fall 2018 - wssra.net
TRANSCRIPT
WSSRAEnriching lives through recreation
FALL
201
8
WSSRA
11
THIS RACE IS PRESENTED BY the Community Bank of Oak Park River Forest, the River Forest Park District,
Concordia University Chicago, and Fenwick High School.
The race is a 3.1 mile USATF-certified and CARA Certified Green Race course through the flat, tree-lined streets of River Forest
Go to www.signmeup.com/124327 to learn moreRace proceeds benefit WSSRA
Saturday, 9/15/18
8:00am
Hamburger Mary’s
TUESDAY, AUGUST 28TH
Doors open at 7pm • Bingo starts at 8pmHAMBURGER MARY’S •155 S. Oak Park Ave.
BINGO NIGHTHam-Bingo is a weekly charity event held at Hamburger Mary’s.
Donations: $20 per bingo card booklet of 10 bingo cards. 10 bingo games will be played throughout the evening.
To catch a glimpse of the action visit www.hamburgermarys.com/chicago/bingo.php. Limited seating available. RSVP at wssra.net - click on Hamburger Mary’s event.
***Recommended for mature audiences.***
Fall 2018 wssra.net3
Table of ContentsFALL CALENDAR ............................................................. 7SPECIAL EVENTS ...............................................2,8,35,36CHILDREN & YOUTH .................................................9-11SWIM LESSONS ............................................................ 12HOLIDAY HULLABALOOS ............................................. 13TEENS & YOUNG ADULTS ......................................14-16SOCIAL CLUBS ........................................................17-18ADULTS ....................................................................19-20SPORTS & FITNESS ....................................................... 21SPECIAL OLYMPICS .................................................22-24REGISTRATION FORMS ...........................................27-32REGISTRATION INFORMATION & POLICIES ..........33-34
Registration UpdateAll Summer 2018 registration is taken on a first come, first served basis.
Fall deadline .. September 7th, 2018
Key to AbbreviationsADD Attention Deficit DisorderADHD Attention Deficit Hyperactivity DisorderALZ Alzheimer’sAUT AutismDD Developmental DisabilityEC Early ChildhoodED Emotional DisturbanceHI Hearing ImpairmentLD Learning DisabilityMI Mental ImpairmentMH Multiple HandicapsMLH Mental HealthPI Physical ImpairmentSL Speech and Language DelaySO Special OlympicsSP Severe and Profound Mental ImpairmentVI Visual Impairment
For more program information please contact....
Carla Pakenas Children & Youth(pages 9-11)
Wendy Springgate Teens & After School ProgramsInclusion Support (pages 14-16)
follow us on /wssra @wssra @w.s.s.r.a
West Suburban Special Recreation Association2915 maple streetfranklin park, il 60131847.455.2100 - voice or tty
office hoursmonday through friday 8:30 am – 5:00 pm
Our Program GuideA great effort has been made to assure the accuracy of the information provided in our Program Guide. Due to the large amount of information, however, errors and changes may occur related to program schedules, locations, transportation and fees. WSSRA reserves the right to make adjustments as necessary. WSSRA will make every effort to notify participants of changes and corrections as quickly and efficiently as possible. We apologize for any inconvenience our errors may cause.
Kelly Baran Swim programs, Adults(pages 12,19-20)
Christina FernandezSocial Clubs & Young Adults(pages 17-18)
Chris SturmSpecial Olympics(pages 22-24)
Fall 2018 wssra.net4
WSSRA StaffMarianne Birko ................226 .......................executive director .................................................................... [email protected] Hart ........................230 .......................superintendent of recreation ....................................................... [email protected] A. Foster ...............238 .......................superintendent of safety & operations [email protected] Ryan .........................231 .......................staff manager .....................................................................................aprilr@wssra.netCarlos Marroquin ............232 .......................program manager ......................................................................... [email protected] Sturm ...........235 .......................inclusion manager ............................................................................ [email protected] Walsh ....................240 .......................public relations coordinator .......................................................nicolew@wssra.netKelly Baran .......................239 .......................recreation specialist .........................................................................kellyb@wssra.netWendy Springgate ...........236 .......................recreation specialist ......................................................................wendys@wssra.netCarla Pakenas ...................219 .......................recreation specialist ........................................................................ [email protected] Fernandez ........234 .......................recreation specialist ................................................................... [email protected] Gershak .....................221 .......................finance manager .................................................................................. [email protected] Hernandez ............222 .......................registrar .............................................................................................. [email protected] Marroquin ..........................................receptionist .....................................................................................karinam@wssra.netAntonio Casas ................................................receptionist ......................................................................................... [email protected] Harmon Bell .............224 .......................fund development specialist ..............................................................juliab@wssra.netLuz Rocha-Serrano ...........224 .......................lekotek leader ........................................................................................ [email protected] Feldt ......................................................wssra driverMike Zych .......................................................wssra driverFrank Quaranta ..............................................wssra driver
The West Suburban Special Recreation Association is part of your local park district or village recreation department. We provide recreation programs for individuals who have any type of disability. Your park district or village governs the operation of the Association.
Board of Directors
Board MeetingsThe Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 4:00pm. Call the office for a meeting schedule and locations. The public is invited to attend.
BERWYN PARK DISTRICT ..................... JEFF JANDACLYDE PARK DISTRICT ......................... LARRY BANKSVILLAGE OF ELMWOOD PARK ............... AL SCHMIDTPARK DISTRICT OF FOREST PARK ........... LARRY PIEKARZPARK DISTRICT OF FRANKLIN PARK ........ JOSEPH MODRICHVILLAGE OF HARWOOD HEIGHTS .......... ANNA WEGRECKIHAWTHORNE PARK DISTRICT ............... DENNIS RALEIGHNORRIDGE PARK DISTRICT ................... MARK DESALVONORTH BERWYN PARK DISTRICT ........... MARK SLADEKPARK DISTRICT OF OAK PARK ............... KASSIE PORRECARIVER FOREST PARK DISTRICT .............. MIKE SLETTENVILLAGE OF NORTH RIVERSIDE ............. TERESA MROZIKVILLAGE OF RIVERSIDE ....................... RON MALCHIODI
Who We Are....
West Suburban Special Recreation FoundationThe West Suburban Special Recreation Foundation (WSSRF)
is an Illinois not-for-profit corporation that exists to raise funds for WSSRA. The funds raised by the WSSRF help expand programming and support additional needs of WSSRA when necessary. To learn more about WSSRF, call Marianne Birko at the WSSRA office. The WSSRF needs you!
New MembersThe WSSRF welcomes new members. Please consider joining! No one on the Foundation is asked to do more than they can handle, yet by working together, WSSRF raises $40,000 each year to support WSSRA programs. At each meeting, Foundation members have the opportunity to give input and ideas about program offerings. So come join the fun and help WSSRF improve and expand programs for persons of all ages with disabilities.
Fall 2018 wssra.net5
Staff Spotlight
Take a minute to get to know our NEW Recreation SpecialistChristina Fernandez!Christina has worked for WSSRA as a part time staff and supervisor since 2012. We are excited to have her join or team as a full time staff member!
PERSONAL INTERESTS: Traveling, Anything food related, and Spending time with my family
FAVORITE MOVIES: Titanic, Home Alone
FAVORITE SPORTS TEAMS: Go Cubs!
FAVORITE FOOD: Chocolate Chip Pancakes, Fried Ravioli
FAVORITE THING ABOUT WSSRA: The whole WSSRA family! From the participants and their families to the staff, I’ve met some of the most amazing people.
WSSRA wants your feedback!
We want your feedback and
suggestions regarding the programs for which you have registered. Please take 3-4 minutes to help us improve the services we offer. All answers are anonymous, confidential, and will be used only by
WSSRA.
Just visit wssra.net
and click on “tell us what you think!”
Thanks for your
assistance!
Fall 2018 wssra.net6
FacilitiesBERWYNHavlicek School6401 15th St ........................ 708.795.2450Jefferson School7035 16th St ........................ 708.795.2454Liberty Recreation Center6445 W 27th Pl .................... 708.795.2891Morton West High School 2400 Home Ave ................... 708.222.5700North Berwyn Park District Community Center1619 Wesley Ave ................ 708.749.4900PAV Berwyn YMCA2947 S Oak Park Ave ............ 708.749.0606Proksa Park3001 Wisconsin Ave ............. 708.795.2892
CICEROCicero Community Center 2250 49th Ave ..................... 708.477.6308Cicero West School4937 W 23rd St ................... 708.780.4487Clyde Park District Stadium1909 S Laramie Ave ............. 708.652.3545Columbus West School 5425 W 31St ....................... 708.780.4482Duck Pond Pool5105 31st StHawthorne Park District5200 W 29th Pl .................... 708.863.6511Morton East High School2423 S Austin Blvd ............... 708.222.5264Unity East Junior High School 2115 S 54th Ave ................... 708.863.8229Woodbine School3003 S 50th Ct .................... 708.652.8884
ELMWOOD PARKElmwood Park Recreation Center2 Conti Pkwy ....................... 708.452.3935Elmwood Park Family Aquatic Center2 Conti Pkwy ....................... 708.452.3935Elmwood Park High School8201 W Fullerton Ave .......... 708.452.7272
FOREST PARKCircle Lanes7244 Circle Ave ................... 708.366.2810Field Stevenson School925 Beloit Ave .................... 708.366.5703Park District of Forest Park7501 Harrison St ................. 708.366.7500Forest Park Middle School925 Beloit Ave .................... 708.366.5703
FRANKLIN PARKCentre at North Park10040 Addison St ................. 847.928.8478Enger School10401 W Grand Ave ............ 847.455.5299Franklin Park Community Center9560 Franklin Ave ............... 847.455.2852Franklin Park Ice Arena9711 Waveland Ave ............ 847.671.4268Karate for Kids9670 Franklin Ave. #5 .......... 847.349.5425O'Hare CrossFit9100 Belden Ave ................. 708.417.8502WSSRA Office2915 Maple St ..................... 847.455.2100
HARWOOD HEIGHTSHarwood Heights Village Hall7300 Wilson Ave ................. 708.867.7200
MELROSE PARKMannheim Middle School2600 Hyde Park Ave ............ 847.455.5020
NORRIDGENorridge Park District4631 N Overhill Ave ............ 708.457.1244
NORTH RIVERSIDENorth Riverside Community Room 2359 S. DesPlaines Ave ........ 708.442.5515
OAK PARKAndersen Center820 Hayes Ave .................... 708.524.2050
Barrie Recreation Center1101 S Lombard Ave ........... 708.383.6905Carroll Recreation Center1125 S Kenilworth Ave ......... 708.383.6906Dole Center255 Augusta St .................... 708.848.7050Field Recreation Center935 Woodbine Ave ............. 708.383.6907Fox Recreation Center624 S Oak Park Ave .............. 708.383.6908Gymnastics & Recreation Center (GRC)21 Lake St ........................... 708.725.2200Irving School1125 S Cuyler Ave ............... 708.524.3090Longfellow Recreation Center610 S Ridgeland Ave ........... 708.383.6909Longfellow School715 S Highland Ave .............. 708.524.3060Oak Park Conservatory615 Garfield St ..................... 708.725.2400Oak Park Country Club2001 Thatcher Ave ............... 708.453.5554Oak Park River Forest High School 201 N Scoville Ave .............. 708.383.0700Rehm Park515 Garfield St ..................... 708.848.9661Ridgeland Commons Rec Complex415 Lake St .......................... 708.725.2300Whittier School715 N Harvey Ave ................ 708.524.3080
RIVER FORESTKeystone Center7920 Central Avenue ........... 708.366.6660
RIVERSIDEHistoric Water Tower 10 Pine Avenue .................... 708-442-7025
The purpose of this phone number is to allow access to WSSRA for emergencies only during non-office hours.
