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Enriching Lives Through Recreation

WInTer sPrIng 2012 registration

SEE PAGE 2 FOR DETAILS

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HABLAMOS ESPAテ前L

Winter/Spring

PROGRAM GUIDE 2012


WEST SUBURBAN SPECIAL RECREATION ASSOCIATION 2915 Maple Street, Franklin Park, IL 60131 847.455.2100 (voice or TTY) Office Hours: 8:30 AM - 5:00 PM Monday through Friday

Winter/Spring 2012

Photo by David Kindler

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

BOARD OF DIRECTORS

Berwyn Park District ............................................................ Jeff Janda Clyde Park District ............................................................. Alex Rueda Village of Elmwood Park .......................................... John Lannefeld Park District of Forest Park .............................................. Larry Piekarz Park District of Franklin Park ............................... Joseph D. Modrich Village of Harwood Heights .................................Michael Gadzinski Hawthorne Park District ............................................. Dennis Raleigh Norridge Park District ................................................... Mark DeSalvo North Berwyn Park District ...................................... Joseph C. Vallez Park District of Oak Park ...............................................Marty Bracco River Forest Park District .................................................. Mike Sletten

WInTer sPrIng 2012 registration

BOARD MEETINGS

The Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 7:00pm. Call the office for a meeting schedule and locations. The public is invited to attend.

REGISTRATION UPDATE

ALL WINTER/SPRING 2012 REGISTRATION IS TAKEN ON A FIRST-COME, FIRST SERVED BASIS WINTER REGISTRATION DEADLINE...........................February 3, 2012 DAY CAMP REGISTRATION DEADLINE....................February 3, 2012 SPRING REGISTRATION DEADLINE.............................March 30, 2012

WINTER SPRING REGISTRATION 2012

WSSRA is offering you the opportunity to simplify your life and save time by registering for both the winter & spring 2012 program sessions with this ONE brochure. This winter and spring program session will run for 14 weeks. Most programs start the week of February 13 and end the week of May 19. See the actual program listing for the meeting dates and times. All registration is taken on a first come first served basis. If you wait to register you risk missing out on a program as it may fill up.

Please follow these steps to complete your winter/spring registration: STEP 1: Register for all winter and spring program options now. All program fees and balances for this winter/spring session must be paid in full by May 1, 2012 in order to register for summer programs. STEP 2: Payment is accepted in full or you can make weekly/monthly payments to pay off your balance. Contact Lisa or Bob to arrange a payment schedule. STEP 3: The “Activity Sales Receipt” you receive will include all of the programs that you have registered for winter & spring session. Included in this statement will be any credits or scholarships given. You are responsible for payment of all fees by May 1, 2012 in order to register for summer programs. Need help reading your “Activity Sales Receipt” billing statement? Go to www.wssra.net click on program tab and then click on the billing statement tab. If you have any further questions about your statement please contact Lisa or Noly at 847.455.2100. ¿TIENAS PREGUNTAS ACERCA DE SU CUENTA? POR FAVOR LLAME NOLY O AILEEN AL 847.455.2100. Thank you for the opportunity to serve you and/or your family member in our winter and spring 2012 program session.

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Programs at a Glance WSSRA STAFF

Marianne Birko.....................226 ..................................................Executive Director......................................................... marianneb@wssra.net Gretchen Dennis..................219 ....................................... Superintendent of Recreation................................................ gretchend@wssra.net Robert A. Foster....................238 ............................... Superintendent of Safety & Operations...................................................bobf@wssra.net Maryellen Bilek.....................228 ................................................ Outreach Specialist........................................................ maryellenb@wssra.net Sherry Scouffas.....................225 ................................................ Outreach Specialist.................................................................sherrys@wssra.net Annie Lhotka.........................230.................................................. Inclusion Manager...................................................................anniel@wssra.net Matt Barber...........................235 ..................................................... Staff Manager...................................................................... mattb@wssra.net Dawn Krawiec......................231 ................................................. Program Manager.................................................................dawnk@wssra.net Ahren Hoffman.....................234 .............................................Recreation Coordinator............................................................ahrenh@wssra.net April Ryan..............................240 ............................................... Recreation Specialist...................................................................aprilr@wssra.net Amy Mepham......................232 ............................................... Recreation Specialist................................................................amym@wssra.net Kristy Dacanay.....................224 .................................................... Lekotek Leader......................................................................kristyd@wssra.net Lisa Gershak.........................221 ..................................................Finance Manager......................................................................lisag@wssra.net Noelia Hernandez................222 ...........................................................Registrar.............................................................................nolyh@wssra.net Aileen Maldonado..............220 ............................................. Administrative Assistant...........................................................aileenm@wssra.net Luz Rocha-Serrano..............245 ...................................................... WSSRA Driver Larry Feldt..............................245 ...................................................... WSSRA Driver Joe Wolfe...............................245 ...................................................... WSSRA Driver Mike Zych..............................245 ...................................................... WSSRA Driver

FOLLOW US ON: TABLE OF CONTENTS

KEY TO ABBREVIATIONS ADD: Attention Deficit Disorder ADHD: Attention Deficit Hyperactivity Disorder ALZ: Alzheimer’s AUT: Autism BD: Behaviour Disorder DD: Developmental Disability EC: Early Childhood HI: Hearing Impairment LD: Learning Disability MI: Mental Impairment MLH: Mental Health PI: Physical Impairment SL: Speech & Language Delay T VI: Visual Impairment

CHILDREN SWIM LESSONS SCHOOL AGE SUMMER DAY CAMP TEENS & YOUNG ADULTS SPORTS AND FITNESS OLDER ADULTS SPECIAL EVENTS

8-9 10 11-13 15-18 13-14, 20-27 28-30 31 35

WSSRA Transportation

PP

Transportation by Pick Up Point

$

Bring Extra Money to Program

WWW.WSSRA.NET

Check out the WSSRA web site for up to date program information. E-Mail your comments to us: wssra@wssra.net

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Program Locations BERWYN

Havlicek School 6401 15th St.........................................708.795.2450 Jefferson School 7035 16th St.........................................708.795.2454 Liberty Recreation Center 6445 W. 27th Pl....................................708.795.2891 Morton West High School 2400 Home..........................................708.222.5700 North Berwyn Park District 16th & Wesley.....................................708.749.4900 PAV Berwyn YMCA 2947 S. Oak Park Ave........................708.749.0606 Proksa Park 3001 Wisconsin...................................708.795.2892

WSSRA EXECUTIVE DIRECTOR HIRED

WSSRA is proud to announce the hiring of Marianne Birko as the new Executive Director. Marianne begins her new position after 28 years of service as WSSRA’s Superintendent of Recreation. While moving on to her new position, Marianne remains dedicated in responding to the needs of our communities so that we may enrich the lives of the people we serve. “Marianne brings a wealth of knowledge about each of WSSRA’s 11 communities. Her program development skills and relationships with partner staff and commissioners, local legislators and social service agencies, WSSRA participants and their families make her an excellent person for the position,” said Larry Piekarz, WSSRA Board Chairperson. Marianne is an Oak Park resident who loves spending time outdoors with her husband and two daughters.

CICERO

Cicero Community Center 2250 49th Ave.....................................708.477.6308 Cicero West School 4937 W. 23rd St...................................708.780.4487 Clyde Park District Stadium 1909 S. Laramie..................................708.652.3545 Columbus West School 5425 W. 31st........................................708.780.4482 Hawthorne Park District 5200 W. 29th Pl....................................708.863.6511 Morton East High School 2423 S. Austin Blvd..............................708.222.5264 Unity East School 2115 S. 54th Ave.................................708.863.8229 Town Hall Bowl 5025 25th St.........................................708.863.0300 Warren Park 1225 S 60th Ct.....................................708.863.2220 Woodbine School 3003 S. 50th Ct....................................708.652.8884

ELMWOOD PARK

Elmwood Park Recreation Center 2 Conti Parkway.................................708.452.3935 Elmwood Park Family Aquatic Center 2 Conti Pkwy.......................................708.452.3935

FOREST PARK

Circle Lanes 7244 Circle...........................................708.366.2810 Field Stevenson School 925 Beloit.............................................708.366.5703 Park District of Forest Park 7501 Harrison.......................................708.366.7500 Forest Park Middle School 925 Beloit.............................................708.366.5703

See www.wssra.net for directions.

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FRANKLIN PARK

Centre at North Park Banquet Hall 10040 Addison St................................847.928.8478 Enger School 10401 W Grand .................................847.455.5299 Franklin Park Community Center 9560 Franklin .......................................847.455.2852 Franklin Park Ice Arena 9711 Waveland .................................847.671.4268 Karate for Kids 10125 W. Grand ................................847.349.5425 WSSRA Office 2915 Maple St. ...................................847.455.2100

HARWOOD HEIGHTS

Harwood Heights Village Hall 7300 Wilson .........................................708.867.7200

MELROSE PARK

Mannheim Middle School 2600 Hyde Park Avenue...................847.455.5020

NORRIDGE

Norridge Park District 4631 N. Overhill ..................................708.457.1244

OAK PARK

Ascension Church 601 Van Buren....................................708.848.2703 Barrie Recreation Center Garfield & Lombard..........................708.383.6905 Carroll Recreation Center 1125 S. Kenilworth..............................708.383.6906 Dole Center 255 Augusta........................................708.848.7050 Field Recreation Center 935 Woodbine Ave...........................708.383.6907 Fox Recreation Center Oak Park & Jackson..........................708.383.6908 Irving School 1125 S. Cuyler Ave.............................708.524.3090 Longfellow Recreation Center Ridgeland & Adams..........................708.383.6909 Longfellow School 610 Highland.......................................708.524.3060 Mann School 921 N. Kenilworth................................708.524.3084 Oak Park River Forest High School Lake & Scoville...................................708.383.0700 Rehm Pool 515 Garfield St....................................708.848.9661 Whittier School 715 N. Harvey ....................................708.524.3080

RIVER FOREST

Concordia University 7400 Augusta St.........................................................


Get Involved WSSRA is looking for energetic & caring staff to assist in recreation programs for individuals with disabilities. You will: • Meet new people while participating in fun recreation activities. • Enjoy personal growth. • Have a flexible schedule (morning, afternoon, evening & weekend hours available). • Gain leadership skills. • Enhance self-esteem by being part of a team that brings out the best in everyone.

For more information call 847.455.2100 or visit www.wssra.net.

NEW MEMBERS

The WSSRF welcomes new members. Please consider joining! No one on the Foundation is asked to do more than they can handle, yet by working together, WSSRF raises $20,000 each year to support WSSRA programs. At each meeting, Foundation members have the opportunity to give input and ideas about program offerings. So come join the fun and help WSSRF improve and expand programs for persons of all ages with disabiltiies. Call Sherry Scouffas at 847.455.2100 ext. 225 to learn more.

Staff Spotlight

WSSRA would like to recognize Jeanne Simons for her dedication to the agency, she has volunteered for over 750 hours to WSSRA in the past 6 years. Jeanne is an exceptional person and volunteer, she has had many positive influences on our participants and programs. Please take a few minutes to learn a little more about Jeanne. How long have you worked at WSSRA? 6 years

The WSSRF needs you!

How did you become involved with WSSRA? I heard about WSSRA through Dawn because she coached my daughter’s volleyball team. All of my girls were grown up so I decided to do something rewarding with my spare time. I also volunteer at my parish, help with fundraising at my daughter’s school and volunteer at Misericordia. What programs have you done with WSSRA? Healthy Start and Weekly Workout How many kids do you have? 4 girls, 2 are in high school and 2 are in college… Samantha, Kate, Maggie and Mary Where are you from? Glenview What are your hobbies? Golf, reading and volunteering

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SPECIAL EVENTS

WSSRA GOLF PARTEE PAGE 35

DESTINATION RANCH: SPRING GETAWAY PAGE 14

FLAP JACK BUNNY HOP PAGE 35

DOWNHILL SKIERS PAGE 13

DERBY GALA PAGE 35

WSSRF BOWL-A-THON PAGE 35

SPLASHTASTIC FAMILY SWIM PAGE 35

WALK-N-DINE

AUTISM MOVEMENT THERAPY

YOGA FOR ALL

!MI DEPORTE!

BOBCATS SOFTBALL WEEKLY WORKOUT

TAE KWON DO

7:15 – 8:00pm Karate for Kids, Franklin Park

7:00 – 8:15pm Park District of Franklin Park

7:00 – 8:30pm

2:45 – 4:00pm Woodbine School, Cicero

4:15 – 5:00pm Dole Center

3:30 – 4:10pm Dole Center

10:00 – 11:30am Village of Harwood Heights

YOGA

9:30am – 12:30pm Weekly location varies

TUESDAY

WILD CARD WEDNESDAYS

GOAL!

