Montavilla Community Center - Summer 2014 Activities by Portland Parks & Recreation

Summer 2014 East Portland Regional Activities

Montavilla Community Center & Pool

• DAY CAMPS!... see pages 51-57 • Registration for Fall Term starts Monday, August 11

Find us on

Facebook Register on-line at www.PortlandParks.org 503-823-PLAY

Commissioner Amanda Fritz Director Mike Abbaté

40 Summer 2014

42 Summer 2014

MONTAVILLA OUTDOOR POOL 8219 NE Glisan 97220 Telephone: 503.823.3675

DIVE-IN MOVIE Aug 20

JUNE 17-AUGUST 29

Mon-Fri 8:00am - 8:40pm Sat 1:00 - 5:00pm

HOURS:

8:00pm

Dive-In Movie Admission: $5.00, adults (18 & older) $3.50, youths (17 & younger).

Directors: Sue Cox, Lisa Osterberg

Pool will close at 7:05pm to prepare for movie.

Hours will be reviewed periodically to best meet participants’ needs.

CLOSURES AND SPECIAL HOURS: June 16: Closed for Summer Staff Training Closed Sundays July 4: Closed

Splash Parties at Montavilla Pool!!

General Information: Outdoor 25-yard shallow pool and 25-yard deep pool heated to 84 degrees. Water depths range from 2 feet to 8 feet. Also has a drop slide and a kiddie slide. Program offerings include swimming lessons, lap swim, water exercise and recreational play swims. Bus Lines: #19 Glisan, #72 NE 82nd Ave Parking: Lot entrance off 82nd Ave-alternate parking on 83rd

Inclement Weather (rainy/cooler weather): Outdoor pools will close after evening swim lessons or within 1-1/2 hours of their regular closure time due to cold and /or rainy weather. Please call Aquatic Administration at 503-823-5130 for specific pool updates.

Pool Swim Fees Passes valid at all PP&R pools except Dishman, EPCC, Mt. Scott, SWCC & Wilson. Admission includes use of the following drop-in amenities on a first-come, first served basis during scheduled times: • Parent/Preschool Swim • Teen Swim • Open Play Swim • Family Swim (children under 48” tall must be accompanied in the water by an adult)

• Lap Swim

Adults

DropIn $4

(all youth 17 years & under must be accompanied in the water by an adult)

• Water Fitness

Season 10-Punch 20-Punch Pass*** Card Card $92 $36 $70

(18-59 yrs)

Seniors

$55

$32

$62

N/A

$27

$51

FREE

N/A

$145

N/A

(60+ yrs)

Youth (3-17 yrs)

Toddlers (0-2 yrs)

Family**

** NOTE: Family membership denotes a couple (married or domestic) or a single parent and their legal dependants living in the residence. *** NOTE: Season Pass is Pro-Rated Monthly

for All Ages 1-3pm

Itty Bitty Beach Party for ages 6 mo - 6 yrs July 12 Noon - 1pm

Montavilla Daily Schedule MONDAY – FRIDAY MORNING 6 to 8am Portland Aquatic Club 8 to 10am Summer Swim Team 9:30 to 11:30am Jr. Swim Instructor Program (7/7-18) (7/21-8/1) (8/4-15) 10am to 12:50pm Swim Lessons 10:30am to 12:30pm Lap Swim (1-2 lanes) 11:45am to 2:45pm Jr. Lifeguard Program (6/23-7/3) (7/21-8/1) (8/18-29) AFTERNOON 1 to 4:00pm 4:10 to 7:00pm 4:30 to 6:00pm EVENING 7:10 to 8:40pm

Open Play Swim (free 1-2:30pm on Tuesday)

Swim Lessons Lap Swim (1-2 lanes)

Open Play Swim (M/T/W/F)

7:10 to 8:40pm

Family Play Swim (Th)

SATURDAY 11am to 1:00pm 1 to 5:00pm 5:15 to 8:15pm

Rentals Available Open Play Swim Rentals Available

MONTAVILLA COMMUNITY CENTER

Disabled Access: Not Accessible

Fun Day! July 30

FREE . . . “LEARN TO SWIM” lessons June 17-20 Walk-In (in person) registration only on Saturday, June 14, 8-11:30am at your neighbourhood pool. Sea Lion, Piranha, Dolphin, Park Shark, Park Shark II, and Diving are not offered this session. Register On-Line at www.PortlandParks.org 43