1. The phone may be called Monday through Friday, from 5:00pm to 11:00pm, Saturday, 7:00am to 11:00pm when programs are in session only.
2. Leave a message with your phone number at 708.491.3779 and a WSSRA staff will return your call if necessary.
3. The emergency phone should not be a substitute for calling the office for non-emergency questions, such as pick up times.
EMERGENCY PHONE
WWW.WSSRA.NETCheck out WSSRA on the web for
directions to program locations and up to date program information.
Email your comments to us: [email protected]
Special Events
Monday
TuesdayW
ednesdayTh
ursdayFriday
Saturday
Makin’ Tracks 5k
Saturday,
September 15
Page 2
OK C
lassicSaturd
ay, Septem
ber 22Page 8
SEASPA
R Swim
Meet
Saturday,
Novem
ber 17Page 23
FVSRA
Swim
Meet
Saturday,
Decem
ber 1Page 23
NW
SRA Bow
ling Tournam
ent Saturd
ay, D
ecember 16
page 23
Polar Express Storytim
e Train Saturd
ay, D
ecember 8
Page 35
Holiday Hullabaloo
Page 13
Recognition Banquet ’18
Page 35
Healthy Start Page 21
School Days Out*
Page 10 & 14
Teen SceneM
ondays
Page 15
Swim
Lessons Page 12
BobcatSw
im Team
Page 23
Aqua Exercise
Page 21
W
alk-N-Dine
Page 19
Yoga for Wellness
Page 19
Ice Skating Page 9
Bobcats Basketball Page 23
Weekly W
orkout Page 21
Wild C
ard W
ednesdays Page 20
School Days Out
Page 10 & 14
Berwyn Excursions Page 15
Dance! Dance! Page 16 &
21
Autism
M
ovement
Therapy Page 9
Yoga for All
Page 9
Swim
LessonsPage 12
**No Youth
Programs
10/31**
Healthy Start Page 21
Teen SceneThursd
ays Page 15
Music M
akers Page 11
Cross-Fit
Page 21
Swim
Lessons Page 12
Towers Social
Page 20
Adult A
quaM
ovement
Page 19
Swim
Lessons Page 12
Food Critics
Page 16
Friday Showtim
e Page 16
Parent Date N
ight Page 8 &
11
Tae Kwon Do
Page 9
Outdoor
Adventures Page 14
Little Sports (Young A
thletes Program)
Page 10
Sensory Explorers Page 10
Saturday Fun Club
Page 10
Sensory Saturdays Page 10
Saturday Bowling
League Page 23
Hot Shots C
ity SlickersPage 18
Moonlighters & Socialites Page 17
Fall 2018
Fall 2018 wssra.net8
Special EventsParent Date Night
(Age: 3-18) All Abilities
We’ll keep the kids busy with ice skating, bowling, pizza and more
while you enjoy a night out!
Adults, if you like Blackjack and Poker and you’re looking for something to do, come to the WSSRA Fallin’ for Our Stars event tonight.
See below for event details.
Location: Ridgeland Commons Recreation Complex, Oak ParkDay Dates Time Fee Fri 11/2 6:30 – 11:00pm $ 33.00
11.2.18 7:00 - 11:00pmCheney MansionOak Park
West Suburban Special Recreation Association & Foundation present
Join us for a special night of fun & fundraising to benefit the Stars of WSSRA
Tickets are $100 each $180 for two
$120 each at the door
Starlit Casino Night Featuring:Beer, Wine & Signature Martini, Appetizers & Sweet Table, Blackjack, Poker, Roulette, Craps, Slots & Live Auction
FOR TICKETS & SPONSORSHIP OPPORTUNITIES VISIT WSSRA.NET
Join us as WSSRA takes on the Opportunity Knocks Warriors in a friendly game of softball. Who will bring home the traveling trophy this year??? Participants should be comfortable playing softball. Call Chris Sturm with questions - 847-455-2100. Date: Saturday, September 22 Time: 11:30am – 2:30pmLocation: Park District of Forest Park Fee: Free
OK Classic 5th Annual Softball Game
All Abilities
(Age: All) All Abilities
Along with the Park District of Oak Park, WSSRA welcomes families with sensory sensitivities to an evening at the Cheney Mansion and a visit with Santa! Bring your camera for a photo with Santa in the Cheney Mansion Library. There will be activities to enjoy while you wait, along with milk and cookies. Visit the Park District of Oak Park’s website www.pdop.org to register today!
Date: Wednesday, December 12Times: 5:00 – 6:00pm; 6:00 – 7:00pm; 7:00 – 8:00pmLocation: Cheney Mansion Fee: $5 per resident/$10 per non-resident
Cookies with
Santa
Cookies with
Santa
Fall 2018 wssra.net9
Children & YouthLekotek(Age: birth – 6 years) 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!
Day/Time: Call WSSRA to schedule your individual sessionsRegistration: Registration will resume in the FALL of 2018. Call the office for more info.
Tae Kwon Do(Age: 9-14) 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 Location: Karate for Kids 9670 Franklin Ave. Suite #5 Franklin Park - New AddressDay Dates Time Fee Sat 10/6-11/17 9:00-9:45am $ 42.00
Uniform Fee: $40.00/one-time fee for new participants in addition to program fee below
Autism Movement Therapy ®(Age: 7-15) All Abilities
Experience this innovative and creative program under the guidance of a certified Autism Movement therapist. We use movement and music to help develop balance, coordination, sequencing and much more!
Location: Dole Center, Oak Park (Studio 2, 3rd Floor)Day Dates Time Fee Wed 9/19 – 11/14 5:15– 5:55pm $ 24.30Round Trip Trans Fee: $49.60
Yoga for All(Age: 7-15) All Abilities
Participants will be introduced to beginner yoga positions, meditative practice and stretching exercises in a fun, playful environment. The program’s focus will be on: • Body control • Increased strength and flexibility • Relaxation techniques
Location: Dole Center, Oak Park (Studio 2, 3rd Floor)Day Dates Time Fee Wed 9/19 – 11/14 6:00-6:45pm $ 24.30Round Trip Trans Fee: $49.60
SIGN UP FOR BOTH!
Ice Skating(Age:8 -22) All Abilities
Lace up your skates and glide onto the ice. No previous skating experience is necessary. Through skating, participants may: • experience enjoyment through independent movement • improve balance and coordination •Increase overall fitness
Location: Ridgeland Commons Recreation Complex, Oak Park
Session 1Day Dates Time Fee Tues 9/11 – 10/16 4:40-5:20pm $34.90 Round Trip Trans Fee: $37.20
Session 2Day Dates Time Fee Tues 10/30 – 12/11 4:40-5:20pm $34.90 Round Trip Trans Fee: $37.20
Fall 2018 wssra.net10
Children & YouthLittle Sports – Special Olympics Young Athletes(Age: 3 – 7) All Abilities
This program is designed to get our little movers introduced to Special Olympics programming. Special Olympics Young Athletes is for children ages 3 – 6 who want to start learning foundational skills used in sports. We will work on skills such as walking & running, balance & jumping, trapping & catching throwing, kicking, striking and advanced skills. These activities will help children improve physically, cognitively and socially!
Location: Barrie Center, Oak ParkDay Dates Time Fee Sat 9/22 – 11/17 9:00 – 10:15am $50.85
Sensory Explorers (Age: 3 – 7) All Abilities
This is a perfect program for the little ones to experience exploration and sensory stimulation! Please join us after Little Sports We will keep our hand busy with sensory bins, toys, and multiple crafts and movement activities
Location: Barrie Center, Oak ParkDay Dates Time Fee Sat 9/22 – 11/17 10:15a – 11:30am $50.85
Saturday Fun Club (Age: 8 - 11) All Abilities
Fill your afternoon with active fun and games! We will play sports-themed games as well as team building games and other movement activities. Program benefits: • Socializing and fun with friends. • Expanding our teamwork skills. • Refining sport and movement.
Location: Barrie Center, Oak ParkDay Dates Time Fee Sat 9/22 – 11/17 12:15 – 1:30pm $50.85
Sensory Saturdays (Age: 8 - 11) All Abilities
This is the perfect program for children to get down and dirty! Join us for hands on fun as we get in touch with our senses. We will explore touch, sight and smell in a variety of ways.
Location: Barrie Center, Oak ParkDay Dates Time Fee Sat 9/22 – 11/17 1:30p – 2:45p $50.85
Morton ArboretumScarecrow Trails, Troll Hunts, and Nature Workshops await us! Come explore with us today at the Morton Arboretum. Please bring a sack lunch, water bottle, dress for the weather and wear comfortable walking shoes.
Location: Carroll Center, Oak ParkDay Date Time Fee Mon 10/8 9:00am – 3:00pm $31.00Round Trip Trans Fee: $6.20
(Age: 7 - 22) All Abilities
School Days OutLooking for something to do on those school holidays? Look no further!
WSSRA has fun activities planned to keep the kids busy.
Main Event
Do you enjoy bowling and arcade games? Join us for the fun filled day at Main Event in Warrenville. Pizza lunch and a drink is provided today. Please call the office with any dietary restrictions.