TUMBLING INTO FUN BERWYN SPORTS GALORE

SWIM LESSONS

SO TRACK & FIELD CLINIC 7:00 – 8:15pm Cicero Community Center Spring: Concordia Track

7:30 – 8:15pm Mannheim Middle School

3:00 – 4:30pm Havlicek School, Berwyn

3:15 – 4:30pm Jefferson School, Berwyn

2:10 – 4:00pm Unity School East, Door #14

9:30am – 12:30pm PDFRP

WEDNESDAY

WSSRA’s MIX IT UP

SPECIAL OLYMPIC TRAINING & SPORTS WSSRA FC

SWIM LESSONS

WINNER TAKES ALL

7:00 – 8:30pm Barrie Center

SHAKE AND BAKE

6:00 – 8:30pm WSSRA Office

6:30 – 7:00pm 7:00 – 7:30pm Morton East High School

4:00 – 5:00pm Centre @ North Spring: PD of FP

3:45 – 5:15pm Pav YMCA

3:15 – 4:30pm Enger School

THURSDAY

Winter/Spring 2012 MONDAY

HEALTHY START

10:00 – 11:30am Franklin Park Community Center

DANCE MANIA

2:45 – 4:00pm Columbus West School, Cicero

SALTA JUMP!

2:50 – 4:00pm Warren Park School, Cicero

EXPLORE THE ARTS

3:30 – 5:00pm Barrie Center

SWIM LESSONS

6:15 – 6:45pm OPRFHS-Girl’s Pool

ADVANCED SWIMMERS 6:15 – 6:55pm OPRFHS-Girl’s Pool

STINGRAY SWIM TEAM 7:00 – 8:10pm OPRFHS-Girls Pool

AQUA ATHLETICS 8:15 – 9:00pm OPRFHS – Girls pool

FRIDAY

TOWERS SOCIAL 12:30 – 2:30pm Franklin Towers

“LITTLE TYKES” AUTISM MOVEMENT THERAPY

3:45 – 4:45pm Scott students 3:45 – 4:45pm Norridge PD

SWIM LESSONS 3:10 – 3:40pm 3:45 – 4:15pm 4:20 – 4:50pm 4:55 – 5:25pm 5:30 – 6:00pm PAV YMCA, Berwyn

SUPER SKATERS

4:00 – 5:30pm Franklin Park Ice Arena, Franklin Park

FOOD CRITICS

6:30 – 9:15pm Barrie Center Oak Park

FRIDAY SHOW TIME Barrie Center, Oak Park

SPLASHTASTIC FAMILY SWIM

6:00 – 7:30pm Mannheim Middle School

SATURDAY

SENSATIONAL SATURDAYS

9:00 – 11:30am Norridge Park District

SATURDAY FUN CLUB

9:00 – 11:30am Carroll Center, Oak Park

OUTDOOR ADVENTURES

9:30am – 12:30pm Park District of Forest Park Bldg #4

SUPER SATURDAYS

12:15 – 2:45pm Carroll Recreation Center, Oak Park

SATURDAY BOWLING LEAGUE

1:00 – 3:00pm Circle Bowling Lanes, Forest Park

HOT SHOTS CARROLL CITY SLICKERS BARRIE

6:00 – 9:00pm

SOCIALITES_ CARROLL MOONLIGHTERS BARRIE

6:00 – 9:00pm


WSSRA Program Policies REGISTRATION

Any cancellations for WINTER programs will be accepted through February 3, 2012 and credit will be issued. Any cancellations after February 3, 2012 participants will be charged full program fee. Any unpaid balance will restrict participation in future programs.

CLOSED PROGRAMS

If a program closes because we have reached maximum enrollment, you will be put on a waiting list once we receive your signed registration form and contacted if additional space is available.

CANCELLED PROGRAMS

A. If there is low enrollment, a program may be cancelled. A program reimbursement or credit will be issued. B. If a program is cancelled because of unforeseen circumstances you will be contacted at the soonest possible time. C. A program credit will not be issued for weather related cancellations. Programs will be made up at the end of season whenever possible. D. No program credits issued for sports tournament cancellations.

PARTICIPANT ILLNESS

For the protection of all the participants in programs, you/your child must be kept at home or will be sent home if he/she shows any of the following symptoms: • A temperature of over 100.3. • Stomach ache accompanied by diarrhea or vomiting. • Any undiagnosed rash. • Sore or discharging eyes or ears. • Profuse nasal discharge (green or yellow). Please keep children with active colds home. • Have a highly contagious condition such as chicken pox, measles, lice, etc.

MEDICATION

It is the parent/guardian and participant’s responsibility to inform WSSRA of any medication a participant is taking. This information is very important in case of an emergency. Medication information should be noted on the registration forms, as well as the Annual Information Form. Any changes in medication should be communicated to WSSRA.

REFUNDS

INSURANCE

PAYMENT POLICY

SAFETY PRECAUTIONS

Refunds will only be issued when the registrant cannot participate for extended medical reasons and/or hospitalization verified by a physician. For the majority of the season the refund/credit will be prorated. Call for more information. 847.455.2100. Payment of program fees is due upon registration unless other arrangements are made. Statements are mailed out the first week of the program season (4 times per year). Call the Finance Manager to arrange a payment plan, Monday through Thursday, 8:30 AM to noon. A participant cannot register for the next season until balance from previous season is paid.

RETURNED CHECK POLICY

A $20.00 fee will be charged for any checks returned to WSSRA. The $20.00 fee, as well as the balance, will need to be paid before registering for future programs.

SCHOLARSHIP REQUEST

WSSRA is in a position to offer scholarships to WSSRA residents for a percentage of fees for two programs each season. Persons requesting a scholarship must complete a scholarship application, which will be mailed to you upon request. Scholarship applications need to be filled out once a year. If you are interested in a scholarship, check the box on the registration form: Request Scholarship. All scholarship applications must be completed and submitted to the WSSRA office.

NON-RESIDENT POLICY

WSSRA programs are limited to people who live in the WSSRA partner districts and villages. If you live outside the WSSRA communities and are interested in participating in a special recreation program, call your park district or village recreation department. Call the WSSRA Outreach Specialists for more information.

PARTICIPANT ABSENCE

If you or your child are not going to attend a recreation program that you are registered for, please notify WSSRA office 847.455.2100 AS SOON AS POSSIBLE! Please leave a message on Voice Mail after hours.

The Association takes every reasonable precaution to prevent injuries and accidents from occurring. However, if an accident does occur or if you or your child is injured, you are solely responsible for any costs incurred or caused by an injury that happens in an Association program. Some participants in WSSRA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service training concerning proper hygienic procedures. WSSRA seeks to provide a safe environment for all of our participants, staff volunteers and the public. If you have any specific questions, please call the WSSRA Executive Director or Superintendent of Safety & Operations at 847.455.2100.

REVISED LATE PICK-UP/ DROP-OFF POLICY

In order to be fair to our participants, program staff and drivers, WSSRA has enacted a Late Pick-up/Drop-off Policy. Many of our program staff and drivers need to get to a program immediately after the program your child is in. We ask that you make sure you are on time picking up your child from program, as well as, home to greet your child when the WSSRA van drops them off. A $10.00 fee will be charged for every 15 minutes or portion thereof, a participant is picked up late, or a van is delayed, after a 10 minute grace period. A notice will be sent to you indicating the fee being charged to your account. Also, participants must be dropped off on time for programs that are travelling, including over night trips. Vans will not wait more than 5 minutes for participants who are late for the program. Saturday morning programs - Parents must drop off their child by 9:30 AM or call the emergency phone. If the program is travelling, the van will not wait longer than 5 minutes past the program start time.

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Children LEKOTEK

ALL ABILITIES Borrow toys from WSSRA’s toy lending library— we have over 2,000 toys! Our certified Lekotek leaders will guide you through a monthly play session and introduce you to a variety of adaptive toys, making play possible for ALL children. Lekotek offers: • Relaxing, guided play sessions; • Home loan of up to six toys monthly; • Opportunities to focus on the abilities of children; • Positive parent/child interactions; • Self-esteem building; • Sibling play and fun!

“I like the projects we do! We play fun games and we get to eat good things like fruit snacks.” -Kathy Ann Surovych

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Age: birth to 6 years Day/Time: call WSSRA to schedule your individual sessions Location: North Berwyn Park District, Irving School in Berwyn, or WSSRA office Fee: $60 – $175 dependent on family size & income Fee includes monthly toy loans and up to 9 play sessions Registration #: 100

TUMBLING INTO FUN

ALL ABILITIES Run, jump, spin, and roll – just part of the fun we’ll Tumble Into! Participants will also enjoy a snack and craft at program. Age: 3 – 6 years Day: Wednesday Time: 3:15 – 4:30pm Location: Jefferson School, Berwyn WINTER INFORMATION: Dates: February 15 – April 4 Registration #: 114 Fee: $18.00

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SPRING INFORMATION: Dates: April 18 – May 16 (no program May 2) Registration #: 214 Fee: $11.25

“LITTLE TYKES” AUTISM MOVEMENT THERAPY ®

ALL ABILITIES Experience this innovative and creative program under the guidance of WSSRA’s certified Autism Movement therapist, April Ryan. We use movement and music to help develop balance, coordination, sequencing and much more! Visit www.autismmovementtherapy.com for more insight on this program. Age: 3 - 7 years Day: Friday Time: 3:45-4:45pm Location: Norridge Park District, Green Room WINTER INFORMATION: Dates: February 17 – March 30 Registration #: 111 Fee: $15.75 Trans to program only: $21.00

SPRING INFORMATION: Dates: April 13 – May 18 Registration #: 211 Fee: $13.50 Trans to program only: $18.00

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Children SATURDAY FUN CLUB

Location: Carroll Recreation Center Age: 3 – 6 Time: 9:00 – 11:30am

SENSATIONAL SATURDAYS

ALL ABILITIES Day: Saturday Fee: $10.40/week

WINTER INFORMATION: Date: SATURDAY FUN CLUB: February 18 ......................................104-01 February 25...................................... 104-02 March 3 ............................................104-03 March 10 ..........................................104-04 March 17 ..........................................104-05 March 24 ..........................................104-06 March 31 ............. NO PROGRAM. COME SPRING INFORMATION: Date: SATURDAY FUN CLUB: April 14.............................................. 204-01 April 21 ..............................................204-02 April 28 ..............................................204-03 May 5 ................................................204-04 May 12 ..............................................204-04 May 19 ..............................................204-06

SUPER SATURDAYS

Location: Norridge Park District Age: 3 – 11 Time: 9:00 – 11:30am

SENSATIONAL SATURDAYS: ......................................................................105-01 ......................................................................105-02 ......................................................................105-03 ......................................................................105-04 ......................................................................105-05 ......................................................................105-06 TO FLAP JACK BUNNY HOP!................. page 35 SENSATIONAL SATURDAYS: ......................................................................205-01 ......................................................................205-02 ......................................................................205-03 ......................................................................205-04 ......................................................................205-05 ......................................................................205-06

Location: Carroll Recreation Center Age: 7 – 11 Time: 12:15 – 2:45pm

SUPER SATURDAYS: ................................................................. 106-01 ................................................................. 106-02 ................................................................. 106-03 ................................................................. 106-04 ................................................................. 106-05 ................................................................. 106-06 ................................................................. 106-07 SUPER SATURDAYS: ................................................................. 206-01 ................................................................. 206-02 ................................................................. 206-03 ................................................................. 206-04 ................................................................. 206-05 ................................................................. 206-06

DATE

ACTIVITY

2/18

Mardi Gras Mask Making! We will be making our own homemade bead celebration. DRESS FOR A MESS.

2/25

Sensational Baking! Today we will be testing our baking techniques and pleasing our taste buds with sweets and treats.

3/03

Happy Birthday Dr. Seuss! Let’s not just talk about it, let’s read about it! Today we will sing & play activities inspired by Dr. Seuss.

3/10

Imagine that! Let’s pack our imagination bags and get ready to travel the globe as far as our imagination can reach. Today we will be using our imagination to travel the world through fun games and activities. DRESS FOR THE WEATHER.

3/17

St. Patrick’s Day! Consider yourself lucky! Today we are following the rainbow and searching for gold! We’ll end the day with cookie decorating.

3/24

Spring into Action! Today we are welcoming the spring with flower gardening and interactive back yard games. DRESS FOR THE WEATHER AND READY FOR A MESS.

3/31

Musical Me! Today we will learn to make our own musical instruments to enjoy group sing along and karaoke to our favorite songs. SUPER SATURDAYS ONLY!

WINTER INFORMATION

SPRING INFORMATION 4/14

Wild West Yeehaw! Get ready to explore the west with a day full of western games and activities.

4/21

Animals and Insects Buzzz Get your magnifying glasses out, today will be filled with activities & games about animals & bugs!

4/28

Monster Mania Get ready to get messy, today we will be unleashing our inner monster and doing all sorts of messy activities. DRESS FOR MESS

5/5

Spring has Sprung Let’s celebrate spring and learn all about the earth! We will play lots of spring games today.

5/12

Just for Kicks Today we will be getting out & getting active. Let’s play fun games and learn about new sports & activities. WEAR YOUR TENNIS SHOES AND COMFY CLOTHES

5/19

Dino Day Let’s go back in time and explore. Today will be filled with games & activities all about dinosaurs.

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Swim Lessons SWIM LESSONS

ALL ABILITIES WSSRA teaches progressive skill development using the American Red Cross swim program. Parents are responsible for locker room supervision and assistance. *Public health code requires that anyone with possible incontinence must wear protective, rubber pants in addition to a swim diaper.