Swimming Lessons at Montavilla Pool

1. Fees

2. Class Levels

YOUTH & PARENT/CHILD LESSONS 10 lessons $52.50 9 lessons $47.25 ADULT LESSONS 10 lessons $62.50 9 lessons $56.25

3. Session Dates MONDAY THROUGH FRIDAY 2-Week sessions offered at all pools FREE SESSION June 17-June 20 (4 lessons)

SESSION SESSION SESSION SESSION SESSION

1 2 3 4 5

June 23-July 3 (9 lessons) July 7-July 18 (10 lessons) July 21-August 1 (10 lessons) August 4-August 15 (10 lessons) August 18-August 29 (10 lessons)

PARENT/CHILD LESSONS

age: 6 mo - 3 yr

Angelfish For ages 6-18 mo. Work with parent & child on water adjustment & appropriate water safety skills. Starfish For ages 18 mo - 3 yrs. Work with parent & child on water adjustment & appropriate water safety skills.

PRESCHOOL LESSONS age: 3 - 5 yr Goldfish For non-swimmers. Provides water adjustment activities, front & back floats & glides, kickboard skills. Penguin For non-swimmers who can put their face (including eyes) in the water & blow bubbles for 5 seconds. Otter Must be comfortable in the water & able to front glide with kick 5 ft. Back float assisted. Seal Must be able to crawl stroke without breathing for 15 ft & kick on back for 10 ft unassisted.

YOUTH LESSONS

age: 6 yr & up

Penguin For non-swimmers. Provides water adjustment activities, front & back floats & glides, kickboard skills. Times and Levels listed below are the same Otter Must be comfortable in the water & able to for all five Sessions front glide with kick 10 ft. Back float unassisted. MORNING Seal Must be able to crawl stroke without breathing 10:00 to 10:30am: Penguin (pre/yth), Otter (pre/yth), Sea Lion, Piranha for 20 ft & kick on back for 15 ft unassisted. 10:35 to 11:05am: Goldfish, Otter (pre/yth), Seal, Polar Bear, Dolphin 11:10 to 11:40am: Penguin (pre/yth), Otter (pre/yth), Seal, Sea Lion Polar Bear Must be able to crawl stroke with breathing for 30 ft & back crawl for 30 ft. 11:45am to 12:15pm: Angelfish, Penguin, Seal (pre/yth), Polar Bear, Park Shark 12:20 to 12:50pm: Starfish, Goldfish, Penguin (pre/yth), Otter Sea Lion Must be able to crawl stroke with breathing for 50 ft & back crawl for 50 ft. LATE AFTERNOON / EVENING 4:10 to 4:40pm: Penguin (pre/yth), Otter (pre/yth), Seal (yth), Polar Bear Piranha Optional level, may be taken anytime after completion of Se Lion. Works on turns, competitive 4:45 to 5:15pm: Goldfish, Otter (pre/yth), Seal (pre/yth), Dolphin strokes, starts drills & endurance. 5:20 to 5:50pm: Angelfish, Goldfish, Penguin (pre/yth), Sea Lion Dolphin Must be able to swim 25 yards crawl stroke, 5:55 to 6:25pm: Starfish, Penguin (pre/yth), Otter (pre/yth), Park Shark back crawl & elementary back stroke. Knowledge of 6:30 to 7:00pm: Goldfish, Penguin (pre/yth), Polar Bear, Sea Lion breast stroke. Park Shark Must be able to dive in & swim 50 yards crawl stroke, back crawl, elementary backcrawl & breaststroke. Park Shark II Must be able to swim 50 yards of breaststroke, back crawl, side stroke & front crawl with good technique. Must execute a pike or tuck surface dive to 8 ft, swim underwater 20 ft, surface & tread water for 5 minutes.

