St. Johns Community Center Fall 2015

Fall 2015 Activities in North & Northeast Portland

St. Johns Community Center Columbia Pool SUN Communities

Commissioner Amanda Fritz Director Mike AbbatĂŠ

REGISTRATION BEGINS AUGUST 17, 2015

Go to PortlandParks.org, click on the Register Now tab.

Portland Parks & Recreation - Summer 2015

Educational Preschools Each of our four Community Centers offer an educational preschool program.

Now Enrolling Fall 2015!

Our Educational Preschool Programs are all based on the philosophy that children learn through play, by exploring & manipulating their environment. The goal of our programs is to provide opportunities for children to develop & grow at their own rate. To enhance this experience, our classrooms are set up in learning centers that enable children to explore different areas of development, such as fine motor, socialization, pre-math, p ­ re-reading & listening skills.

All of our programs run concurrently with the Portland Public Schools’ calendar. Child must be potty trained & meet the minimum age required for each specific class by September 1st. Once registered, it is assumed your child will remain with the program for the entire school year. For more information on specific programs or to register, please contact the individual site.

Play • Explore • Learn • Grow

7 Charles Jordan Educational Preschool

Matt Dishman Educational Preschool

2 North & Northeast Portland 503-823-PLAY

Peninsula Park Educational Preschool

St.Johns Educational Preschool

Portland Parks & Recreation Charles Jordan

Charles Jordan 9009 N Foss, 97203 503-823-3631

Matt Dishman

Matt Dishman 77 NE Knott St, 97212 503-823-3673

Peninsula Park

Peninsula Park 700 N Rosa Parks Way, 97217 503-823-3620

St. Johns

St. Johns 8427 N Central St, 97203 503-823-3192

Swim Pools

Columbia Pool 18 7701 N Chautauqua Blvd 503-823-3669

Register On-Line at www.PortlandParks.org

SUN Community

SUN Community 20 3

Portland Parks & Recreation - Summer 2015

St. Johns Community Center 8427 N Central St 97203 Telephone: 503.823.3192

We Have Great Facility & Room Rentals

Building Director: Amie Massier Recreation Coordinator: Jamie Moos-Benjamin

Fall 2015 September 1, 2015-December 31, 2015 Building Hours: Monday 8:15-6pm Tuesday 8:15-7pm Wednesday 8:15-6pm Thursday 8:15-9pm Friday 8:15-6pm Saturday 9-1pm Sunday Closed – Rentals Available!

Hours are subject to change based on class schedules, activities and needs.

Holiday Hours: Sept 7 Labor Day CLOSED Nov 11 Veterans Day CLOSED Nov 26-29 Thanksgiving CLOSED Dec 24 Christmas Eve Building Closes at 3pm Dec 25 Christmas Day CLOSED Dec 31 New Years Eve Building Closes at 3pm Jan 1 New Year’s Day CLOSED Bus Lines: #4 Fessenden, #44 Mocks Crest, #75 Cesar Chavez Blvd/Lombard Parking: On Street Disabled Access: Entrances, Parking & Restrooms are accessible Inclusion Services: Portland Parks & Recreation provides accommodations to individuals with disabilities/special needs, so they may receive an equal opportunity to participate in programs.

For information on requesting accommodations see page 23 or call 503-823-4333.

Minimum Enrollment: Register early! Please be sure to note the start and end date when registering. Classes which have not met the minimum enrollment 3 days before the class is scheduled to start are subject to being cancelled.

Like Us facebook.com/StJohnsCommunityCenter 4 St Johns Community Center

503-823-3192

• Birthdays • Business Meetings • Wedding Receptions • Quinceaneras • Reunions • And more!

St. Johns Community Center offers a wide range of rooms for almost any gathering.

Reserve your space today!

Call us at 503-823-3192.

See Page 15 for Birthday Party Packages Table of Contents Harvest Hoopla.................................................................. 5 Drop-In Schedule............................................................... 6 Educational Preschool........................................................ 7 SOAR After-school Program............................................. 8 Winter Break Camps.......................................................... 9 Parent/Child Classes........................................................ 10 Preschool Classes............................................................. 11 Youth Sports Leagues....................................................... 12 Youth Activities................................................................. 13 Birthday Party Packages................................................... 15 Martial Arts....................................................................... 16 Adult 60+.......................................................................... 17 Facility Rentals ................................................................ 17 Scholarship Form............................................................. 27

Portland Parks & Recreation

Harvest Hoopla

St. Johns

Friday, October 16 6:30 – 8:30pm Join us for a low cost night out with the family!

Try your hand at a variety of carnival games designed for toddlers, preschoolers and early elementary! Get into the spirit of Fall with crafts, games and an all around great time out!

Ages 9 and under • Carnival Games • Crafts & More • $1 for 5 tickets

Register On-Line at www.PortlandParks.org

5

Portland Parks & Recreation - Summer 2015 St. Johns Fall 2015 Drop-In Schedule Schedule effective September 14, 2015 - December 31, 2015. Schedule may be adjusted to meet community & facility needs.

Parent / Child Drop-in Activities Monday

Tuesday

Baby Gym

Wednesday

Indoor Park

9:3011:30am

$1.00, age: 5 & under w/ an adult

Friday

9:3011:30am

1-3pm

$1.00, age: 18mos & younger (wobblers)

Thursday

9:3011:30am

9:3011:30am

9:3011:30am

Youth Open Gym Drop-in Monday

Tuesday

Wednesday

Thursday

Friday

3:30-5pm

3:30-5pm

3:30-5pm

3:30-5pm

3:30-5pm

Thursday

Friday

Youth Gym

Age: 17 & under Free, ID required for teens

Adult Fitness Drop-in Activities Monday

Tuesday

Wednesday

Open Gym

Age: 18 & up $3.00, ID required for teens

e e Tai Chi Feang $3.50, Ch age: 60 & up

7-9pm

9:30-10:30am

10-11am

BABY GYM Crawl this way! Indoor Park toys too big for your baby?

Here’s an alternative in our mat room. No need to worry as little ones explore our soft & safe environment. Playful & challenging activities gently encourage your child to develop strength, coordination, & body awareness.

INDOOR PARK Indoor Park is a safe & cooperative playtime for children accompanied by parents. Encourages the development of motor skills while helping children gain experience with group interaction & cooperative play on equipment, cars & assorted toys. Parents are responsible for supervising their children.

6 St Johns Community Center

503-823-3192

9:30-10:30am

BASKETBALL – YOUTH OPEN GYM Come by the Center after school and get in a couple games of pick up basketball. School ID required.

BASKETBALL – ADULTS Practice your shots or join in on a friendly pick up game.

Photo ID required.

TAI CHI Incorporates slow, gentle movements that increase flexibility, balancing & lung capacity; promotes stress relief, body awareness, plus suppleness in your spine.

