTO

* PAGO TOTAL SERÁ ENVIADO (SI SE MANDA POR FAX)

* SOLICITA BECA

* TARJETA DE CRÉDITO: * VISA * MASTER CARD

* PAGO TOTAL:__________

NUMERO DE TARJETA:

Fecha de caducidad: _____ / _____

V code:________(3 núMeros en la parte posterior de la tarjeta)

He leído la Liberación de Renuncia Voluntaria de Todas las Reclamaciones y Sostengo el Acuerdo Inocuo en el revés y a menos que yo no haya comprobado bajo las tres autorizaciones, los apruebo.

_________________________________________ padre/participante/tutor firMa

______________________fecHa

ACUERDO INOCUO AL

LADO REVERSO


INCLUYE RENUNCIA Y LIBERACIÓN DE TODO DE TODOS RECLAMOS Y ACUERDO INOCUOLea por favor esta forma con cuidado y esté enterado que en si firma y participa en el programa de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciando de todo reclamo de por heridas que surgieran de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en los programas. Al registrar para estos programas, usted concuerda de la siguiente manera:

Como participante en estos programas, yo reconozco que hay ciertos riesgos de heridas físicas, y yo concuerdo en asumir el riesgo total de cualquier herida, daños o pérdida que pueda sostener a consecuencia de tomar parte de cualquier manera, en cualquier y todas las actividades conectadas con o asociado de tales actividades que implique riesgos substanciales de alguna herida.

Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener a consecuencia de tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial, cualquier y toda unidad gubernamental participante, cualquier y todos los contratistas independientes, oficiales, agentes, sirvientes, empleados de los cuerpos gubernamentales y contratistas independientes, y cualquier y todas las otras personas y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquier herida que yo quizás sostenga al tomar parte en estos programas.

Yo por la presente renuncio y completamente y libero a la Asociación West Suburban de Recreación Especial y libero a otros partidarios de cualquier y todo reclamo por heridas, daños o pérdida, que puedan incurrirme por motivo de mi participación en estos programas.

Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West Suburban de Recreación Especial y cualquier y todos los otros partidos de cualquier y todo reclamo que resulte en heridas, daños y pérdidas sostenidas por cualquiera, y surgiendo fuera de, conectado con, o en cualquier manera asociada con mi conducto y las actividades de estos programas.

Comprendo aún más y concuerdo que los términos como “participación”, y las “actividades”, se refirieron a en este Acuerdo, incluye todos ejercicios y los movimientos físicos de cualquier naturaleza mientras tomo parte en estos programas e incluye aún más la provisión, de o fracaso para proporcionar las instrucciones o la supervisión apropiadas, el uso y el ajuste de cualquier y toda maquinaria,equipo, y aparato, y algo relacionado con mi uso de los servicios, las facilidades, o Implicado en estos programas, y en el transporte a y de acontecimientos.

Comprendo la naturaleza de estos programas para el cual me inscrito, y he leído y comprendo completamente esta Renuncia, Liberación y Acuerdo Inocuo. Comprendo aún más que cualquier deliberación o advertencias de los riesgos particulares de estos programas que recibo subsiguientemente serán integradas por la referencia en y llegan a ser una parte de este Acuerdo.

En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueda ser requerida.

para coMunicarse con los trabajadores de escuela/doctor yo autorizo a los Maestras, trabajadores sociales, terapistas o doctores a coMunicarse con Wssra acerca de las necesidades del participante en relación a los prograMas de Wssra. Wssra guardara toda la inforMación confidencial que recibiMos.

o Si o No

para coMunicarse con los acoMpanieros/MieMbros de Wssra yo autorizo que Wssra les puede dar inforMación acerca del participante y su participación en prograMas y actiVidades a Mi distrito de parque o Municipalidad de Mi ciudad, incluyendo noMbre, dirección, nuMero de teléfono edad. discapacidad o registraciones, si no los reVelar de nueVo sin Mi firMa de concento.

o Si o No

say cHeese fotos y Videos son toMados periódicaMente de personas que participan en prograMas de Wssra. todas las personas registradas para prograMa de Wssra esta de acuerdo en que cualquier fotografía o Video de Wssra puede utilizarse para fines proMociones, incluyendo sus Medios electrónicos, Videos, folletos, redas sociales y otras publicaciones sin adicional preVio aViso o perMiso y sin coMpensación alguna para el participante, los derecHos a regalías o cualquier otra consideración aHora y en futuro.

*yo entiendo que puedo caMbiar a las declaraciones enciMa en cualquier MoMento entregando un aViso escrito a la oficina de Wssra, para proHibir reVelación adicional del inforMación.



CHILDREN & YOUTHCHILDREN & YOUTHNEW! - Child-Caregiver Playgroup(Age: Birth – 6 years) All Abilities

Sign up for a FREE trial class!This playgroup offers children with special needs a safe and friendly environment to play with their peers. Program will be led by a WSSRA staff member who works with our Lekotek toy-lending program and will feature a variety of new toys each week for children to play with and explore. Half of the one-hour session will be a social play time and the other half will be spent in our brand- new Imaginarium Sensory Room. This special room has interactive equipment that will soothe and delight the senses of all children.

Location: 228 Madison Street, Oak ParkSeason Day Dates Time Fee Winter Thurs 1/30 - 3/19 10:00-11:00am $40.00Spring Thurs 4/9 - 5/14 10:00-11:00am $30.00

Ice Skating(Age: 7-15 years) All Abilities

Lace up your skates and glide onto the ice. No previous skating experience is necessary. Each class will provide step-by-step instruction to help each child develop and improve their skating skills. Through skating, participants may: • experience enjoyment through independent movement • improve balance and coordination • Increase overall fitness

Location: Ridgeland Commons Recreation Complex, Oak ParkDay Dates Time Fee Tues 4/7 - 5/12 4:40-5:20pm $30.10 Round Trip Trans Fee: $39.00

Lekotek Family Play Program (Age: Birth – 6 years) All Abilities

WSSRA’s Lekotek toy-lending program provides children with special needs a fun way to experience play and try out toys and other adapted devices. 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: • Relaxing, guided play sessions • Home loan of up to seven toys monthly • Opportunities to focus on the abilities of children • Positive parent/child interactions • Self-esteem building • Sibling play and fun!

Day/Time: Call WSSRA to schedule your individual sessionsRegistration: Registration is ongoing throughout the year. Call the WSSRA office for more information.

NEW! - Fun Fitness(Age: 7-15 years) All Abilities

Experience a new and exciting way to get fit! This class will incorporate FITSTICKS Drumsticks to build strength and endurance. The program will also teach children the importance of health and wellness using the Five for Life Curriculum.

Location: Fox Center, Oak ParkSeason Day Dates Time Fee Winter Wed 1/29 - 3/18 6:15-6:55pm $25.50Winter Round Trip Trans Fee: $52.00 Spring Wed 4/8 - 5/13 6:15-6:55pm $19.15Spring Round Trip Trans Fee: $39.00

Yoga for All(Age: 7-15 years) All Abilities

Participants will be introduced to beginner yoga positions, meditative practice and stretching exercises in a fun, playful environment. The program’s focus will be on: • Body control • Increased strength and flexibility • Relaxation techniques

Location: Fox Center, Oak ParkSeason Day Dates Time Fee Winter Wed 1/29 - 3/18 7:00-7:45pm $25.50Winter Round Trip Trans Fee: $52.00 Spring Wed 4/8 - 5/13 7:00-7:45pm $19.15Spring Round Trip Trans Fee: $39.00

SIGN UP FOR BOTH!SIGN UP FOR BOTH!


CHILDREN & YOUTHCHILDREN & YOUTHLittle Sports – Special Olympics Young Athletes (Age: 3 – 7 years) All Abilities

This program is designed to get our little movers introduced to Special Olympics programming. Special Olympics Young Athletes is for children who want to start learning foundational skills used in sports. We will work on skills such as walking & running, balance & jumping, trapping & catching throwing, kicking, striking and advanced skills. These activities will help children improve physically, cognitively and socially!

Location: Longfellow Center, Oak Park*Program will be held at our NEW Imaginarium Sensory Room located at 228 Madison Street, Oak Park on March 21 and May 16.Season Day Dates Time Fee Winter Sat 2/1 – 3/21 9:00-10:15am $46.80Spring Sat 4/11 – 5/16* 9:00-10:15am $35.10

* Save the date 5/9 - All families please join us for our Culminating Event!!

Sensory Explorers(Age: 3 – 7 years) All Abilities

This is a perfect program for the little ones to experience exploration and sensory stimulation! Please join us after Little Sports We will keep our hand busy with sensory bins, toys, and multiple crafts and movement activities

Location: Longfellow Center, Oak Park**Program will be held at our NEW Imaginarium Sensory Room located at 228 Madison Street, Oak Park on March 21 and May 16.Season Day Dates Time Fee Winter Sat 2/1 – 3/21 10:15 – 11:30am $46.80Spring Sat 4/11 – 5/16 10:15 – 11:30am $35.10

Saturday Fun Club (Age: 8 - 11 years) All Abilities

Fill your afternoon with active fun and games! We will play sports-themed games as well as team building games and other movement activities. Program benefits: • Socializing and fun with friends. • Expanding our teamwork skills. • Refining sport and movement.

Location: Longfellow Center, Oak Park*Program will be held at our NEW Imaginarium Sensory Room located at 228 Madison Street, Oak Park on March 21 and May 16.Season Day Dates Time Fee Winter Sat 2/1 – 3/21 12:15 – 1:30pm $46.80Spring Sat 4/11 – 5/16 12:15 – 1:30pm $35.10

Sensory Saturdays(Age: 8 - 11 years) All Abilities

This program is prefect for participants to experience sensory exploration and stimulation. Participants will keep their hands busy with sensory bins, toys, arts and crafts and music.