4. SWIM LESSON TIMES

JR. LIFEGUARD and JR. SWIM INSTRUCTOR for youth ages 11-14 yrs

JR. SWIM INSTRUCTOR

9:30 - 11:30 AM (Sessions 2, 3 & 4) $80 per session Pre-training for youth interested in becoming a swim instructor. 2-week session includes 20 hours of instruction.

JR. LIFEGUARD

11:45 AM - 2:45 PM (Sessions 1, 3 & 5) Pre-training for youth interested in becoming a lifeguard. 2-week session includes 30 hours of instruction.

SPECIAL OFFER:

$90 per session

44 Montavilla Community Center 503.823.4101 Thatâ&#x20AC;&#x2122;s 50 hours of training for the combined fee of $150!

Portland Parks & Recreation

Montavilla Community Center

8219 NE Glisan, 97220 Telephone: 503-823-4101 Fax: 503-823-4873 E-mail: Staff.MontavillaCC@portlandoregon.gov Building Director: Karen Birt Coordinators: Demetri Finch-Brown, Demetri.FinchBrown@portlandoregon.gov Loralie Cole, Loralie.Cole@portlandoregon.gov Sarah Cooper, Sarah.Cooper@portlandoregon.gov

Rental inquiries: Staff.MontavillaCC@portlandoregon.gov Summer Office Hours: Monday - Friday Saturday:

9am-6pm 9am-3pm

Scheduled Summer Closures: Independence Day Fri-Sun, July 4-6 CLOSED Labor Day Sat-Mon, Aug 30-Sep 1 CLOSED Annual Maintenance Week: Montavilla Community Center will be closed the week of April 21-25 for dedicated maintenance work on the facility. Bus Lines: #19 Glisan, #72 82nd Ave. â&#x20AC;&#x201C; Killingsworth Parking: Lot entrance off of 82nd Ave. Parking space is limited. When the lot is full, street parking is available on 83rd & 84th Avenues just South of Glisan. Community Center Entrance: Faces the corner of 82nd & Glisan. As you walk towards the building from the parking lot, walk along the building, towards 82nd & Glisan. Enter in the first doors along the wall of windows. Please note that the outdoor pool at Montavilla Park has a separate entrance on the playground side of the center. Disabled Access: Entrance, classrooms & restrooms accessible. Designated parking spots available in lot. Inclusion Services: Within the Americans with Disabilities Act of 1990, Portland Parks & Recreation provides accommodations to individuals with disabilities/special needs, so that they may receive an equal opportunity to fully participate in programs offered citywide. Please see page 62 for information on accessing these services.

Limited parking is available in the small parking lot located off of NE 82nd Avenue. Thanks to our gracious neighbor Multnomah University, located adjacent to Montavilla Park to the East on NE Glisan Street, for allowing access to the parking lots near the dorms for the summer months of June through August 15. Parking on campus at MU allows access to Montavilla Park, Center & Pool through the gate near the baseball fields without having to cross either NE 82nd Ave. or Glisan St. Please, help us continue this beneficial relationship by observing all parking, speed & traffic signs & rules when seeking parking, including not parking in staff parking spaces. A map of appropriate on campus parking lots is available at the community center front desk. As always, please be conscious of car prowlers and DO NOT leave valuables or bags visible in your vehicle.

Table of Contents Adults 55+ Van Trip.......................................... 48 Aikido................................................................ 50 Camp - ages 3-5. ................................................ 54 Camp - age 5-7 ......................................... 51 & 56 Camp - age 8-12 ....................................... 51 & 57 Dance................................................................ 48 Drop-In Programs............................................ 46 Facilities Map for PP&R.............................60-61 Gymnastics & Tumbling.................................. 47 Inclusion Services............................................. 55 Preschool/Early Childhood Education............ 46 Camp - Early Risers age 5-12. ........................... 55 Registration Information.................................. 62 Registration Form............................................ 63 Tennis................................................................ 51 Tae Kwon Do..............................................49-50 Teen Activities/Programs.....................................

MONTAVILLA COMMUNITY CENTER

Early Childhood Education Specialist: Vanessa King, Vanessa.King@portlandoregon.gov

Parking

Portland Parks & Recreation Summer Term Drop-in Recreation Activities Please note: Drop-in schedules my change based on programming & facility needs.