Portland Parks & Recreation

Bridge Buddies Educational Preschool

Your bridge to a lifelong love of learning at St. Johns Community Center

2015-2016 School Year Currently taking registrations for Fall 2015.

Call for information.

503.823.3192

Bridge Buddies Classes:

A - M/W B - T/Th

8:30-10:30am 8:30-10:30am

Fee: $80/month Fee: $80/month

Preschool Ages: 3-4 Creative play in a supportive environment is important to a child’s positive overall development. Make friends playing, painting, singing & sharing. Provides structured time during early childhood to enhance physical, mental, emotional & social growth & development. Children must be 3 by September 1, 2015.

A - M/W/F B - Tu/Th

11-2pm 11-2pm

The St. Johns Bridge Buddies Educational Preschool Program is based on the philosophy that children develop & grow at their own rate. In order to grow & develop their senses a child must “play” by exploring & manipulating their environment. To enhance this experience, the classroom is set up in learning centers that enable children to explore different areas of development such as fine motor, socialization, pre-math, pre-reading & listening skills. Preschool for your child is the foundation for academic learning. The St. Johns Bridge Buddies program follows the traditional school schedule with children enrolled September through early June.

St. Johns

Preschool For Little Ones Ages: 2 ½-3 Are You Ready? Play is the essential work of childhood, worthy of respect & encouragement. Curriculum designed to include stories; games & songs provide playful interaction while setting the stage for exploration, socialization & fostering a positive selfconcept. Children MUST be 2 by 3/1/15.

Fee: $130/month Fee: $90/month

Pre Kindergarten Ages: 4-5 Make new connections developing social & emotional skills! Opportunities for discovery, exploration & socialization fosters a positive self-concept through activities including ABC’s, arts, numbers, games, stories, songs & themes. Build self-confidence, independence & creative thinking through manipulative activities, reading readiness & positive reinforcement.

Children must be 4 by September 1, 2015.

A - M-Th 8:30-11:30am Fee: $178/month* B - M-Th 12:30-3:30pm Fee: $178/month* *10 month payment plan fee = $160

Register On-Line at www.PortlandParks.org

7

Portland Parks & Recreation - Summer 2015

SOAR Afterschool Program

Grades: K-5

!

W O N R REGISTE

A school year program serving James John, Astor and Sitton Elementary Schools

2:15-6pm Monday-Friday $155/month

The SOAR Afterschool Program is an enriching environment with entertaining & challenging activities that enhance children’s development & promote self-esteem. Enjoy opportunities such as homework assistance, sports & games, social interaction, arts & crafts, education, and time making new friends.

Ask about our NEW “FLEX REG” DAILY RATE for James John Elementary Families

We provide bus transportation from Astor and Sitton Elementary.

Students attending James John Elementary are escorted from the school to the community center immediately following dismissal.

Typical Daily Schedule 2:15-2:45

Arrive & Free Play in Gym

2:45-3:30 3:30-4:00 4:00-4:30

Large Group Game Snack Homework

4:30-5:45

Rotations (Arts & Crafts, Rock Wall, Science & More!)

Free Time

5:45-6:00

SOAR does not operate on PPS non-school days. Financial assistance is available on a sliding scale.

For more information, please, contact St. Johns Community Center (503) 823-3192 8 St Johns Community Center

503-823-3192

Portland Parks & Recreation

Winter Break Camps Preschool Camps

Walkin' in a Winter Wonderland Ages: 3 - 5 Sleigh bells ring! Are you listenin'? Make snow glisten' discovering delights of the season - snowmen, twinkling stars, frosty windows! Express creativity with a variety of media while stimulating the mind & enhancing fine motor skills.

Monday – Thursday 9am-12pm $27 Before Care: 7:30am-9am $18 Date Course 12/21-12/24 1038036 12/28-12/31 1038037

Before Care After Care 1037366 1037371 1037367 1037372

St. Johns

Youth Camps Winter Break Thrills Grades: K-5th School's out! Time to play! Join us for an action-packed day of exciting activities. Develop social skills & build self-esteem using a variety ofamusing games, arts, crafts & sports. Improve coordination & teamwork interacting in a positive nurturing environment. No couch potatoes here! Camp ends on Christmas Eve & New Year’s Eve at 3pm.

Monday – Thursday 9am-5pm Before Care: 7:30am-9am After Care: 5pm-6pm Date Course 12/21-12/24 1037358 12/28-12/31 1037359

$90 $18 $9

Before Care After Care 1037366 1037371 1037367 1037372

Register On-Line at www.PortlandParks.org

9

Portland Parks & Recreation - Summer 2015 Parent/Child Activities

Parent/Child Music & Movement

Come prepared to be ACTIVE! Children should wear comfortable clothing that is easy to move in. Parent/guardian is required to participate in order to assist the child with the instructor facilitated activities Movement - Dance with Me Ages: 1 1/2 - 3 Does your child start moving when the music begins?

Step together & become aware of different ways to keep pace with the tempo. Rhythm & music inspire creativity.

Improve motor skills, coordination & parent/child communication. Just go with it!

1036865 1036863 1036866 1036864

W W Sa Sa

10:30-11am 10:30-11am 10-10:30am 10-10:30am

Classes: 5 Classes: 5 Classes: 5 Classes: 4

Parent/Child Art Messy Art Ages: 2 1/2 - 4 Taste, touch, smell & see! Together mix, mash & moosh projects aimed at increasing creativity, dexterity & expanding your imagination. The fun is on you, the clean up is on us!

Fall Colors 1036981 Th

10:45-11:15am Classes: 4 10/8-11/5 $10.50

1036982 Th

10:45-11:15am Classes: 5 11/12-12/17

Fun in Snowflakes

$13

10/7-11/4 $13 11/18-12/16 $13 10/10-11/7 $13 11/14-12/12 $10.50

Movement - Twist & Twirl Ages: 2 1/2 - 4 Turn, leap & shake it with your parent. Explore rhythm, movement & coordination together. Nuturing environment foucsed on fun as a foundation for dance is developed while agility, flexibility & imagination are emphasized. May I have this dance?

1036867 W 1036868 W

9-9:30am 9-9:30am

Classes: 5 10/7-11/4 Classes: 5 11/18-12/16

$22 $22

Parent/Child Sports Soccer - Tiny Tots Ages: 1 1/2 - 4 Kick it! Chase it! Stop it! Develop skills together that promote foot-eye coordination, balance & agility.

Active games, creative drills & an emphasis on the joy of physical activity provide a playful introduction to a popular sport.

1037511 M 1037517 M

Music - Marching & Make Believe Ages: 1 ½ - 3 Finger plays, nursery rhymes, music, marching & simple instruments are combined with imagination & creative dramatics to provide a positive group experience for the young child & a parent or special friend. Expanding playful imaginations here!