SEE PAGE 35 FOR INFORMATION ON OUR SPLASHTASTIC FAMILY SWIM SERIES!

REGISTRATION NUMBER

DAY

TIME

DATES

AGE

FEE

OAK PARK RIVER FOREST HIGH SCHOOL, OAK PARK 151-01

Mondays

6:15-6:55 PM

February 13 – April 2 advanced swimmers only (no program Feb. 20, Mar. 5, Mar. 26) must swim 1 length of pool

$28.25

151-02

Mondays

6:15-6:45 PM

February 13 – April 2 3 and up (no program Feb. 20, Mar. 5, Mar. 26)

$24.50

251-01

Mondays

6:15-6:55 PM

April 9 – May 14

advanced swimmers only must swim 1 length of pool

$30.75

251-02

Mondays

6:15-6:45 PM

April 9 – May 14

3 and up

$26.25

MANNHEIM MIDDLE SCHOOL, MELROSE PARK 151-03

Wednesdays

7:30-8:15 PM

February 1 – February 29

3 and up

$29.25

251-03

Wednesdays

7:30-8:15 PM

April 11 – May16

3 and up

$32.00

MORTON EAST HIGH SCHOOL, CICERO (NOT ACCESSIBLE) 151-04

Thursdays

6:30-7:00 PM

February 23 – March 29

3 and up

$26.25

151-05

Thursdays

7:00-7:30 PM

February 23 – March 29

3 and up

$26.25

251-04

Thursdays

6:30-7:00 PM

April 19 – May 17

3 and up

$24.40

251-05

Thursdays

7:00-7:30 PM

April 19 – May 17

3 and up

$24.40

PAV YMCA, BERWYN 151-06

Fridays

3:10-3:40 PM

February 17 – March 30

3-4 years

$28.25

151-07

Fridays

3:45-4:15 PM

February 17 – March 30

3-4 years

$28.25

151-08

Fridays

4:20-4:50 PM

February 17 – March 30

3-6 years

$28.25

151-09

Fridays

4:55-5:25 PM

February 17 – March 30

7 and up

$28.25

151-10

Fridays

5:30-6:00 PM

February 17 –March 30

7 and up

$28.25

251-06

Fridays

3:10-3:40 PM

April 13 – May 18

3-4 years

$26.25

251-07

Fridays

3:45-4:15 PM

April 13 – May 18

3-4 years

$26.25

251-08

Fridays

4:20-4:50 PM

April 13 – May 18

3-6 years

$26.25

251-09

Fridays

4:55-5:25 PM

April 13 – May 18

7 and up

$26.25

251-10

Fridays

5:30-6:00 PM

April 13 – May 18

7 and up

$26.25

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School-Aged AUTISM MOVEMENT THERAPY ®

ALL ABILITIES Experience this innovative and creative program under the guidance of WSSRA’s certified Autism Movement therapist, April Ryan. We use movement and music to help develop balance, coordination, sequencing and much more! Visit www.autismmovementtherapy.com for more insight on this program. *SIGN UP AND STAY FOR YOGA FOR ALL!! Age: 7-15 Day: Tuesday Time: 3:30-4:10 Location: Dole Recreation Center, Oak Park

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WINTER INFORMATION: SPRING INFORMATION: Dates: April 10 – May 15 Dates: February 14 – Registration #: 212 April 3 Fee: $15.75 Trans: $36.30 Registration #: 112 Fee: $21.00 Trans: $48.40

YOGA FOR ALL

ALL ABILITIES Participants will be introduced to beginner yoga positions, meditative practice and stretching exercises in a fun, playful environment. The program’s focus will be on: • Body control; • Increased strength and flexibility; • Relaxation techniqes *SIGN UP AND START WITH AUTISM MOVEMENT THERAPY!!

TAE KWON DO

ALL ABILITIES This class is designed to captivate the interest of our youngest student. Karate for Kids teaches the American Tae Kwon Do Association curriculum. It is based on the concepts of positive mental attitude and high goal setting. The building blocks for this system include: • Self-control • Courtesy • Integrity • Friendship • Confidence • Self-awareness • Self-esteem • Perseverance • Self-improvement • Respect • Dedication Age: 9-14 Day: Tuesday Time: 7:15-8:00pm Location: Karate for Kids, 10125 W. Grand Ave., Franklin Park Uniform Fee: $40.00/one-time fee for new participants in addition to program fee below WINTER INFORMATION: Dates: February 14 – April 3 Registration #: 113 Fee: $60.00

SPRING INFORMATION: Dates: April 10 – May 15 Registration #: 213 Fee: $60.00

EXPLORE THE ARTS

ALL ABILITIES Grab your brush, sponge, or use your fingers to paint. Build a pot with clay or create a collage. Add some music and we’ll be dancing. There’s no limit to the elements we’ll explore!

Age: 7-15 Day: Tuesday Time: 4:15-5:00pm Location: Dole Recreation Center, Oak Park

Age: 3-11 Day: Monday Time: 3:30-5:00pm Location: Barrie Recreation Center, Oak Park

WINTER INFORMATION: SPRING INFORMATION: Dates: April 10 – May 15 Dates: February 14 – Registration #: 209 April 3 Fee: $16.20 Trans: $36.30 Registration #: 109 Fee: $21.60 Trans: $48.40

WINTER INFORMATION: Dates: February 13 – April 2 Registration #: 107 Fee: $27.00 Trans: $48.40

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SPRING INFORMATION: Dates: April 9 – May 14 Registration #: 207 Fee: $20.25 Trans: $36.30

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VOUNTEERS NEEDED! FEBRUARY 19, 2012 WSSRA is hosting the ITRS basketball tournament and needs: • Referees • Timers • Scorekeepers • Tournament Headquarters We want YOU! Your Friends! Your co-workers! Call Dawn at the office or at dawnk@wssra.net

WSSRA.NET


School-Aged OUTDOOR ADVENTURES

Registration Number: MI, DD, LD, VI We fill our Saturday mornings with fun and thrills as we explore our communities. Sign up for any or all of the events. The van will depart promptly 5 minutes after scheduled start time! Age: 12-22 years Date: Saturday Time: 9:30am - 12:30pm Location: Park District of Forest Park Building #4 Fee: $13.70/week REGISTRATION NUMBER

DATE

ACTIVITY

DESTINATION WINTER INFORMATION

131-01

2/18

Mardi Gras Let’s have a Masquerade. We’ll decorate our very own masks.

Forest Park Bldg #4

131-02

2/25

UIC Flames Game SPECIAL TIME! 2:30–7:00pm

UIC

131-03

3/03

GO Bananas Enjoy and afternoon filled with games, rides, & prizes!

Go Bananas

131-04

3/10

Take a Hike! Explore nature, science and wildlife animals at the Grove Nature Center.

The Grove, Glenview

131-05

3/17

Shamrock Shake Look out McDonald’s Outdoor Adventures is going to create our own Shamrock Shakes. Then we’ll work off the calories by learning some Irish Dance moves.

Forest Park Bldg #4

131-06

3/24

It’s All Fun and Games We’ll have a friendly competition while playing some classic board games.

Forest Park Bldg #4

NO PROGRAM

3/31

Flap Jack Bunny Hop BRING YOUR FRIENDS AND FAMILY!! Celebrate spring with WSSRA and your friends at our annual pancake breakfast. We’ll cook up the ‘cakes and bring some crafts and games. All you have to do is bring your friends and family and get ready for some fun!

Ascension Church, Pine Room 601 Van Buren, Oak Park

SPRING INFORMATION 231-01

4/14

Jump! Zone Come experience of Jump!Zone’s 14 inflatable bounce houses.

6374 Howard St., Niles, IL

231-02

4/21

Pancake Breakfast How do you like your pancakes? With chocolate chips, blueberries, or perhaps nuts? Well, today you’ll get to make pancakes your way!

Forest Park, Building #4

231-03

4/28

John Hancock Building Enjoy the spectacular view of the city from the top of the John Hancock Observatory

Chicago, IL

231-04

5/5

Cinco de Mayo Wear your sombreros, we’ll bake a fiesta themed treat and break a piñata.

Forest Park, Building #4

231-05

5/12

April Showers Bring May Flowers Today will be a flower themed day. You’ll get to plant your own flower to share with someone special.

Forest Park, Building #4

231-06

5/19

Picnic in the Park We’ll travel to Proksa Park and celebrate the last day of Outdoor Adventures with a Picnic in the Park

Proksa Park, Berwyn, IL

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School-Aged/Teens BERWYN SPORTS GALORE

LD, BD, VI, PI It’s all sports, fun, and games at this afterschool program! Age: 7-14 Day: Wednesday Time: 3:00-4:30pm Location: Havlicek School, Berwyn WINTER INFORMATION: Dates: February 15 – April 4 Registration #: 115 Fee: $18.00 Trans: $48.40 SPRING INFORMATION: Dates: April 18 – May 16 (no program May 2) Registration #: 215 Fee: $11.25 Trans: $30.25

WEST SUBURBAN FC

AUT, DD, MI If you love the game of soccer, then come play with us! We will follow the rules of Special Olympics soccer in our training program. Participants will learn the rules of the game and can improve their: • Coordination; • Ball handling skills; • Kicking techniques; • Stretching and strengthening Age: 13 and older Day: Thursday Time: 4:00-5:00pm

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DOWNHILL SKIERS

ALL ABILITIES — SIBLINGS INVITED TOO! Hit the slopes with WSSRA! Learn to ski or hone your skills. Each week we’ll have a one-hour lesson followed by skiing. Lessons are taught by ski instructors from Four Lakes in Lisle ski resort. Age: 7 and older Day: Wednesday Dates: January 4, 11 & 18 Time: 3:30-7:30pm Registration #: 128 Fee: $123 Trans: $18.25

WINTER INFORMATION: Dates: February 16 – April 5 Registration #: 124 Fee: $28.80 Trans: $2.75/week or $18/season Pick-Up Point: Fox Park @3:30pm Location: Center at North Park Field House, Franklin Park SPRING INFORMATION: Dates: April 12 – May 17 Registration #: 224 Fee: $21.60 Trans: $2.75/week or $16.50/season Location: Park District of Forest Park

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BAKE & SHAKE

ALL ABILITIES A fun program for anyone interested in learning basic skating skills or getting comfortable in skates and on the ice! Skaters can improve core strength as balance improves, and gain confidence as independence on the ice increases. Skate rental included. Age: 7 and older Day: Friday Time: 4:00-5:30 (ice time: 4:20-5:20) Location: Franklin Park Ice Arena

WINTER INFORMATION: Dates: February 16 – March 29 Registration #: 143 Fee: $37.80 Trans: $42.35

WINTER INFORMATION: Dates: February 17 – March 30 Registration #: 122 Fee: $54.40 Trans: $42.35

SPRING INFORMATION: Dates: April 12 – May 17 Registration #: 243 Fee: $32.40 Trans: $36.30

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PHONE The purpose of this phone number is to allow access to WSSRA for emergencies only during non-office hours.

ALL ABILITIES Alternate one week of baking with one week of fitness. WSSRA will serve a delicious and energizing Winter & Spring season of goodness! Age: 15 and older Day: Thursday Time: 7:00-8:30pm Location: Barrie Recreation Center, Oak Park

SUPER SKATERS

EMERGENCY

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1. The phone may be called Monday through Friday, from 5:00 PM to 11:00 PM, Saturday, 7:00 AM to 11:00 PM when programs are in session only. 2. Leave a message with your phone number at 847.833.9611 and a WSSRA staff will return your call if neccessary. 3. The emergency phone should not be a substitute for calling the office for non-emergency questions, such as pick up times.

WSSRA.NET


Teens & Young Adults SHOW TIME

FOOD CRITICS

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

MLH, MI, AUT, DD Our tasty travels continue!

Age: 15 and older Day: Friday Time: TBD, WSSRA will notify on Wednesday, the week of show Location: Barrie Recreation Center Fee: $12.50/week Trans: $2.75/week Pick-Up Points: WSSRA Office, Cicero McDonalds

Age: 15 and older Day: Friday Time: 6:30-9:15pm Location: Barrie Recreation Center Fee: $12.00/week Trans: $2.75/week Pick-Up Points: WSSRA Office @5:15pm/10:00pm Cicero McDonalds @6:15pm/9:00pm WINTER INFORMATION:

WINTER INFORMATION: 160-01: March 2 160-02: March 23

SPRING INFORMATION: 260-01: April 13 260-02: May 4

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BROADWAY TOUR

HI, VI, PI, MLH, DD See live Broadway productions. Registered participants will be notified of the actual show dates once WSSRA is able to secure tickets after the ticket release date. Once you are notified of the the show date and time, you are obligated to the ticket. Ticket prices may vary from the list below. Participants must be able to focus on a 2+ hour performance with minimal interruptions. This is to minimize disturbance to other audience members. Age: 15 and older Registration #: 181 Date: January 24-January 29 Show: MAMA MIA – Have the time of your life at this smash-hit musical that combines ABBA’s greatest hits with an enchanting tale of love, laughter & friendship. Destination: Oriental Theater, Chicago Fee: $40.00 Registration #: 381 Date: August –September 2012 Show: MILLION DOLLAR QUARTET – On December 4, 1956 an auspicious twist of fate brought together Johnny Cash, Jerry Lee Lewis, Carl Perkins, and Elvis Presley. The four legends-tobe united for the only time in their careers for an impromptu recording session that embodied the birth of rock n’roll and has come to be known as one of the greatest rock jam sessions of all time. Destination: Apollo Theater, Chicago Fee: $46.00

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Lively discussion about what we liked best each week is all part of the fun. Bring $25 to cover your food and share of the tip. Participants must be able to sit for a meal with general interruptions to others.