Parent/Child Playtime Mon

Tue

Wed

TODDLER GYM

Thur

Fri

10:30am12:30pm

Age: 5 yrs& under, parents supervise $0.50 per child BREAK DANCING 2-4pm

Age: 12 yrs & up $1/day or $5/term

Toddler Gym:

Open play time for little ones promote gross motor skills, socialization and pre-nap energy release! Parents supervise their child(ren) as kids enjoy balls, sports equipment, &, of course, the trampoline. Please note Indoor Park toys are in storage for the season and not available during Toddler Gym.

Break Dancing:

Need a place to practice your b-boy or b-girl moves? Gym space provided for free-style break dancing in an open group environment. No formal instruction required.

46 Montavilla Community Center

2-4pm

Sat

Portland Parks & Recreation Gymnastics, Tumbling & Trampoline Classes will NOT meet on July 5. Tumble, Twirl, Turn & Twist! ages: 1-3 Does your child start moving when the music begins? Discover the joys of gymnastics & dance through movement, music, tumbling & apparatus. Gain musicality, poise, balance & flexibility as you tumble & twirl. A whirling world of toppling & turning. Sa 11-11:30am Kelly K. 1007345 4 classes 6/21-7/19 $35 1007347 4 classes 7/26-8/23 $35

Gymnastics - I & II ages: 6-12 Stretch, tumble, balance & leap! Progression of basic skills benefits both level 1 & 2 gymnasts as they develop strength, agility & coordination applicable to all sports. Instructor will teach to level of enrolled students presenting more challenging adaptations and skills for students while giving a solid foundation to beginners. 1010295 Th 12:45-1:30pm Kelly K. 9 classes 6/26-8/21 $45 Gymnastics - II Beginning Continued ages: 6-12 Movinâ&#x20AC;&#x2122; on up! Progressive methods allow you to develop tumbling expertise at your own rate while building confidence, strength, agility & grace. Fun, fundamentals & fitness are the primary goals while increasing skill on the mat & equipment. 1007372 Sa 1:15-2pm Kelly K. 9 classes 6/21-8/23 $45

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Tumbling & Trampoline ages: 6-12 Creep like a crab, roll like a log, leap like a leopard. Develop coordination, build strength & gain selfconfidence with basic tumbling tricks & trampoline jumps, drops & combinations. 1009414 Sa 2:15-2:45pm Kelly K. 4 classes 6/21-8/23 $35 Gymnastics - Budding Gymnasts! ages: 4-6 Even gold medal-winning Olympians have to start with the basics! Motor skill development & spatial awareness, strength & flexibility begin with a solid fundamental background of essential skills. Progressive methods allow you to develop expertise at your own rate. Sa 11:30am-Noon 1007349 4 classes 6/21-7/19 $20 1007352 5 classes 7/26-8/23 $24

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MONTAVILLA COMMUNITY CENTER

Tumble Bugs ages: 3-5 Twirl, whirl & roll! Experience this introduction to gymnastics & tumbling, perfect for those able to attend on their own. Warm ups stretch your muscles, acrobatics work on balance, jumping & springing! Activities increase body awareness, strength, flexibility & spacial awareness as you twist & turn. A rumbly, tumbly fun time. Th 10:30-11am Kelly K. 1010288 4 classes 6/26-7/17 $35 1010290 4 classes 7/24-8/21 $35

Gymnastics - I Beginning ages: 6-12 Stretch, tumble, balance & leap! Emphasizes fundamentals - rolls, cartwheels & headstands - with an introduction to the different equipment available. Progression of basic skills benefits both boys & girls as they develop strength, agility & coordination applicable to all sports. 1007368 Sa 12:15-1pm Kelly K. 9 classes 6/21-8/23 $45

Portland Parks & Recreation Dance, Dance, Dance!