1037051 Th 1037057 Th

12:30-1pm 12:30-1pm

Classes: 4 10/8-11/5 $14 Classes: 5 11/12-12/17 $17.50

10 St Johns Community Center

503-823-3192

9:45-10:15am Classes: 5 10/5-11/2 $22 9:45-10:15am Classes: 6 11/9-12/14 $26.50

Portland Parks & Recreation Parent/Child Activities Sports Mix & Match Ages: 2 1/2 – 5 Toss, chase & pop! Explore things that go up & come down! Together, you & your child discover activities &; movements that increase eye-hand coordination, gross motor skills, balance & social interaction. Catch it! Toss it! You got it!

1037464 M 1037465 M

10:30-11am 10:30-11am

Classes: 5 10/5-11/2 $22 Classes: 6 11/9-12/14 $26.50

Gymnastics - Tumbling: Romp & Roll Ages: 2 ½ - 4 Leap, flip & spin! Together, explore animal walks, swinging & springing in an introduction to tumbling.

Gain strength & flexibility by playing independent & group games. Just move it!

1036559 Tu 1036796 Tu

10:45-11:15am Classes: 5 10/6-11/3 $22 10:45-11:15am Classes: 6 11/10-12/15 $26.50

Basketball - Tiny Tots Ages: 1 ½-3 Do you have a prospective ball player? Improve motor skill development while exploring the fundamentals of shooting, passing & dribbling. Two points for playing together!

11:15-11:45am Classes: 5 10/5-11/2 $22 11:15-11:45am Classes: 6 11/9-12/14 $26.50

Parent/Child Gymnastics Gymnastics - Tumbling: Tiny Tots Ages: 1 ½ - 3 Parents! Join your child in an introduction to gymnastics & tumbling using animal walks, jumping, swinging & springing skills. Increase body awareness, balance, strength & flexibility.

1036558 1036798 1036562 1036797

Tu Tu Sa Sa

10-10:30am 10-10:30am 11-11:30am 11-11:30am

Classes: 5 Classes: 6 Classes: 5 Classes: 5

10/6-11/3 $22 11/10-12/15 $26.50 10/10-11/7 $22 11/14-12/12 $22

Gymnastics - Twisting Tadpoles Ages: 2 ½ - 4 Challenge your wee-one through obstacle courses, skill stations, & physical problem solving. Together, increase coordination & body awareness by rolling, crawling, & springing into toddler tumbling! Support your child as they develop new skills to help them reach the next step! Wiggle, Jump, & Roll!

1036560 Sa 1036799 Sa

9:15-9:45am 9:15-9:45am

Classes: 5 10/10-11/7 Classes: 5 11/14-12/12

$25 $20

Register On-Line at www.PortlandParks.org 11

St. Johns

1037509 M 1037515 M

Portland Parks & Recreation - Summer 2015 Preschool Activities

Preschool Art

Preschool Sports & Gymnastics

Artworks Messy Masterpieces: Ages: 3-5 Does your child like to make a mess? Muddle & jumble are transformed into works of art. Fun is just the beginning as projects develop fine motor skills & enhance creative development. Warning! Treasures in progress!

Soccer - For Starters Ages: 3 - 5 Give it your best shot! Dribble, pass, shoot & score!

Discover the fundamentals of ball handling while focusing on techniques, sportsmanship & fair play.

Bring lots of energy!

Harvest Fun 1036979 Th

11:30-12:15pm Classes: 4 10/8-11/5 $14.50

1036980 Th

11:30-12:15pm Classes: 5 11/12-12/17 $19.50

Winter Delights

Preschool Dance PreBallet - Starting Steps!

Ages: 3 - 5 Take a step further as new movements are introduced as you focus on classical dance - steps, poise, body alignment & foot positions. An excellent way to increase self-discipline & self-confidence.

1036878 W 1036883 W

9:45-10:15am Classes: 5 10/7-11/4 9:45-10:15am Classes: 5 11/18-12/16

9-9:45am 9-9:45am

Classes: 5 10/10-11/7 $33 Classes: 4 11/14-12/12 $26.50

12 St Johns Community Center

503-823-3192

12-12:30pm 12-12:30pm

Classes: 5 10/5-11/2 $22 Classes: 6 11/9-12/14 $26.50

Sports Mix - Gym Jamboree Ages: 3 -5 Does your child love to run, jump, twirl & play?

Build strong & healthy bodies, work on motor skills, coordination, balance, flexibility & social development as they interact. All sorts of activities, from soccer to kickball - maybe even a crazy obstacle course while burning off extra energy! Let’s go!

1037466 Tu 1037467 Tu

11:45-12:15pm Classes: 5 10/6-11/3 $22 11:45-12:15pm Classes: 6 11/10-12/15 $26.50

$25 $25

PreBallet - Starting Steps and More!

Ages: 3 -5 New steps & movements are introduced as you focus on classical dance - steps, poise, body alignment & foot positions. An excellent way to increase self-discipline & self-confidence.

1036879 Sa 1036882 Sa

1037510 M 1037516 M

Gymnastics - Preschool Ages: 3 -5 Children can increase body awareness and coordination through gymnastics! This is a great class for a child ready to participate without a parent. Learn basic gymnastics shapes and have fun with movement. We will use a variety of equipment and introduce 4 Olympic events!

1036557 1036795 1036561 1036794

Tu Tu Sa Sa

9-9:45am 9-9:45am 10-10:45am 10-10:45am

Classes: 5 Classes: 6 Classes: 5 Classes: 4

10/6-11/3 $37.50 11/10-12/15 $45 10/10-11/7 $37.50 11/14-12/12 $30

Portland Parks & Recreation

Dribble, Pass, Shoot & Score. It’s a bucket! Build confidence & self-esteem in this non-competitive, entry level league held in a safe environment.

Focuses on skill development ball handling, passing, teamwork & sportsmanship through team play.

Grades: 3-4 1037295 1037293 1037298 1037299 1037296

M Tu W W Th

Grades: K-2 1037274 1037275 1037276 1037294 1037277 1037297

Tu Tu W W W W

Season: 10/19-12/11 6:00 - 7:00 pm 5:30 - 6:30 pm 5:15 - 6:15pm 6:15 - 7:15 pm 6:00 - 7:00 pm

Season: 10/20-12/11 4:30 - 5:30 pm 5:30 - 6:30 pm 4:30 - 5:00 pm 5:30 - 6:30 pm 5:15 - 6:15pm 6:15 - 7:15 pm

Games begin 10/30 Practice at SJCC Gym Practice at PPCC Gym West Practice at CJCC Gym Practice at CJCC Gym Practice at SJCC Gym

Games begin 10/30 Practice at PPCC Gym West Practice at SJCC Gym Practice at MDCC Gym Practice at SJCC Gym Practice at CJCC Gym Practice at CJCC Gym

www.portlandoregon.gov/parks/parkstars

Register On-Line at www.PortlandParks.org 13

St. Johns

Parent volunteers needed, please contact the community center to find out more. An information meeting will be held during the beginning of the first practice. Hoops are set at 10 ft. for grades 3-4, 8 ft. for grades K-2. T-shirt included. Maximum of 10 players per team. Later registrations accepted through the third practice. Games are held Fridays from 5:30-8:30 pm, starting 10/30 at Charles Jordan CC. Game schedule provided at second practice. Cost is $56. No practice or games 11/23-11/28.