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REGISTRATION NUMBER

DATE

RESTAURANT

LOCATION

161-01

2/17

Grandma Sally’s

River Forest

161-02

2/24

Delia’s Kitchen

Oak Park

161-03

3/9

Mother’s Day

Riverside

161-04

3/16

George’s

Oak Park

161-05

3/30

Crystal Fountain Café

Franklin Park

SPING INFORMATION: REGISTRATION NUMBER

DATE

RESTAURANT

LOCATION

261-01

4/20

China Chop Suey

Barrie Centerorder in

261-02

4/27

New Star

Elmwood Park

261-03

5/11

Szechwan Beijing

Oak Park

261-04

5/18

King & I

Barrie Centerorder in

DESTINATION RANCH: SPRING GETAWAY

MI,DD WSSRA is going back to the ranch…White Pines Ranch that is! Pack your bags for a fun weekend of horsin’ around. We will have the opportunity to: • Horseback ride • Groom/feed horses • Hike • Campfire • Orienteer • Line Dance • Hay ride • BINGO Further information and detail will be sent upon registration. Age: 13 and older Day: Friday – Sunday Dates: March 23 -25 Location: White Pines Ranch, Oregon, IL Depart from & return to WSSRA office Fee: $225 Registration #: 146


LOTTERY DEADLINE: FEBRUARY 3, 2012

SUMMER DAY CAMP 2012

WSSRA’s 2012 Summer Day Camp is designed for participants ages 3-22, who have a disability and/or receive special education services. Your child must be 3 -22 years of age on the first day of camp to participate. Day camp registration is conducted by a lottery. All persons who meet the age & registration requirements will be entered into the lottery. If you are not selected in the lottery for day camp placement you will be placed on a waiting list according to the order you were drawn in the lottery. WSSRA offers different day camps according to age and ability groups. Camp provides age-appropriate recreational activities while achieving these goals: • To involve your child in fun recreational opportunities. • To improve your child’s motor skills and overall fitness. • To encourage an environment where your child can succeed and build self-esteem. • To help your child maintain & increase language and self-expression skills.

West Suburban Special Recreation Association CAMP ACTIVITIES MAY INCLUDE:

• Sports • Music • Field Trips • Swimming • Drama • Games • Arts & Crafts

WSSRA RESIDENTS

Serving residents of the Villages of Harwood Heights and Elmwood Park and the Park Districts of Berwyn, Clyde, Forest Park,Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park and River Forest.

CAMP DATES

June 18 – July 27, 2012 Monday through Friday. There is NO CAMP on Wednesday July 4, 2012

FULL-DAY CAMP (AGES 7-22)

9:00AM – 3:00pm, Monday through Friday Full Day is not an option if your child attends summer school.

HALF-DAY CAMP (AGES 7-22) LIMITED SPOTS AVAILABLE!

12:15pm – 3:00pm, Monday through Friday • You must indicate on your registration form if you will be registering for the half-day option. • A limited number of half day spots are available and will be filled according to the February lottery. • No adjusted registrations can be made for participants attending summer school.

TRANSPORTATION

Door to door transportation for camp is available. You must sign up for transportation when you are completing your registration form. Limited transportation slots are available. Transportation fees will be added to your day camp registration. Transportation for camp is not provided for participants without a physical disability living within 5 blocks of the assigned camp site. Buses are not air-conditioned.

SCHOLARSHIPS

If you are unable to afford the fee for day camp, you may request a scholarship application from the WSSRA office or download the scholarship form from the WSSRA web site, www. wssra.net. All applications must be completed and returned by February 3, 2012 with your day camp registration form. You will be notified by mail if you will receive a scholarship and the amount of assistance granted. You must attend 20 days of camp in 2012 to be eligible to receive a scholarship in 2013. Any medical leave must be documented by a doctor.

REGISTRATION PROCEDURES

Choose one: Morning Session: No swimming offered. .............. 9:00–11:45am Afternoon Session: No swimming offered. ........... 12:15–3:00pm

1. Walk-in, mail-in, or fax (847.455.2157) your Day Camp registration to WSSRA. You must call to confirm FAX was received. 2. You must return the Day Camp Registration fully completed, signed, and dated by February 3, 2012 at 5:00pm to be eligible for the lottery. Additionally, Scholarship Application forms must be in the office by this time as well. 3. The lottery will be drawn and scholarships will be awarded February 6-17, 2012. 4. Letter of acceptance into WSSRA Day Camp, information regarding scholarships awarded, and a payment schedule will be mailed out beginning February 24, 2012.

CAMP LOCATIONS

DAY CAMP PAYMENT SCHEDULE:

PRESCHOOL CAMP (AGES 3-6)

Camps may be held in Berwyn, Cicero, Forest Park or Oak Park. Camps will be assigned a location based on space needed and facilities available. You will be notified by mail as to your child’s camp location.

DAY CAMP FEES

Full-Day Option:…………… ............................................. $468.00 Half-Day/Preschool Option: ............................................. $234.00

1. First 1/3 of your total due March 23, 2012 2. Second 1/3 of total due April 20, 2012 3. Final payment due May 25, 2012. Anyone not completing their payment by May 25 will risk losing their camp placement. 4. Cancellations prior to May 25, 2012 will receive a refund less a $10.00 processing fee. NO Refunds after May 25, 2012.

TRANSPORTATION FEES

One-Way Transportation: ................................................. $211.50 Round-Trip Transportation: ............................................... $423.00

Questions, call WSSRA 847.455.2100


PLAZO DE LOTERÍA: 3 DE FEBRERO DE 2012

CAMPAMENTO DE VERANO DE DÍA 2012

El Campamento de Verano de Día 2011 de WSSRA es diseñado para los participantes edades 3-22, quien tiene una descapacidad y/o recibe servicios de educación especial. Su niño debe tener de 3 -22 años de edad en el primer día de participación del campamento. Inscripción del Campamento de Día es conducido por medio de una lotería. Todas las personas que tienen la edad y requerimientos de inscripción entrarán en la lotería. Si usted no esta seleccionado en la lotería para participar en campamento de día, usted será puesto en una lista de espera de acuerdo a la orden en que quedó en el sorteo. WSSRA ofrece diferentes campamentos de día de acuerdo a la edad y los grupos de habilidad. El campamento provee actividades de recreación apropiada a la edad y al mismo tiempo logra estas metas: • Involucrar a su niño en oportunidades divertidas recreacionales. • Mejorar las habilidades motrices de su niño y aptitud en general. • Fomentar el ambiente en donde su niño pueda lograr y edificar su propia-estima. • Ayudar a mantener o ayudar a que su niño mantenga el incremente de su lenguaje y habilidades de expresión-propia.

Asociación West Suburban de Recreación Especial

COSTO DE CAMPAMENTO DE DÍA

ACTIVIDADES DEL CAMPAMENTO

Opción de Día-Completo ............................................ $468.00 Opción de Medio-Día/Preescolar ............................... $234.00

RESIDENTES WSSRA

Transportación de Ida ................................................. $211.50 Transportación de Ida y Vuelta .................................... $423.00

Las actividades del Campamento pueden incluir: • Natación • Deportes • Drama • Música Sirviendo a los residentes de los Municipios de Harwood Heights y Elmwood Park y Distritos de Parques de Berwyn, Clyde, Forest Park, Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park y River Forest.

FECHAS DE CAMPAMENTO

Junio 18 – Julio 27, 2012 Lunes a Viernes. NO hay CAMPAMENTO el Lunes, 4 de Julio

CAMPAMENTO DE DÍA-COMPLETO (EDADES 7-22)

9:00AM – 3:00pm, Lunes a Viernes Día Completo es una opción si su niño no asiste a la escuela de verano.

CAMPAMENTO DE MEDIO-DÍA (EDADES 7-22)

12:15pm – 3:00pm, Lunes a Viernes • Usted debe indicar en su forma de inscripción si usted esta inscribiendo para la opción de medio-día. • Hay un número limitado de lugares para campamento de medio día, y se llenarán de acuerdo de la lotería del Febrero. • No se puede hacer ajustes de inscripción para los participantes que asistan escuela de verano.

CAMPAMENTO PREESCOLAR (EDADES 3-6)

Escoja uno: Sesión de la Manana: No se ofrece natación...... 9:00–11:45am Sesión de la Tarde: No se ofrece natación. ....... 12:15–3:00pm

LOCALIDADES DE LOS CAMPAMENTOS

Los campamentos pueden estar localizado en Berwyn, Cícero, Forest Park o Oak Park. Los participantes seran asignado una localizacion basada en edad y descapacidad. Se le notificarán por correo acerca de la localidad del campamento de su niño.

TRANSPORTACIÓN

Transportación de puerta-a-puerta para el campamento es disponible. Usted debe inscribirse para la transportación cuando complete su forma de inscripción. Lugares limitados de transportación están disponibles. El costo de transportación sera cargada junto con el inscripción de campamento de día. La transportación para el campamento no es proveída para participantes sin discapacidades físicas viviendo dentro de 5 cuadras del sitio del campamento asignado. Los autobuses no tienen aire-condicionado.

COSTO DE TRANSPORTACIÓN BECAS

Si no puede pagar el costo de campamento de día, usted puede solicitar ayuda por beca de la oficina WSSRA o descargar la forma de beca de la pagina de internet de WSSRA, www. wssra.net. Es necesario completar y regresar la forma de beca antes de el 3 de febrero de 2012 con su forma de inscripción para el campamento de día. Usted será notificado por correo si usted recibirá una beca y el cantidad de ayuda que recibira. Es necesario asistir 20 días al campamento en 2012 para ser elegible para recibir una beca en el año 2013. Cualquier problema médica debe ser documentado por un médico.

PROCEDIMIENTOS DE INSCRIPCIÓN

1. Pase en persona, envíe, o mande por fax (847.455.2157) su inscripción de Campamento de Día de WSSRA. 2. Usted debe regresar la Registración de Campamento de Día totalmente completa, firmada, y fechada antes de el 3 de Febrero de 2012 a la 5:00pm para ser elegible para la lotería. Adicionalmente, la forma de Aplicación de Becas necesita estar en la oficina junto con la forma de inscripcion de Campamento 3. La lotería sera procesado durante el tiempo de el 6 al 17 de Febrero de 2012. 4. Una carta de aceptación al Campamento de Día de WSSRA, información referente a becas recibidas, y un calendario de pagos sera enviado por correo, comenzando el 24 de Febrero de 2012.

HORARIO DE PAGOS DEL CAMPAMENTO DE DÍA:

1. La primera parte de su balance total es debido antes que el 23 de Marzo de 2012. 2. La segunda parte de su balance total es debido antes que el 20 de Abril de 2012. 3. El pago final se debe antes que el 25 de Mayo de 2012. Cualquier persona que no termine de hacer sus pagos para el 25 de Mayo puede perder su lugar en el campamento 4. Cancelaciones antes de el 25 de Mayo de 2012 recibirán un reembolso menos $10.00 por costo de proceso. NO HAY REEMBOLSO después del 25 de Mayo de 2012.