Spanish in the Park

Classes will NOT meet on July 5. Ballet - Pre Ballet Where Dreams Begin ages: 3-5 Earliest preparation of time honored training in classical ballet. Agility, grace, coordination, movement & rhythm improves strength while providing the nurturing atmosphere to learn the discipline required. Th

Spanish For Niños Pequeños ages: 4-6 Hola kids! Develop better understanding of other cultures while exploring another language. Start with simple words & phrases that can be discovered through activities such as arts, crafts, games & songs. Meet under the picnic shelter in Montavilla Park. M 9:30-10:30am Jazmin R. 1011422 5 classes 6/23-7/21 $39 1011423 5 classes 7/28-8/25 $39

11:15am-Noon

1010291 1010292

4 classes 6/26-7/17 $24 5 classes 7/24-8/21 $30

Sa 1007335 4 classes 1007336 5 classes

9:15-10am 6/21-7/19 7/26-8/23

Kelly K. $25 $30

Ballet - Basics ages: 5-7 Express yourself! Explore this joyful dance style & increase agility, grace & coordination. Develop a firm foundation in classical technique while gaining music knowledge & arts appreciation. Sa 10-10:45am Kelly K. 1007337 4 classes 6/21-7/19 $25 1007338 5 classes 7/26-8/23 $30 Dance - Art Of Choreography ages: 7-11 Create your own steps! Explore pace & shape, movement & direction, inventing steps & combinations. Expand your understanding of composition & directing, while teaching steps to others. 1009886 Sa 3-3:45pm Kelly K. 9 classes 6/21-8/23 $45 Dance - Break Dancing ages: 11-20 Bust a move! Get funky & a little crazy! Build selfconfidence, express individuality & developing new steps. Share your skills while you learn new moves from peers during this group dance session with no formal instruction. 1007000 W, F 2:30-4:30pm Juan R. 16 classes 6/25-8/22 $5

48 Montavilla Community Center

503.823.4101

Adult 55+ Van Trip Van Trip - Broadway Rose and Stanford’s ages: 60 & up Discover the fun & excitement of a game you can play for a lifetime. Basic elements of forehand, backhand, volley & serve strokes, positions & footwork emphasized. Develop eye-hand coordination & increase agility while learning the rules & fundamentals of scoring. 1006075 Th 4:30pm-10:30pm 1 class 7/3 $39

Portland Parks & Recreation White Tiger Tae Kwon Do with Cullen Loeffler Program: Korean martial art that uses kicks, blocks & strikes, similar to karate. This is a great opportunity to try out a new sport. Taught in a supportive but disciplined environment. Noncontact, non-competitive form of self-defense increases physical strength, builds self-esteem, concentration & discipline. If you decide to stay with it, you can move up through the ranks in this program. Testing: Belt promotion takes place the first Saturday of the month (for all students). There is no testing fee, though new belts are $5 (basic uniform comes with white belt). Instructor: Cullen Loeffler is a 3rd degree black belt & has taught with PP&R for over 15 years. Clothing: Wear loose-fitting clothing; uniforms are not required. Uniforms can be purchased through the instructor. Parents: You are encouraged to stay & observe the class. You are also welcome to register for the class & take the class with your child. Missing a class? Don’t worry, you can take another class at one of Mr. Loeffler’s other sites. Material Fee: $1 material fee to be paid to instructor at first class (all except TKD For Tots).

Intermediate Classes

Tae Kwon Do For Tots ages: 4-6 Do your preschoolers envision themselves as Power Rangers? Let them practice the Korean martial art that uses kicks, blocks, & strikes. Non-contact, noncompetitive form of self-defense increases strength, builds self-esteem, concentration & discipline. Sa 9:15-10am 1009420 9 classes 6/21-8/23 $27.50 1009873 4 classes 9/6-9/27 $12

Tae Kwon Do - Tough Tots ages: 4-6 Tae means ‘foot’, Kwon means ‘hand’, & Do means ‘method’. Practice this Korean martial art that uses kicks, blocks & strikes. A non-contact, non-competitive, exciting form of self-defense increases strength, builds self-esteem, concentration & discipline. Sa Noon-12:45pm 1009442 9 classes 6/21-8/23 $27.50 1009875 4 classes 9/6-9/27 $16