Portland Parks & Recreation - Summer 2015 Youth Activities

Kids Day Off

Youth Dance Ballet - Basics Ages: 6 -10 Express yourself! Explore this joyful dance style & increase agility, grace & coordination. Develop a firm foundation in classical technique while gaining music knowledge & arts appreciation.

1036877 Sa 1036881 Sa

10:45-11:45am Classes: 5 10/10-11/7 10:45-11:45am Classes: 4 11/14-12/12

Super Ventures Grades: K-5th You’re invited to have the best time ever! Find new friends, stay busy & keep fit in an action packed adventure filled with exciting activities.

Dive into creative projects, games, sports & special events. Cure the vacation blahs with good times galore. The journey begins here!

Need Care before 9am or after 5pm? Sign up for a before or aftercare option!

$39 $31

Youth Gymnastics Gymnastics - Level I Foundations Ages: 6 - 10 Roll, stretch, balance and leap! Fun-filled introduction for first time participants. Experience the basics through games and obstacle courses. Floor, bars, beam and vault will help your child increase their strength and flexibility. We will provide instruction in proper skill progressions while stressing repetition and safety.

Date

1036563 Sa 1036793 Sa

10/9

11:45-12:30pm Classes: 5 10/10-11/7 $37.50 11:45-12:30pm Classes: 4 11/14-12/12 $30

TIME: 9-5pm

Days Course F

10/21-10/23 10/30

SKATEBOARDING ONE DAY CLINICS!

Start shredding! Choose your stance, & learn to turn & push while building healthy confidence on your wheels.

Discover skatepark etiquette, safety & board fundamentals. Let's skate!

$28/day Before Care

After Care

1037360 1037363

1037368

W-F 1037361 1037364

1037369

F

1037362 1037365

1037370

CLASSES!

Skateboarding-Flatground Basics Improve your technique! Put your deck to good use in an introduction to ollie & flip tricks. Work on carving, turning & manuals while setting and reaching goals through skill-focused coaching. Get rolling! 5 Classes.

Ages: 5-7

Ages: 5-10 Sat. 10-11:30am $30

Wed. 4:30-5:15pm $37.50 1038039 Oct. 7 - Nov. 4 1038042 Nov. 18 - Dec. 16

Ages: 7-12 Sat. 10-11:30am $30

Ages: 7-12 Wed. 5:45-6:30pm $37.50 1038040 Oct. 7 - Nov. 4 1038043 Nov. 18 - Dec. 16

1038267 1038268

1038269

Nov. 14 Dec. 12

Oct. 24

14 St Johns Community Center

503-823-3192

Portland Parks & Recreation

Birthday Packages

Rock Climbing

$125 (For ages 5 years and up. Max youth 15) Package includes the use of one classroom with tables and chairs, with access to the traverse rock wall.

Indoor Park

$100 (For ages 5 years and under. Max youths 20) Package includes the use of one classroom with tables and chairs, one gymnasium court with the use of indoor park toys and balls.

Pirate or Princess

Sports & Games $125 (For ages 3 years and up. Max youths 20) Package includes the use of one classroom with tables and chairs, one gymnasium court with various sport games.

(Basketball, soccer, floor hockey, dodge ball, etc.)

$145 (For ages 3 years and up. Max youth 12) Package includes the use of one classroom with tables and chairs, one theme related craft, two theme related games and an official Pirate or Princess certificate for each guest.

• All Packages include party host, balloons, and paper products (plates, table covers, napkins, silverware & cups) • Parties must be booked at least 2 weeks in advance. Each party package is two hours long • A $100 refundable deposit is required

Register On-Line at www.PortlandParks.org 15

St. Johns

Ever feel like you can’t enjoy your child’s birthday party because you are running around coordinating all the activities? Have your party here and let our trained party host set up, lead activities and clean up the mess when the fun is over!

Portland Parks & Recreation - Summer 2015

Tae Kwon Do- For Everybody For Ages 7 & Up Benefits of Tae Kwon Do Physical: • Increase flexibility • Improve coordination • Develop quickness • Learn self-defense skills Mental: • Build self-confidence • Practice self-discipline • Increase concentration • Achieve Goals Social: • Make new friends • Develop leadership • Learn respect for others

Beginners: White to Yellow Belts 1036958

Tu/Th

NEW! 1036948

Tu/Th

5pm-6pm

Classes: 20

Yellow Belts & Up

6:15pm-7:15pm

Classes: 20

10/7-12/18

$96*

10/7-12/18

$96*

Eli Patterson III Eli began his study of martial arts at age of 5.

He quickly excelled in Tae Kwon Do due to its similarities to karate and kick boxing. Over the last 11 years he has won over 15 grand championships and traveled to compete in tournaments worldwide.

He is a 4th degree black belt in Tae Kwon Do and has been teaching both children and adults for over 10 years.

* Please note, St. Johns Community Center offers a monthly payment option for those who are interested in breaking the tuition into 3 equal payments. The first payment is due at the time of registration. The remaining payments are due on November 1 & December 1. This option REQUIRES a credit card.

16 St Johns Community Center

503-823-3192

Portland Parks & Recreation

60 + Activities Tai Chi Today

More than 600 years ago this martial art evolved in China as healers searched for a source of physical immortality.

Incorporate slow, gentle movements that increase flexibility, balance & lung capacity. Promote stress relief, body awareness, suppleness in your spine & increased stamina.

Facility Rentals • Birthdays • Business Meetings • Wedding Receptions • Quinceaneras • Reunions • And more!

St. Johns Community Center offers a wide range of rooms for almost any gathering.

Beginning Level 1037500 Tu 10-11am 1037503 Tu 10-11am

See Page 81 For Our Birthday Party Packages Classes: 5 10/6-11/3 $15 Classes: 6 11/10-12/15 $18

Beginning/Intermediate 1037501 1037504 1037502 1037505

M M W W

9:30-10:30am 9:30-10:30am 9:30-10:30am 9:30-10:30am

Classes: 5 Classes: 6 Classes: 4 Classes: 5

10/5-11/2 11/9-12/14 10/7-11/4 11/18-12/16

$15 $18 $12 $15

Van Trip Talking Tombstones & Fort George Back for another year, the Clatsop County Historical Society’s Talking Tombstones event will raise the dead. Tour the graveyard and along the way you will meet colorful characters in costume talking about their character’s role in history. Listen to the “living dead” and help preserve & honor the legacy of Astoria’s pioneering residents. Bring money for a fun, social lunch at Fort George Brew Pub. Day/Time: Sunday 10:00 am - 7:00 pm Dates: October 25 Cost/#: $24 1037335

Register On-Line at www.PortlandParks.org 17

St. Johns

Reserve your space today!