Para Preguntas, llame a WSSRA al 847.455.2100


LOTTERY DEADLINE: February 3, 2012 2012 DAY CAMP REGISTRATION FAX TO: 847.455.2157 MAIL TO: WSSRA, 2915 Maple Street, Franklin Park, IL 60131 DISABILITY

□ Learning Disability □ Behavior Disability □ Hearing Impairment □ Developmental Disability □ Visual Impairment □ Physical Impairment □ Autism □ Other___________________

SCHOLARSHIP REQUEST

□ Request Scholarship □ Participates in free lunch program at school

CAMPER’S T-SHIRT SIZE

Child Size: □ 6-8 □ 10-12 □ 14-16 Adult Size: □ S □ M □ L □ XL □ XX □ XXX

CAMP OPTIONS

□ 1/2 Day Option 7 & Up □ Full Day Option 7 & Up □ AM Preschool age 3 to 6 □ PM Preschool age 3 to 6

TRANSPORTATION OPTIONS check ONE □ Transport Self □ WSSRA Round Trip □ WSSRA Home Only □ WSSRA To Camp Only

participant’s name: _________________________________________ □male □female participant’s birthdate: ________ / ____/ ________ parent/guardian 1: __________________________________________ parent/guardian 2: __________________________________________ address: __________________________________________________ city: _______________________________ zipcode: ______________ home phone: ________________________________ park district/village:_______________________________________________________ e-mail address: work phone 1 (whose): ______________________________________ work phone 2 (whose): ______________________________________ cell phone 1 (whose):________________________________________ cell phone 2 (whose): _______________________________________ emergency contact person (other than parent): __________________________________ emergency phone: ___________________________ current school:______________________________________ current teacher: ___________________________________________________ doctor’s name: ____________________________________________________ doctor’s phone: _____________________________________ does participant use wheelchair/walker/other? □yes □no specify: ________________________________________________________ can participant transfer from wheelchair? □yes □no is participant subject to seizures? □yes □no Please attach seizure treatment plan. does participant have a communicable disease? □yes □no if yes, please explain: _________________________________________________________________________________________________ photo permission: □yes □no will medication be taken at camp? □yes □no Please attach instructions for medical procedures. list any medication: ___________________________________________________________________________________________________ list any allergies: _____________________________________________________________________________________________________ West Suburban Special Recreation Association WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT (READ CAREFULLY)

Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in programs. In registering for these programs, you are agreeing as follows: As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury. I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants, and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs. I do hereby fully release and discharge the West Suburban Special Recreation Association and the other related parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participating in these programs. I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with or in any way associated with my conduct and the activities of these programs. I further understand and agree that the terms such as “participation, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision of, or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events. I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement. In case of emergency, I give my permission for the participant to receive any first-aid, transportation or medical attention that may be required. You must return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple Street, Franklin Park, IL 60131 or send by fax to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.

PARENT/PARTICIPANT/GUARDIAN SIGNATURE ________________________________________________________________ For office use only: SC_____ BF____

LG____

SA requested: Y N

SA returned: Y

N

Date Received:____________________

Date___________________

Previous Year Camp Location:____________________


PLAZO DE LOTERÍA: 3 de Febrero de 2012 a las 5:00pm INSCRIPCIÓN DE CAMPAMENTO DE DÍA 2012 DE WSSRA FAX A: 847.455.2157 ENVÍE A: WSSRA, 2915 Maple Street, Franklin Park, IL 60131 DISCAPACIDAD

□ Discapacidad de Aprendizaje □ Discapacidad de Comportamiento □ Impedimento de Audición □ Autismo □ Discapacidad de Desarrollob □ Impedimento de Visión □ Impedimento Físico □ Otro___________________

SOLICITUD DE BECA

OPCIONES DE CAMPAMENTO

□ Pida una Beca □ Participantes de almuerzo gratis programa escolar

□ Opcion de 1/2 Dia 7 y mayor □ Opcion de Dia completo 7 y mayor □ AM Preescolar edad 3 a 6 □ PM Preescolar edad 3 a 6

MEDIDA DE CAMISETA DEL CAMPISTA

OPCIONES DE TRANPORTACIONES marque UNO □ Transportacion Propia □ WSSRA Viaje Redondo □ WSSRA A La Casa Solamente □ WSSRA Al Campamento

Medida Niños: □ 6-8 □ 10-12 □ 14-16 Medida Adultos: □ S □ M □ L □ XL □ XX □ XXX

nombre del participante: _____________________________________ □masc. □fem. fecha de nacimiento del participante: ___/ ___ / _____ padre/guarda legal 1: _______________________________________ padre/guarda legal 2: ________________________________________ dirección: _________________________________________________ ciudad: _____________________________ código postal: __________ tel de casa: _________________________________ distrito de parque/municipalidad _____________________________________________ correo electrónico: tel del trabajo 1 (de quien?): __________________________________ tel del trabajo 2 (de quien?): __________________________________ tel cel 1 (de quien?): ________________________________________ tel cel 2 (de quien?): ________________________________________ persona contacto de emergencia(otra persona que no sea el padre): _______________________ teléfono de emergencia: __________________ escuela: ___________________________________________ maestro(a): _______________________________________________________ nombre de doctor: _________________________________________________ teléfono de doctor: ___________________________________ ¿el participante usa silla de ruedas/andador/otros? □si □no especifico: ____________________________________________________ ¿puede el participante transferirse de la silla de ruedas? □si □no ¿es el participante sujeto asimientos/attaques? □si □no Por favor adjunte su plan de tratamiento para attaques. ¿tiene el participante alguna enfermedad contagiosa? □si □no si la tiene, por favor explique: ___________________________________________________________________________________________ permiso para fotos: □si □no el participante toma medicacion durante el campamento?: □yes □no Por favor adjunte instrucciones para procedimientos médicos. ¿qué medicamento se estará tomando en el campamento? ____________________________________________________________________ lista de cualquier alergia: ______________________________________________________________________________________________ Asociación West Suburban de Recreación Especial LIBERACION DE RENUNCIA DE TODO RECLAMO Y CONTIENE ACUERDO INOCUO (LEA CUIDADOSAMENTE) Lea con cuidado por favor esta forma y esté enterado que al inscribirse y tomar parte en programas de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciando de todo reclamo surgiendo de alguna lesión fuera de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en los programas. Al registrarse para estos programas, usted concuerda de la siguiente manera: Cuando un participante en estos programas, yo reconozco y admito que hay ciertos riesgos de lesiones física, y yo concuerdo en asumir el riesgo total de cualquier lesión, daños o la pérdida que puedo sostener a consecuencia de tomar parte de cualquier manera, en cualquier y toda actividad conectada con o asociado con tales actividades que implica riesgos substanciales de lesiones. Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener consecuencia por tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial, de cualquier y toda unidad gubernamental participante, cualquier y todo contratista independiente, oficiales, agentes, sirvientes, y empleados de los cuerpos gubernamentales y contratistas independientes, y cualquier y toda persona y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquiera lesión, que yo quizás sostenga al tomar parte en estos programas. Yo por la presente libero completamente y descargo la Asociación West Suburban de Recreación Especial, y otros partidarios relacionados de cualquier y todo reclamo por lesiones, daños o pérdidas, que pueda tener o que pueda acumulárseme por motivo de que yo tomé parte en estos programas. Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West Suburban de Recreación Especial y cualquier y todos los otros partidarios de cualquier y todo reclamo que resulte de un lesión, daño y pérdida sostenidos por cualquiera, y surgiendo fuera de, conectado con o en cualquier manera asociada con mi conducta y las actividades de estos programas. Comprendo aún más y concuerdo que los términos como “participación, y” actividades”, se refirieren a este acuerdo, incluye todos los ejercicios y movimientos físicos de cualquier naturaleza mientras tome parte en estos programas e incluye aún más la provisión de, o el fracaso para proporcionar instrucciones o supervisión apropiadas, el uso y el ajuste de cualquier y toda maquinaria, equipo, y aparato, y algo relacionado a mi uso de los servicios, las facilidades, o local, implicado en estos programas, y en el transporte a y de acontecimientos. Comprendo la naturaleza de estos programas para los cuales me registro, y he leído y he comprendido completamente esta Renuncia, Liberación y Tengo Acuerdo Inocuo. Comprendo aún más que cualquier deliberación o las advertencias de riesgos particulares de estos programas que recibo subsiguientemente serán integradas por referencia en y llegan a ser una parte de este Acuerdo. En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueden ser requeridos. Yo debo regresar esta liberación y renuncia de todo reclamo por correo o fax. Yo puedo enviar esta liberación al 2915 Maple Street, Franklin Park, IL 60131 o enviar por transmisión facsímil al 847.455.2157. Cuando enviando por fax, es de mutuo entendimiento que el documento facsímil substituirá por y tendrá el mismo efecto legal que la forma original.

FIRMA DEL PADRE/PARTICIPANTE/TUTOR ________________________________________________________________

Fecha___________________

For office use only: For office use only: SC_____ BF____

LG____

SA requested: Y N

SA returned: Y

N

Date Received:____________________

Previous Year Camp Location:____________________


Valid Application for Participation is mandatory for all competitors 605 E. Willow St.  Normal, IL 61761-2682  309-888-2551

Zip Code

-

Y

Y

SO ILL Rev. 8-1-10 D

Sex (M or F)

Birthdate M M D

APPLICATION FOR PARTICIPATION IN SPECIAL OLYMPICS ILLINOIS ATHLETE INFORMATION

Athlete Name (last name, space, first name)

Agency Name

State

-

Parent’s/Guardian’s (Please Circle One) Home Address

Zip Code

Parent’s/Guardian’s Home Telephone

-

Athlete’s Mailing Address

Asian

Parent’s/Guardian’s City

Black/African American Other

Emergency Contact Phone (

)

Athlete’s City

State

Ethnicity

White Hispanic/Latino

Person to be contacted in case of emergency

Policy Number

HEALTH INSURANCE & EMERGENCY INFORMATION (Required for Processing) Medical Insurance Company

PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE

Date

Parent’s Email Address

Signature of Parent and/or Legal Guardian (Check appropriate box) Print Name

Date

I, on my own behalf or as the undersigned parent and/or legal guardian of the above named applicant (hereafter referred to as the “Entrant”), hereby request permission for the Entrant to participate in Special Olympics programs. I acknowledge that Special Olympics will screen all entrants using the Sex Offender Public Registry and the Child Murder and Violent Offender Against Youth Registry and understand that entrants listed on either Registry will be denied participation. I affirm that this Entrant has never been on said Registries or, if Entrant was listed on either Registry but has since been removed, I will contact Special Olympics Illinois for instructions before submitting this application. I represent and warrant to you that the Entrant is physically and mentally able to participate in Special Olympics, and I submit herewith a subscribed medical certificate. I understand that if the athlete has Down Syndrome, he/she cannot participate in sports or events which, by their nature result in hyper-extension, radical flexion or direct pressure on the neck or upper spine unless a full radiological examination establishes the absence of Atlantoaxial Instability. I am aware that the sports and events for which this radiological examination is required are equestrian sports, artistic gymnastics, diving, pentathlon, high jump, alpine skiing, soccer, soccer skills, powerlifting squat and butterfly stroke and diving starts in swimming. On behalf of the Entrant and myself, I acknowledge that the Entrant will be using facilities at his/her own risk and I, on my own behalf, herby release, discharge and indemnify Special Olympics from all liability for injury to person or damage to property of myself and Entrant. In permitting the Entrant to participate, I am specifically granting permission to Special Olympics Illinois to use the likeness, voice and words of the Entrant in television, radio, films, newspapers, magazines and other media, and in any form not heretofore described, for the purpose of advertising or communicating the purposes and activities of Special Olympics and in appealing for funds to support such activities. I understand that by signing below I consent for the Entrant to participate in the Special Olympics Healthy Athletes Program that provides individual screening assessments of health status and health care needs. The Entrant has no obligation to participate and I understand the Entrant should seek his/her own medical advice and assistance and Special Olympics is not responsible for the Entrant’s health. If I am not personally present at Special Olympics activities in which the Entrant is to compete, so as to be consulted in case of necessity, you are authorized on my behalf and at my account to take such measures and arrange for such medical and hospital treatment as you may deem advisable for the health and well-being of the Entrant. I, THE UNDERSIGNED ADULT ENTRANT, have read and fully understand the I, THE UNDERSIGNED PARENT AND/OR GUARDIAN of the above specified provisions of the above release and/or have had them explained. I hereby agree that I Entrant, have read and fully understand the provisions of the above release and have will be bound thereby and I shall defend Special Olympics Illinois and hold it harmless explained them to said Entrant. I hereby agree that I and said minor will be bound from disaffirmation thereof. thereby, and I shall defend Special Olympics Illinois and hold it harmless from any disaffirmation thereof by said minor. Entrant Witness

Athlete’s Email Address

SO ILL OFFICE ONLY

MEDICAL CLEARANCE

PLEASE CHECK MEDICAL INFORMATION

Does athlete have Down Syndrome? Yes No If yes, have x-rays of the C1-C2 vertebrae been taken and examined? Yes No Date of x-ray Is the athlete clear of Atlantoaxial Instability? Yes No

No No No No No No

Dosage

Does the athlete have or is the athlete: Heart Problems Yes Diabetic Yes Epileptic/Seizures Yes Blind Yes Deaf Yes Hepatitis Yes Other

Current Medication

Allergies to medication, if any:

Date of last Tetanus shot:

State

Zip

I have examined the above-named Entrant and, in my opinion, there is no mental or physical reason why he or she should not participate in the Special Olympics sports training and competition program. Further information will be forwarded if required. Current medication, if any, is specified with dosage on this application.

Examination Date

)

Doctor’s Signature

Print Name

Address

City

Phone (

Original parent/guardian and doctor signatures are required by the office of Special Olympics Illinois. Faxed signatures will not be accepted.


Hot Shots WINTER:

pick up & drop off @Carroll Center

BE MY VALENTINE DANCE

ALL SOCIAL CLUB EVENT! Come out and dance with your friends and show them your sweet moves. Date: 2/4/12 Time: 6:00-9:00pm Registration Number: 173-01 Destination: Howard Mohr Community Center, Forest Park Fee: $10.00

WINTER WONDERLAND HAYRIDE

Yee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms/hay/animals. Dress for the weather. Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 173-02 Destination: Danada Farms, Wheaton Fee: $16.00

SNOWBALL FIGHT!!!