Tae Kwon Do - For Everybody ages: 6 & up Join over 40 million people who practice this Korean martial art. Increase agility & strength while improving coordination using kicks, punches & blocks. Parents, children & families are welcome. Sa 11am-Noon 1009434 9 classes 6/21-8/23 $35 1009874 4 classes 9/6-9/27 $16

Tae Kwon Do - Intermediate ages: 6 & up Expand your knowledge & range of actions in this noncontact, non-competitive sport. Develop & increase concentration, coordination, discipline & esteem while benefiting from aerobic exercise. Sa 10-11am 1009430 9 classes 6/21-8/23 $35 1009871 4 classes 9/6-9/27 $16

Advanced Classes Tae Kwon Do - More Advanced ages: 6 & up For those who have achieved Yellow Belt status. Students have the option of advancing in rank & attending tournaments though neither is required. Sa 2:15-3:15pm 1009485 9 classes 6/21-8/23 $35 1009878 4 classes 9/6-9/27 $16 Tae Kwon Do - Brown & Black Belt ages: 6 & up For those who have achieved brown belt status. Must have instructor approval Sa 1pm-2pm 1009452 9 classes 6/21-8/23 $35 1009877 4 classes 9/6-9/27 $16

Tae Kwon Do - Sparring ages: 6 & up Increase your confidence, concentration & discipline through drills & strategies for tournament style non-contact sparring. Focus on supervised sparring matches for those with prior experience or instructor’s permission. Sa 4-5pm 1009490 9 classes 6/21-8/23 $35 1009879 4 classes 9/6-9/27 $16

MONTAVILLA COMMUNITY CENTER

Beginning Classes

Portland Parks & Recreation Aikido Yoshokai Aikido, a form of Japanese Budo, is a path to self improvement based on martial art techniques. The goal of our study is not to defeat or control others, but to defeat and control our own egos. Students work as partners to study dynamic throws and powerful pins. It may look like they are fighting, but they are actually learning how to fit together and create harmony instead of conflict. We study harmony in Aikido so that we may learn to live in harmony with nature and the world. Clothing: Wear comfortable clothes. No jewelry. Uniforms required only for testing. Testing & Promotions: Testing fees start at $5, testing & promotion is not a requirement of the program. At time of first test, students join the National Association (Adults $35/year, Youth $20/year). There are no tournaments or competitions. New Students are accepted throughout the term. Fees are prorated for new students who begin mid-term. Sunday Class: enter the building through the pool entrance on the playground side of the center. Please knock on the door. Instructors: David Scheer has over 16 years of training in Yoshokai Aikido & is a 3rd degree black belt. Jenni Heslop has 7 years of experience & is a 1st degree black belt. Sean Toyooka is a 2nd Degree Black Belt. George Ellis has 14 years experience & is a Black Belt.

Aikido For Youth

age: 7-13

Use personal energy rather than punching or kicking opponents, to gain control or to throw them off. Work as partners in a cooperative, not antagonistic environment to encourage teamwork while increasing balance & coordination in the individual. 1010304 Su 2:30-3:30pm 10 classes 6/22-8/24 $35

Aikido Yoshokai

age: 14 & up

Aikido Yoshokai - Buki

age: 14 & up

Strive for harmony between nature, self-control & personal well being & place an emphasis on safety through this noncompetitive style. Combine meditation, philosophy & physical exercise to reduce stress & encourage a healthy lifestyle. 1010298 Th 8-9pm 10 classes 6/19-8/21 $53 1010300 Su 1-2:15pm 10 classes 6/22-8/24 $48

50 Montavilla Community Center

503.823.4101

Kim’s School of Tae Kwon Do (age 7 & up in the same class) Program: Get your ‘kicks’ with us! Discover a traditional, non-contact Korean martial art involving kicking techniques & hand movements for self-defense situations. Lifelong aerobic exercise for the entire family. Emphasis on the 5 tenets: courtesy, integrity, perseverance, selfcontrol & indomitable spirit. Lead instructor: Robert Secord with the assistance of advanced black belt students. The additional teachers allow for small group instruction. Class Structure: warm up, hand techniques, forms, kicking drills, combination & non-contact sparring. Advanced students demonstrate strength through breaking wood boards. Clothing: wear comfortable clothes such as sweat suits. Uniforms are not required until time of first test. Purchase the uniform through the instructor. Opportunities, Testing & Promotions: 4 months is a typical training time prior to the first test (fees are required for testing). Membership fees are not required. Opportunities to participate in the Jr. Rose Festival Parade, local & regional tournaments, clinics, demonstrations & promotions. New Students: accepted throughout the term. Fees are prorated beginning the 2nd week of the term.