Call us at 503-823-3192.

Portland Parks & Recreation - Summer 2015

COLUMBIA INDOOR POOL

7701 N Chautauqua Boulevard, 97217 Telephone: 503.823.3669 Director: Larissa Doty

AuJust 31-December 12 HOURS:

Mon-Thur Fri Sat Sun

6:00am-1:00pm & 4:00-8:00pm 6:00am-1:00pm & 4:00-7:00pm 9:45am-5:00pm 1:00-5:00pm

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

CLOSURES AND SPECIAL HOURS: Sat, Oct 17 – Open 9-10:30am for Lap Swim 12:15-3:15pm for Lap Open Swim Sun, Oct 18 – Open 12:15-3:15pm for Lap Open Swim Thur, Nov 26 ThanNsJivinJ – Closed Wed, Dec 2 – Closes at 7pm for PIL Swim Meet Sun, Dec 13-Wed, Jan 4 – Closed Columbia Pool will undergo annual maintenance.

General Information: Indoor 25 yard swimming pool, heated year-round to 86 degrees. Water depths range from 1.5 feet to 8 feet.

Program offerings include swim lessons, lap swim, water ¿tness classes, and recreational play swims.

Bus Lines: #75 39th Ave/Lombard Disabled Access:

Accessible - ramp to pool house Accessible - on street Accessible - with pool lift (weight capacity 300 lbs.)

Family Changing Rooms: Accessible - ADA shower Entrances: Parking: Pool:

Open Kayak Time!

Practice your paddling skills in warm water. Bring your Kayak to Columbia Pool.

Columbia Daily Pool Schedule MONDAY – FRIDAY

6:00am - 1:00pm 6:00 - 7:30am 6:00 - 7:30am 7:30 - 9:00am 7:30 - 9:00am 9:00 - 9:55am 10:00 - 10:55am 10:00am - 1:00pm 10:00am - 1:00pm 11:00 - 11:55am 11:00am - 1:00pm 11:00am - 1:00pm 12:00 - 1:00pm 4:00 - 7:00pm 4:00 - 8:00pm 4:00 - 5:30pm 4:30 - 6:00pm 4:45 - 7:35pm 6:00 - 8:00pm 6:05 - 7:00pm 7:05 - 8:00pm 7:05 - 8:00pm 8:00 - 9:30pm 7:00 - 9:30pm 8:05 - 9:30pm

Lap Swim (lanes vary) FAST Masters Swim Team (T/Th) PAC (3 lanes) M/W/F Wave Run - 1 lane Aquaerobics / Aqua Power (no instruct) Aqua Power – deep (M-F) Aquaerobics – shallow (M-F) School / Daycare/Groups Family Play Swim-shallow only S.M.I.L.E-shallow (M/W/F) (Slower Movement Intensity Lowered Exercise) Wave Run - 1 lane (T/Th) Aquaerobics (no instructor) Wave Run - 1 lane (M/W/F) Open Play Swim-shallow only (F) Open Play Swim-shallow only (M-Th) - Free on Fridays from 4:00-6:00pm PIL Swim Team (begins 11/16)-1 lane Portland Aquatic Club Swim Lessons (M/W) & (T/Th) Lap Swim - shallow only (2 lanes) (ends at 7:00pm on Friday) Aquaerobics – shallow (M-Th) Aqua Power – deep (M/W) Aquaerobics – shallow (T/Th) Rentals Available (M/W) Rentals Available (F) Open Kayak (T/Th)

9:50am - 12:05pm 9:45am - 5:00pm 10:00am - 5:00pm 12:10 - 1:10pm 5:00 - 9:00pm

SATURDAYS Swim Lessons Lap Swim (lanes vary) Open Play Swim The Blue Makos Rentals Available

9:00am - 1:00pm 1:00 - 5:00pm 1:00 - 5:00pm 5:00 - 9:00pm

Rentals Available Lap Swim (lanes vary) Open Play Swim Rentals Available

SUNDAY

Check out our Party Package!

Columbia Pool offers private pool rentals as well as the Party PacNaJe. Drop-In Times are: 8:05 to 9:30pm Tues Thurs Fee: $10.00 per person with boat $5.00 per extra person Multi-Use Passes Available: 10 visits $90.00 / 20 visits $174.00

Please make sure your kayak is clean and free from debris.

Hose available at back pool entrance

PARTY PACKAGE:

1 hour use of Party Space Decorations Setup Cleanup (by our staff) Place SettinJs Pool Admissions Children under 48” must be accompanied in the water by an adult 18 yrs or older.

Party Packages may include up to a maximum of 10 children and 2 adults. Extra guests may be added at an additional charge per child. Give us a call and our Rental Coordinators will assist you in planning your upcoming activity or event!

503-823-3670 18 North & Northeast Portland 503-823-PLAY

Portland Parks & Recreation Columbia Fall 2015 Swim Lesson Dates SATURDAY Oct 3-Dec 12 (9 lessons) no class 10/17, 11/28 021DAY :(D1(SDAY Oct 5-Nov 4 (10 lessons) Nov 9-Dec 9 (8 lessons) no class 11/11, 12/2 TU(SDAY T+URSDAY Oct 6-Nov 5 (10 lessons) Nov 10-Dec 10 (9 lessons) no class 11/26

Columbia Fall 2015 Swim Lesson Times Generally all levels are not offered at each lesson time. Call for information about when specific levels are offered. All classes are subject to change and offered according to demand.

SATURDAYS 021 :(D TU( T+UR 9:50 - 10:20am 10:25 - 10:55am 11:00 - 11:30am 11:35am - 12:05pm

4:45 - 5:15pm 5:20 - 5:50pm 5:55 - 6:25pm 6:30 - 7:00pm 7:05 - 7:35pm

Columbia Swim Lesson Fees <287+ L(SS21S $1*(LF,S+ S7$5F,S+ 10 lessons Resident $52.50 Non-resident $73.50 9 lessons Resident $47.25 Non-resident $66.25 $'8L7 L(SS21S 10 lessons Resident $62.50 Non-resident $87.50 9 lessons Resident $56.25 Non-resident $78.75

/HVVRQ 5HJLVWUDWLRQ Class fee must be paid when registering for class. Â&#x2021; :$/. ,1 5(*,675$7,21 Registration begins immediately during pool operating hours and continues through Fall classes. Â&#x2021; 3+21( ,1 5(*,675$7,21 You may register using Visa/Mastercard by calling 503-823-3669. Â&#x2021; 21 /,1( $7 ZZZ 3RUWODQG3DUNV RUJ Click on Register for Classes. Search for classes by age category, by keyword, or you narrow your search by specific activity.