Location: Longfellow Center, Oak Park*Program will be held at our NEW Imaginarium Sensory Room located at 228 Madison Street, Oak Park on March 21 and May 16.Season Day Dates Time Fee Winter Sat 2/1 – 3/21 1:30 – 2:45pm $46.80Spring Sat 4/11 – 5/16 1:30 – 2:45pm $35.10

Mini Music Makers(Age: 3 – 7 years) All Abilities

This music therapy class incorporates instrument playing, sing - a -longs, dancing and sensory explorations to promote communication, socialization and sensory regulation. Class will be led by a certified music therapist from Dynamic Lynks.

Location: Dynamic Lynks (1100 Lake St. LL65, Oak Park)Season Day Dates Time Fee Winter Thurs 1/30 - 3/12 5:30-6:15pm $33.35Spring Thurs 4/2 - 5/14 5:30-6:15pm $33.35

Music Makers(Age: 8 - 14 years) All Abilities

This music therapy class incorporates instrument playing, sing-a-longs, dancing and sensory explorations to promote communication, socialization and sensory regulation. Class will be led by a certified music therapist from Dynamic Lynks.

Location: Dynamic Lynks (1100 Lake St. LL65, Oak Park)Season Day Dates Time Fee Winter Thurs 1/30 - 3/12 6:20-7:20pm $40.95Winter Round Trip Trans Fee: $52.00 Spring Thurs 4/2 - 5/14 6:20-7:20pm $40.95Spring Round Trip Trans Fee: $45.50


CHILDREN & YOUTHCHILDREN & YOUTH

Tumbling into Fun(Age: 5 - 15 years) AUT, DD, MI, MH

This class is a great introduction to basic tumbling skills, motor development and coordination. Participant will practice cartwheels, handstands, somersaults and other strength building skills. Location: Village of North Riverside, Community Room Season Day Dates Time Fee

Winter Sun 2/2 - 3/22 1:30 – 2:30pm $34.00

Beginner Gymnastics(Age: 5 - 9 years) AUT, DD, MI, MH

This is a great introductory class. Participants will explore various apparatuses to help increase strength, coordination, and flexibility. Location: Gymnastics Recreation Center (GRC), Oak ParkSeason Day Dates Time Fee Spring Sun 4/5 - 5/17* 1:20-2:05pm $25.50*No program on 4/12

Gymnastics(Age: 10 - 15 years) AUT, DD, MI, MH

Participants will receive instruction on the balance beam, bars, rings, vault and tumble track. Exercises and activities during class may help increase strength, coordination, and flexibility.

Location: Gymnastics Recreation Center (GRC), Oak ParkSeason Day Dates Time Fee Spring Sun 4/5 - 5/17* 2:10 – 2:55pm $25.50*No program on 4/12

Sibshops is a program designed for brothers and sisters of children with special needs. Sibs will have the opportunity to meet other sibs, talk with other sibs who “get it”, learn about the

services their brothers and sisters receive, and most importantly play games and have fun!

Day: Saturdays

Sign up for one or all 5!Dates: • January 11 • February 8 • March 14 • April 11 • May 9

Time: 10:00am-12:00pm

Location: Proksa Park (3001 S. Wisconsin Ave, Berwyn)

Fee: $1 per session

Priority given to participants from Berwyn.

Program sponsored by Berwyn Township 708 Community Mental Health Board

For more information please contact Mia Leyba at (847) 455-2100 ext. 236

Who: Children ages 7-13

NEW ! ! ! ! N EW ! ! ! !


IMAGINARIUMIMAGINARIUM

WSSRA’s

GRAND OPENING JANUARY 2020

The Imaginarium Sensory Room is a place for children with special

needs to enjoy a multi-sensory experience in a calm and relaxing

environment.

Features of WSSRA’s new sensory room include: • Bubble tube • Illuminated Cabin • Animated Sparkle Wall panel • The Gesturetek Cube (an interactive floor projection with over 75 special effects) • Essential aromatherapy oils • Calming music • Sensory toys

Benefits Include: • Decreased anxiety • Fewer disruptive behaviors • Promote mental and physical relaxation • Increase concentration • Enhance learning through play • Improve coordination and motor development

Sunday Funday All Abilities, Ages and Siblings

Participants will have the opportunity to experience WSSRA’s Imaginarium Sensory Room and all it has to offer during a 30-minute self-guided session. A WSSRA staff member will be present to assist with the use of equipment.

Sign up for a time slot that is most convenient you! Details on how to secure your time slot and punch cards will be mailed after registration. Punch cards can be carried over to another season and will expire one year after purchase.

For more information contact Christina Fernandez at (847) 455-2100.

Location: 228 Madison Street, Oak Park Day: SundaysDates: Winter: 2/2 - 3/22 Spring: 4/5 - 5/10*The sensory room will be closed on Sunday, April 12Hours: 10:30am-1:00pm (must reserve your 30-minute time slot in advance) Fee: $25 for a 5 - visit punch card $50 for a 12 - visit punch card


SWIM LESSONSSWIM LESSONS

Oak Park River Forest High School * No Program 2/17Season Day Dates Time Age Fee Winter Mon 1/27 – 3/16 6:30-7:00pm 3 - 8 $30.75 Mon 1/27 – 3/16 7:00-7:30pm 6 & up $30.75 Mon 1/27 – 3/16 7:30-8:00pm 6 & up $30.75 Spring Mon 4/6 – 5/11 6:30-7:00pm 3 - 8 $28.55 Mon 4/6 – 5/11 7:00-7:30pm 6 & up $28.55 Mon 4/6 – 5/11 7:30-8:00pm 6 & up $28.55

Mannheim Middle School, Melrose Park * No Program 4/1Season Day Dates Time Age Fee Winter Wed 1/29 - 3/11 7:20-7:50pm 3 - 8 $30.75 Wed 1/29 - 3/11 7:55-8:25pm 6 & up $30.75Spring Wed 3/25 - 4/29 7:20-7:50pm 3 - 8 $26.40 Wed 3/25 - 4/29 7:55-8:25pm 6 & up $26.40

PAV YMCA, Berwyn Season Day Dates Time Age Fee Winter Thurs 1/30 – 3/19 4:00-4:30pm 3 - 8 $32.90 Thurs 1/30 – 3/19 4:30-5:00pm 6 & up $32.90Spring Thurs 4/9 – 5/14 4:00-4:30pm 3 - 8 $28.55 Thurs 4/9 – 5/14 4:30-5:00pm 6 & up $28.55

PAV YMCA, Berwyn Season Day Dates Time Age Fee Winter Fri 1/31 – 3/20 4:00-4:30pm 3 - 8 $32.90 Fri 1/31 – 3/20 4:30-5:00pm 6 & up $32.90 Fri 1/31 – 3/20 5:00-5:30pm 6 & up $32.90 Spring Fri 4/10 – 5/15 4:00-4:30pm 3 - 8 $28.55 Fri 4/10 – 5/15 4:30-5:00pm 6 & up $28.55 Fri 4/10 – 5/15 5:00-5:30pm 6 & up $28.55

Private Swim Lessons Location: PAV YMCA, Berwyn Season Day Dates Time Age Fee Winter Fri 1/31 – 3/20 3:00-3:30pm 3 & up $120.00 Fri 1/31 – 3/20 3:30-4:00pm 3 & up $120.00Spring Fri 4/10 – 5/15 3:00-3:30pm 3 & up $90.00 Fri 4/10 – 5/15 3:30-4:00pm 3 & up $90.00

Scholarships are not available for private swim lessons

(Age: 3 years & up) 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 Bobcats Swim Team page!

WSSRA uses the Michael Phelps im swim program. The im program is a multifaceted curriculum of water safety lessons, health & wellness education, and goal setting instruction. Parents are responsible for locker room supervision and assistance.

Please note WSSRA will follow the locker room changing policies for each aquatics facility. Most pools have family restrooms or alternate changing areas if privacy is needed. Please contact Kelly Baran with any questions or concerns.

Public health code requires that anyone with possible incontinence must wear protective, rubber pants in addition to a swim diaper.

Please note day and time Please note day and time for all swim lessons when filling for all swim lessons when filling

out the registration formout the registration form


TEENS & YOUNG ADULTSTEENS & YOUNG ADULTS

Activity Date Day Time Description FeeWinter

Calling All Adventurers! 2/1 Sat 9:00a-12:00p

We are going to explore Garfield Park Conservatory. We will have both a self-guided and private tour during this program. Please bring a bagged lunch or snack.

$15.55

Going Up! 2/8 Sat 9:00a-12:00p Let’s climb to new heights at FFC’s climbing wall located in Oak Park. We will learn rock climbing techniques and get a chance to scale the wall. $15.55

Let’s Investigate 2/15 Sat 9:00a-12:00p Join us for a private tour at Oak Park Conservatory. We will learn all about their beautiful botanical garden. $15.55

Alley Cat Strike! 2/22 Sat 9:00a-12:00p Come throw a strike at Circle Lanes Bowling Alley. We will play 3 games and enjoy appetizers. $15.55

Nothing But Net! 2/29 Sat 2:00pm to 6:00pm

We will cheer on the UIC Flames basketball team and enjoy some concessions. Please note time change - 2:00 - 6:00pm $15.55

Let’s Plant Some Fun! 3/7 Sat 9:00a-12:00p Gardening 101: We are going to get our hands dirty by planting our own

flowers and painting our own pots in house at forest park. $15.55

Explore Your Senses 3/14 Sat 9:00a-12:00p Let’s take a trip down to our new sensory room located at 228 Madison Street in Oak Park. We will explore all our senses in different ways. $15.55

Discover The Gardens! 3/21 Sat 9:00a-12:00p We will explore the beautiful grounds at the Morton Arboretum located

in Lisle. $15.55

Spring

Bring It On! 4/11 Sat 9:00a-12:00p Bring your gym shoes for Sports Day located in house at Forest Park. We are going to play volleyball, soccer, kickball and more. $15.55

Hike It Up! 4/18 Sat 9:00a-12:00p We are going to head over to the Little Red Schoolhouse, where we will check out the nature center and walk on the beautiful trails. $15.55

Snacks & Tracks! 4/25 Sat 9:00a-12:00p Join us for an outdoor picnic and hike at Thatcher Woods Pavilion. $15.55

Life’s A Game, Let’s Play! 5/2 Sat 9:00a-12:00p Let’s have a fun filled day at Dave & Busters located in Rosemont.