Let’s play in the snow! We’re building snowmen, snow forts and warming up with hot cocoa. Dress for the weather. Date: 2/18/12 Time: 6:00-9:00pm Registration Number: 173-03 Destination: Carroll Center, Oak Park Fee: $12.00

UIC FLAMES GAME

Go Cheer on the Flames as they play Loyola. Today all of the Social Club groups and Outdoor Adventures will be combined for the event. Bring money for snacks. Be on time to Park District of Forest Park Building #4! Bus is leaving promptly. SPECIAL TIME/LOCATION. Date: 2/25/12 Time: 2:30-7:00pm Registration Number: 173-04 Destination: UIC Pavilion, Chicago Fee: $15.00

WHOLE FOODS CHICAGO

We’re heading to the city to check out the biggest Whole Foods and all it has to offer. Bring money for purchases. WSSRA will provide a small snack from Whole Foods. Date: 3/3/12 Time: 6:00-9:00pm Registration Number: 173-05 Destination: Whole Foods, Chicago Fee: $15.00

“THROW SOME GLITTER, MAKE IT RAIN!”

Just dance! Tonight we’ll be tearin’ up the dance floor. Date: 3/10/12 Time: 6:00–9:00pm Registration Number: 173-06 Destination: Carroll Center, Oak Park Fee: $12.00

ST. PATTY’S DAY

BINGO, Bags & Brats- ALL SOCIAL CLUB EVENT! Today we are going to celebrate the luck o’ the Irish with games of BINGO and bags and feast on bratwurst and sides. All participants should meet at the Park District of Forest Park. Don’t forget to dress in green! Date: 3/17/12 Time: 6:00-9:00pm Registration Number: 173-07 Destination: Park District of Forest Park, main building Fee: $12.00

GO WOLVES!

Let’s go watch some hockey! Chicago Wolves vs. Hamilton Bulldogs. Date: 3/24/12 Time: 6:00-9:00pm Registration Number: 173-08 Destination: AllState Arena, Rosemont Fee: $16.00

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WSSRA.NET


SPRING:

pick up & drop off @Carroll Center

KICKBALL & BOCCIA

It’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather. Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 273-01 Destination: Carroll Center, Oak Park Fee: $12.00

DUCT TAPE OLYMPICS

Duct tape isn’t just silver anymore… tonight we’ll be playing games and constructing awesome creations with duct tape. Date: 4/21/12 Time: 6:00-9:00pm Registration Number: 273-02 Destination: Carroll Center, Oak Park Fee: $15.00

NAVY PIER EXPERIENCE

Put on your walking shoes because we’re walkin’ the Pier…Navy Pier that is! Find your courage to ride the Ferris Wheel, Carousel or swings! Dress for the weather. Bring money for snacks and other purchases. Date: 4/28/12 Time: 6:00-9:00pm Registration Number: 273-03 Destination: Navy Pier, Chicago Fee: $18.00

UNO, DOS, TRES, QUATRO… CINCO DE MAYO!

It’s a fiesta! Come join your amigos for some Cinco de Mayo fun and festivities. Pinatas, Sombrero dances, Mexican paper cutting, cookie making and more! Dress for the occasion. ALL PARTICIPANTS SHOULD MEET AT THE PARK DISTRICT OF FOREST PARK. Date: 5/5/12 Time: 6:00-9:00pm Registration Number: 273-04 Destination: Park District of Forest Park, main building Fee: $12.00

XTREME TRAMPOLINES

Get XTreme! Put on your socks because we are jumpin’ on over to XTreme Trampolines. Wear socks. Any participant with Atlantoaxial Instability may join City Slickers at Laser Quest. All participants must sign a waiver and bring ID. Date: 5/12/12 Time: 6:00-9:00pm Registration Number: 273-05 Destination: XTreme Trampoline, Carol Stream Fee: $15.00

COSMIC BOWLING

ALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE. Date: 5/19/12 Time: 6:00–9:00pm Registration Number: 273-06 Destination: Mont Clare Lanes, Chicago Fee: $15.00

Pick Up Point: WSSRA Office, 2915 Maple Street, Franklin Park or McDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI Age: 15 years and older


Socialites WINTER:

pick up & drop off @Barrie Center

BE MY VALENTINE DANCE

ALL SOCIAL CLUB EVENT! Come out and dance with your friends and show them your sweet moves. Date: 2/4/12 Time: 6:00-9:00pm Registration Number: 176-01 Destination: Howard Mohr Community Center, Forest Park Fee: $10.00

SLIP & SIP

Let’s go sledding and warm up with some hot cocoa! Bring your sled if you have one. Dress for the weather. Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 176-02 Destination: Barrie Center, oak Park Fee: $12.00

WINTER WONDERLAND HAYRIDE

Yee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms, hay, and animals. Dress for the weather. Date: 2/18/11 Time: 6:00-9:00pm Fee: $16.00 Destination: Danada Farms, Wheaton Registration Number: 176-03

UIC FLAMES GAME

Go Cheer on the Flames as they play Loyola. Today all of the Social Club groups and Outdoor Adventures will be combined for the event. Bring money for snacks. Be on time to Park District of Forest Park Building #4! Bus is leaving promptly. SPECIAL TIME/LOCATION. Date: 2/25/12 Time: 2:30-7:00pm Registration Number: 176-04 Destination: UIC Pavilion, Chicago Fee: $15.00

SATURDAY NIGHT FEVER

It’s Saturday night and we’re dancing! Put on your dancin’ shoes and show us your best moves. Date: 3/3/12 Time: 6:00-9:00pm Fee: $12.00 Destination: Barrie Center, Oak Park Registration Number: 176-05

WHOLE FOODS CHICAGO

We’re heading to the city to check out the biggest Whole Foods and all it has to offer. Bring money for purchases. WSSRA will provide a small snack from Whole Foods. Date: 3/10/12 Time: 6:00-9:00pm Registration Number: 176-06 Destination: Whole Foods, Chicago Fee: $15.00

ST. PATTY’S DAY

BINGO, Bags & Brats- ALL SOCIAL CLUB EVENT! Today we are going to celebrate the luck o’ the Irish with games of BINGO and bags and feast on bratwurst and sides. All participants should meet at the Park District of Forest Park. Don’t forget to dress in green! Date: 3/17/12 Time: 6:00-9:00pm Destination: Park District of Forest Park, main building Fee: $12.00 Registration Number: 176-07

THINK OF THE PASTABILITIES

It’s all for the love of pasta tonight- put on your chef hat because we are making our own Italian feast! Date: 3/24/11 Time: 6:00–9:00pm Registration Number: 176-08 Destination: Barrie Center, Oak Park Fee: $12.00

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SPRING:

pick up & drop off @Barrie Center

GO WOLVES!

Let’s watch some hockey! Chicago Wolves vs. Milwaukee. Bring Money for snack. Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 276-01 Destination: Allstate Arena Fee: $16.00

TAG - YOU’RE IT!!

We’re heading to laser quest to play a couple games of laser tag. Bring your best shot! Wear dark colors Date: 4/21/12 Time: 6:00-9:00pm Registration Number: 276-02 Destination: Laser Quest, Norridge Fee: $18.00

GREEN THUMBS

Calling all green thumbs! We’re going to be making the earth smile today with our planting and potting skills Date: 4/28/12 Time: 6:00-9:00pm Registration Number: 276-03 Destination: Barrie Center Fee: $12.00

UNO, DOS, TRES, QUATRO… CINCO DE MAYO!

It’s a fiesta! Come join your amigos for some Cinco de Mayo fun and festivities. Pinatas, Sombrero dances, Mexican paper cutting, cookie making and more! Dress for the occasion. ALL PARTICIPANTS SHOULD MEET AT THE PARK DISTRICT OF FOREST PARK. Date: 5/5/12 Time: 6:00-9:00pm Registration Number: 276-04 Destination: Park District of Forest Park, main building Fee: $12.00

KICKBALL & BOCCIA

It’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather. Date: 5/12/12 Time: 6:00-9:00pm Registration Number: 276-05 Destination: Barrie Center, Oak Park Fee: $12.00

COSMIC BOWLING

ALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE. Date: 5/19/12 Time: 6:00-9:00pm Registration Number: 276-06 Destination: Mont Clare Lanes, Chicago Fee: $12.00

Pick Up Point: WSSRA Office, 2915 Maple Street, Franklin Park or McDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI Age: 15 years and older


City Slickers WINTER:

pick up & drop off @Barrie Center

BE MY VALENTINE DANCE

ALL SOCIAL CLUB EVENT! Come out and dance with your friends and show them your sweet moves. Date: 2/4/12 Time: 6:00-9:00pm Registration Number: 174-01 Destination: Howard Mohr Community Center, Forest Park Fee: $10.00

WINTER WONDERLAND HAYRIDE

Yee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms, hay, and animals. Dress for the weather. Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 174-02 Destination: Danada Farms, Wheaton Fee: $16.00

SNOWBALL FIGHT!!!

Let’s play in the snow! We’re building snowmen, snow forts and warming up with hot cocoa. Dress for the weather. Date: 2/18/12 Time: 6:00-9:00pm Registration Number: 174-03 Destination: Barrie Center, Oak Park Fee: $12.00

UIC FLAMES GAME

Go Cheer on the Flames as they play Loyola. Today all of the Social Club groups and Outdoor Adventures will be combined for the event. Bring money for snacks. Be on time to Park District of Forest Park Building #4! Bus is leaving promptly. SPECIAL TIME/LOCATION. Date: 2/25/12 Time: 2:30-7:00pm Registration Number: 174-04 Destination: UIC Pavilion, Chicago Fee: $15.00

WHOLE FOODS CHICAGO

We’re heading to the city to check out the biggest Whole Foods and all it has to offer. Bring money for purchases. WSSRA will provide a small snack from Whole Foods. Date: 3/3/12 Time: 6:00-9:00pm Registration Number: 174-05 Destination: Whole Foods, Chicago Fee: $15.00

“THROW SOME GLITTER, MAKE IT RAIN!”

Just dance! Tonight we’ll be tearin’ up the dance floor. Date: 3/10/12 Time: 6:00–9:00pm Registration Number: 174-06 Destination: Barrie Center, Oak Park Fee: $12.00

ST. PATTY’S DAY

BINGO, Bags & Brats- ALL SOCIAL CLUB EVENT! Today we are going to celebrate the luck o’ the Irish with games of BINGO and bags and feast on bratwurst and sides. All participants should meet at the Park District of Forest Park. Don’t forget to dress in green! Date: 3/17/12 Time: 6:00-9:00pm Destination: Park District of Forest Park, main building Fee: $12.00 Registration Number: 174-07

GO WOLVES!

Let’s go watch some hockey! Chicago Wolves vs. Hamilton Bulldogs. Date: 3/24/12 Time: 6:00-9:00pm Registration Number: 174-08 Destination: AllState Arena, Rosemont Fee: $16.00

24

WSSRA.NET


SPRING:

pick up & drop off @Barrie Center

KICKBALL & BOCCIA

It’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather. Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 274-01 Destination: Barrie Center, Oak Park Fee: $12.00

DUCT TAPE OLYMPICS

Duct tape isn’t just silver anymore… tonight we’ll be playing games and constructing awesome creations with duct tape. Date: 4/21/12 Time: 6:00-9:00pm Registration Number: 274-02 Destination: Barrie Center, Oak Park Fee: $15.00

NAVY PIER EXPERIENCE

Put on your walking shoes because we’re walkin’ the Pier…Navy Pier that is! Find your courage to ride the Ferris Wheel, Carousel or swings! Dress for the weather. Bring money for snacks and other purchases. Date: 4/28/12 Time: 6:00-9:00pm Registration Number: 274-03 Destination: Navy Pier, Chicago Fee: $18.00

UNO, DOS, TRES, QUATRO… CINCO DE MAYO!

It’s a fiesta! Come join your amigos for some Cinco de Mayo fun and festivities. Pinatas, Sombrero dances, Mexican paper cutting, cookie making and more! Dress for the occasion. ALL PARTICIPANTS SHOULD MEET AT THE PARK DISTRICT OF FOREST PARK. Date: 5/5/12 Time: 6:00-9:00pm Registration Number: 274-04 Destination: Park District of Forest Park, main building Fee: $12.00

TAG - YOU’RE IT!!