COLUMBIA POOL and C-CC FIT1(SS COMBO PASS

Create multiple workouts with ONE great pass!

Admission Fees

*(1(RAL ADMISSIO1 Adults

$4.25

Seniors(60+)

$4.00

Youth

$3.25

10 visits 20 visits $38.25 res $72.25 res $45.90 non res $86.70 non res $36.00 res $68.00 res $43.20 non res $81.60 non res $29.25 res $55.25 res $35.10 non res $66.30 non res

Tot (2 years and under) Free with parent

Swim Pools

Drop-in

Why stop with admission to Charles Jordan Community Centerâ&#x20AC;&#x2122;s (formerly University Park Community Center) Âżtness room, scheduled open gym times and other group exercise classes when you can now include admission to Columbia Pool. t our workou Diversify y im, water with lap sw open swim fitness andolumbia Pool! times at C F((S City oI Portland Residents O1LY

Individual

$102.00 res

$122.40 non res

Seniors(60+)

$70.00 res

$84.00 non res

Family**

$168.00 res

$201.60 non res

** Family membership denotes a couple (married or domestic) or a single parent and their legal dependants living in the same residence.

Adults (18-59 yrs) Seniors ( 0 yrs uS) Youth (14-17 yrs)

10 9ISITS $45.00 $36.00 $36.00

20 9ISITS $85.00 $68.00 $68.00

MO1T+ $120.00 $96.00 $96.00

C+ARL(S JORDA1 COMMU1ITY C(1T(R

503-823-3631

9009 1 Foss Â&#x2021; Portland OR 9 20 Register On-Line at www.PortlandParks.org 19

SUN Community

-MO1T+ S:IM PASS

Portland Parks & Recreation - Summer 2015 SUN COMMUNITY SCHOOLS - NORTH ZONE

Schools Uniting Neighborhoods At SUN Community Schools, the collective efforts of youth, parents, businesses, faith communities, libraries & community organizations create a network of supports that ensure academic success, family self-sufficiency & economic prosperity. SUN Community Schools are open to all ages, preschool to seniors, with a focus on students in the immediate school community.

SUN CS are a collaboration of Multnomah

County, the City of Portland, nonprofits & local school districts.

Beaumont SUN Community School 4043 NE Fremont St 97212

Contact Us Site Manager: Sue Coffman Phone: 503-916-5615 Email: Sue.Coffman@portlandoregon.gov

www.Facebook.com/BeaumontSUN Intergenerational

Education Writing - Let Your Imagination Fly ages: 8 & up Fly to the moon! Sail to the stars! Send thoughts aloft on a paper airplane. Imagine yourself an astronaut or bird & write stories or poetry about your travels!

Increase communication & self-expression skills while improving basic writing abilities.

1036652 Th 6:30pm-7:30pm

Rm 20 10/8-12/17 $47 20 North & Northeast Portland 503-823-PLAY

Fitness & Health Zumba - Fitness ages: 11 & up Routines combine fast & slow rhythms to achieve a balance of cardio & muscle-toning benefits. A dynamic, exciting & effective workout! Move fast & have fun!

1037514 Th 6:30pm-7:30pm

Gym 10/8-12/17 $72 Belly Dance ages: 9 & up Shimmy & swirl! Get those hips, legs & stomach muscles moving increasing strength, flexibility & endurance! A total aerobic workout inspired by exotic music from the Far East, designed to get you moving, grooving & in good shape!

1037513 Tu 7pm-8:30pm

Cafe 10/6-12/15 $55 Yoga - Conditioning ages: 11 & up Relax your mind & body while improving strength, stamina & flexibility. Relieve the stresses of daily life with these revitalizing techniques. This centuries old practice of exercise increases your focus & sense of well-being.

1037512 M 7pm-8pm

Cafe 10/5-12/14 $61.75

Portland Parks & Recreation Intergenerational (continued)

Teen (11 yrs - 17 yrs)

Sports - Fencing

Education

Fencing - Introduction To Foils ages: 8 & up Experience the art of swordsmanship with a dynamic sport teaching safety, self-discipline, coordination, agility, stamina, speed & grace. Tactics, techniques, footwork & blade work build strength, balance & quick reactions & a mastery of strategy & a life-long recreational activity.

1037314 W 6pm-7pm

Cafe 10/7-12/2 $36

Babysitter Training ages: 11-15 This KidProof course provides interactive discussion, activities & hands-on practice to increase your confidence & give you the skills you need to be the best sitter possible. Topics include how to acquire a babysitting job, caring for kids of all ages, dealing with difficult situations, developing fun activities, making safe choices & basic first aid. This class is offered through partnership with Community Upgrade, an authorized provider of Kidsproof Safety International Programs.

Class starts promptly at 9am. Refunds for cancellations will not be awarded after Wednesday, 10/7. Participants should bring a water bottle & sack lunch.

1038398 F 9am-4pm Rm 20 10/9 $70

Preschool (2 yrs - 6 yrs)

Performing Arts - Ballet PreBallet - 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.

1036659 Th 5pm-6pm

Cafe 10/8-12/17 $28

Youth (School Age 6 yrs - 17 yrs)

Martial Arts & Self Defense

Schools Uniting Neighborhoods SUN Community Schools bring the community together to support educational success.

Tae Kwon Do - For Everybody ages: 7-15 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.

1037315 Tu 6pm-7pm

Cafe 10/6-12/8 $36

Performing Arts

SUN Community

Ballet - First Steps ages: 6-11 Inspired by the Sugar Plum Fairy & Nutcracker Prince. The time honored training of classical ballet stretches the mind & body while teaching agility, grace, coordination & strength providing a basis for all types of dance, sport & movement.

1036651 Th 5pm-6pm

Cafe 10/8-12/17 $47

SUN Community Schools are a collaboration of Multnomah County, the City of Portland, nonprofits, SUN Community Schools are school a collaboration of Multnomah County, and local districts. the City of Portland, nonprofits, and local school districts.

Register On-Line at www.PortlandParks.org 21

Portland Parks & Recreation - Summer 2015

Faubion SUN Community School

Roseway Heights SUN Community School

3039 NE Rosa Parks Way 97211 Contact Us

7334 NE Siskiyou St 97213

Site Manager: Autumn Montegna Phone: 503-916-5694 Email: Autumn.Montegna@portlandoregon.gov

Things change. (like our address for instance) During renovations, Faubion SUN CS will be located at Harriet Tubman Middle School, 2231 N Flint Ave, 97227 Classes will resume in the winter.