We will play different arcade games and devour some appetizers. $15.55

Kayaking Around 5/9 Sat 9:00a-12:00p We are going to have an outdoor adventure on our kayaking trip in Thatcher Glen Pond. $15.55

Outdoor Extravaganza 5/16 Sat 9:00a-12:00p Join us in a personal tour at The Trailside Museum. We will see outdoor

wildlife such as plants, animals, and enjoy an outdoor picnic. $15.55

Outdoor Adventures (Age: 12 - 22) All Abilities We will fill our Saturday mornings with fun and thrills as we explore our communities. Don’t be late, as our vans will depart promptly at 9:10am each week. Please dress appropriately for both indoor and outdoor weather. Don’t forget comfortable shoes, a warm jacket, hats, and gloves if necessary. Location: Park District of Forest Park, Building 4

Horseback Riding (Age: 12-25)

Participants of all abilities are invited to saddle up for a riding experience! As they feel the movement of the horse, riders will develop balance and rhythm. Instructions are individualized to the specific needs of each participant and are geared toward developing skills that will transfer both on and off the horse! **Waiver Required**

The bus will depart for the Hanson Center in Burr Ridge from the Park District of Forest Park, Building #4. If you’re planning to join us for Outdoor Adventures before, please bring a SAC lunch.

Day Dates Time Fee Sat 2/8, 3/14, 4/18, 5/9 12:00 - 2:45pm $156.00




Game On! 1/27 Mon 2:45-5:00pm We will play fun board games such as Candy Land, Sorry, BINGO & more in our new Oak Park Activity Room located at 228 Madison Street. $6.00

Strikes And Spares 1/30 Thur 2:45-5:00pm We are heading over to Bowlero River Grove for a fun filled day of bowling & concession snacks. $6.00

Holey Moley! 2/3 Mon 2:45-5:00pm Join us for glow and the dark mini golf that are ocean, jungle & outer spaced theme at Putting Edge in Norridge. $6.00

Calling All Explorers! 2/6 Thur 2:45-5:00pm We will explore the beautiful gardens of Oak Park Conservatory with a private tour. $6.00

Shop Till You Drop! 2/10 Mon 2:45-5:00pm Let’s go shopping at your favorite stores at the HIP Mall located in Norridge. Please bring additional money for shopping and the food court. $6.00

Spread The Love! 2/13 Thur 2:45-5:00pm We are going to celebrate Valentine’s Days by making DIY crafts, cards, and treats for you and your loved ones. $6.00

SCHOOL DAYS OUT 2/17 MON NO PROGRAM - TURN TO PAGE 10 FOR SCHOOL DAYS OUT INFORMATION

Wild Thing! 2/20 Thur 2:45-5:00pm We are going to see the 450 different species of animals at Brookfield Zoo. $6.00

Artist In Us All 2/24 Mon 2:45-5:00pm We will create different art pieces at our new art room at 228 Madison Street in Oak Park. $6.00

Swing Away! 2/27 Thur 2:45-5:00pm We are going to hit some softballs and enjoy a snack at Stella’s Batting Cages located in Lyons. $6.00

SCHOOL DAYS OUT 3/2 MON NO PROGRAM - TURN TO PAGE 10 FOR SCHOOL DAYS OUT INFORMATION

Pizza Power! 3/5 Thur 2:45-5:00pm Enjoy an early dinner at Pizza Hut in Norridge. We will order salad, pizza & beverages for all. $6.00

Craft Day! 3/9 Mon 2:45-5:00pm We are heading to our Oak Park Art room at 228 Madison Street for a day of DIY crafts & snacks. $6.00

Let’s Go Bananas! 3/12 Thur 2:45-5:00pm Experience the ultimate entertainment at Go Bananas Arcade. We will play different arcade games and go on indoor rides. $6.00

Zen Den 3/16 Mon 2:45-5:00pm Heading over to our NEW Oak Park Sensory room at 228 Madison for a sensory filled experience. $6.00

Master Chef 3/19 Thur 2:45-5:00pm Let’s see who the Master Chef of Teen Scene is by a legendary cook off. Each participant will work with staff to create a delicious meal.

Spring

All Star Sports 4/6 Mon 2:45-5:00pm We are going to take a trip to Franklin Park Community Center where we will play different team building games, sports, and more. $6.00

Player 1 Ready! 4/9 Thur 2:45-5:00pm We are going to play fun arcade games & enjoy appetizers at Dave & Busters in Rosemont. $6.00

The Voice 4/13 Mon 2:45-5:00pm Sing your heart out at Round One for Karaoke located in North Riverside Park Mall. $6.00

Mellow Yellow 4/16 Thur 2:45-5:00pm Pamper yourself with relaxing activities in our new Activity Room & Sensory Room located at 228 Madison in Oak Park. $6.00

Backpacks & Snacks 4/20 Mon 2:45-5:00pm Enjoy the outdoors with a picnic, games, and hike at Thatcher Woods Pavilion. $6.00

Green Day 4/23 Thur 2:45-5:00pm Celebrate Earth Day with some fun crafts, snacks, and games in house. $6.00

It’s In The Past 4/27 Mon 2:45-5:00pm We are heading over to Elmhurst History Museum for a tour and to discover information about the past. $6.00

Spare Me 4/30 Thur 2:45-5:00pm Bowl some strikes at Bowlero in River Grove with us. We will play three games and enjoy some light snacks. $6.00

Let’s Have A Fiesta! 5/4 Mon 2:45-5:00pm We are going to get in the spirit of Cinco De Mayo by having a pre-celebration. We will make our own quesadillas, enjoy chips with salsa, and have a dance party. $6.00

Mom Knows Best 5/7 Thur 2:45-5:00pm Celebrate Mother’s Day with card making and homemade gifts in our NEW activity room located at 228 Madison in Oak Park. $6.00

Trail Side Tour 5/11 Mon 2:45-5:00pm Experience a special tour at Trail Side Tour Museum. We will visit their nature center and go on a self-guided hike. $6.00

Laser Quest 5/14 Thur 2:45-5:00pm Play two games of laser tag with us at Laser Quest in Norridge. $6.00

Urbanites - Mondays & Thursdays (Age: 12 - 22) All Abilities

Who: Elmwood Park High School Transition Students & West Leyden High School StudentsLocation: Students will be picked up for program from Elmwood Park High School at 2:30pm & West Leyden High School at 2:45pm. Parent pick up after program is at WSSRA Office at 5:00pm.Transportation: Home only transportation is available to students who live in WSSRA partner communities Trans Fee: $3.25/weekPlease note that all weeks will include a light snack; feel free to bring extra money if you would like more.




Strike! 1/29 Wed 3:15-5:15pm Let’s have a blast together bowling at Circle Lanes. Please bring extra money for concession stand snacks. $6.00

Check It Out! 2/5 Wed 3:15-5:15pm Discover some good reads at Oak Park Main Library. We will pick out some books, complete some crafts & have a snack. $6.00

Valentine’s Day Party 2/12 Wed 3:15-5:15pm Celebrate love at our Valentine’s Day Party at Morton West High School. We will make something sweet for that special person, play games & dance! $6.00

Shp Til You Drop 2/19 Wed 3:15-5:15pm We will be shopping at North Riverside Mall. Please bring some extra money for shopping and a food court snack. $6.00

Mini Picassos 2/26 Wed 3:15-5:15pm Find your creative side during our paint party in our new Activity Room located at 228 Madison Street in Oak Park. $6.00

Swing, Batter! 3/4 Wed 3:15-5:15pm Hit some homeruns at Stella’s Batting Cages with us. We will also enjoy some concession stand snacks. $6.00

Mamma Mia! 3/11 Wed 3:15-5:15pm We will create our own personal sized pizzas at Blaze on Cermak. $6.00

Luck Of The Irish 3/18 Wed 3:15-5:15pm Join us for our St. Patties Day Party! We will be in house playing party games, enjoying food & much more. $6.00

Spring

Last Chef Standing 4/8 Wed 3:15-5:15pm Who is the best chef is at Berwyn Excursions? Participants and staff will be paired together to create a meal with different ingredients. This activity will be in house.

$6.00

Can You Make It To The Top? 4/15 Wed 3:15-5:15pm Join us for a private rock-climbing lesson at FFC. $6.00

Sensory Explorers 4/22 Wed 3:15-5:15pm Explore all your senses in our NEW Sensory Room located at 228 Madison Street in Oak Park. $6.00

Take Aim 4/29 Wed 3:15-5:15pm A trained instructor from the Forest Preserves is going to teach us the fun sport of archery. $6.00

Get Wild! 5/6 Wed 3:15-5:15pm We are heading to Brookfield Zoo today. We will experience different animal exhibits from different terrains. $6.00

Rock On! 5/13 Wed 3:15-5:15pm Sing your favorite songs at Round One Karaoke. They have everything from new hits, old jams, and songs in different languages. $6.00

Berwyn Excursions This after school program is designed for our participants to learn and experience new leisure opportunities within our community. In addition, we will work on goals such as building social skills, self-expression, and more.

Who: Morton West High School StudentsLocation: Morton West High School

Transportation: Home only transportation is available to students who live in WSSRA partner communities Trans Fee: $3.25/week

Please note that all weeks will include a light snack; feel free to bring extra money if you would like more.


TEENS & YOUNG ADULTSTEENS & YOUNG ADULTSFood Critics (Age: 15 & older) MI, DD, AUT, MLH

Each week Food Critics will be headed to a new restaurant to rate their dining experience, including the food, service and atmosphere. We recommend bringing $30 to cover your meal and tip. Participants must be able to sit for a meal with minimal interruptions to others.