Location: Carroll Center, Oak ParkDay Date Time Fee Wed 11/21 9:00am – 3:00pm $31.00Round Trip Trans Fee: $6.20
Fall 2018 wssra.net11
Children & YouthMusic Makers(Age: 7-14) All Abilities
This music therapy class incorporates instrument playing, sing – a – longs, dancing and sensory explorations to promote communication, socialization and sensory regulation. Class will be led by a certified music therapist from Dynamic Lynks.
Location: Dynamic Lynks (1100 Lake St. 100C, Oak Park)Day Dates Time Fee Thurs 9/20 – 11/15 5:30 – 6:15pm $43.00Round Trip Trans Fee: $55.80
Parent Date Night(Age: 3-18) All Abilities
We’ll keep the kids busy with ice skating, bowling, pizza and more while you
enjoy a night out!
Adults, if you like Blackjack and Poker and you’re looking for something to do, come to the WSSRA Fallin’ for Our Stars event tonight.
See below for event details.
Location: Ridgeland Commons Recreation Complex, Oak ParkDay Dates Time Fee Fri 11/2 6:30 – 11:00pm $ 33.00
11.2.18 7:00 - 11:00pmCheney MansionOak Park
West Suburban Special Recreation Association & Foundation present
Join us for a special night of fun & fundraising to benefit the Stars of WSSRA
Tickets are $100 each $180 for two
$120 each at the door
Starlit Casino Night Featuring:Beer, Wine & Signature Martini, Appetizers & Sweet Table, Blackjack, Poker, Roulette, Craps, Slots & Live Auction
FOR TICKETS & SPONSORSHIP OPPORTUNITIES VISIT WSSRA.NET
Fall 2018 wssra.net12
Swim Lessons
WSSRA conducts swim lessons to allow all individuals to progress from beginner to advanced swimming abilities. Our swim lessons cover fundamental body positions, breath control, stroke drills, and age appropriate safety skills. If you are looking to learn more advanced, competitive, and technical strokes to improve your swimming check out or Stingray Swim Team page! WSSRA uses the Michael Phelps IM swim program. The IM program is a multifaceted curriculum of water safety lessons, health & wellness education, and goal setting instruction. Parents are responsible for locker room supervision and assistance. Public health code requires that anyone with possible incontinence must wear protective, rubber pants in addition to a swim diaper.
Oak Park River Forest High School * No Program Oct. 8 Day Time Dates Age Fee Monday 6:20-6:50p 9/17 – 11/12 3 – 8 $31.60 Monday 6:55-7:25p 9/17 – 11/12 6 and up $31.60
Mannheim Middle School, Melrose Park * No Program Oct. 31 Day Time Dates Age Fee Wednesday 7:00 – 7:30p 9/19 – 11/14 3 – 8 $31.60 Wednesday 7:35-8:05pm 9/19 – 11/14 6 and up $31.60
Morton East High School, Cicero Day Time Dates Age Fee Thursday 6:30-7:00 9/20 – 11/15 3 – 8 $33.75 Thursday 7:00-7:30 9/20 – 11/15 6 and up $33.75
PAV YMCA, Berwyn Day Time Dates Age Fee Friday 4:20-4:50p 9/21 – 11/16 3 – 10 $33.75 Friday 4:55-5:25p 9/21 – 11/16 3 – 10 $33.75 Friday 5:30-6:00p 9/21 – 11/16 8 and up $33.75 Friday 6:05-6:35p 9/21 – 11/16 Advanced $33.75
(Age: 3 years & up) All Abilities
Please note
day and time
for all swim
lessons when
filling out the
registration
form
Fall 2018 wssra.net13
Holiday HullabaloosFill up your winter break with these fun indoor and outdoor activities for all abilities!
Remember to bring a packed lunch (unless otherwise noted) and a water bottle each day and dress for both indoor and outdoor activities. Space is limited so register today!
Who: Ages 3-13Location: TBDRound Trip Trans Fee: $6.20/event
Activity Date Day Time Description Fee
ExpROARING! 12/26 Wed 9:00am – 3:00pm
Come join us on an adventure through the Field Museum in Chicago! We’ll Explore the exhibits and dinosaurs! Bring lunch.
$36.50
Ice, Ice Baby! 12/27 Thurs 9:00am – 3:00pm
We will get our Skating on and have some fun as we glide through the Franklin Park Ice Arena! Bring lunch and warm clothes.
$30.50
Art Fun with Creativita! 12/28 Fri 9:00am – 3:00pm
Paint, create, mold…We’ll head over to Creativita in Forest Park to explore the arts! Bring lunch. $36.50
Alley-Cat Fun! 1/2 Wed 9:00am – 3:00pm
Come on down to Circle Lanes in Forest Park! Strike, Spare or Split, we’ll have some PIN-point fun! Bring lunch. $30.50
Ridem’ Cowboys! 1/3 Thurs 9:00am – 3:00pm
The group will head down to Equestrian Connection in Lake Forest. We will get a chance to ride the horses and get a tour of the stables and even help groom them! Bring lunch and warm clothes.
$36.50
Winter Wonderland! 1/4 Fri 9:00am – 3:00pm
We’ll head outside (weather Permitting for some Winter Fun! Then warm up with some Hot Cocoa and Holiday Crafts! Bring lunch and warm clothes.
$23.00
Activity Date Day Time Description Fee
Winter Wonderland! 12/26 Wed 9:00am – 3:00pm
We’ll head outside (weather Permitting for some Winter Fun! Then warm up with some Hot Cocoa and Holiday Crafts! Bring lunch and warm clothes.
$23.00
Art Fun with Creativita! 12/27 Thurs 9:00am – 3:00pm
Paint, create, mold…We’ll head over to Creativita in Forest Park to explore the arts! Bring lunch. $36.50
Ice, Ice Baby! 12/28 Fri 9:00am – 3:00pm
We will get our Skating on and have some fun as we glide through the Franklin Park Ice Arena! Bring lunch and warm clothes.
$30.50
ExpROARING! 1/2 Wed 9:00am – 3:00pm
Come join us on an adventure through the Field Museum in Chicago! We’ll Explore the exhibits and dinosaurs! Bring lunch.
$36.50
Alley-Cat Fun! 1/3 Thurs 9:00am – 3:00pm
Come on down to Circle Lanes in Forest Park! Strike, Spare or Split, we’ll have some PIN-point fun! Bring lunch. $30.50
Ridem’ Cowboys! 1/4 Fri 9:00am – 3:00pm
The group will head down to Equestrian Connection in Lake Forest. We will get a chance to ride the horses and get a tour of the stables and even help groom them! Bring lunch and warm clothes.
$36.50
Who: Ages 14-26Location: TBDRound Trip Trans Fee: $6.20/event
Fall 2018 wssra.net14
Teen & Young Adults
Activity Date Day Time Description Fee
Zootopia 9/22 Sat 9:00am-12:00pm WSSRA is taking a trip to Brookfield Zoo to enjoy the last days of summer. Wear comfortable shoes for walking. $14.95
GO Cubs, GO! 9/29 Sat 9:00am-12:00pm Tour the historic Wrigley Field, even if you’re a Sox fan! Wear comfortable shoes for walking. $14.95
What do you call a fake noodle? 10/6 Sat 9:00am-12:00pm An impasta! Celebrate National Noodle Day with WSSRA with
rigatoni crafts, spaghetti snacks and other Noodle themed activities. $14.95
A Walk in the Woods 10/13 Sat 9:00am-12:00pm Hike in the beautiful fall colors with WSSRA. Wear comfortable shoes
for walking. $14.95
Falling for Fall 10/20 Sat 9:00am-12:00pm Celebrate Autumn with WSSRA as we do Fall themed crafts and activities. $14.95
Fall is in the Air 10/27 Sat 9:00am-12:00pm Take a walk at Morton Arboretum and enjoy the fall colors and decorated Scarecrows. Wear comfortable shoes for walking. $14.95
Color your World 11/3 Sat 9:00am-12:00pm We will walk to Creativa to paint a piece of pottery or canvas $14.95
The Sweet Life 11/10 Sat 9:00am-12:00pm See how Sweet treats are made at the Long Grove Confectionary Factory and sample some at the end of the tour. $14.95
Brunch Bunch 11/17 Sat 9:00am-12:00pm We will be heading to a local restaurant for brunch. $14.95
Outdoor Adventures (Age: 7 - 22) All Abilities We will fill our Saturday mornings with fun and thrills as we explore our communities. Don’t be late, as our vans will depart promptly at 9:10 each week. We’re doing a lot of indoor and outdoor activities, so please make sure you are dressed for both. Don’t forget your comfortable shoes, water, and Jacket if needed. Location: Forest Park, Building 4
Morton ArboretumScarecrow Trails, Troll Hunts, and Nature Workshops await us! Come explore with us today at the Morton Arboretum. Please bring a sack lunch, water bottle, dress for the weather and wear comfortable walking shoes.
Location: Carroll Center, Oak ParkDay Date Time Fee Mon 10/8 9:00am – 3:00pm $31.00Round Trip Trans Fee: $6.20
(Age: 7 - 22) All Abilities
School Days OutLooking for something to do on those school holidays? Look no further!
WSSRA has fun activities planned to keep the kids busy.
Main Event
Do you enjoy bowling and arcade games? Join us for the fun filled day at Main Event in Warrenville. Pizza lunch and a drink is provided today. Please call the office with any dietary restrictions.
Location: Carroll Center, Oak ParkDay Date Time Fee Wed 11/21 9:00am – 3:00pm $31.00Round Trip Trans Fee: $6.20
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Teen & Young Adults
Activity Date Day Time Description FeeHit the Trail 9/17 Mon 2:45-5:00pm Enjoy the sunshine at Trailside Museum. We will hike the trail and met
some furry forest friends. Wear comfortable shoes for walking.$5.65
Summer BBQ 9/20 Thurs 2:45-5:00pm Enjoy the final days of summer with a WSSRA cookout. $5.65You rock! 9/24 Mon 2:45-5:00pm We will be climbing the indoor rock wall at FFC in Oak Park. Wear close
toed, athletic shoes and comfortable clothes.$5.65
Mall Crawl 9/27 Thurs 2:45-5:00pm Shop til you drop at HIP Mall. Bring money for a snack or shopping. $5.65STRIKE! 10/1 Mon 2:45-5:00pm Get a Strike at Brunswick Zone. Bring money for a snack. $5.65What’s Cookin? 10/4 Thurs 2:45-5:00pm Learn some delicious microwave cooking recipes at the WSSRA office. $5.65
Eat up! 10/15 Mon 2:45-5:00pm We will be going to a local restaurant to eat an early dinner. $5.65
Up Your Alley 10/18 Thurs 2:45-5:00pm Get a Strike at Brunswick Zone. Bring money for a snack. $5.65Mall Crawl 10/22 Mon 2:45-5:00pm Shop til you drop at HIP Mall. Bring money for a snack or shopping. $5.65
Color Your World 10/25 Thurs 2:45-5:00pm Paint a canvas or ceramic piece with WSSRA at Creativa. $5.65
Boo! 10/29 Mon 2:45-5:00pm Celebrate Halloween with WSSRA. $5.65
Falling for Fall 11/1 Thurs 2:45-5:00pm Celebrate Autumn with WSSRA. $5.65
Alley Cats 11/5 Mon 2:45-5:00pm Get a Strike at Brunswick Zone. Bring money for a snack. $5.65
You rock! 11/8 Thurs 2:45-5:00pm We will be climbing the indoor rock wall at FFC in Oak Park. Wear close toed, athletic shoes and comfortable clothes.
