1897 Delaware Ave. Mendota Heights, MN 55118
Access Project Assistant Samantha Bravo Samantha.Bravo@isd197.org
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Access Project Coordinator 651-403-8312 email@example.com
Access Project Office
Register by phone 651-403-8313 or online at tridistrict.ce.eleyo.com
Monthly Events Branch Out Hang Out
Join us at the Branch Out building for a fun night of hanging out! We’ll have a snack, listen to music, watch a movie and just hang out!! Grab your friends and be prepared to meet some new friends too! Feel free to bring a game to share. There is no cost for caregivers. Preregistration is not required but appreciated. Instructor: Access Project Staff 6-9 pm
1 Session - $6
Friday, Sept. 22 #1070-F17A Friday, Oct. 13 #1070-F17B Friday, Nov. 17 #1070-F17C Friday, Dec. 8 #1070-F17D Branch Out Building, 150 Marie Ave E, WSP
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SEPTEMBER & OCTOBER EVENTS Catalog Kickoff Party
Head on down to Branch Out to eat treats, play games and connect with friends. You’ll be able to snag your copy of the Access Project catalog and pre register for classes in person! We’ll also be raffling off a free class or two. Join us for a fun evening with friends, don’t miss out! Preregistration is appreciated but not required. Instructor: Access Project Staff Wednesday, Sept. 20 6:30-8:30 pm #1000-F17 1 Session - Free Branch Out Building, 150 Marie Ave. E, WSP
Everyone enjoys receiving a card. Join us to make a variety of colorful cards to give to friends and family. Cost of materials is included in the fee. No cost for caregivers to assist. Instructor: Patty Krause Tuesday, Sept. 26 4-5 pm #1002-F17 1 Session - $10 Branch Out Building, 150 Marie Ave E, WSP
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SEPTEMBER & OCTOBER EVENTS Behind-The-Scenes BINGO!
Play bingo for a chance to win gently used books then tour the Wentworth Library to see what goes on behind the scenes. Presented by Tridistrict Community Education - Access Project and in partnership with the Dakota County Libraries. Registration recommended but not required. Instructor: Access Project Staff Friday, Sept. 29 1-2:30 pm #1064-F17 1 Session- Free Wentworth Library, 199 Wentworth Ave E. WSP
Sea Life Aquarium
Join us for an evening of exploring Sea Life and their 1.3 million gallon aquarium. With thousands of sea creatures, youâ€™ll see everything from fresh water stingrays and four foot Alligator Gar to sea turtles and sharks! Transportation is provided. Meet us at the Branch Out Building to depart on our adventure. Preregistration is required. Program held at Sea Life Aquarium Instructor: Access Project Staff
Fall River Cruise
Join your friends from around the state as we take a 2 hour narrated cruise of the Mississippi River and view the beautiful fall colors. We will cruise aboard the Anson Northrup paddle boat up the river from downtown St. Paul to the Great River National Park to Fort Snelling. We will depart from Harriet Island, located across the river from Downtown St. Paul. A box lunch with a sandwich, salad, dessert and beverage is included. Please indicate if you are Vegetarian of Gluten Free when registering. Meet at Harriet Island. Preregistration is required. Directions from MPLS - Take I-94 East to 5th St. exit, go straight. Follow 5th St. to Robert Street Turn right on Robert St. Take Robert across river to Fillmore Ave (stoplight after bridge). Turn right onto Fillmore Ave. Follow Fillmore to Plato Blvd. Take a right on Plato. Follow Plato until it ends at Dr. Justus Ohage Blvd. Turn right into our parking lot. www.riverrides.com Pre-register by Sept. 13 to assure a spot! Sunday, Oct. 1 10:30 am-1 pm #1050-F17 1 Session - $30 Boat departs at 11 am sharp Pick up/Drop off is at Harriet Island 200 Justus Ohage Blvd., St. Paul
Monday, Oct. 9 Depart at 6 pm and return at 8:30 pm #1007-F17 1 Session - $20 participant $15 caregiver Pick up/Drop off at Branch Out Building 150 Marie Ave E, WSP
Show off your spooktacular art skills! Weâ€™ll be painting pumpkins to decorate for Halloween. Dress for mess and bring a friend! Each participant will bring home one large pumpkin. No cost for caregivers. Instructor: Access Project Staff Monday, Oct. 23 4-5 pm #1008-F17 1 Session- $12 Branch Out Building, 150 Marie Ave E, WSP
Boo Bash - A Halloween Movie Night
The witching hour has begun! Join us for a little "Hocus Pocus" while wearing your creative costumes. We'll have a costume contest with prizes for the top three fan favorites. Concessions will be for sale at the event. All ages are welcome, pre registration is recommended due to limited space but not required. Friday, Oct. 27 6:30-9 pm #6757-F17 1 session - $2 Heritage E-STEM Magnet Middle School, WSP 2
ACCESS PROJECT PROGRAM INFORMATION
• Photo Waiver: Photographs, videos and other documentation taken at school or Community Education activities may be submitted to newspapers, used on district website, social media sites or appear in publications. Check the box in the registration form if you do not want pictures published. • These activities have been customized for adults with disabilities. • Pre-registration is required for all classes unless otherwise noted. Please return the registration form or call 651-403-8313 to register. • Please indicate any accommodations needed to effectively participate when registering for an activity. • Participants who require one-on-one personal attention for physical and/or behavior issues or medication administration must be supervised by a caregiver. If a behavioral incident occurs, a caregiver may be required to accompany the participant to all future activities. • Classes will be held at the date, time and location listed unless you are notified that they are canceled, changed or full. • Transportation to and from activities is the responsibility of the participant or caregiver, unless otherwise noted in program description. • Participants must be accompanied to the classroom and should check in no earlier than 15 minutes prior to the listed start time and should be picked up promptly at the listed end time. If participants are not picked up promptly, a caregiver may be required to accompany the participant to all future activities. • All Access Project activities are sponsored by ISD 197 so there is no tobacco or alcohol allowed. • Refunds will only be given for cancellations received seven days before an activity.