Location: Roos Recreation Center, Forest ParkTrans Fee: $2.90/week Pick-Up Points: WSSRA Office & Cicero McDonalds

Activity Date Day Time FeeMovie 2/14 Fri 6:30-9:15pm $13.50Movie 3/6 Fri 6:30-9:15pm $13.50Movie 4/10 Fri 6:30-9:15pm $13.50Movie 5/1 Fri 6:30-9:15pm $13.50Movie 5/15 Fri 6:30-9:15pm $13.50

Showtime (Age: 15 & older) MI, DD, AUT, MLH

Enjoy a night with popcorn your friends and the big screen. WSSRA will notify participants of the show and program time on Wednesday, the week of the movie. In order to minimize disturbance to other movie patrons, participants must be able to focus on a movie for two hours with minimal breaks. Participants need to bring $20 for ticket and snacks.

Location: Roos Recreation Center, Forest ParkTrans Fee: $2.90/week Pick-Up Points: WSSRA Office & Cicero McDonalds

Now We’re Cookin’ (Age: 15 & older) DD, MLH, HI

Let’s get Cooking! Come ready for some delicious and creative recipes that you are sure to enjoy!

Location: Park District of Forest Park, Main building

Day Dates Time Fee Thurs 1/30 - 3/19 7:00-8:30p $51.00Round Trip Trans Fee: $52.00

International Passport(Age: 15 & older) DD, MLH, HI

Travelers pack your bags and grab your passports! We’re venturing around the world to six different countries to taste their food, listen to their music, and learn their customs!

Location: Park District of Forest Park, Main building

Day Dates Time Fee Thurs 4/9 – 5/14 7:00-8:30p $38.25Round Trip Trans Fee: $39.00

Activity Date Day Time FeeWinterHome Run Inn Berwyn 1/31 Fri 6:30-9:15pm $13.50

Exit Strategy Forest Park 2/7 Fri 6:30-9:15pm $13.50

Maria’s Mexican Restaurant Chicago

2/21 Fri 6:30-9:15pm $13.50

District Kitchen Oak Park 2/28 Fri 6:30-9:15pm $13.50

Geppetto’sOak Park 3/13 Fri 6:30-9:15pm $13.50

Chaser’sSchiller Park 3/20 Fri 6:30-9:15pm $13.50

SpringNew Star Chinese Restaurant Elmwood Park

4/17 Fri 6:30-9:15pm $13.50

Fat Duck Grill Forest Park 4/24 Fri 6:30-9:15pm $13.50

Giordano’s Oak Park 5/8 Fri 6:30-9:15pm $13.50

NEW! - Stress Management(Age: 14 - 22 years) All Abilities

This program will give teens and young adults an opportunity to find a creative way to manage stress. Activities include: Art, socialization, interactive games, and practicing new relaxation and mindfulness techniques. Part of program will be spent in WSSRA’s new Imaginarium Sensory Room.

Location: 228 Madison Street, Oak Park Season Day Dates Time Fee Winter Tues 1/28 - 3/17 4:30-5:30pm $34.00Winter Round Trip Trans Fee: $52.00 Spring Tues 4/7 - 5/12 4:30-5:30pm $25.50Spring Round Trip Trans Fee: $39.00


SOCIAL CLUBSSOCIAL CLUBSJoin a club for some Saturday evening fun! We’ll visit some of your favorite attractions with friends while focusing on

enhancement of social skills. Activities planned are intended for adults who want to venture out while having fun! If you’re new to Saturday nights, call the office and we’ll help you find the right group!

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. For all out trips, the vans will depart the meeting location 5 minutes after the scheduled start time.

Moonlighters (Age: 15 & older) MI, DD, AUT Location: Barrie Center, Oak ParkTrans Fee: $2.90/week Pick-Up Points: WSSRA Office & Cicero McDonalds


Be My Valentine! 2/8 Sat 6:00-9:00pm Join us for a Valentine’s Day dance sponsored by The Answer Inc. Food and entertainment will be provided. Meet at the Howard Mohr Community Center, 7640 Jackson Blvd. Forest Park

$15.90

Casino Royale 2/15 Sat 6:00-9:00pm Test your luck by playing casino style card and dice games. Note: No gambling will take place during game play. $13.65

Karaoke Night 2/22 Sun 6:00-9:00pm Sing your favorite songs with your friends cheering you at karaoke night. Please meet at 228 Madison Street, Oak Park for pick up and drop off. $13.65

Nothing But Net 2/29 Sat 2:00-6:00pm Join us for the UIC Flames vs the Oakland Golden Grizzlies basketball game. Time Change: 2:00pm – 6:00pm. Please meet at Park District of Forest Park Building #4 for drop off and pick up.

$15.90

Musical Theatre 3/7 Sat 6:00-9:45pm Enjoy Disney’s Newsies performed by Oak Park River Forest High School. We will stay for the entire performance. $15.90

Luck of the Irish 3/14 Sat 6:00-9:00pm We will be celebrating all things St. Patrick’s Day with food, music and activities. $13.65

Dave & Buster’s 3/21 Sat 6:00-9:00pm Come join us for a night of fun and food at Dave & Buster’s! Food and game passes included. $15.90

SpringEgg-stravegant Time! 4/11 Sat 6:00-9:00pm Come join us for an Egg-citing filed night of decorating eggs, doing egg

hunts and egg toss and eating some delicious Holiday treats! $13.65

Shop Till You Drop! 4/18 Sat 6:00-9:00pm We are heading to the North Riverside Mall for some Shopping and some sweet Ice Cream Treats! Please bring money for shopping. $13.65

Out Of This World 4/25 Sat 6:00-9:00pm 3,2,1 Blast off! Jump on board as we visit the Cernan Earth and Space Center at Triton College and discover what this Planetarium is all about! $15.90

Spring Bailé! 5/2 Sat 6:00-9:00pm Let’s bust out our best dance moves as we celebrate Cinco de Mayo at our annual Spring Dance! It’ll be a caliente time, Ay-ya-yay! All Social Clubs meet at Main building of Forest Park 3rd Floor.

$13.65

What Are Those!? 5/9 Sat 6:00-9:00pm Come find out what Dave DiNaso’s Traveling World of Reptiles has crawling in to join us tonight! All Social Clubs meet at Main building of Forest Park 3rd Floor.

$15.90

Let’s Plant Some Fun! 5/16 Sat 6:00-9:00pm

We will celebrate Earth Day by decorating some Pots and planting some color into the night! Please meet at 228 Madison Street, Oak Park for pick up and drop off.

$13.65

2/1- NO PROGRAM THIS WEEK Please join us for our Recognition Banquet - See page 51


SOCIAL CLUBSSOCIAL CLUBSHot Shots (Age: 15 & older) MI, DD, AUT Location: Park District of Forest Park Building #4Trans Fee: $2.90/week Pick-Up Points: WSSRA Office & Cicero McDonalds


Be My Valentine! 2/8 Sat 6:00-9:00pm Join us for a Valentine’s Day dance sponsored by The Answer Inc. Food and entertainment will be provided.Meet at the Howard Mohr Community Center, 7640 Jackson Blvd. Forest Park

$15.90

The Next Contestant 2/15 Sat 6:00-9:00pm This evening we will be celebrating our favorite game shows by recreating

the games to play. $13.65



$15.90


Luck Of The Irish 3/14 Sat 6:00-9:00pm We will be celebrating all things St. Patrick’s Day with food, music and activities. $13.65

Karaoke Night 3/21 Sat 6:00-9:00pm Sing your favorite songs with your friends cheering you at karaoke night. Please meet at 228 Madison Street, Oak Park for pick up and drop off. $13.65

SpringEgg-Stravegant Time! 4/11 Sat 6:00-9:00pm Come join us for an Egg-citing filed night of decorating eggs, doing egg




$13.65



$13.65


$15.90




SOCIAL CLUBSSOCIAL CLUBSCity Slickers (Age: 15 & older) MI, DD, AUT Location: Park District of Forest Park Building #4Trans Fee: $2.90/week Pick-Up Points: WSSRA Office & Cicero McDonalds


Be My Valentine! 2/8 Sat 6:00-9:00pm Join us for a Valentine’s Day dance sponsored by The Answer Inc. Food and entertainment will be provided. Meet at the Howard Mohr Community Center, 7640 Jackson Blvd. Forest Park

$15.90


The Next Contestant 2/22 Sat 6:00-9:00pm This evening we will be celebrating our favorite game shows by recreating

the games to play. $13.65


$15.90


Luck Of The Irish 3/14 Sat 6:00-9:00pm We will be celebrating all things St. Patrick’s Day with food, music and activities. $13.65

Casino Royale 3/21 Sat 6:00-9:00pm Test your luck by playing casino style card and dice games. Note: No gambling will take place during game play. $13.65

SpringEgg-Stravegant Time! 4/11 Sat 6:00-9:00pm Come join us for an Egg-citing filed night of decorating eggs, doing egg





$13.65


$13.65


$15.90




ADULTSADULTS

Destination Date Day Time FeeWinterRosemont Mall Lunch: Food Court 1/28 Tues 10:00am-

12:45pm $12.55

Garfield Conservatory Lunch: Buzz Cafe 2/4 Tues 10:00am-

12:45pm $12.55

Yorktown Mall Lunch: Food Court 2/18 Tues 10:00am-

12:45pm $12.55

Harlem Irving Plaza Lunch: Chipolte Mexican Grill

2/25 Tues 10:00am-12:45pm $12.55

Oak Park Conservatory Lunch: Wendy’s 3/3 Tues 10:00am-

12:45pm $12.55

Austin ParkLunch: New Star Restaurant 3/17 Tues 10:00am-

12:45pm $12.55

SpringCommon’s ParkLunch: Rachel’ Café & Deli 4/7 Tues 10:00am-

12:45pm $12.55

North Park Lunch: Culvers 4/21 Tues 10:00am-

12:45pm $12.55

Lindberg Park Lunch: Burger Moovement 4/28 Tues 10:00am-

12:45pm $12.55

Proska Park Lunch: Lalo’s Resturaunt 5/5 Tues 10:00am-

12:45pm $12.55

Lilacia Park Lunch: Main Street Cafe 5/12 Tues 10:00am-

12:45pm $12.55

Walk & Dine(Age: Adults) HI, VI, PI, 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 are responsible for purchasing their own lunch ($15/week)

Round Trip Transportation Fee: $6.50/week

Destination Date Day Time FeeForest Park Walmart Lunch: Portillos 2/11 Tues 10:00am-

12:45pm $12.55

IKEALunch: IKEA Cafe 3/10 Tues 10:00am-

12:45pm $12.55

Oakbrook MallLunch: Food Court 4/14 Tues 10:00am-

12:45pm $12.55

Shop & Dine(Age: Adults) HI, VI, PI, MLH

We will hit the stores to stock up on your necessities and then head to lunch at a local restaurant. Participants must be independent in mobility. Participants will be responsible forpurchasing their own lunch ($15/week).