$5.65
Thankful for You 11/12 Mon 2:45-5:00pm Celebrate Fall and Thanksgiving with WSSRA. $5.65Eat up! 11/15 Thurs 2:45-5:00pm We will be going to a local restaurant to eat an early dinner. $5.65
Teen Scene Formerly Teen Scene & Urbanites Who: West Leyden Transition Program Students & LIFE Students Location: Students will be picked up for program at WLHS by WSSRA. Parent pick-up after program is the WSSRA office @ 5:00pmTransportation: Home only transportation is available to students who live in WSSRA partner communities Trans Fee: $3.00/week*No program, October 8th & October 12th
Activity Date Day Time Description FeeHit the Trail 9/19 Wed 2:45-5:00pm Enjoy the sunshine at Trailside Museum. We will hike the trail and met
some furry forest friends. $5.65
PIZZA PIZZA 9/26 Wed 2:45-5:00pm We will be walking to Blaze Pizza to create our own Pizzas. $5.65STRIKE! 10/3 Wed 2:45-5:00pm Get a Strike at Circle Lanes. Bring money for snacks. $5.65You rock! 10/17 Wed 2:45-5:00pm We will be climbing the indoor rock wall at FFC in Oak Park. Wear close
toed, athletic shoes and comfortable clothes.$5.65
Mall Crawl 10/24 Wed 2:45-5:00pm Shop til you drop at Riverside Mall. Bring money the shop or for a snack. $5.65Boo! 10/31 Wed 2:45-5:00pm Celebrate Halloween with WSSRA. $5.65
Alley Cats 11/7 Wed 2:45-5:00pm Get a Strike at Circle Lanes. Bring money for snacks. $5.65
Falling for Fall 11/14 Wed 2:45-5:00pm Celebrate fall with crafts and snacks. $5.65
Berwyn Excursions Who: Morton West High School Students Location: Morton West High School*No program, October 10th
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Teen & Young Adults
Activity Date Day Time FeeGreek Islands 9/21 Fri 6:30-9:15pm $13.00Lake Street Kitchen & Bar 10/5 Fri 6:30-9:15pm $13.00
D.O.C. Wine Bar 10/12 Fri 6:30-9:15pm $13.00Lou Malnati’s 10/26 Fri 6:30-9:15pm $13.00Claim Jumper 11/2 Fri 6:30-9:15pm $13.00Turkey Bingo at North Riverside 11/16 Fri 6:30-9:15pm $13.00
Food Critics (Age: 15 & older) MI, DD, AUT, MLH
East Vs. WestCome out and help us choose which town has the better restaurants as we put Oak Park and Lombard to the test. We recommend $30 to cover your meal and tip. Participants must be able to sit for a meal with minimal interruptions to others.
Location: Carroll Center, Oak ParkTrans Fee: $2.80/week Pick-Up Points: WSSRA Office & Cicero McDonalds
Activity Date Day Time FeeMovie at Lake Theater 9/28 Fri 6:30-9:15pm $13.00Movie at Lake Theater 10/19 Fri 6:30-9:15pm $13.00Movie at Lake Theater 11/9 Fri 6:30-9:15pm $13.00
Showtime (Age: 15 & older) MI, DD, AUT, MLH
Enjoy a night with popcorn your friends and the big screen. WSSRA will notify participants of the show and program time on Wednesday, the week of the movie. To minimize disturbance to other movie patrons, participants must be able to focus on a movie for two hours with minimal breaks. Participants need to bring money to cover movie ticket and snacks.
Location: Carroll Center, Oak ParkTrans Fee: $2.80/week Pick-Up Points: WSSRA Office & Cicero McDonalds
Let’s Dance!(Age: 13 & older) All Abilities
Dance, dance, dance your way to a healthier you! WSSRA will be exploring different types of dance throughout the season.
Location: Liberty Center, BerwynDay Dates Time Fee Weds 9/19 – 11/14 5:30 – 6:30p $52.50Round Trip Trans Fee: $55.80
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Social ClubsJoin a club for some Saturday evening fun! We’ll visit some of your favorite attractions with friends while
focusing on enhancement of social skills. Activities planned are intended for adults who want to venture out while having fun! If you’re new to Saturday nights, call the office and we’ll help you find the right group!
When Social Clubs are scheduled to attend sporting events, plays, concerts, etc, our return to the meeting locations is approximate. WSSRA will remain at these events until they end. If the group is going to be more
than 15 minutes late, staff will attempt to contact families with updated information. For all out trips, the vans will depart the meeting location 5 minutes after the scheduled start time.
Activity Date Day Time Description Fee
Troll Hunt 9/22 Sat 4:00-7:00pm Help us hunt for the colossal trolls hiding at The Morton Arboretum. Please note the program time change. $15.30
Ice Cream Social 9/29 Sat 6:00-9:00pm Join us as we celebrate the last of the good weather with an ice cream sundae bar. $13.10
Chicago Fall Fest 10/6 Sat 6:00-9:00pm Moonlighters is headed to Sonny Acres Farm’s for their annual fall carnival. Please bring money for concessions and ride tickets. $15.30
Chicago Wolves Home Opener 10/13 Sat 6:00-9:00pm
It’s opening night at the Allstate Arena! Help us cheer on the Chicago Wolves as the start off their season. We will be staying for the entirety of the game. Calls will be made upon departure for a pickup time.
$21.30
Pre-Game Party! 10/20 Sat 6:00-9:00pm Tonight, we will be having a Bears Vs. Patriots party before the big game Sunday. Come dressed in your favorite football team attire! $13.10
Kid’s Clay Room 10/27 Sat 6:00-9:00pm Come get your hands dirty at the Kid’s Clay Room in Chicago. We will be hand building our own pottery. $21.30
It’s the Great Pumpkin! 11/3 Sat 6:00-9:00pm
Come ready to celebrate everything pumpkin. Tonight, we will be carving pumpkins and baking pumpkin treats to celebrate the start of October.
$13.10
FALLing in love with the Theater 11/10 Sat 6:00-9:00pm
WSSRA will be viewing Morton West High School’s fall musical. We will be staying for the entirety of the show. Calls will be made upon departure for a pickup time.
$15.30
Sailing down to Rivers 11/17 Sat 6:00-9:00pm
Tonight, we will be heading down to Rivers Casino in Rosemont. Before testing our luck at the slots, we will be eating dinner at Flipt. Must be 18 years old to attend this event. Please bring your ID and additional money for dinner.
$15.30
Moonlighters (Age: 15 & older) MI, DD, AUT Location: Village of North Riverside, Community RoomTrans Fee: $2.80/week Pick-Up Points: WSSRA Office & Cicero McDonalds
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Social Clubs
Activity Date Day Time Description Fee
Ice Cream Social 9/22 Sat 6:00-9:00pm Join us as we celebrate the last of the good weather with an ice cream sundae bar. $13.10
Troll Hunt 9/29 Sat 4:00-7:00pm Help us hunt for the colossal trolls hiding at The Morton Arboretum. Please note the program time change. $15.30
It’s the Great Pumpkin! 10/6 Sat 6:00-9:00pm Come ready to celebrate everything pumpkin. Tonight, we will be carving
pumpkins and baking pumpkin treats to celebrate the start of October. $13.10
Chicago Wolves Home Opener 10/13 Sat 6:00-9:00pm
It’s opening night at the Allstate Arena! Help us cheer on the Chicago Wolves as the start off their season. We will be staying for the entirety of the game. Calls will be made upon departure for a pickup time.
$21.30
Chicago Fall Fest 10/20 Sat 6:00-9:00pm Social Club is headed to Sonny Acres Farm’s for their annual fall carnival. Please bring money for concessions and ride tickets. $15.30
MonsterMasquerade 10/27 Sat 6:00-9:00pm Get ready to dance the night away at our Halloween party! A costume
contest will be held, so please come in your best at-tire. $13.10
Kid’s Clay Room 11/3 Sat 6:00-9:00pm Come get your hands dirty at the Kid’s Clay Room in Chicago. We will be hand building our own pottery. $21.30
FALLing in love with the Theater 11/10 Sat 6:00-9:00pm
WSSRA will be viewing Morton West High School’s fall musical. We will be staying for the entirety of the show. Calls will be made upon departure for a pickup time.
$15.30
Thanksgiving Feast 11/17 Sat 6:00-9:00pm Help us give thanks tonight for all our friends and another great fall
season! $13.10
Hot Shots & City Slickers (Age: 15 & older) MI, DD, AUT Location: Park District of Forest Park, Building #4Trans Fee: $2.80/week Pick-Up Points: WSSRA Office & Cicero McDonalds
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Adults
Yoga for Wellness(Age: Adults) PI, VI, HI, Chronic Illness
Did you know that yoga can help improve flexibility, balance, breathing and concentration? Plus, it can help decrease stress and improve your mood! Join WSSRA as we start the day with breathing exercises and gentle stretching and yoga. Yoga poses will be taught in a seated position in chairs. Location: Village of Harwood HeightsDay Dates Time Fee Tue 9/18 – 11/13 10:00-11:15am $31.00
Adult Aqua Movement(Age: Adults) HI, VI, PI, MLH
This aqua exercise class aims to improve strength, flexibility, and range of motion with minimal impact on your joints. Class format includes a warm up, cardio set, strength set, and cool down. Come join the fun and make a splash.