We’re heading to laser quest to play a couple games of laser tag. Bring your best shot! Wear dark colors Date: 4/21/12 Time: 6:00-9:00pm Registration Number: 274-05 Destination: Laser Quest, Norridge Fee: $18.00

COSMIC BOWLING

ALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE. Date: 5/19/12 Time: 6:00–9:00pm Registration Number: 274-06 Destination: Mont Clare Lanes, Chicago Fee: $15.00

Pick Up Point: WSSRA Office, 2915 Maple Street, Franklin Park or McDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI Age: 15 years and older


Moonlighters WINTER:

pick up & drop off @Barrie Center

BE MY VALENTINE DANCE

ALL SOCIAL CLUB EVENT! Come out and dance with your friends and show them your sweet moves. Date: 2/4/12 Time: 6:00-9:00pm Registration Number: 175-01 Destination: Howard Mohr Community Center, Forest Park Fee: $10.00

SLIP & SIP

Let’s go sledding and warm up with some hot cocoa! Bring your sled if you have one. Dress for the weather. Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 175-02 Destination: Barrie Center, oak Park Fee: $12.00

WINTER WONDERLAND HAYRIDE

Yee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms, hay, and animals. Dress for the weather. Date: 2/18/11 Time: 6:00-9:00pm Fee: $16.00 Destination: Danada Farms, Wheaton Registration Number: 175-03

UIC FLAMES GAME

Go Cheer on the Flames as they play Loyola. Today all of the Social Club groups and Outdoor Adventures will be combined for the event. Bring money for snacks. Be on time to Park District of Forest Park Building #4! Bus is leaving promptly. SPECIAL TIME/LOCATION. Date: 2/25/12 Time: 2:30-7:00pm Registration Number: 175-04 Destination: UIC Pavilion, Chicago Fee: $15.00

SATURDAY NIGHT FEVER

It’s Saturday night and we’re dancing! Put on your dancin’ shoes and show us your best moves. Date: 3/3/12 Time: 6:00-9:00pm Fee: $12.00 Destination: Barrie Center, Oak Park Registration Number: 175-05

WHOLE FOODS CHICAGO

We’re heading to the city to check out the biggest Whole Foods and all it has to offer. Bring money for purchases. WSSRA will provide a small snack from Whole Foods. Date: 3/10/12 Time: 6:00-9:00pm Registration Number: 175-06 Destination: Whole Foods, Chicago Fee: $15.00

ST. PATTY’S DAY

BINGO, Bags & Brats- ALL SOCIAL CLUB EVENT! Today we are going to celebrate the luck o’ the Irish with games of BINGO and bags and feast on bratwurst and sides. All participants should meet at the Park District of Forest Park. Don’t forget to dress in green! Date: 3/17/12 Time: 6:00-9:00pm Registration Number: 175-07 Destination: Park District of Forest Park, main building Fee: $12.00

THINK OF THE PASTABILITIES

It’s all for the love of pasta tonight- put on your chef hat because we are making our own Italian feast! Date: 3/24/11 Time: 6:00–9:00pm Registration Number: 175-08 Destination: Barrie Center, Oak Park Fee: $12.00

26

WSSRA.NET


SPRING:

pick up & drop off @Barrie Center

GO WOLVES!

Let’s watch some hockey! Chicago Wolves vs. Milwaukee. Bring Money for snack. Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 275-01 Destination: Allstate Arena Fee: $16.00

TAG - YOU’RE IT!!

We’re heading to laser quest to play a couple games of laser tag. Bring your best shot! Wear dark colors Date: 4/21/12 Time: 6:00-9:00pm Registration Number: 275-02 Destination: Laser Quest, Norridge Fee: $18.00

GREEN THUMBS

Calling all green thumbs! We’re going to be making the earth smile today with our planting and potting skills Date: 4/28/12 Time: 6:00-9:00pm Registration Number: 275-03 Destination: Barrie Center Fee: $12.00

UNO, DOS, TRES, QUATRO… CINCO DE MAYO!

It’s a fiesta! Come join your amigos for some Cinco de Mayo fun and festivities. Pinatas, Sombrero dances, Mexican paper cutting, cookie making and more! Dress for the occasion. ALL PARTICIPANTS SHOULD MEET AT THE PARK DISTRICT OF FOREST PARK. Date: 5/5/12 Time: 6:00-9:00pm Registration Number: 275-04 Destination: Park District of Forest Park, main building Fee: $12.00

KICKBALL & BOCCIA

It’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather. Date: 5/12/12 Time: 6:00-9:00pm Registration Number: 275-05 Destination: Barrie Center, Oak Park Fee: $12.00

COSMIC BOWLING

ALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE. Date: 5/19/12 Time: 6:00-9:00pm Registration Number: 275-06 Destination: Mont Clare Lanes, Chicago Fee: $15.00

Pick Up Point: WSSRA Office, 2915 Maple Street, Franklin Park or McDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI Age: 15 years and older


Sports & Fitness SPECIAL OLYMPICS

Illinois Special Olympics provides year round sports training in a variety of Olympic-type sports for individuals who are 8 years and older and who have mental impairments or closely related developmental disabilities. The program gives athletes opportunities to develop physical fitness, demonstrate courage, experience joy and participate in the sharing of skills and friendship with their families and other athletes. WSSRA supports the mission of Special Olympics through the participation in the following sports: Aquatics, Basketball, Boccia, Bowling, Golf, Softball, Track & Field, and Volleyball.

Critieria for participation

All Special Olympic athletes must have a current, completed Application for Participation in Illinois Special Olympics on file with the Special Olympic coordinator at WSSRA. This form contains 4 sections: 1. Ahtlete information 2. Parent and/or Guardian Authorization & Medical Authorization 3. Health Insurance and Emergency Information 4. Medical Clearance (this MUST be completed by a physician) Applications for Participation in Illinois Special Olympics are valid for 2 years based on the earliest signed date on the medical application form. See page 19 for the Application. Anyone interested in participating, starting a new sport, or volunteering please contact the WSSRA Special Olympic Coordinator.

GOOD SPORTSMANSHIP

WSSRA encourages parents and families to attend games and tournaments and cheer our athletes on! We expect coaches, players and parents to demonstrate good sportsmanship during these events. This includes the respect and support of coaching staff and officials who are working on behalf of your player. Any person not demonstrating good sportsmanship including behavior outbursts towards a player, coaching staff, or official, that is deemed threatening, will not be tolerated. You may be asked to leave and your future participation and attendance at events will be in jeopardy. By registering your son/daughter/ dependent for these programs you are agreeing to follow these guidelines as written. Please refer any concerns or questions to the Superintendent of Recreation. We look forward to a safe and successful season!

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HEALTHY START

ALL ABILITIES Start your week with a healthy dose of exercise! We’ll emphasize: • Stretching & flexibility; • Moderate aerobics; • Use of exercise equipment Exercise routines will be monitored by staff to meet your individual needs. Age: 21 and older Day: Monday Time: 10:00-11:30am Location: Franklin Park Community Center WINTER INFORMATION: Dates: February 13 – April 2 (No program February 20) Fee: $37.80 Trans: $42.35 Registration #: 145

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SPRING INFORMATION: Dates: April 9 – May 14 Fee: $32.40 Trans: $36.30 Registration #: 245

TEEN & ADULT AQUA ATHLETICS

MLH, MI, AUT, DD Enjoy one of the greatest modes of exercise. While having fun in the pool with your friends, you may also improve your: • Strength • Flexibility • Mobility • Range of motion Age: 15 and older Day: Monday Time: 8:15-9:00pm Location: Oak Park River Forest High School Girls Pool WINTER INFORMATION: Dates: February 13 – April 2 (No program February 20; March 5; March 26) Fee: $29.10 Trans: $30.25 Registration #: 148

SPRING INFORMATION: Dates: April 9 – May 14 Fee: $31.90 Trans: $36.30 Registration #: 248

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BOBCAT BASKETBALL

MI, AUT, DD Hey Bobcats! Make sure you have your calendars marked with 2 upcoming basketball tournaments. More information to come. January 29, 2012: ISO District Basketball Tournament February 19, 2012: ITRS Team Tournament **WSSRA is hosting this year’s ITRS tourney!!!

SEE PAGE 11 REGARDING TOURNAMENT VOLUNTEERS!


Sports & Fitness WEEKLY WORKOUT

MI, AUT, DD, MLH Finish your day with a great workout! Improve your physical condition through: • Exercise stations; • Weight lifting; • Low impact aerobics Age: 13 and older Day: Tuesday Time: 7:00-8:15pm Location: Franklin Park Community Center WINTER INFORMATION Dates: February 14 – April 3 Fee: $36.00 Trans: $48.40 Registration #: 147

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

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SPRING INFORMATION Dates: April 10 – May 15 Fee: $27.00 Trans: $36.30 Registration #: 247

ISO TRACK & FIELD CLINIC

MI, AUT, DD, MH Special Olympic Track & Field training gets underway. Practices will include: • Stretch & warm-up exercises; • Practice for softball throw, short running, & long jump events; **Participants who register for both Winter & Spring sessions will automatically be registered for the SO Spring Games on April 29, 2012. All participants must have a current Special Olympic medical form on file by March1, 2012. Registration in both sessions is required for competition. Age: 13 and older Day: Wednesday Time: 7:00-8:15pm WINTER INFORMATION: Dates: February 15 – April 4 Location: Cicero Community Center Fee: $36.00 Trans: $48.40 Registration #: 142

T SPRING INFORMATION: Dates: April 11 – May 16 Location: Concordia University Track, River Forest Fee: $27.00 Trans: $36.30 Registration #: 242

DOWNHILL SKIERS

ALL ABILITIES – SIBLINGS INVITED TOO! SEE PAGE 13 FOR PROGRAM & REGISTRATION INFORMATION

STINGRAY SWIM TEAM

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

Day: Monday Time: 7:00-8:10pm Location: Oak Park River Forest High School, Girls Pool WINTER INFORMATION: Dates: February 13 – April 2 (no program February 20, March 5, and March 27) Fee: $38.50 Trans: $30.25 Registration #: 141 SPRING INFORMATION: Dates: April 9 – May 14 Fee: $43.25 Trans: $36.30 Registration #: 241

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WDSRA SWIM MEET

Day: Saturday Date: February 4 Location: West Chicago High School Fee: $15.00 Trans: $2.75 Pick up Point: TBD Registration #: 133-01

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ISO DISTRICT AQUATICS MEET

Day: WEDNESDAY Date: March 7 Location: Neuqua Valley High School, Naperville Trans: $2.75 Pick up Point: TBD Registration #: 133-02

PP

WEST SUBURBAN FC

AUT, DD, MI SEE PAGE 13 FOR PROGRAM & REGISTRATION INFORMATION

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Sports & Fitness SPECIAL OLYMPIC TRAINING & SPORTS

MI, AUT, MH, DD Special Olympic Track & Field training gets underway. Practices will include: • Stretch & warm-up exercises; • Practice for softball throw, short running, & long jump events; • Healthy snacks **Participants who register for both Winter & Spring sessions will automatically be registered for the SO Spring Games on April 29, 2012. All participants must have a current Special Olympic medical form on file by March1, 2012. Registration in both sessions is required for competition. Age: 7 and older Day: Thursday Time: 3:45-5:15pm Location: PAV YMCA, Berwyn WINTER INFORMATION: Dates: February 16 – April 5 Fee: $43.20 Trans: $48.40 Registration #: 132

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WHEELCHAIR BASKETBALL

PI This program is open to anyone with a physical disability and is ambulatory or uses a wheelchair. All players must play from a sports chair for games and practices. Don’t worry! NEDSRA has plenty of sports chairs available for use. New players are always welcome—call today for more information. Contact: Adam Kramer 630-576-4037 Location: NEDSRA, 1770 W. Centennial Place, Addison

SEASPAR BOWLING TOURNAMENT

MI, AUT, DD, SP, MH If you’re registered for Saturday Bowling League, compete in SEASPAR’s annual tournament!

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Age: 13 and older Day: Saturday Time: 1:00-3:00pm Location: Circle Lanes, Forest Park WINTER INFORMATION: Dates: February 18 – March 31 Fee: $62.50/week Trans: $19.25 Pick-Up Points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonalds Registration #: 110 SPRING INFORMATION: Dates: April 14 – May 19 (no program April 21) Fee: $52.50/week Trans: $16.50 Pick-Up Points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonalds Registration #: 210

SPRING INFORMATION: Dates: April 12 – May 17 Fee: $32.40 Trans: $36.30 Registration #: 232

Day: Saturday Date: April 14, 2012 Time: 12:00-4:30pm (approximate) Location: TBD Fee: $23.00 Trans: $2.75 Pick up Point: TBD Registration #: 238 Registration deadline: March 9

SATURDAY BOWLING LEAGUE

MI, AUT, DD, SP, MH Sharpen your bowling skills while spending time with friends. An adaptive ball and bowling ramp will be available. Don’t forget to sign up for the SEASPAR Bowling Tournament!