Yoga for Wellness(Age: 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, improve your mood, and help with joint problems! 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 with trained instructor.

Location: Village of Harwood Heights

Season Day Dates Time Fee Winter Tues 1/28 - 3/17 10:00 - 11:15am $26.50Spring Tues 4/7 - 5/12 10:00 - 11:15am $19.90

Wildcard Wednesdays(Age: Adults) HI, VI, PI, MLH

Start your day with some card shuffling fun! Light & healthy refreshments will be served.

Location: Village of North Riverside, Community Room

Season Day Dates Time Fee Winter Wed 1/29 - 3/18 9:30am-12:00pm $93.60Winter Round Trip Trans Fee: $52.00

Spring Wed 4/8 - 5/13 9:30am-12:00pm $70.20Spring Round Trip Trans Fee: $39.00


ADULTSADULTS

Destination Date Day Time Description Fee

Museum of Broadcast Communications

3/19 Thurs 9:30am-2:30pm

Join us as we venture downtown to one of only three museums in the nation dedicated to broadcast history. The museum will be highlighting the Chicago Television Gallery – including memorabilia from Oprah, Svengoolie, and Bozo’s Circus. We will dine at a local restaurant after our tour.

$15.90

Hollywood Casino in Aurora 4/16 Thurs 9:30am-

3:00pm

Join us as we try our luck at the Hollywood Casino in Aurora. Bring some spending money for games of your choice, and we willcount our winnings- hopefully!- over a delicious buffet lunch.Buffet is included in the price of event.

$15.90

Bahá’í House of Worship 5/7 Thurs 9:30am-

3:00pm

Join us for a guided tour of the Baha’i House of Worship in Wilmette. We will learn about the temple construction and Baha’i faith, spend some time in the tranquility of the temple, and finish our visit with a walk around the beautiful gardens. Please bring money for Brunch at the famous Walker Bros Pancake House.

$15.90

Lyric Opera House 6/3 Wed 12:00-5:00pm

Join us as we head to the Lyric Opera House to see the Tony-winning song-and-dance spectacular, 42nd Street. Participants must be able to focus on a 2+hour live performance with minimal interruptions. This is to minimize disturbance to other audience members. Please bring money for snacks.

$22.20

Join us as we get out and about to enjoy the wonderful sights, sounds, and tastes of the Chicagoland. Participants are responsible for purchasing their own lunch ($15/week).

Location: varies

Pick up/drop off point: Longfellow Park, Oak Park


WindyWindyWindyCityCityCity

ExplorersExplorersExplorers(Adults) HI, VI, PI, MLHH


SPORTS & FITNESSSPORTS & FITNESSHealthy Start(Age: 21 & older) All Abilities

Start your week with a healthy dose of exercise! We offer Healthy Start TWO days each week - Mondays and Thursdays too, pick one day or both days! Set a fitness goal and let’s accomplish it!

We’ll emphasize: • Stretching & flexibility • Moderate aerobics • Use of exercise equipment (Cardio and Weights)Exercise routines will be monitored by staff to meet your individual needs.

Monday Healthy Start Location: Franklin Park Community Center Season Day Dates Time Fee Winter Mon 1/27 - 3/16* 10:00-11:30am $44.65*No program 2/17Winter Round Trip Trans Fee: $45.50Spring Mon 4/6 - 5/11 10:00-11:30am $38.25Spring Round Trip Trans Fee: $39.00

Thursday Healthy StartLocation: Roos Recreation Center, Forest Park Season Day Dates Time Fee Winter Thurs 1/30 - 3/19 10:00-11:30am $51.00Winter Round Trip Trans Fee: $52.00Spring Thurs 4/9 - 5/14 10:00-11:30am $38.25Spring Round Trip Trans Fee: $39.00

Cross Fit (Age: 15 & older) All Abilities Join us at O’hare Crossfit gym for this popular exercise class. This class involves cardio, circuit training, plyometrics, weight lifting, and other forms of exercising. Led by trained professionals this program is great for athletes or for getting in shape. Exercises are set to the participant’s physical ability!

We ask that the participant be able to follow multi-step direction with minimal prompting.

Location: O’Hare Cross Fit, Franklin ParkSeason Day Dates Time Fee Winter Thurs 1/30 - 3/19 6:30-7:30pm $34.00Winter Round Trip Trans Fee: $52.00Spring Thurs 4/9 - 5/14 6:30-7:30pm $25.25Spring Round Trip Trans Fee: $39.00

Weekly Workout(Age: 13 & older) MI, AUT, DD, MLH

Finish your day with a great workout! Improve your physical condition through: • Exercise stations • Weight lifting • Low impact aerobics

Location: Franklin Park Community CenterSeason Day Dates Time Fee Winter Tues 1/28 - 3/17 7:00-8:15pm $42.50Winter Round Trip Trans Fee: $52.00Spring Tues 4/7 - 5/12 7:00-8:15pm $31.90Spring Round Trip Trans Fee: $39.00

Advanced Golf(Age: 15 & older)

Swing the dust off your clubs with a 200-yard drive during Advanced Golf! This one-hour lesson provided by a golf pro will not only allow you to play outside but enjoy the company of friends! Participants must be able to demonstrate basic golf skills and understanding of the rules.

Location: Oak Park Country ClubSeason Day Dates Time Fee Spring Thurs 4/9 - 5/14 5:30pm-6:30pm $39.80Spring Round Trip Trans Fee: $39.00

Aqua Exercise(Age: 15 & older) 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 • Range of motion

Location: West Cook YMCA, Oak ParkSeason Day Dates Time Fee Winter Fri 1/31 – 3/20 5:15-6:00pm $41.60Winter Round Trip Trans Fee: $52.00Spring Fri 4/10 – 5/15 5:15-6:00pm $35.10Spring Round Trip Trans Fee: $39.00


SPECIAL OLYMPICSSPECIAL OLYMPICSIllinois 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, & Gymnastics.

Criteria for ParticipationAll Special Olympic athletes must have a current, completed Application for Participation in Illinois Special Olympics on file with the Special Olympic coordinator at WSSRA. This form contains 4 sections: 1. Athlete information 2. Parent and/or Guardian Authorization & Medical Authorization 3. Health Insurance and Emergency Information 4. Medical Clearance (this MUST be completed by a physician)

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 37 for the Application.

Anyone interested in participating or volunteering please contact the WSSRA Special Olympic Coordinator.

ExpectationsWe all share a responsibility in making the Special Olympics training and competition program a positive experience that promotes the growth & development of our athletes. It is in this belief that we have identified the below expectations for our WSSRA Athletes, Parents, & Spectators:

WSSRA’s Expectations of Athletes 1. Demonstrate respect for the rules of the sport. 2. Demonstrate respect for coaches, teammates, opponents, opposing coaches and officials. Failure to do so may result in loss of playing time. 3. Come to practices and games ready to play with a positive attitude.

WSSRA’s Expectations of Parents & Spectators WSSRA spectators are asked to provide positive support during practice and competition. Negative comments are incredibly detrimental to team morale. Spectators are expected to: 1. Show respect & positive support for ALL WSSRA athletes and our opponents. 2. Show respect & positive support for ALL WSSRA coaches, opposing coaches, officials, and other spectators 3. Be a role model for proper behavior and demonstrate good sportsmanship, and self-discipline.


SPECIAL OLYMPICSSPECIAL OLYMPICS

Bobcats Swim Team(Age: 8 & older)

Swim Team is a training program for those athletes who have excelled in WSSRA swim lessons and can now swim the length of the pool independently. Training consists of consecutive lap-swimming throughout most of the program. Bobcat members are eligible, but not obligated for Special Olympic aquatic competition. Swim team members are not eligible to register for WSSRA swim lessons.

Location: OPRFHS, Oak ParkSeason Day Dates Time Fee Winter Mon 1/27 – 3/16* 8:05 – 9:00pm $45.95*No program 2/17Winter Round Trip Trans Fee: $45.50Spring Mon 4/6 – 5/11 8:05 – 9:00pm $41.60Spring Round Trip Trans Fee: $39.00

WDSRA Swim MeetMeeting Location: West Chicago High SchoolDay Dates Time Fee Sat 2/8 TBD $16.85 Transportation Pick up Points: WSSRA Office & Fox Park

S.O. District Aquatics MeetGold medal winners will qualify for the ISO State Summer Games, June 12 - 14. Must register for Bobcat Swim Team to be eligible to compete in district meet. Meeting Location: Metea Valley High School, AuroraDay Dates Time Fee Thurs 3/5 TBD $16.85 Transportation Pick up Points: WSSRA Office & Fox Park

Powerlifting (Age: 16 & older)

If you’re ready to get your pump on, sign up for WSSRA’s Special Olympics’ powerlifting program! Participants will learn the fundamentals and safety skills of performing three lifts: the squat, the deadlift and the bench press. The focus will be the three lifts with cardio and strength training to help with performance. This program will allow for customized workout routines for everyone’s needs.