Location: PAV YMCADay Dates Time Fee Fri 9/28 – 11/2* 3:15p-4:00p $15.60 *NO PROGRAM on Oct. 12 Round Trip Transportation Fee: $31.00
Destination Date Day Time FeeBrookfield Zoo Lunch: At the Zoo 9/18 Tues 9:30am-
12:15pm $12.05
Norridge Park Lunch: Family Palace Restaurant
9/25 Tues 9:30am-12:15pm $12.05
Proska Park Lunch: Five Guys 10/2 Tues 9:30am-
12:15pm $12.05
Shabbona Park Lunch: Bakers Square 10/9 Tues 9:30am-
12:15pm $12.05
Morton Arboretum Lunch: Ginkgo Restaurant
10/23 Tues 9:30am-12:15pm $12.05
Austin Gardens Lunch: Lou Malnati’s Pizza
10/30 Tues 9:30am-12:15pm $12.05
Commons Park Lunch: Yai Yai’s Restaurant
11/6 Tues 9:30am-12:15pm $12.05
Walk & Dine(Age: Adults) HI, VI, PI, MLH
Walk or wheel your way to a healthier heart with your friends at WSSRA! We’ll end each week with lunch at a local restaurant. Participants must be independent in mobility. Participants are responsible for purchasing their own lunch ($15/week)
Round Trip Transportation Fee: $6.20/week
Destination Date Day Time FeeSuper Target - Hillside Lunch: Panda Express 10/16 Tues 9:30am-
12:15pm $12.05
Forest Park Walmart Lunch: Portillo’s 11/13 Tues 9:30am-
12:15pm $12.05
Shop & Dine(Age: Adults) HI, VI, PI, MLH
We will hit the stores to stock up on your necessities and then head to lunch at a local restaurant. Participants must be independent in mobility. Participants will be responsible forpurchasing their own lunch ($15/week).
Round Trip Transportation Fee: $6.20/week
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Adults
Wildcard Wednesdays(Age: Adults) 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!
Location: Village of North Riverside, Community RoomDay Dates Time Fee Wed 9/19 – 11/14 9:30am-12:00pm $101.70Round Trip Trans Fee: $55.80
Destination Date Day Time Description Fee
Hollywood Casino in Aurora 10/18 Thur 10:00am-
3:00pm
Join us as we try our luck at the Hollywood Casino in Aurora. Bring some spending money for games of your choice and lunch at the buffet! Buffet is $13.99
$15.60
Christkindlmarket 11/16 Fri 10:30am-2:30pm
Let’s celebrate the beginnings of the holiday season German Style at the Christkindlemarket downtown! Inspired by the 16th Century Christkindlmarket in Nuremberg, Germany. This holiday market is well-known for its vendors and food. Let’s grab a cup of German hot chocolate and enjoy the festivities! Bring money for shopping.
$15.60
Marriot Lincolnshire Theatre
12/12 Wed 10:30am-4:40pm
Enjoy Irving Berlin’s beloved Broadway musical, Holiday Inn, as we follow the story of Jim, who leaves the bright lights of show business to settle down on a farmhouse in Connecticut. This play will surely spark your holiday spirit with song and dance! We will enjoy lunch at McDonald’s before the 1pm show. Bring money for lunch and/or snacks.
$15.60
Join us as we get out and about to enjoy the wonderful sights, sounds, and tastes of the Chicagoland. Participants are responsible for purchasing their own lunch ($15/week). Location: variesPick up/drop off point: Longfellow Park, Oak Park Round Trip Transportation Fee: $6.20/week
WindyWindyCityCity
ExplorersExplorers(Adults) HI, VI, PI, MLH
Towers Socials
Join us one Friday a month for games and trivia. We’ll enjoy coffee and a light snack while meeting new people and learning new games. There will be a free shuttle to the WSSRA office from the Franklin Towers departing at 12:15p.
Location: WSSRA officeDay Dates Time Fee Fri 9/14 12:30-2:30pm FREEFri 10/12 12:30-2:30pm FREEFri 11/9 12:30-2:30pm FREEFri 12/14 12:30-2:30pm FREE Round Trip Transportation Fee: $6.20/week
(Age: Adults) PI, VI, MLH
Fall 2018 wssra.net21
Sports & FitnessHealthy Start(Age: 21 & older) All AbilitiesStart your week with a healthy dose of exercise! We offer Healthy Start TWO days each week—Mondays and Thursdays too, pick one day or both days! Set a fitness goal and let’s accomplish it!
We’ll emphasize: • Stretching & flexibility; • Moderate aerobics; • Use of exercise equipment (Cardio and Weights)Exercise routines will be monitored by staff to meet your individual needs.
Location: Franklin Park Community CenterDay Dates Time Fee Mon 9/17 – 11/12 10:00-11:30am $48.50*NO PROGRAM on Oct. 8 Round Trip Trans Fee: $49.60
Day Dates Time Fee Thurs 9/20 – 11/15 10:00-11:30am $54.75Round Trip Trans Fee: $ 55.80
Weekly Workout(Age: 13 & older) MI, AUT, DD, MLH
Finish your day with a great workout! Improve your physical condition through: • Exercise stations; • Weight lifting; • Low impact aerobics
Location: Franklin Park Community CenterDay Dates Time Fee Tues 9/18 – 11/13 7:00-8:15pm $45.50Round Trip Trans Fee: $ 55.80
Let’s Dance!(Age: 13 & older) All abilities
Dance, dance, dance your way to a healthier you! We promise to keep moving in this Latin and international dance fitness program.
Location: Liberty Center, BerwynDay Dates Time Fee Wed 9/19 – 11/14 6:15pm – 7:15pm $52.50Round Trip Trans Fee: $ 55.80
THIS RACE IS PRESENTED BY the Community Bank of Oak Park River Forest, the River Forest Park
District, Concordia University Chicago, and Fenwick High School.
The race is a 3.1 mile USATF-certified and CARA Certified Green Race course through the flat, tree-lined streets of River Forest
Go to www.signmeup.com/124327 to learn moreRace proceeds benefit WSSRA
Saturday, 9/15/18
8:00am
Cross Fit(Age: 15 & older) All Abilities
Join us at O’hare Crossfit gym for this new and popular exercise class. This class involves cardio, circuit training, plyometrics, weight lifting, and other forms of exercising. Led by trained professionals this program is great for athletes or for getting in shape. Exercises are set to the participant’s physical ability!
We ask that the participant be able to follow multi-step direction with minimal prompting.
Location: O’Hare Cross Fit, Franklin ParkDay Dates Time Fee Thurs 9/20 – 11/15 6:30 -7:30pm $36.50Round Trip Trans Fee: $ 55.80
Aqua Exercise(Age: 15 & older) MLH, MI, AUT, DD
Aqua exercise is one of the best exercises for the body with mini-mal gravitational pull, all muscle groups are worked out. Workouts cover cardio and strength. While having fun in the pool with your friends to various-upbeat music, you will also improve your:
• Strength; • Flexibility; • Mobility; • Resting Heart Rate; • Range of motion
Location: OPRFHS, Oak ParkDay Dates Time Fee Mon 9/17 – 11/12 8:30 – 9:15pm $40.00*NO PROGRAM on Oct. 8 Round Trip Trans Fee: $49.60
Fall 2018 wssra.net22
Special OlympicsIllinois Special Olympics provides year round sports training in a variety of Olympic-type sports for individuals who are 8 years and older and who have mental impairments or
closely related developmental disabilities. The program gives athletes opportunities to develop physical fitness, demonstrate courage, experience joy and participate in the
sharing of skills and friendship with their families and other athletes. WSSRA supports the mission of Special Olympics through the participation in the following sports:
Aquatics, Basketball, Bowling, Softball, Track & Field, Volleyball, & Gymnastics.
Criteria for ParticipationAll Special Olympic athletes must have a current, completed Application for Participation in Illinois Special Olympics on file with the Special Olympic coordinator at WSSRA. This form contains 4 sections: 1. Athlete information 2. Parent and/or Guardian Authorization & Medical Authorization 3. Health Insurance and Emergency Information 4. Medical Clearance (this MUST be completed by a physician)
Applications for Participation in Illinois Special Olympics are valid for 2 years based on the earliest signed date on the medical application form. See page 24 for the Application.
Anyone interested in participating or volunteering please contact the WSSRA Special Olympic Coordinator.
ExpectationsWe all share a responsibility in making the Special Olympics training and competition program a positive experience that promotes the growth & development of our athletes. It is in this belief that we have identified the below expectations for our WSSRA Athletes, Parents, & Spectators:
WSSRA’s Expectations of Athletes 1. Demonstrate respect for the rules of the sport. 2. Demonstrate respect for coaches, teammates, opponents, opposing coaches and officials. Failure to do so may result in loss of playing time. 3. Come to practices and games ready to play with a positive attitude.
WSSRA’s Expectations of Parents & Spectators WSSRA spectators are asked to provide positive support during practice and competition. Negative comments are incredibly detrimental to team morale. Spectators are expected to: 1. Show respect & positive support for ALL WSSRA athletes and our opponents. 2. Show respect & positive support for ALL WSSRA coaches, opposing coaches, officials, and other spectators 3. Be a role model for proper behavior and demonstrate good sportsmanship, and self-discipline.
Fall 2018 wssra.net23
Special Olympics
Saturday Bowling League(Age: 13 & older) 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 NSSRA tournament below!
Location: Circle Lanes, Forest ParkDay Dates Time Fee Sat 9/22 – 11/17 1:00-3:00pm $84.70 Pick Up Points : WSSRA Office , Harwood Heights Village Hall Elmwood Park Recreation Center, Cicero McDonaldsTransportation Fee: $25.20
NWSRA Bowling TournamentIf you’re registered for Saturday Bowling League, compete in NWSRA’s annual tournament! Registration is limited.Don’t wait to register!
Location: Elk Grove BowlDay Dates Time Fee Sat 12/8 12:00-3:00pm $24.10 Pick Up Points : WSSRA Office & Fox Park
Bobcats Swim Team (Age: 8 & older) Bobcats 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. Bobcats members are eligible, but not obligated for Special Olympic aquatic competition. Swim team members are not eligible to register for WSSRA swim lessons.