OPTIONAL DEMOGRAPHIC INFORMATION
Información demográfica opcional
Collecting this information helps us provide programs/services that meet the needs of our entire community. La recopilación de esta información nos ayuda a proveer programas/servicios que suplan las necesidades de toda la comunidad.
Date of Birth (mm/dd/yy): __________________________ Fecha de nacimiento (mes/día/año)
Gender: _______________________ Sexo
Black/African American Negro/Afroamericano
American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander Nativo de Hawái/Otras islas del Pacífico
ACCESS PROJECT REGISTRATION FORM
Amerindio americano/Nativo de Alaska
Two or more races Dos o más razas
Participant First and Last Name______________________________________________________________________________ Nombre y apellido del participante
Address________________________________________________ City_______________________State/Zip_______________ Dirección
Home Phone ______________________________________________ E-Mail Address__________________________________ Correo electrónico
Is one-on-one assistance required? *Yes _____ No _____*If yes, a caregiver must accompany participant!
¿Requiere ayuda individual?
Si marcó "Sí" un cuidador debe acompañar al participante.
Staff Name_____________________________________________________________ Staff Fee (please enclose)____________ Group Home Name & Address_______________________________________________________________________________ Nombre del grupo del hogar & dirección
I do not want my name & picture in press releases, promotions, publications. Accommodations required: Se requieren estas acomodaciones Activity Name Date Location Fee Wheelchair/Mobility Access ASL Interpreter Other (please list)_________________________ Any condition the instructor needs to be aware of: __________________________________________ __________________________________________ Emergency Contact: (required) ¿Alguna condición que el instructor necesita saber? _____________________________________________ Total _____________________________________________ Make checks payable to Community Education, mail registration/payment to 1897 Delaware Ave., Mendota Heights, MN 55118 Los cheques debe hacerlos a Community Education, envíe la inscripción y pago a 1897 Delaware Ave., Mendota Heights, MN 55118
Complete if paying by Credit Card: Visa MasterCard Discover Complete si el pago es con tarjeta de crédito:
Card Number: ___________-____________-____________-____________ Expiration Date: ________/________ titular de la tarjeta
Fecha de expiración
Name on Card: _________________________________________________Amount $:_________________________________ titular de la tarjeta
Signature: _____________________________________________________Date:_____________________________________ Firma
Para una lista completa de clases e información de inscripción en español, visite el sitio http://tridistrictce.org/page/2537 3
NOVEMBER & DECEMBER EVENTS Board Games and Birthdays
Everyone is invited to come and have a fun night celebrating fall birthdays! We will be celebrating birthdays that falls between between SeptemberDecember. Hang out with your friends, play board games and enjoy some birthday treats. No cost for caregivers. Instructor: Access Project Staff Tuesday, Nov. 7 4-6 pm #1071-F17 1 Session- $6 Branch Out Building, 150 Marie Ave E, WSP
Disney’s Beauty and the Beast Jr.
Join us this holiday season for a “tale as old as time.” This classic story of brave Belle and the Beast who must learn to love and be loved in return will fill your heart and stir your imagination. “Be our guest” and share in celebrating the love and joy of this timeless tale. Program held at Stages Theatre in Hopkins. Instructor: Access Project Staff Sunday, Nov. 19 Depart at 12 pm / return at 3 pm #1013-F17 1 Session - $20 participant/caregiver Pick up/Drop off at Branch Out Building 150 Marie Ave E, WSP
Come join your friends for some fun and share your talents at our Karaoke Night. We will have some of your favorite songs to choose from. Don’t want to sing? Then come and dance while your friends provide the music. Refreshments provided. No cost for caregiver. Instructor: Access Project Staff Tuesday, Dec. 12 6-8 pm #1014-F17 1 session - $6 Branch Out Building, 150 Marie Ave E, WSP
Holiday Lights in the Park
Clay Marbled Coasters
Come and create beautiful and easy to make coasters for your home. We’ll be using polymer clay that is super easy to use. You will make a set of coasters to take home that very night! No cost for caregivers to assist. Instructor: Access Project Staff Wednesday, Nov. 29 5-6 pm #1009-F17 1 Session - $17 Branch Out Building, 150 Marie Ave E, WSP
Come enjoy the “best light show in Saint Paul.” There will be more than 60 holiday-themed light sculptures and animated displays. You’ll be able to view the displays from the comfort of the bus as you cruise through the park. Visit with friends and warm up with some hot cocoa afterwards, there will also be a special guest appearance from Santa himself. Transportation is provided. Meet at the Branch Out Building. Program held in St. Paul Instructor: Access Project Staff Monday, Dec. 18 Depart at 6 pm and return at 9 pm #1011-F17 1 Session - $20 participant $10 caregiver Pick up/Drop off at Branch Out Building, 150 Marie Ave E, WSP 4
Independent School District 197 Community Education 1897 Delaware Ave. Mendota Heights, MN 55118
ACCESS PROJECT ACTIVITY PLANNING FORM Activity Name
SAVE THIS AS A REMINDER AND ADD IT TO YOUR CALENDAR!