Location: ROOS Recreation Center, Forest ParkSeason Day Dates Time Fee Winter Wed 1/29 – 3/18 4:30 – 6:00pm $51.00Winter Round Trip Trans Fee: $52.00Spring Wed 4/8 – 5/13 4:30 – 6:00pm $38.25Spring Round Trip Trans Fee: $39.00

Don’t forget to sign up for swim meets below!


SPECIAL OLYMPICSSPECIAL OLYMPICSBobcat Softball(Age: 15 & older) MI, AUT, DD

The WSSRA Bobcat Softball 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 softball • Learn and play different positions • Be a part of a team and learn the importance of teamwork

Practice locations, game schedules, and information will be available after the registration deadline.

Registration Deadline: March 13th

Locations: TBDDay Dates Time Fee Tues 4/7 – 7/28 6:30-8:00pm $129.60* *fee includes practice & game season

Transportation Pick up Point: WSSRA Office Transportation Fee: $25.00 (fee cannot be adjusted to a weekly basis)

S.O. Track & Field Clinic(Age: 8 & older) MI, AUT, DD, MH

Join us as Special Olympics Track & Field Clinic 2019 gets underway. Practices will include stretching, warm-up exercises, practice for the softball throw, short & long distance running, and long jump events.

Location: Morton Freshman Center, CiceroSeason Day Dates Time Fee Winter Wed 1/29 – 3/18 6:30pm – 7:45pm $42.50Winter Round Trip Trans Fee: $52.00Spring Wed 4/8 – 5/13 6:30pm – 7:45pm $31.90Spring Round Trip Trans Fee: $39.00

S.O. Spring GamesCalling all WSSRA Track & Field athletes!Don’t miss out on the annual Spring Games competition. Gold medal winners will qualify for the ISO State Summer Games, June 12-14. In order to compete participants must • Be enrolled in both Winter & Spring sessions of SO Track & Field Clinic. • Must have a current S.O. medical form on file by March 6. Locations: Marmion Academy, AuroraDay Dates Time Fee Sun 5/3 8:00am – 5:00pm $25.50

Saturday Bowling(Age: 13 & older) MLH, AUT, DD, MH

Sharpen your bowling skills while spending time with friends. An adaptive ball and bowling ramp will be available. Don’t forget to register for the SEASAR tournament - information below.

Location: Circle Lanes, Forest parkSeason Day Dates Time Fee Winter Sat 2/1 – 3/21 1:00 – 3:00pm $80.10Winter Transportation Pick up Point Fee: $23.20Spring Sat 4/11 – 5/16 1:00 – 3:00pm $62.70Spring Transportation Pick up Point Fee: $17.40

Transportation Pick up Points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonalds

SEASPAR Bowling TournamentIf you’re registered for Saturday Bowling League, compete in SEASPAR’s annual tournament! Registration is limited. Don’t wait to register!

Locations: Suburbanite Bowl WestmontDay Dates Time Fee Sat 4/18 9:00am – 1:00pm $25.50 Transportation Pick up Point: WSSRA Office & Fox Park

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ATH

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RM

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Athl

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Nam

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spa

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PAR

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AN

D/O

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UA

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AU

THO

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ND

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SE

I, on

my

own

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lf or

as

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unde

rsig

ned

pare

nt a

nd/o

r leg

al g

uard

ian

of th

e ab

ove

nam

ed a

pplic

ant (

here

afte

r ref

erre

d to

as

the

“Ent

rant

”), h

ereb

y re

ques

t per

mis

sion

for t

he E

ntra

nt to

pa

rtici

pate

in S

peci

al O

lym

pics

pro

gram

s. I

ackn

owle

dge

that

Spe

cial

Oly

mpi

cs w

ill s

cree

n al

l ent

rant

s us

ing

the

Sex

Offe

nder

Pub

lic R

egis

try a

nd th

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hild

Mur

der a

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nt O

ffend

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Aga

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You

th R

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nder

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at e

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ill b

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nied

par

ticip

atio

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affir

m th

at th

is E

ntra

nt h

as n

ever

bee

n on

sai

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ntra

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as li

sted

on

eith

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try b

ut h

as s

ince

bee

n re

mov

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will

con

tact

Spe

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mpi

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linoi

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truct

ions

bef

ore

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ittin

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is a

pplic

atio

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rese

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arra

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you

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hysi

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and

men

tally

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par

ticip

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in S

peci

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bmit

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med

ical

cer

tific

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ders

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athl

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me,

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she

cann

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artic

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spo

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sult

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abse

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stab

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m a

war

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at th

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and

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nd E

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In p

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cific

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unic

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and

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by

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need

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Ent

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cial

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mpi

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ctiv

ities

in w

hich

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Ent

rant

is to

com

pete

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be

cons

ulte

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cas

e of

nec

essi

ty, y

ou a

re a

utho

rized

on

my

beha

lf an

d at

my

acco

unt t

o ta

ke s

uch

mea

sure

s an

d ar

rang

e fo

r suc

h m

edic

al a

nd h

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tal t

reat

men

t as

you

may

dee

m a

dvis

able

for t

he h

ealth

and

wel

l-bei

ng o

f the

Ent

rant

. I,

THE

UN

DER

SIG

NED

PA

REN

T A

ND

/OR

GU

AR

DIA

N o

f the

abo

ve s

peci

fied

Ent

rant

, ha

ve re

ad a

nd fu

lly u

nder

stan

d th

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ovis

ions

of t

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bove

rele

ase

and

have

exp

lain

ed th

em

to s

aid

Ent

rant

. I h

ereb

y ag

ree

that

I an

d sa

id m

inor

will

be

boun

d th

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nd I

shal

l def

end

Spe

cial

Oly

mpi

cs Il

linoi

s an

d ho

ld it

har

mle

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om a

ny d

isaf

firm

atio

n th

ereo

f by

said

min

or.

Sig

natu

re o

f Par

ent □

an

d/or

Leg

al G

uard

ian

□ __

____

____

____

____

____

____

____

____

____

____

____

____

_(C

heck

app

ropr

iate

box

) P

rint N

ame

____

____

____

____

____

____

____

____

____

____

_ D

ate

____

____

____

____

Par

ent’s

Em

ail A

ddre

ss _

____

____

____

____

____

____

____

____

____

____

____

____

____

HEA

LTH

INSU

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NC

E &

EM

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ENC

Y IN

FOR

MAT

ION

(Req

uire

d fo

r Pro

cess

ing)

Pe

rson

to b

e co

ntac

ted

Em

erge

ncy

in c

ase

of e

mer

genc

y __

____

____

____

____

____

____

____

____

____

____

____

C

onta

ct P

hone

(___

____

)___

____

____

____

____

____

____

____

____

____

_

Med

ical

Insu

ranc

e C

ompa

ny _

____

____

____

____

____

____

____

____

____

___

Pol

icy

Num

ber _

____

____

____

____

____

____

____

____

____

____

____

___

Agen

cy N

ame

Athl

ete’

s M

ailin

g A

ddre

ss

Athl

ete’

s C

ity

Pare

nt’s

/Gua

rdia

n’s

(Ple

ase

Circ

le O

ne) H

ome

Add

ress

Pare

nt’s

/Gua

rdia

n’s

City

Stat

e

- Zi

p C

ode

Stat

e

- Zi

p C

ode

Pare

nt’s

/Gua

rdia

n’s

Hom

e Te

leph

one

- -

□W

hite

□B

lack

/Afr

ican

Am

eric

an□

Asi

an□

His

pani

c/La

tino

□O

ther

___

____

____

____

____

____

____

____

____

____

_Et

hnic

ity

Birth

date

M

M

D

D

Y

Y

Sex

(M o

r F)

MED

ICA

L C

LEA

RA

NC

E

PLEA

SE C

HEC

K M

EDIC

AL

INFO

RM

ATI

ON

Doe

s at

hlet

e ha

ve D

own

Syn

drom

e?

Yes □

No

□

If ye

s, h

ave

x-ra

ys o

f the

C1-

C2

verte

brae

been

take

n an

d ex

amin

ed?

Yes □

No

□

Dat

e of

x-r

ay _

____

____

____

____

___

Is th

e at

hlet

e cl

ear o

f Atla

ntoa

xial

Inst

abili

ty?

Yes □

No

□D

oes

the

athl

ete

have

or i

s th

e at

hlet

e:

H

eart

Pro

blem

s Ye

s □

No

□

Dia

betic

Ye

s □

No

□

Epi

lept

ic/S

eizu

res

Yes □

No

□

Blin

d Ye

s □

No

□

Dea

f Ye

s □

No

□

Hep

atiti

s Ye

s □

No

□

Oth

er _

____

____

____

____

____

____

____

_

Cur

rent

Med

icat

ion

D

osag

e

____

____

____

____

____

____

____

____

____

_

____

____

____

____

____

____

____

____

____

_

____

____

____

____

____

____

____

____

____

_

Alle

rgie

s to

med

icat

ion,

if a

ny: _

____

____

___

____

____

____

____

____

____

____

____

____

_

Dat

e of

last

Tet

anus

sho

t: __

____

____

____

__

I

have

exa

min

ed th

e ab

ove-

nam

ed

E

ntra

nt a

nd, i

n m

y op

inio

n, th

ere

is n

o

m

enta

l or p

hysi

cal r

easo

n w

hy h

e or

she

shou

ld n

ot p

artic

ipat

e in

the

Spe

cial

Oly

mpi

cs s

ports

trai

ning

and

com

petit

ion

prog

ram

. Fur

ther

info

rma-

tion

will

be

forw

arde

d if

requ

ired.

Cur

rent

med

icat

ion,

if a

ny, i

s sp

ecifi

ed

w

ith d

osag

e on

this

app

licat

ion.