Don’t forget to sign up for swim meets below!Location: Oak Park River Forest High School, Girls PoolDay Dates Time Fee Mon 9/17 – 11/12 7:30-8:30pm $48.20*NO PROGRAM on Oct. 8 Round Trip Trans Fee: $49.60
SEASPAR Swim MeetLocation: Downers Grove North High SchoolDay Dates Time Fee Sat 11/17 TBD $16.00Pick Up Points: WSSRA Office and Fox Park
FVSRA Swim MeetLocation: Norris Recreation Center, St. CharlesDay Dates Time Fee Sat 12/1 TBD $16.00Pick Up Points: WSSRA Office and Fox Park
Bobcats Basketball(Age: 15 & older) MI, AUT, DD
The WSSRA Bobcats Basketball philosophy emphasizes teamwork, good sportsmanship, and giving one’s best in a safe and healthy environment. Competitiveness will come from the game itself and not from emphasis on the score. Players will: • Learn the fundamentals of basketball • Learn and play different positions • Be a part of a team and learn the importance of teamwork.
Day: TuesdayTime: 6:30-8:00pmFee: $150.00 (includes practice & game season)Full Season: September 25 – February 12 Game Season: November - FebruaryLocation: TBD **You will be notified of practice and game locations once teams have been established.Registration Deadline: September 15Pick Up Point: WSSRA Office Transportation Fee: $25.00 (fee cannot be adjusted to a weekly basis)
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truct
ions
bef
ore
subm
ittin
g th
is a
pplic
atio
n.
I rep
rese
nt a
nd w
arra
nt to
you
that
the
Ent
rant
is p
hysi
cally
and
men
tally
abl
e to
par
ticip
ate
in S
peci
al O
lym
pics
, and
I su
bmit
here
with
a s
ubsc
ribed
med
ical
cer
tific
ate.
I un
ders
tand
that
if
the
athl
ete
has
Dow
n sy
ndro
me,
he/
she
cann
ot p
artic
ipat
e in
spo
rts o
r eve
nts
whi
ch, b
y th
eir n
atur
e re
sult
in h
yper
-ext
ensi
on, r
adic
al fl
exio
n or
dire
ct p
ress
ure
on th
e ne
ck o
r upp
er s
pine
un
less
a fu
ll ra
diol
ogic
al e
xam
inat
ion
esta
blis
hed
the
abse
nce
of A
tlant
oaxi
al In
stab
ility
. I a
m a
war
e th
at th
e sp
orts
and
eve
nts
for w
hich
this
radi
olog
ical
exa
min
atio
n is
requ
ired
are
eq
uest
rian
spor
ts, a
rtist
ic g
ymna
stic
s, d
ivin
g, p
enta
thlo
n, h
igh
jum
p, a
lpin
e sk
iing,
soc
cer,
socc
er s
kills
, pow
erlif
ting
squa
t, an
d bu
tterfl
y st
roke
and
div
ing
star
ts in
sw
imm
ing.
O
n be
half
of th
e E
ntra
nt a
nd m
ysel
f, I a
ckno
wle
dge
that
the
Ent
rant
will
be
usin
g fa
cilit
ies
at h
is/h
er o
wn
risk
and
I, on
my
own
beha
lf, h
ereb
y re
leas
e, d
isch
arge
and
inde
mni
fy S
peci
al
Oly
mpi
cs fr
om a
ll lia
bilit
y fo
r inj
ury
to p
erso
n or
dam
age
to p
rope
rty o
f mys
elf a
nd E
ntra
nt.
In p
erm
ittin
g th
e E
ntra
nt to
par
ticip
ate,
I am
spe
cific
ally
gra
ntin
g pe
rmis
sion
to S
peci
al O
lym
pics
Illin
ois
to u
se th
e lik
enes
s, v
oice
and
wor
ds o
f the
Ent
rant
in te
levi
sion
, rad
io, f
ilms,
ne
wsp
aper
s, m
agaz
ines
and
oth
er m
edia
, and
in a
ny fo
rm n
ot h
eret
ofor
e de
scrib
ed, f
or th
e pu
rpos
e of
adv
ertis
ing
or c
omm
unic
atin
g th
e pu
rpos
es a
nd a
ctiv
ities
of S
peci
al O
lym
pics
and
in
appe
alin
g fo
r fun
ds to
sup
port
such
act
iviti
es. I
und
erst
and
that
by
sign
ing
belo
w I
cons
ent f
or th
e E
ntra
nt to
par
ticip
ate
in th
e S
peci
al O
lym
pics
Hea
lthy
Ath
lete
s P
rogr
am th
at p
rovi
des
indi
vidu
al s
cree
ning
ass
essm
ents
of h
ealth
sta
tus
and
heal
th c
are
need
s. T
he E
ntra
nt h
as n
o ob
ligat
ion
to p
artic
ipat
e an
d I u
nder
stan
d th
e E
ntra
nt s
houl
d se
ek h
is/h
er o
wn
med
ical
adv
ice
and
a ssi
stan
ce a
nd S
peci
al O
lym
pics
is n
ot re
spon
sibl
e fo
r the
Ent
rant
’s h
ealth
. If
I am
not
per
sona
lly p
rese
nt a
t Spe
cial
Oly
mpi
cs a
ctiv
ities
in w
hich
the
Ent
rant
is to
com
pete
, so
as to
be
cons
ulte
d in
cas
e of
nec
essi
ty, y
ou a
re a
utho
rized
on
my
beha
lf an
d at
my
acco
unt t
o ta
ke s
uch
mea
sure
s an
d ar
rang
e fo
r suc
h m
edic
al a
nd h
ospi
tal t
reat
men
t as
you
may
dee
m a
dvis
able
for t
he h
ealth
and
wel
l-bei
ng o
f the
Ent
rant
. I,
THE
UN
DER
SIG
NED
PA
REN
T A
ND
/OR
GU
AR
DIA
N o
f the
abo
ve s
peci
fied
Ent
rant
, ha
ve re
ad a
nd fu
lly u
nder
stan
d th
e pr
ovis
ions
of t
he a
bove
rele
ase
and
have
exp
lain
ed th
em
to s
aid
Ent
rant
. I h
ereb
y ag
ree
that
I an
d sa
id m
inor
will
be
boun
d th
ereb
y, a
nd I
shal
l def
end
Spe
cial
Oly
mpi
cs Il
linoi
s an
d ho
ld it
har
mle
ss fr
om a
ny d
isaf
firm
atio
n th
ereo
f by
said
min
or.
Sig
natu
re o
f Par
ent □
an
d/or
Leg
al G
uard
ian
□ __
____
____
____
____
____
____
____
____
____
____
____
____
_(C
heck
app
ropr
iate
box
) P
rint N
ame
____
____
____
____
____
____
____
____
____
____
_ D
ate
____
____
____
____
Par
ent’s
Em
ail A
ddre
ss__
____
____
____
____
____
____
____
____
____
____
____
____
___
HEA
LTH
INSU
RA
NC
E &
EM
ERG
ENC
Y IN
FOR
MAT
ION
(Req
uire
d fo
r Pro
cess
ing)
Pe
rson
to b
e co
ntac
ted
Em
erge
ncy
in c
ase
of e
mer
genc
y __
____
____
____
____
____
____
____
____
____
____
____
C
onta
ct P
hone
(___
____
)___
____
____
____
____
____
____
____
____
____
_
Med
ical
Insu
ranc
e C
ompa
ny _
____
____
____
____
____
____
____
____
____
___
Pol
icy
Num
ber _
____
____
____
____
____
____
____
____
____
____
____
___
Agen
cy N
ame
Athl
ete’
s M
ailin
g Ad
dres
s
Athl
ete’
s C
ity
Pare
nt’s
/Gua
rdia
n’s
(Ple
ase
Circ
le O
ne) H
ome
Addr
ess
Pare
nt’s
/Gua
rdia
n’s
City
Stat
e
- Zi
p C
ode
Stat
e
- Zi
p C
ode
Pare
nt’s
/Gua
rdia
n’s
Hom
e Te
leph
one
- -
□W
hite
□B
lack
/Afr
ican
Am
eric
an□
Asi
an□
His
pani
c/La
tino
□O
ther
____
____
____
____
____
____
____
____
____
____
Ethn
icity
Birth
date
M
M
D
D
Y
Y
Sex
(M o
r F)
MED
ICA
L C
LEA
RA
NC
E
PLEA
SE C
HEC
K M
EDIC
AL
INFO
RM
ATI
ON
Doe
s at
hlet
e ha
ve D
own
Syn
drom
e?
Yes □
No
□
If ye
s, h
ave
x-ra
ys o
f the
C1-
C2
verte
brae
been
take
n an
d ex
amin
ed?
Yes □
No
□
Dat
e of
x-r
ay__
____
____
____
____
__
Is th
e at
hlet
e cl
ear o
f Atla
ntoa
xial
Inst
abili
ty?
Yes □
No
□D
oes
the
athl
ete
have
or i
s th
e at
hlet
e:
H
eart
Pro
blem
s Ye
s □
No
□
Dia
betic
Ye
s □
No
□
Epi
lept
ic/S
eizu
res
Yes □
No
□
Blin
d Ye
s □
No
□
Dea
f Ye
s □
No
□
Hep
atiti
s Ye
s □
No
□
Oth
er__
____
____
____
____
____
____
____
Cur
rent
Med
icat
ion
D
osag
e
____
____
____
____
____
____
____
____
____
_
____
____
____
____
____
____
____
____
____
_
____
____
____
____
____
____
____
____
____
_
Alle
rgie
s to
med
icat
ion,
if a
ny: _
____
____
___
____
____
____
____
____
____
____
____
____
_
Dat
e of
last
Tet
anus
sho
t:__
____
____
____
__
I
have
exa
min
ed th
e ab
ove-
nam
ed
E
ntra
nt a
nd, i
n m
y op
inio
n, th
ere
is n
o
m
enta
l or p
hysi
cal r
easo
n w
hy h
e or
she
shou
ld n
ot p
artic
ipat
e in
the
Spe
cial
Oly
mpi
cs s
ports
trai
ning
and
com
petit
ion
prog
ram
. Fur
ther
info
rma-
tion
will
be
forw
arde
d if
requ
ired.
Cur
rent
med
icat
ion,
if a
ny, i
s sp
ecifi
ed
w
ith d
osag
e on
this
app
licat
ion.