SUN Community Schools,

Contact Us Site Manager: Shelby Coshow Phone: 503-916-5865 Email: Shelby.Coshow@portlandoregon.gov High School/Adult (12 yrs & up)

Fitness & Health Fitness - Zumba ages: 12 & up Routines combine fast & slow rhythms to achieve a balance of cardio & muscle-toning benefits. A dynamic, exciting & effective workout! Move fast & have fun!

1037525 Tu 5pm-6pm

Small Gym 10/6-12/15 $88 Fitness - Tone Zone ages: 18 & up A fun combination of cardio, core conditioning, resistance training, strength building, dance moves, stretching & more for improved posture, balance, strength, flexibility & stamina all day & beyond.

1037523 M W 6pm-7pm

Small Gym 10/5-11/4 $49.25 1037524 M W 6pm-7pm

Small Gym 11/9-12/16 $60

Sports - Basketball Drop In Basketball - Retro Rebounders age: 30 & up Bad knees? Sore back? Jumping abilities that aren’t what they used to be? Here’s an opportunity to get a workout & increase strength, flexibility, & endurance at a slower pace. Drop-in only, do not register. Contact RWH SUN CS office at 503.916.5865 for confirmation – subject to cancellation due to school events.

Tu 6:30pm-8:30pm

Lrg Gym 10/6-12/15 $2 (drop-in)

a great place to work and play!

22 North & Northeast Portland 503-823-PLAY

Need a scholarship?

Portland Parks & Recreation

Sitton SUN Community School 9930 N Smith St 97203

Contact Us Site Manager: Peg Zander Phone: 503-916-5654 Email: Peg.Zander@portlandoregon.gov Intergenerational

Arts & Crafts Crafts - Knitting: The New Age ages: 12 & up It’s not just your grandmother’s craft! New yarns & techniques allow you to produce a variety of simple projects. Anyone can do it! Relax & enjoy the results of your creative efforts, both beautiful & functional.

Basic supplies will be provided. Chose from five basic patterns or bring your own!

1036854 M 6pm-7pm

Cafe 10/5-11/2 $15 1036859 M 6pm-7pm

Cafe 11/9-12/14 $18

Youth (School Age 6 yrs - 17 yrs)

Arts & Crafts Crafts - Work With Your Hands ages: 6-12 There’s nothing more exciting than embracing personal creativity. Through a variety of materials & techniques, gain knowledge & skills that can be reused to make special ‘treasures’ at home. A handmade original!

1036849 M 6pm-7pm

Cafe 10/5-11/2 $15 1036851 M 6pm-7pm

Cafe 11/9-12/14 $18

Golden Opportunities For senior citizens, retirees & grandparents to get involved in SUN Community Schools

• Advise on curriculum • Advocate for educational excellence • Share your expertise

Disability Access: All SUN CS facilities meet accessibility standards as required by state and federal law.

Register On-Line at www.PortlandParks.org 23

SUN Community

Call 503-823-7112 to find out how you can help build community!

Portland Parks & Recreation - Summer 2015

Charles Jordan Community Center 24 North & Northeast Portland 503-823-PLAY

Portland Parks & Recreation

503-762-3463

Adaptive and Inclusive Recreation 503-823-4333 V/TDD

Register On-Line at www.PortlandParks.org 25

REGISTRATION

NOTICE OF NON-DISCRIMINATION

Receipt of full payment is required for registration, unless otherwise arranged. Please call if you receive a returned check or declined bank card notice, either of which void registration.

PP&R programs and services reflect the cultural diversity of our community. We do not discriminate on the basis of religion, race, color, gender, national origin, sexual orientation, age or ability.

RESIDENT / NON-RESIDENT

SPECIAL NEEDS

A resident is:

Within the American with Disability Act (ADA), a person with a disability or special need who desires assistance with registration and/or participation in general PP&R programs can contact Inclusion Services at please call 503-823-4333 or 711 (TRS). If you request assistance through Inclusion Services, a minimum of 10 business days (Monday-Friday) advance notice is required.

• anyone who occupies a permanent residence inside the city limits of Portland. At the discretion of a Community Center Director, proof of home address may be required.

Acceptable address verification may include a 1) drivers license, 2) Oregon ID card, 3) property tax statement, 4) utility bill or lease agreement with current home address.

Registration Information

• any child living within the school boundaries of the Reynolds and Centennial School Districts who is attending a SUN Community School. Through a partnership between the City and County, a child attending a SUN Community School is eligible to register for programs at any SUN Community School location without paying a non-resident surcharge.

Anyone else is considered a non-resident (NR) and will be assessed a 40% surcharge. NR surcharges do not apply to drop-in activities. Non-residents who wish to register for PP&R activities may choose one of these options: • Pay the additional 40% NR fee.

• Purchase a NR fee discount pass as either an individual or family for a period of three, six or nine months from the date of purchase. The NR discount pass takes 25% off the NR fee for the activity. Inquire about this option at time of registration. These passes are not refundable.

Non-resident Pass Prices 3-month pass: Individual $25 Family $50 6-month pass: Individual $45 Family $90 9-month pass: Individual $65 Family $130 A family denotes a couple (married or domestic) or a single parent and their legal dependents living in the same residence.

CLASS ENROLLMENT Our classes must meet minimum and maximum enrollment standards. Classes may fill quickly or be canceled due to low enrollment.

WITHDRAWAL & REFUNDS Please notify us at least five (5) business days (MondayFriday), unless otherwise specified, before the start of your program so that we can refund or credit your account for the registration fee. Pre-paid materials and admission tickets cannot be refunded. Participants needing to withdraw after the program has begun are offered a prorated credit or refund based upon when the request is made.

SCHOLARSHIPS City of Portland residents, regardless of age, who require financial assistance may apply for partial scholarships.

Contact individual centers for information.

If you need a sign language interpreter or FM loop amplifier, please contact please call 503-823-4333 or 711 (TRS), at least five business days in advance of the activity or class.

Information about programs and services is available online for those needing a voice synthesis; visit our website at www.

PortlandParks.org. For additional ADA information, call 503823-2223.

PHOTO POLICY Portland Parks & Recreation (PP&R) reserves the right, and may give permission to the media, to photograph classes, programs, and participants at any of our facilities and properties or any sponsored activity. Please be aware that these photos are for promotional purposes and may be used in future publications and media communications in any format.

If you do not wish to be photographed, please inform staff and we will make reasonable efforts to honor your request.

If you see staff taking pictures, and you do not wish to be photographed, please let us know.

If you see a photo of yourself or a family member that causes you concern, please notify us. As a courtesy, we will make every reasonable effort to dispose of the image, and will not use it in future publications. However, we will not be able to retrieve, destroy or discontinue existing printed publications in which the photograph may have been included.