Exa

min

atio

n D

ate

____

____

____

____

____

__

Doc

tor’s

Sig

natu

re _

____

____

____

____

____

_

Prin

t Nam

e __

____

____

____

____

____

____

_

Add

ress

___

____

____

____

____

____

____

___

City

___

____

____

____

Sta

te _

___

Zip

____

__

Pho

ne (_

____

)___

____

____

____

____

____

__

Region

Agen

cy #

S

OIL

L R

ev. 8

-1-17

S1-9

APP

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XAM

DA

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Ent

rant

e __

____

____

____

____

____

____

____

____

____

____

____

____

____

____

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□ A

tleta

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su p

ropi

o gu

ardi

án

Test

igo

____

____

____

____

____

____

____

____

____

____

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Fec

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____

____

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La d

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tróni

ca d

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artic

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te _

___

____

____

____

____

____

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605

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mal

, IL

6176

1-26

82 ·

309-

888-

2551

INFO

RM

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____

____

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(

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age)

____

____

____

____

____

____

____

____

____

_

____

____

____

____

____

____

____

____

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_

____

____

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____

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____

____

____

____

____

____

____

____

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_

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a de

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etan

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e of

last

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anus

sho

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____

____

____

____

____

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e ex

amin

ed th

e ab

ove-

nam

ed E

ntra

nt

and,

in m

y op

inio

n, th

ere

is n

o m

enta

l or

phys

ical

reas

on w

hy h

e or

she

sho

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parti

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the

Spe

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cs s

ports

tra

inin

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titio

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urth

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info

rmat

ion

will

be

forw

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d if

requ

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C

urre

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edic

atio

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any

, is

spec

ified

with

do

sage

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app

licat

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Exa

min

atio

n D

ate

____

____

____

____

____

__

Doc

tor’s

Sig

natu

re _

____

____

____

____

____

_

Prin

t Nam

e __

____

____

____

____

____

____

_

Add

ress

___

____

____

____

____

____

____

___

City

___

____

____

____

Sta

te _

___

Zip

____

__

Pho

ne (_

____

)___

____

____

____

____

____

__

Region

Age

ncia

#S

OIL

L R

ev. 8

-1-17

S1-11

SOLI

CIT

UD

DE

PAR

TIC

IPA

CIÓ

N E

S VÁ

LID

A P

OR

2 A

ÑO

S D

ESD

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FEC

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EXA

MEN

Thank You to all of our Sponsors!

Good Heart Work SmartCompass Architecture, LLC

Thomas & Wendy BottomleeTony & Kim Perry

The Retirement Research FoundationPark District of Forest ParkPark District of Oak Park

Gold Star Sponsors

Joseph Mullarkey Distributors IncKelly FrankRichie Shep

Silver Star Sponsors

Democratic Party of Oak Park Forest Agency Insurance

H & H ElectricMohr Oil Co

Bronze Star Sponsors

Mark CoeLeslie & Jeff Cox

Mark FingerLisa MasucciNancy Quinn

Barbara SmithWilliam Wallace

Tennis & Fitness Center

Robert HattanBernadette Homberger

Cynthia LevinElizabeth Powers

Teresa RuppMary SnyderMary Unger

Friend Sponsors

Karen & Marty KerrinsDan & Terry Horn

Dan & Eileen LynchBlue Man Group

Suze SolariJayne Oak Park

California Closet CompanyLeonor & Eleazar Vazquez

Cooper’s HawkPanera Bread

Nora FlemmingFrank Lloyd Wright Trust

Trader Joe’sHalf Acre Beer

Fit GolfStarship

Lou Malnati’sMathnasium

Wonder WorksPark District of Oak ParkMother’s Day Restaurant

Whole FoodsChristine NakatsukaMargaret O’Rourke

Robert BieglerAnne Marie Casas

Carol FrankEmily Perry

Walter RosenbergKatie DoyleRocio Perez

Carol MilburnJoAnn Fera

Bertha HuertaSandra Velazquez

Maria AriasTony Perez

Patricia MendozaMaria Mendez

Julia ArnettLynn Galuska & Michael ElsonBeth KaplanKim Perry

Veronica RamirezTheresa Roche

Prize Donors

ELEGANT DESIGNS FOR PRACTICAL LIVING

WWW.COMPASS-ARCHITECTURE.COMCBREMER@COMPASS-ARCHITECTURE.COMCHRISTOPHER J. BREMER: 773-612-9960

220 North Euclid Avenue, Oak Park, IL

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220 North Euclid Avenue, Oak Park, IL708-725-2500 • [email protected]

Advisors You Can Trust With What Matters Most

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H&H Electric Company is a specialty contractor that offers the following services:

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708.878.2445 MOBILE | 708.453.0202 EMERGENCY 24/7 | 111*6291*2 SPRINT NEXTEL RADIO I.D.

• Alternative Energy• Cameras• Communications• Lighting

• Specialty Lighting• Traffic Signals• Underground work• 24/7 Maintenance & Repairs

2830 Commerce Street Franklin Park, Illinois 60131-2927 PHONE : 708.453.2222 | FAX : 708.453.2851















f E A T U R İ N G Fitness room with cardio and strength equipment Full-size gymnasium Walking Track Locker rooms with showers Multi-purpose classroom

7329 West Harrison Street Forest Park, IL 60130 Tel: 708-878-7667 Website: www.pdofp.org

h o u R s o f o p E R A T i o N Mon. - Fri. 5 am – 10 pm Sat. 6 am – 8 pm Sun. 7 am – 6 pm

ROOS_HALF_PAGE_CMYK.indd 1 10/27/18 1:41 PM

BEST WISHES WSSRA

Setting new standards of service since 1950.

ProductsGasoline • Diesel Fuel • Heating Oil • Motor Oil

Lubricants • Transmission Fluid • Grease and Gear Lubes

Michael H. Mohr7340 W. Harrison Street • Forest Park, IL 60130

(800) 315-9510 or (708) 366-2900 • Fax (708) 366-1007www.mohroil • email: [email protected]

maIl to: wssra, 2915 maple street, franklIn park, Il 60131 ··· fax to: 847.455.2157 ··· signed registration Must be receiVed by january 17, 2020

participant’s naMe: ________________________________________________________ birtH date: ________________________ gender:________________

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

is participant subject to seizures? *yes *no if yes, please coMplete and return seizure inforMation forM

is Medication taken at prograM? *yes *no list any Medication: ______________________________________________________________________________

list any allergies: _______________________________________________________________________________________________________________

does participant HaVe a coMMunicable disease? *yes *no if yes, please explain: ____________

*no

West suburban special recreation association

WINTER/SPRING 2020 REGISTRATION FORM

prograM naMe date day tiMe fee trans prograM & trans fee subtotal

$

$

$

total due:aMount paid:

reMaining balance:

to credit card

PAYMENT OPTION ··· PLEASE CHECK ONE ··· PAYMENT IS EXPECTED AT REGISTRATION, IF YOU ARE UNABLE TO PAY YOUR FULL BALANCE,

A 50% DEPOSIT OF YOUR BALANCE IS DUE.

* total payMent enclosed * total payMent to folloW (If faxed) * deposit Made (50% of balance)

* payMent plan arranged WitH annie Hart * request scHolarsHip (50% deposit still required)

* credit card * Visa * Master card

card nuMber: expiration date: _____ / _____ amount to be charged: $___________

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

V code:________(located on back - 3 digits)


WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENTPlease 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.

0 yes 0no

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.

0 yes 0no

*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] | follow us on /wssra @wssra @w.s.s.r.a

West suburban special recreation association

INVIERNO/PRIMAVERA 2020 FORMA DE INSCRIPCIÓN ENVÍE A: 2915 Maple Street, Franklin Park, Il 60131 O POR FAX: (847)455-2157 ·· la registración firMada debe recibirse antes del 17 de enero

noMbre de participante: _________________________________________ fecHa de naciMiento del participante:_________________ género_____________

dirección: ___________________________________________________ ciudad/estado: ____________________ código postal: ___________________

tel de casa: ___________________________________ distrito de parque/Municipalidad: ___________________________________________________

padre/guarda legal: _________________________________________________________________________________________________________

correo electrónico:

padre/guarda legal tel del trabajo: _________________________________________ padre/guarda legal tel cel: ________________________________

¿a quien debeMos llaMar si el padre/tutor no esta disponible? noMbre: _________________ telefono: _____________________________________________

escuela actual/trabajo/otro: _____________________________________________ noMbre del Maestro/superVisor: _____________________________

discapacidad del participante: ___________________________________________________________________________________________________

¿usa el participante silla de ruedas/andador? especifique: ____________________ ________________ ¿puede el participante trasferirse? *sÍ *no

¿es el participante sujeto a ataques? *sÍ *no por faVor adjunte su plan de trataMiento para ataques

¿se toMa el MedicaMento durante el prograMa? *sÍ *no liste los MedicaMentos: _________

liste cualquier alergias: _______________________________________________________________________________________________________

¿tiene el participante una enferMedad coMunicable? *sÍ *no sÍ la tiene, por faVor explique: _____________________________________________________

OPCIÓN DE PAGO ··· MARQUE UNO ··· EL PAGO SE DEBE CUANDO SE REGISTRE, SI NO PUEDE PAGAR TODO EL BALANCE,

DEBE PAGAR EL 50% DE SU BALANCÉ.

* pago total adjunto * pago total a seguir (sÍ mando por fax) * deposito (50% de su balancé)

* solicitar beca (debe pagar el 50% de su balancé) * plan de pago arreglado con annie Hart

* tarjeta de crédito * Visa * Master card

nuMero de tarjeta: fecHa de caducidad: _____ / _____

V code:________(3 núMeros en la parte posterior de la tarjeta)

He leído la exencion de todas las reclaMaciones y acuerdo de Mantener indeMne y a Menos que yo no Haya coMprobado bajo las tres autorizaciones, los apruebo.