Exa
min
atio
n D
ate
____
____
____
____
____
__
Doc
tor’s
Sig
natu
re _
____
____
____
____
____
_
Prin
t Nam
e __
____
____
____
____
____
____
_
Add
ress
___
____
____
____
____
____
____
___
City
____
____
____
___
Sta
te__
__ Z
ip _
____
_
Pho
ne (_
____
)___
____
____
____
____
____
__
Region
SO
ILL
Rev
. 8-1
-17
S1-9
Fall 2018 wssra.net25
SSSB Sponsors
Summer Bash
GOLD SPONSORS
MARKETING SOLUTIONS
BUGLES ACROSS AMERICABUGLES ACROSS AMERICA
Fall 2018 wssra.net26
SSSB Sponsors
WORKING TOGETHER
TO HELP THE COMMUNITY
Silver SponsorsTHE JOAN BERMAN FAMILYHAWTHORNE PARK DISTRICT
CUSTOM PROMOS
FriendsROSIE BACCHUS
THE FISCHER FAMILYTHE PEREZ FAMILYHELEN KOSSLER
PERRY VIETTI & MELANIE NOWACKI
Summer Bash
mail to: wssra, 2915 maple street, franklin park, il 60131 ··· fax to: 847.455.2157 ··· signed registration must be received by september 7, 2018
participant’s name: ________________________________________________________ birth date: ________________________ gender:________________
address: ________________________________________________________________ city/state: _______________ zip: ___________________________
home phone: _____________________________________ park district/village: ______________________________________________________________
parent or guardian name: __________________________________________________________________________________________________________
email address:
parent/guardian work phone: _________________________________________________ parent/guardian cell phone: _________________________________
who should be contacted if parent/guardian is unavailable? name: ______________________________________________ phone: _________________________
present school/workshop/other: ______________________________________________ teacher/supervisor name: ___________________________________
participant disability: _____________________________________________________________________________________________________________
does participant use wheelchair/walker? specify: ____________________________________ ______________________ can participant transfer? *yes
is participant subject to seizures? *yes *no if yes, please complete and return seizure information form
is medication taken at program? *yes *no list any medication: ______________________________________________________________________________
list any allergies: _______________________________________________________________________________________________________________
does participant have a communicable disease? *yes *no if yes, please explain: ____________
*no
west suburban special recreation association
FALL 2018 REGISTRATION FORM
program name date day time fee transprogram & trans
fee subtotal
$
$
$
total due:amount paid:
remaining balance:
to credit card
PAYMENT OPTION ··· PLEASE CHECK ONE ··· PAYMENT IS EXPECTED AT REGISTRATION, IF YOU ARE UNABLE TO PAY YOUR FULL BALANCE,
A $5.00 DEPOSIT IS REQUIRED FOR EACH PROGRAM, WITH A MAXIMUM DEPOSIT OF $20.00
* total payment enclosed * total payment to follow (if faxed) * deposit made ($5 per prog)
* payment plan arranged with bob foster * request scholarship ($5 per prog deposit still required)
* credit card * visa * master card
card number: expiration date: _____ / _____ amount to be charged: $___________
i have read the waiver release of all claims and hold harmless agreement on the reverse side and unless i have checked no under the three authorizations, i approve them.
parent/participant/guardian signature date
HOLD HARMLESS RELEASE ON
REVERSE SIDE
v code:________(located on back - 3 digits)
West Suburban Special Recreation Association
WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENTPlease read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in the programs. In registering for these programs, you are agreeing as follows:
As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury.
I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs.
I do hereby fully release and discharge the West Suburban Special Recreation Association and the other released parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participation in these programs.
I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all
claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of these programs.
I further understand and agree that the terms such as “participation”, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision, of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events.
I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement.
In case of emergency, I give my permission for the participant to receive any first aid, transportation or medical attention that may be required.
You may return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile transmission to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.
to communicate with school/ health care personnel* i authorize counsellors, teachers, case workers, therapists, or physicians to communicate with wssra about the participant’s needs as they relate to wssra’s provision of recreation services to the participant. wssra will keep confidential all information obtained through such communications.
0 yes 0no
to disclose information to wssra member partners* wssra may disclose to my home park district or municipality information about the participant’s and my involvement in wssra programs or activities, including our names, telephone number, address, program registrations, and the participant’s age and disability, provided that my home park district or municipality shall not redisclose that information without my express written consent.
0 yes 0no
*I understand that I can change my decisions regarding the statements above at any time for any reason by delivering a written notice to WSSRA, prohibiting further disclosure information.
we welcome your input!We invite you to share with us your program ideas and comments about our services:
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
you can also email us your input at [email protected] | follow us on /wssra @wssra @w.s.s.r.a
west suburban special recreation association
OTOÑO 2018 FORMA DE INSCRIPCIÓN ENVÍE A: 2915 Maple Street, Franklin Park, Il 60131 O POR FAX: (847)455-2157 ·· la registración firma debe recibirse antes del 7 e septiembre.
nombre de participante: _________________________________________ fecha de nacimiento del participante:_________________ género_____________
dirección: ___________________________________________________ ciudad/estado: ____________________ código postal: ___________________
tel de casa: ___________________________________ distrito de parque/municipalidad: ___________________________________________________
padre/guarda legal: _________________________________________________________________________________________________________
correo electrónico:
padre/guarda legal tel del trabajo: _________________________________________ padre/guarda legal tel cel: ________________________________
¿a quien debemos llamar si el padre/tutor no esta disponible? nombre: _________________ telefono: _____________________________________________
escuela actual/trabajo/otro: _____________________________________________ nombre del maestro/supervisor: _____________________________
discapacidad del participante: ___________________________________________________________________________________________________
¿usa el participante silla de ruedas/andador? especifique: ____________________ ________________ ¿puede el participante trasferirse? *sÍ *no
¿es el participante sujeto a ataques? *sÍ *no por favor adjunte su plan de tratamiento para ataques
¿se toma el medicamento durante el programa? *sÍ *no liste los medicamentos: _________
liste cualquier alergias: _______________________________________________________________________________________________________
¿tiene el participante una enfermedad comunicable? *sÍ *no sÍ la tiene, por favor explique: _____________________________________________________
OPCIÓN DE PAGO ··· MARQUE UNO ··· EL PAGO SE DEBE CUANDO SE REGISTRE, SI NO PUEDE PAGAR TODO EL BALANCE,
SE DEBE PAGAR UN DEPOSITO DE $5 POR CADA PROGRAMA, MAXIMO DE $20.00
* pago total adjunto * pago total a seguir (sÍ mando por fax) * deposito dejado ($5.00 cada programa)
* solicitar beca * plan de pago arreglado con bob foster
* tarjeta de crédito * visa * master card
numero de tarjeta: fecha de caducidad: _____ / _____
v code:________(3 números en la parte posterior de la tarjeta)
he leído la exencion de todas las reclamaciones y acuerdo de mantener indemne y a menos que yo no haya comprobado bajo las tres autorizaciones, los apruebo.
_________________________________________ ______________________padre/participante/tutor firma fecha
nombre de programa fecha dia hora costo trans total parcial de programa y trans
$
$
$
total debido:cantidad pagada:
nuevo balance:
ACUERDO INOCUO AL
LADO REVERSO
cantidad a cargar a la tarjeta de credito:
$___________
West Suburban Special Recreation Association
EXENCION DE TODAS LAS RECLAMACIONES Y ACUERDO DE MANTENER INDEMNE Lea por favor esta forma con cuidado y esté enterado que en si firma y participa en el programa de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciando de todo reclamo de por heridas que surgieran de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en los programas. Al registrar para estos programas, usted concuerda de la siguiente manera:
Como participante en estos programas, yo reconozco que hay ciertos riesgos de heridas físicas, y yo concuerdo en asumir el riesgo total de cualquier herida, daños o pérdida que pueda sostener a consecuencia de tomar parte de cualquier manera, en cualquier y todas las actividades conectadas con o asociado de tales actividades que implique riesgos substanciales de alguna herida.
Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener a consecuencia de tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial, cualquier y toda unidad gubernamental participante, cualquier y todos los contratistas independientes, oficiales, agentes, sirvientes, empleados de los cuerpos gubernamentales y contratistas independientes, y cualquier y todas las otras personas y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquier herida que yo quizás sostenga al tomar parte en estos programas.
Yo por la presente renuncio y completamente y libero a la Asociación West Suburban de Recreación Especial y libero a otros partidarios de cualquier y todo reclamo por heridas, daños o pérdida, que puedan incurrirme por motivo de mi participación en estos programas.
Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West Suburban de Recreación Especial y cualquier y todos los otros partidos de cualquier y todo reclamo que resulte en heridas, daños y pérdidas sostenidas por cualquiera, y surgiendo fuera de, conectado con, o en cualquier manera asociada con mi conducto y las actividades de estos programas.
Comprendo aún más y concuerdo que los términos como “participación”, y las “actividades”, se refirieron a en este Acuerdo, incluye todos ejercicios y los movimientos físicos de cualquier naturaleza mientras tomo parte en estos programas e incluye aún más la provisión, de o fracaso para proporcionar las instrucciones o la supervisión apropiadas, el uso y el ajuste de cualquier y toda maquinaria,equipo, y aparato, y algo relacionado con mi uso de los servicios, las facilidades, o Implicado en estos programas, y en el transporte a y de acontecimientos.
Comprendo la naturaleza de estos programas para el cual me inscrito, y he leído y comprendo completamente esta Renuncia, Liberación y Acuerdo Inocuo. Comprendo aún más que cualquier deliberación o advertencias de los riesgos particulares de estos programas que recibo subsiguientemente serán integradas por la referencia en y llegan a ser una parte de este Acuerdo.
En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueda ser requerida.
para comunicarse con los trabajadores de escuela/doctor yo autorizo a los maestras, trabajadores sociales, terapistas o doctores a comunicarse con wssra acerca de las necesidades del participante en relación a los programas de wssra. wssra guardara toda la información confidencial que recibimos.
o Si o No
para comunicarse con los acompanieros/miembros de wssra yo autorizo que wssra les puede dar información acerca del participante y su participación en programas y actividades a mi distrito de parque o municipalidad de mi ciudad, incluyendo nombre, dirección, numero de teléfono edad. discapacidad o registraciones, si no los revelar de nuevo sin mi firma de concento.
o Si o No
*yo entiendo que puedo cambiar a las declaraciones encima en cualquier momento entregando un aviso escrito a la oficina de wssra, para prohibir revelación adicional del información.
agradecimos sus comentarios!Los invitamos a compartir con nosotros su ideas de programas y comentarios sobre nuestros servicios:
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follow us on /wssra @wssra @w.s.s.r.ayou can also email us your input at [email protected] |
West Suburban Special Recreation Association
SEIZURE INFORMATIONdate: ___________________________
Please complete this form if the participant experiences seizures, or return a copy of your child’s seizure plan from his/her school. Please update this form whenever there is a change in the seizure plan and submit it with your registration. You will be asked to review this once a year and provide any necessary updates.