CUSTOMER SATISFACTION Your satisfaction is our goal! Portland Parks & Recreation strives for 100% customer satisfaction. If you are not satisfied with a recreation program or service, please let us know.

INFORMATION HOTLINE For information on other PP&R services & programs, call our Information Hotline at 503-823-PLAY (7529), MondayFriday, 8:30am-5pm.

INCLEMENT WEATHER If the City of Portland public school districts (Portland Public, Parkrose, David Douglas, Reynolds, and Centennial) are closed because of weather conditions, PP&R classes and youth basketball in those school districts are cancelled.

However, some sites may be open for drop-in activities. Call the specific PP&R facility for information and opening/ closing times. If inclement weather is forecast on weekends or holidays, call the PP&R facility or program for operating hours and activity cancellations.

SCHOLARSHIP APPLICATION for Classes & Programs THIS FORM IS FOR CLASSES & PROGRAMS ONLY. FOR INFORMATION ON MEMBERSHIP SCHOLARSHIPS CONTACT YOUR LOCAL COMMUNITY CENTER. FACILITY NAME:____________________________________ PROGRAM/ACTIVITY:______________________________ Portland Parks & Recreation recognizes that some residents of the City of Portland require financial assistance to attend certain recreational activities. A limited number of scholarships are available for those who qualify. The information requested below is confidential and necessary to help determine the degree of need for each applicant. ALL information must be filled in or the application will be returned unaccepted. If you are applying for multiple scholarships, a separate application is required for each participant and for each activity. Please allow a minimum of 2 working days to process your scholarship. Call or come in to the recreational facility to confirm approval of your scholarship.

Proof of income is required with ALL scholarship applications. Please see reverse for more information and valid forms of income verification.

Participant’s Name: _______________________________________________________________ Age: ___________________ Address: ________________________________________________________________________________________________ City________________________________________ State:_______________________ Zip Code: ______________________ Daytime Phone:________________________________________ Evening Phone: ____________________________________ This scholarship will be used for: Activity: ___________________________________ Barcode:________________________ Knowing that the normal fee for this program is $_______________ what do you think you can pay? $_______________ Our program does not allow us to cover the program fee completely, so please enter an amount that is possible for you to pay.

State the financial need which makes it impossible for you to pay entire fee: __________________________________________ _______________________________________________________________________________________________________ FOR YOUTH REGISTRATIONS ONLY: Father’s Name: ____________________________________________ Employer:____________________________________ Mother’s Name: ___________________________________________ Employer:_____________________________________

____________________________________________________________________

Participant / Parent / Guardian Signature FOR OFFICE USE ONLY:

_____________________ Date

Notes:

Date Received: ____________________ Date Approved: ____________________ Regular Program Fee: $ ________________ Term: ___________________________ Dates Phoned: _____________________ Less Scholarship Amt: $ ________________ Program Manager Signature: _________________________________________ Total Participant Fee: $ ___________________ Dates Phoned: ____________________________________________________________________________________________ Sustaining a healthy park and recreation system to make Portland a great place to live, work and play. www.PortlandParks.org • Commissioner Nick Fish • Director Mike Abbaté

VERIFICATION OF INCOME ELIGIBILITY When applying for a scholarship, Portland Parks & Recreation requires a copy of your latest 1040 Income Tax Form or other accepted form to verify your income (see below). This information must be update with each subsequent scholarship request. Portland Parks & Recreation values your privacy and will make every effort to ensure information provided remains confidential.

Number of children living at home: ___________Number of adults in household: __________ TOTAL YEARLY FAMILY INCOME (include child support if applicable):

o 0 to $19,239 o $19,240 to $25,899 o $25,900 to $32,559

o $32,560 to $39,219 o $39,220 to $45,879 o $45,880 to $52,539

o $52,540 to $59,199 o $59,200 to $65,859 o Over $65,859

ACCEPTABLE forms of income verification (please check form used): _____ _____ _____ _____ _____

Most recent 1040 income tax return Proof of current Social Security benefits (SSA Benefit Statement or SSA-1099) Proof of disability pay (SSI) Proof of current OHP (Oregon Health Plan – striped medical paper with client info on it) Oregon Trail (food stamps) award letter

UNACCEPTABLE forms of income verification: • Bank Statements • Paycheck stubs • Individual W-2’s • Plastic Oregon Trail Card • WIC To the best of my knowledge, the information provided on the Verification of Income Eligibility form is accurate.

I understand that misrepresenting could result in an inability to receive Portland Parks & recreation scholarships in the future.

Signature of Participant (18 & older or Parent/Guardian

FOR OFFICE USE ONLY After review by staff, proof of eligibility was:

q Return to customer q Shred

Date: _______________ Staff Name: ______________ Date: _______________ Staff Name: ______________

Date

Register Now – One of Five Ways ONLINE at PortlandParks.org – Click on the “Register Now!” top tab. Search for classes by age, category, location or keyword – or narrow your search by specific activity or course number.

PHONE – Complete this registration form and call any PP&R site using the phone numbers on the map pages.

You may also phone in your registration to the PP&R Customer Service Hotline at 503-823-2525, MondayFriday, 8:30am-5:15pm. Only Visa, MasterCard or American Express accepted with phone-in registration.

MAIL – Mail your completed registration form to the program center address. Include full payment using your Visa, MasterCard, American Express or check payable to the City of Portland. Mail-in registration is also received at the PP&R Customer Service Center, 1120 SW Fifth Ave, Suite 1302, Portland, OR 97204.

FAX – Complete the registration form and fax it to 503-823-2515 with full payment using your Visa, MasterCard or American Express. Faxes are accepted 24 hours a day, seven days a week, but are processed during regular business hours.

IN PERSON – Any PP&R facility is able to process your registration, including the Customer Service Center located in the lobby of the Portland Building at 1120 SW Fifth Ave. All Community Centers are open for walkin registration during business hours.

CHECK ONE:

 New Customer

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

Main Contact Name _______________________________________________________________________ Birthdate ___________________________ M_____ F_____ 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 of the City of Portland pay a 40% surcharge. Or you may purchase a non-resident pass at the amounts listed below. List pass price or 40% surcharge in column at right and add to your total.



I already have a non-resident pass. Duration ______-month Purchase date ______/______/______ Passholder name ________________________________________________________________________________________________

 I need a pass. Circle one: 3-month | 6-month | 9-month

Circle one: Individual | Family Name of person(s) needing pass ______________________________________________________________________________ 3-month pass: individual $25; family $50 | 6-month pass: individual $45; family $90 9-month pass: individual $65; family $130

Start Date

Cost

Subtotal 40% non-resident surcharge or pass price

TOTAL

 I do not want a pass. I choose to pay the 40% surcharge.

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  Amex

Registration Information

CIRCLE ONE:

1120 SW 5th Ave., Suite 1302 Portland, OR 97204 www.PortlandParks.org Address Service Requested