Portland Parks & Recreation

MONTAVILLA COMMUNITY CENTER

52 Montavilla Community Center

503.823.4101

MONTAVILLA COMMUNITY CENTER

Portland Parks & Recreation

54 Montavilla Community Center

503.823.4101

Portland Parks & Recreation INCLUSION SERVICES FOR PEOPLE WITH SPECIAL NEEDS Within the Americans with Disability Act (ADA) of 1990, Portland Parks & Recreation (PP&R) provides accommodations to individuals with disabilities/special needs, so that they may receive an equal opportunity to fully participate in programs offered citywide. How it Works First choose the activity youâ&#x20AC;&#x2122;d like to do & the PP&R site at which youâ&#x20AC;&#x2122;d like to do it. Next, register for the class. When registering, let the person know that you will need accommodations in order to participate in the activity. Once registered, contact Inclusion Services at (503) 823-4328. If this is your first accommodation through Inclusion Services, you will need to do a phone intake with a staff member at that number. At the end of the phone intake it will be determined whether an assistant will be needed on the first day of the activity to provide on-site support at the age-appropriate class. Future assistance will be provided based on need. The inclusion staff will work with the instructor on how to support you and your individual needs.

If you have questions about Inclusion Services, please call 503823-4328 V/TTY. A minimum of 10 business days (MondayFriday) advance notice is required. The Inclusion Services staff will do their best to accommodate each participant.

MONTAVILLA COMMUNITY CENTER

A general program may be adapted using auxiliary aids & services, but the basic structure of the program remains the same. Accommodations are made as needed & can be flexible & creative, ensuring the participant engages as independently as possible.

56 Montavilla Community Center

503.823.4101

Portland Parks & Recreation

MONTAVILLA COMMUNITY CENTER

Portland Parks & Recreation - Healthy Learning, Healthy Friendships, Healthy Living Portland Parks & Recreation

58 Montavilla Community Center

503.823.4101

Portland Parks & Recreation

MONTAVILLA COMMUNITY CENTER

62 Summer 2014

CHECK ONE:

 New Customer

 Taken class with PP&R before  My account information has changed

Main Contact Name _______________________________________________________________________ Birthdate ___________________________ M_____ F_____ CIRCLE ONE:

African Immigrant White

American Indian/Alaska Native Slavic/Eastern European Immigrant

Black/African American Asian

Hispanic/Latino Multi-Racial

Native Hawaiian/Pacific Islander Other

Home Address ________________________________________________________________________ City/St/Zip _______________________________________________ Home Phone ( _________)________________________________________________ Work Phone ( _________)_________________________________________________ Cell Phone ( _________)_____________________________________________ Email Address _______________________________________________________________ Emergency Contact Name & Phone Number ___________________________________________________________________________________________________ Portland Parks & Recreation welcomes individuals with disabilities and special needs into programs. Please describe any accommodations needed for successful inclusion: _____________________________________________________________________________________________ PARTICIPANT INFORMATION Name (last, first)

Birthdate

M/F

Class Title

Course #

Class Location

NON-RESIDENTS: Please be sure to enter the non-resident (NR) class fee in the Cost column. If an NR fee is not listed in the catalog, please add a 40% surcharge to each class fee.

Start Date

Cost

TOTAL

PAYMENT INFORMATION

 CHECK

Check number_____________________

 CREDIT CARD Account #

(make check payable to the City of Portland)

Information

____ ____ ____ ____

- ____

____ ____ ____

Cardholder’s Name_____________________________________________________ Please print

- ____

____ ____ ____

Expires ____________________________________

Signature______________________________________________________________

 VISA  MasterCard