_________________________________________ ______________________padre/participante/tutor firMa fecHa

noMbre de prograMa fecHa dia Hora costo trans total parcial de prograMa y trans

$

$

$

total debido:cantidad pagada:

nueVo balance:

ACUERDO INOCUO AL

LADO REVERSO

cantidad a cargar a la tarjeta de credito:

$___________


EXENCION DE TODAS LAS RECLAMACIONES Y ACUERDO DE MANTENER INDEMNE Lea por favor esta forma con cuidado y esté enterado que en si firma y participa en el programa de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciando de todo reclamo de por heridas que surgieran de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en los programas. Al registrar para estos programas, usted concuerda de la siguiente manera:

Como participante en estos programas, yo reconozco que hay ciertos riesgos de heridas físicas, y yo concuerdo en asumir el riesgo total de cualquier herida, daños o pérdida que pueda sostener a consecuencia de tomar parte de cualquier manera, en cualquier y todas las actividades conectadas con o asociado de tales actividades que implique riesgos substanciales de alguna herida.

Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener a consecuencia de tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial, cualquier y toda unidad gubernamental participante, cualquier y todos los contratistas independientes, oficiales, agentes, sirvientes, empleados de los cuerpos gubernamentales y contratistas independientes, y cualquier y todas las otras personas y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquier herida que yo quizás sostenga al tomar parte en estos programas.

Yo por la presente renuncio y completamente y libero a la Asociación West Suburban de Recreación Especial y libero a otros partidarios de cualquier y todo reclamo por heridas, daños o pérdida, que puedan incurrirme por motivo de mi participación en estos programas.

Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West Suburban de Recreación Especial y cualquier y todos los otros partidos de cualquier y todo reclamo que resulte en heridas, daños y pérdidas sostenidas por cualquiera, y surgiendo fuera de, conectado con, o en cualquier manera asociada con mi conducto y las actividades de estos programas.

Comprendo aún más y concuerdo que los términos como “participación”, y las “actividades”, se refirieron a en este Acuerdo, incluye todos ejercicios y los movimientos físicos de cualquier naturaleza mientras tomo parte en estos programas e incluye aún más la provisión, de o fracaso para proporcionar las instrucciones o la supervisión apropiadas, el uso y el ajuste de cualquier y toda maquinaria,equipo, y aparato, y algo relacionado con mi uso de los servicios, las facilidades, o Implicado en estos programas, y en el transporte a y de acontecimientos.

Comprendo la naturaleza de estos programas para el cual me inscrito, y he leído y comprendo completamente esta Renuncia, Liberación y Acuerdo Inocuo. Comprendo aún más que cualquier deliberación o advertencias de los riesgos particulares de estos programas que recibo subsiguientemente serán integradas por la referencia en y llegan a ser una parte de este Acuerdo.

En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueda ser requerida.

para coMunicarse con los trabajadores de escuela/doctor yo autorizo a los Maestras, trabajadores sociales, terapistas o doctores a coMunicarse con Wssra acerca de las necesidades del participante en relación a los prograMas de Wssra. Wssra guardara toda la inforMación confidencial que recibiMos.

o Si o No

para coMunicarse con los acoMpanieros/MieMbros de Wssra yo autorizo que Wssra les puede dar inforMación acerca del participante y su participación en prograMas y actiVidades a Mi distrito de parque o Municipalidad de Mi ciudad, incluyendo noMbre, dirección, nuMero de teléfono edad. discapacidad o registraciones, si no los reVelar de nueVo sin Mi firMa de concento.

o Si o No

*yo entiendo que puedo caMbiar a las declaraciones enciMa en cualquier MoMento entregando un aViso escrito a la oficina de Wssra, para proHibir reVelación adicional del inforMación.

agradeciMos sus coMentarios!Los invitamos a compartir con nosotros su ideas de programas y comentarios sobre nuestros servicios:

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________



SEIZURE INFORMATIONdate: ___________________________

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:

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) : _________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Medication naMe dosage tiMe of intake


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? ________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________


WSSRA REGISTRATION & POLICIESWSSRA REGISTRATION & POLICIESREGISTRATION OPTIONSIn order to participate in Winter/Spring programs, your completed AND signed registration form must be received in the WSSRA office by January 17TH. WSSRA registration is taken on a first-come, first-served basis.

REGISTRATIONA completed AND signed registration form is required (along with a $5 deposit per program) in order to start participation. If your signed form is not received by January 17TH, you will lose your spot in any of your selected programs and be put on a waitlist.

CLOSED PROGRAMS/WAIT LISTSIf a program is at maximum enrollment, your participant will be placed on a wait list once your completed and signed registration form along with full payment or program deposit is recieved. Wait lists are reviewed on a weekly basis. Once the program season begins, you will be notified if additional space in the program becomes available. Please call 1-week prior to program begining, to see if you have been removed from the wait list.

NEW PARTICIPANTSIf you are new to WSSRA, proof of residency is required at the time of enrollment. WSSRA will accept a current utility bill, mortgage or lease in your name.

PAYMENTPayment of program fees is due upon registration. If you are unable to pay your full balance, a deposit of 50% of your balance is due. Billing statements are mailed out once a month. Call to arrange for a payment plan. A participant may not register for the next season until a balance from previous season is paid in full. WSSRA Program Supervisors MAY NOT accept payment or registration forms at program.

RETURNED CHECKSA $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.

PROGRAM CREDITS AND CANCELLED PROGRAMS1. Program credits will not be issued for weather related cancellations. WSSRA will attempt to make up programs due to weather cancellations.2. Program credits will not be issued for sports tournament cancellations.

3. If WSSRA is notified 5 business days prior to the start of a program season, the participant will be credited the cost of each program cancelled less a $5.00 processing fee.4. A full, prorated program credit will be issued if for extended medical reasons and/or hospitalization with written verification from a physician.5. A prorated program credit will be issued for programs that may have a postponed start due to low enrollment. If the program is subsequently cancelled, a full program credit will be issued.6. A full program credit is issued if a program or special event is cancelled by WSSRA due to low enrollment.7. If a participant chooses to cancel from a program after the season has begun, a prorated program credit will be issued for each program cancelled, less a $5.00 processing fee, the cost of a ticket (unless there is a person on a waiting list), contracted services, or specialized non-refundable supplies.8. Program credits will not be issued retroactively. Prior notification of program cancellation to WSSRA office is necessary in order to be eligible for a program credit.9. All credit requests will be reviewed on a monthly basis

SCHOLARSHIP REQUESTWSSRA 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. Proof of income is required.

PARENT DROP-OFF & PICK-UPWSSRA 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 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. A notice will be sent to you indicating the fee being charged to your account.

DROP OFF AT THE WSSRA OFFICE OR MAIL TO

WSSRA2915 Maple St.

Franklin Park, IL 60131

SCAN & EMAIL [email protected]

ONLINE wssra.net

FAX TO847.455.2157

PHONE TO:847.455.2100


WSSRA REGISTRATION & POLICIESWSSRA REGISTRATION & POLICIESPARTICIPANT ILLNESSFor 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 PRECAUTIONSSome 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 TRANSPORTATIONTransportation 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 SEATSDue 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.

MEDICATIONIt 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.

SEIZURESParticipants who have had a seizure must complete a seizure information form prior to beginning programs. Please see page 47 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.

INSURANCEThe 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 LIABILITYWSSRA 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 POLICYWSSRA 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.

SAY CHEESE Photos & videos are periodically taken of people participating in WSSRA & Inclusive Partner District programs & activities. All persons registering for WSSRA and Partner Inclusion programs/activities thereby agrees that any photograph or videotape taken by WSSRA may be used for promotional

purposes including its electronic media, videotapes, brochures, flyers and other publications without additional,

prior notice or permission and without compensation to the participant, rights to royalties or any other consideration now and in the future.

Recognition Banquet

Join us for a night of celebrating WSSRA participants, families, staff, & volunteers with dinner, drinks & dancing.

All participants must be accompanied by a guest.

Location: Center at North Park, Franklin Park

Fee: Free for Staff, participants, & volunteers. $27 for all additional guests

Saturday, February 1, 20206:00 – 9:00pm

Saturday,April 4th

9:00 - 11:00am9:00 - 11:00amVillage of North

Riverside2359 S. DesPlaines Ave.2359 S. DesPlaines Ave.

Call the WSSRA office at 847.455.2100 to registerCall the WSSRA office at 847.455.2100 to register

F l a p J a c kF l a p J a c kF l a p J a c kF l a p J a c kBring your family for a tasty pancake Breakfast, Bring your family for a tasty pancake Breakfast,

children’s activity stations, egg hunt & children’s activity stations, egg hunt & photos with the bunny!photos with the bunny!

Bunny HopBunny Hop!!Bunny HopBunny Hop!!

Fee: $5 for 13 & up $1 for 12 & under

West Suburban Special Recreation Association2915 Maple Street, Franklin Park, IL 60131P 847.455.2100 | F 847.455.2157www.wssra.net

PRSRT STDU.S. POSTAGE

PAIDPERMIT NO. 317

FOND DU LAC, WI

W S S R A ’ SW S S R A ’ SANNUALD E R B YG A L A

Join us for the 146th Running of the Join us for the 146th Running of the

KENTUCKY DERBYKENTUCKY DERBYHawthorne Race Course Turf ClubHawthorne Race Course Turf Club

3501 Laramie Avenue, Cicero3501 Laramie Avenue, Cicero

SATURDAY, MAY 2SATURDAY, MAY 2

SAVE THE DATE!SAVE THE DATE!

WSSRAWSSRA · WSSRF BOWL-A-THONSaturday, March 14 12:30 – 3:00pm Circle Lanes, Forest Park Call...

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Transcript of WSSRAWSSRA · WSSRF BOWL-A-THONSaturday, March 14 12:30 – 3:00pm Circle Lanes, Forest Park Call...