PP

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BOBCAT SOFTBALL

MI, AUT, DD Practices and games will be held on Tuesday evenings. During the Spring session participants will practice and prepare for the game season. In order to play in the game season, participants MUST register for the spring practice session. Bobcat Softball Philosophy: In establishing the Bobcat’s softball program, WSSRA has set criteria. WSSRA will emphasize teamwork, good sportsmanship, and giving one’s best in a safe and healthy environment. Competitiveness will come from the game itself and not from emphasis on the score. Each player will: • Learn the fundamentals of softball; • Learn and play different positions; • Be a part of a team and learn the importance of teamwork. Up to 3 teams and 3 practice locations will be announced at the beginning of the season. Game schedules and information will be available after registration. New players must purchase a uniform before being able to compete on the Bobcats Softball team. Day: Tuesday Fee: $121 (includes practice and game season) Practice Time: 6:00-7:30pm Game Times: 6:45-8:00pm Practice Locations: TBA Registration #: 299/399


Older Adults WILD CARD WEDNESDAYS

HI, VI, PI, MLH Start your day with some card shuffling fun! Light & healthy refreshments will be served. Sign up for the weeks that fit your schedule! Day: Wednesdays Time: 9:30am-12:30pm Location: Franklin Park Community Center Fee: $10.40/week Trans: $6.05/week

Date: Tuesday Time: 9:30am-12:30pm Fee: $11.00/week OR $154.00/14 weeks Trans: $6.05/week

WINTER INFORMATION: 165-01: February 15 165-02: February 22 165-03: February 29 165-04: March 7 165-05: March 14 165-06: March 21 165-07: March 28 165-08: April 4

Program #/Date/Location WINTER INFORMATION: 167-01: February 14 North Riverside Mall 167-02: February 21 Yorktown Center 167-03: February 28 Harlem Irving Plaza 167-04: March 6 Walmart, Forest Park 167-05: March 13 North Riverside Mall 167-06: March 20 Golf Mill 167-07: March 27 North Riverside Mall 167-08: April 3 Proksa Park

SPRING INFORMATION: 265-01: April 11 265-02: April 18 265-03: April 25 265-04: May 2 265-05: May 9 265-06: May 16

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WINNER TAKES ALL

HI, VI, PI, MLH Join us for a night of socializing, laughter, and games. We’ll play some old favorites and learn new games as well. Each week we will order “take-out” dinner from a local restaurant. Bring $10 for dinner. Date: Thursday Time: 6:00-8:30pm Location: WSSRA Office, Franklin Park WINTER INFORMATION: Dates: February 16 – March 29 Fee: $52.50 Trans: $42.35 Registration #: 162

WALK’N DINE

HI, VI, PI, MLH Walk or wheel your way to a healthier heart with your friends at WSSRA! We’ll end each week with lunch at a local restaurant. Participants must be independent in mobility. Participants will be responsible for buying their own lunch. Sign up for the weeks that fit your schedule!

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SPRING INFORMATION: Dates: April12 – May 17 Fee: $45.00 Trans: $36.30 Registration #: 262

BROADWAY TOURS

HI, VI, PI, MLH, DD SEE PAGE 14 FOR PROGRAM AND SHOW INFORMATION.

SPRING INFORMATION: 267-01: April 10 267-02: April 17 267-03: April 24 267-04: May 1 267-05: May 8 267-06: May 15

Center at North Park Commons Park The Quarry Lindberg Park Commons Park Portage Park

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TOWERS SOCIAL

HI, VI, PI, MLH Join us one Friday a month for socializing, games and trivia. We’ll enjoy coffee and a light snack while we play cards, “Garbage” style. Day: Friday Time: 12:30-2:30pm Fee: FREE Trans: $6.05/week WINTER INFORMATION: Registration # Date 179-01 January 6 179-02 February 3 SPRING INFORMATION: 279-01 March 9 279-02 April 13 279-03 May 11

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WSSRA TRANSPORTATION

1. Door to door transportation is available for all programs noted with the transportation symbol. This extra service is available if you pay a $6.05 per round trip fee, for each day the program meets. 2. Transportation to programs from designated pick up points is available for a fee of $2.75 per round trip, for each day the program meets. You must pay at time of registration. 3. All participants being transported in WSSRA vehicles must abide by WSSRA guidelines. Failure to do so will result in suspension from transportation. Repeat offenders will not be transported by WSSRA. 4. Parents or participants must notify the Association in regard to any change in transportation. 5. If an Association vehicle cannot complete a route and family members must pick up riders, a credit will be issued for the participant’s later use. 6. Any registration received after June 3, 2011 may result in a late program start or no transportation. 7. Parents are requested to notify their child’s school on days students are being picked up by a WSSRA van. 8. A participant under the age of 16 must be taken off the van by a responsible person over 12 years old.

PLAYING IT SAFE

Due to new state legislation, car seats or booster seats must be provided for all children ages seven and under. For more information contact Bob Foster.

WAIVER OF LIABILITY

WSSRA is insured through a self insurance pool with other Special Recreation Associations and Park Districts. Our pool is known as the Park District Risk Management Agency (PDRMA). As a loss prevention measure, PDRMA is requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the WSSRA waiver release form. This must be signed and returned to the WSSRA office before participants can be in programs. Since we do not carry medical or accident insurance for program participants, the release of liability is necessary. The cost of such coverage would make our program fees too high for most to afford. Please review your personal health plan to be certain that you and your family have coverage in instances like these. Our objective is to offer a high quality program at a reasonable cost. The use of a release of liability when appropriate is but one way we are trying to meet that objective. If you have any questions, call Sandra Gbur at 847.455.2100. We appreciate your continued involvement and support.

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WALK-IN OR MAIL-IN OR FAXED REGISTRATION PROCEDURES

1. Complete the enclosed registration form with correct program selection, day, program fee, transportation and payment option. 2. Contact your local park district or village for use of their fax machine to fax your registration. 3. All signed registration forms received by February 3, 2012 will be processed by the WSSRA Registrar and approved for program and transportation information. 4. All registrations will be accepted on a first-come, first served basis until we reach our maximum enrolment for each program. 5. Mail-in or walk-in registrations received AFTER 5:00 PM February 3, 2012 may result in a late program start and transportation may not be available. 6. If a program is closed you will be added to a wait list once we have received a signed registration form. We will contact you when an opening is available. 7. Recreation Specialists MAY NOT accept program payment or registration forms at programs. This must be done by mail or at the office only. 8. Anyone registering MUST have a working phone number. 9. A participant cannot register for the next season until balance from previous season is paid.

PHONE-IN REGISTRATION PROCEDURES ONLY

1. Phone-in registration begins once you receive your brochure and will be accepted until February 3, 2012. 2. Calls will be accepted Monday through Friday from 9:00 until 4:30 PM. 3. The WSSRA Registrar will assist you in completing the registration form. She will be sure the programs selected are age and ability appropriate. 4. A confirmation letter will be sent to you. Sign the attached waiver form and return to WSSRA by February 3, 2012. 5. The registration will be on hold until we receive the signed registration form. No participation can take place without this signature. 6. Phone-in registration WILL NOT BE ACCEPTED after February 3, 2012. 7. Faxed, mail-in or walk-in registrations will be accepted after February 3, 2012 but may result in a late program start and transportation may not be available. 8. All registrations will be accepted on a first-come, first-served basis until we reach our maximum enrolment for each program. 9. If a program is closed you will be added to a wait list once we have received a signed registration form. We will contact you when an opening is available. 10. Recreation Specialists MAY NOT accept program payment or registration forms at programs. This must be done by mail or at the office only. We can accept credit card payments over the phone during business hours. 11. Anyone registering MUST have a working phone number. 12. A participant cannot register for the next season until balance from previous season is paid.


WINTER/SPRING 2012 REGISTRATION FORM

MAIL TO: WSSRA, 2915 Maple Street, Franklin Park, IL 60131 FAX TO: 847.455.2157 SIGNED REGISTRATION MUST BE RECEIVED BY FEBRUARY 3, 2012

Participant’s Name:___________________________________________ Birth Date:___________________ Address:___________________________________________ City/State:_______________________ /________ Zip:________________________ Park District/Village:_________________________________________ Home Phone:________________________________________________ Parent Or Guardian Name:_______________________________________________________________________________________________ e-mail address: Parent/Guardian Work Phone:___________________________________ Parent/Guardian Cell Phone:__________________________________ Who Should We Contact If Parent/Guardian Is Unavailable? Name:___________________________________ Phone:_______________________ Doctor’s Name: ____________________________________________ Doctor’s Phone:_______________________________________________ Present School/ Workshop/Other:_________________________________________________________________________________________ Teacher/Supervisor Name:______________________________________ Dismissal Time:____________________________________________ Participant’s Disability:_________________________________________________________________________________________________ Can Participant Transfer? □Yes □No Does Participant Use Wheelchair/Walker? Specify:______________________________________________ Is Participant Subject To Seizures: □Yes □No List Any Medication:_______________________________________________________________ Is Medication Taken At Program? □Yes □No List Any Allergies:__________________________________________________________________ Does Participant Have A Communicable Disease? □Yes □No If Yes, Please Explain__________________________________________________ ___________________________________________________________________________________________________________________ Program #

Program Name

Day

Fee

Transp

Subtotal Program & Transport FEES

TOTAL DUE:

FEE PAYMENT OPTION - CHECK ONE (payment is expected at registration unless other arrangements are made)

□Total Payment Enclosed □Total Payment to Follow (if FAXED) □Request Scholarship □Payment Plan – Arranged with Finance Manager □ Credit Card □ Visa □ Master Card □ Discover Exp. Date: ___________________________________________________________ Card Number: I have read the Waiver Release of All Claims and Hold Harmless Agreement on the reverse and unless I have checked NO under the three authorizations, I approve them. ___________________________________________________

Parent/Participant/Guardian Signature

____________________________

Date

HOLD HARMLESS RELEASE ON REVERSE SIDE


West Suburban Special Recreation Association

WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT (Read Carefully)

Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in the programs. In registering for these programs, you are agreeing as follows: As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury. I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs. I do hereby fully release and discharge the West Suburban Special Recreation Association and the other released parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participation in these programs.

I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of these programs. I further understand and agree that the terms such as “participation”, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision, of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events. I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement. In case of emergency, I give my permission for the participant to receive any first aid, transportation or medical attention that may be required. You may return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile transmission to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.

To Communicate with School/Health Care Personnel*

I authorize counsellors, teachers, case workers, therapists, or physicians to communicate with WSSRA about the participant’s needs as they relate to WSSRA’s provision of recreation services to the participant. WSSRA will keep confidential all information obtained through such communications.

□ yes □ no

To Disclose Information to WSSRA Member Partners*

WSSRA may disclose to my home park district or municipality information about the participant’s and my involvement in WSSRA programs or activities, including our names, telephone number, address, program registrations, and the participant’s age and disability, provided that my home park district or municipality shall not redisclose that information without my express written consent.

□ yes □ no

To Release Information for Publicity Purposes*

I authorize the use of photographs or descriptions of the participant or of me in publicity materials about WSSRA programs and services, which may appear in newspapers, member partner brochures, video presentations, web sites and other similar mediums or displays.

□ yes □ no

*I understand that I can change my decisions regarding the statements above at any time for any reason by delivering a written notice to WSSRA, prohibiting further disclosure information.

COMMENT SHEET – WE WELCOME YOUR INPUT!

We invite you to share with us your program ideas and comments about our services: _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ You can also send us an email at wssra@wssra.net

Support WSSRA by following us on


Special Events WSSRA GOLF PAR-TEE

What’s the best thing to do on a cold, winter Saturday night? Yep! Hit the greens and daydream of warm, summer days on the golf course. The Golf Par-Tee is 3 hours of golf fun: driving range, swing evaluation, longest drive contest, virtual golf, drinks, refreshments, and tips from a pro. All funds raised will support WSSRA programs. Day: TBA Location: White Pines Golf Dome 500 W. Jefferson St., Bensenville More Info: check our website for updates RSVP: call WSSRA Fee: $40 in advance/$50 at the door Registration #: 197

FLAP JACK BUNNY HOP

ALL ABILITIES—BRING YOUR FRIENDS AND FAMILY!! Celebrate spring with WSSRA and your friends at our annual pancake breakfast. We’ll cook up the ‘cakes and bring some crafts and games. All you have to do is bring your friends and family and get ready for some fun!! Day: Saturday Date: March 31 Time: 8:30-10:30am Location: Ascension Church, Pine Room 601 Van Buren, Oak Park Fee: $1.00/kids 12 and under $5.00/people 13 and up Registration #: 195

WSSRA DERBY GALA

We’re off to the races to raise funds for WSSRA! Our annual Gala includes simulcasts of thoroughbred racing and the Kentucky Derby, food and beverage, a silent auction, and much more!

WSSRF BOWL-A-THON

Bring your family & friends for an afternoon of kid-friendly bowling, snacks, a raffle, and camaraderie! We’ll have fun while raising funds for WSSRA! Information will be sent home through programs. Day: Saturday Date: March 10 Time: 3:00-5:00pm Location: Circle Lanes, Forest Park More Info: Check our website or call the office

SPLASHTASTIC FAMILY SWIM Day: Friday Date: February 24, March 16, April 13, May 4 Time: 6:00-7:30pm Location: Mannheim Middle School Pool Fee: $5 per family of 4 ($2/additional person) each swim session Registration #: 193

Check our website for event updates or call WSSRA for more information. Day: Saturday Date: May 5 Location: Hawthorne Race Course 3501 S. Laramie, Cicero

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West Suburban Special Recreation Association 2915 Maple Street | Franklin Park, Il 60131 P 847.455.2100 | F 847.455.2157 www.wssra.net

SIGN UP FOR SUMMER DAY CAMP 2012! LOTTERY DEADLINE: FEBRUARY 3, 2012.

POSTMASTER Dated Material Please DO NOT HOLD

PRSRT STD U.S. POSTAGE PAID COMPLETE MAILING SVC, IL

WSSRA Winter and Spring 2012 brochure  

WSSRA winter spring 2012 brochure

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