CONTACT INFORMATION
participant name:____________________________________________________________________________________________________________
person completing form:______________________________________________________________________________________________________
parent/guardian:____________________________________________________________________________________________________________
parent/guardian home phone:____________________________work:__________________________________cell:_____________________________
emergency contact:__________________________________________________________________________________________________________
emergency contact home phone:__________________________work:__________________________________cell:_____________________________
emergency contact relationship:_________________________________________________________________________________________________
email address:
what is the best way to communicate with you about the participant's seizure?:_________________________________________________________________
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current seizure related medication:
1. Seizure Type (please check):
* Generalized tonic-clonic seizures (grand mal seizures) are the most common and best known type of generalized seizure. They begin with stiffening of the limbs (the tonic phase), followed by jerking of the limbs and face (the clonic phase).
* Myoclonic seizures are rapid, brief contractions of bodily muscles, which usually occur at the same time on both sides of the body. Occasionally, they involve one arm or a foot. People usually think of them as sudden jerks or clumsiness.
* Atonic seizures produce an abrupt loss of muscle tone. They produce head drops, loss of posture, or sudden collapse. Because they are so abrupt, without any warning, and because the people who experience them fall with force, atonic seizures can result in injuries to the head and face. Protective headgear is sometimes used by children and adults.
* Absence seizures (petit mal seizures) are lapses of awareness, sometimes with staring, that begin and end abruptly, lasting only a few seconds. There is no warning and no after-effect.
* Simple partial show no loss of consciousness. Sudden jerking, sensory phenomena. Lasts about 90 seconds.
* Complex partial last about 1-2 minutes in which consciousness is impaired or lost. May have an aura. Symptoms include: Automatisms such as lip smacking, picking at clothes, fumbling. They may be unaware of the environment and may wander. Following the seizure they are often unaware of the seizure event and can be confused and sleepy.* Status epilepticus If seizures are prolonged, or occur in a series, there is an increased risk of status epilepticus. The term literally means a continuous state of seizure.
2. When was your/the participant’s last seizure? _____ /_____ /______ How long does the seizure last?
How long was the longest seizure? _________________________________________________________________________________________
3. Describe what a typical seizure looks like (be specific) : _________________________________________________________________________
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medication name dosage time of intake
West Suburban Special Recreation Association
SEIZURE INFORMATION continued 4. Are you/the participant aware that they are about to have or have just had a seizure? yes no
5. Are there any symptoms or triggers prior to the onset of your/the participant’s seizure? (i.e. stomach pain, fear, smells, sounds, lights)
Explain: ___________________________________________________________________________________________________________________
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6. Has there been any recent change in your/the participant’s seizure pattern? yes no
Explain: ___________________________________________________________________________________________________________________
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7. Have you/the participant ever been hospitalized for continuous seizures? (Status epilepticus) yes no
Explain: ___________________________________________________________________________________________________________________
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8. Please list below the necessary steps you would like WSSRA to take in the event of a seizure:
1. Call 911 for a seizure over ______ minute(s). WSSRA will call 911 if a seizure lasts 5 minutes
2. ______________________________________________________________________________________________________________________
3. ______________________________________________________________________________________________________________________
9. Please describe what constitutes an emergency for you/ the participant: ____________________________________________________________
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10. Do you/the participant have a VNS (vagal nerve stimulator)? yes no If yes, contact WSSRA at 847.455.2100 to discuss further.
11. Is there any other information that WSSRA should know? ________________________________________________________________________
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Fall 2018 wssra.net33
WSSRA Registration & PoliciesREGISTRATION OPTIONSIn order to participate in FALL programs, your completed AND signed registration form must be received in the WSSRA office by SEPTEMBER 7TH. WSSRA registration is taken on a first-come, first-served basis.
REGISTRATIONA completed AND signed registration form is required (along with a $5 deposit per program) in order to start participation. If your signed form is not received by SEPTEMBER 7TH, you will lose your spot in any of your selected programs and be put on a waitlist.
CLOSED PROGRAMS/WAIT LISTSIf a program is at maximum enrollment, your participant will be placed on a wait list once your completed and signed registration form along with full payment or program deposit is recieved. Wait lists are reviewed on a weekly basis. You will be notified if additional space in the program becomes available.
NEW PARTICIPANTSIf you are new to WSSRA, proof of residency is required at the time of enrollment. WSSRA will accept a current utility bill, mortgage or lease in your name.
PAYMENTPayment of program fees is due upon registration. If you are unable to pay your full balance, a $5.00 deposit is required for each program with a maximum deposit of $20 required. Billing statements are mailed out once a month. Call to arrange for a payment plan. A participant may not register for the next season until a balance from previous season is paid. WSSRA Program Supervisors MAY NOT accept payment or registration forms at program.
RETURNED CHECKSA $20.00 fee will be charged for any checks returned to WSSRA. The $20.00, as well as the balance, will need to be paid before registering for future programs.
PROGRAM CREDITS AND CANCELLED PROGRAMS1. Program credits will not be issued for weather related cancellations. WSSRA will attempt to make up programs due to weather cancellations.2. Program credits will not be issued for sports tournament cancellations.
3. If WSSRA is notified 5 business days prior to the start of a program season, the participant will be credited the cost of each program cancelled less a $5.00 processing fee.4. A full, prorated program credit will be issued if for extended medical reasons and/or hospitalization with written verification from a physician.5. A prorated program credit will be issued for programs that may have a postponed start due to low enrollment. If the program is subsequently cancelled, a full program credit will be issued.6. A full program credit is issued if a program or special event is cancelled by WSSRA due to low enrollment.7. If a participant chooses to cancel from a program after the season has begun, a prorated program credit will be issued for each program cancelled, less a $5.00 processing fee, the cost of a ticket (unless there is a person on a waiting list), contracted services, or specialized non-refundable supplies.8. Program credits will not be issued retroactively. Prior notification of program cancellation to WSSRA office is necessary in order to be eligible for a program credit.9. All credit requests will be reviewed on a monthly basis
SCHOLARSHIP REQUESTWSSRA is in a position to offer scholarships to WSSRA residents for a percentage of fees for two programs each season. Persons requesting a scholarship must complete a scholarship application, which will be mailed to you upon request. Scholarship applications need to be filled out once a year. If you are interested in a scholarship, check the box on the registration form: Request Scholarship. All scholarship applications must be completed and submitted to the WSSRA office. Proof of income is required.
PARENT DROP-OFF & PICK-UPWSSRA programs are staffed according to the needs of the participants who are registered. If your participant does not show up to program, we will send staff home for the day. Please help WSSRA keep programs running safely with the necessary number of staff by making sure that your participant arrives for program at the start time of program. Please do not drop your participant off prior to the stated program start time. For the safety of your participant, at drop off & pick up, be sure to make contact with a WSSRA staff person.
When a program is scheduled to travel (i.e. Saturday nights, outdoor adventures, etc.), The WSSRA vehicles will leave the meeting location promptly at 5 minutes past the program’s listed start time.
LATE PICK-UP/DROP-OFF A $10.00 Fee will be charged for every 15 minutes, or portion thereof, that a participant is picked up late or WSSRA vehicle is delayed. A notice will be sent to you indicating the fee being charged to your account.
DROP OFF AT THE WSSRA OFFICE OR MAIL TO
WSSRA2915 Maple St.
Franklin Park, IL 60131
SCAN & EMAIL [email protected]
ONLINE wssra.net
FAX TO847.455.2157
PHONE TO:847.455.2100
Fall 2018 wssra.net34
WSSRA Registration & PoliciesPARTICIPANT ILLNESSFor the protection of all of the participants in program, your participant must be kept at home or will be sent home if he/she shows any of the following symptoms: · A temperature over 100.3. · Stomach ache accompanied by diarrhea or vomiting. · Any undiagnosed rash. · Sore or discharging eyes or ears. · Profuse nasal discharge (green or yellow). Please keep children with active colds at home. · Have a highly contagious condition such as chicken pox, measles, lice, etc.
PARTICIPANT ABSENCE If your participant is not going to attend a program for which you are registered, please notify the WSSRA office as soon as possible. Make sure you leave a voice mail if you call after our office has closed for the day.
SAFETY PRECAUTIONSSome participants in WSSRA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service training concerning proper hygienic procedures. WSSRA seeks to provide a safe environment for all of our participants, staff, volunteers, and the public. If you have specific questions, please call the WSSRA executive director or superintendent of safety & operations.
WSSRA TRANSPORTATIONTransportation by WSSRA is available for some programs and with an additional fee. When offered, transportation information and fees are noted in a program’s registration information in this program guide. All riders must abide by the following WSSRA guidelines. Failure to do so will result in suspension from transportation. Repeat offenders will not be transported by WSSRA. · Riders must stay in their seat with a seatbelt on at all times. · Riders must not deface the vehicle. · Riders must keep their hands and feet to themselves. · Eating is not permitted on WSSRA vehicles. · Parents or participants must notify WSSRA in regard to any change in transportation. · Any registration received after September 11 may result in a late program start or no transportation. · Parents are requested to notify their child’s school on days the child will be picked up by WSSRA. · A participant under the age of 16 must be taken off of the WSSRA vehicle by a responsible person over the age of 12.
CAR SEATSDue to state legislation, car seats or boosters must be provided for all children ages seven and under. For more information contact the superintendent of safety & operations.
MEDICATIONIt is the parent/guardian and participant’s responsibility to inform WSSRA of any medication a participant is taking. This information is important in case of an emergency. Medication information should be noted ion the registration forms, as well as the annual information form. Any changes in medication should be communication to WSSRA.
SEIZURESParticipants who have had a seizure must complete a seizure information form prior to beginning programs. Please see page 25 for this form. Forms can be found on the WSSRA website, scanned & emailed, or mailed to you. Forms need to be updated as changes with the seizures or medication occurs.
INSURANCEThe association takes every reasonable precaution to prevent injuries and accidents from occurring. However, if an accident does occur or if you or your participant is injured, you are solely responsible for any costs incurred or caused by an injury that happens in an association program.
WAIVER OF LIABILITYWSSRA is insured through a self-insurance pool with other special recreation associations and park districts. Our pool is known as the park district risk management agency (pdrma). As a loss prevention measure, pdrma is requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the WSSRA waiver release form. This must be signed and returned to the WSSRA office before a participant can be in programs each season.Since we do not carry medical or accident insurance for program participants, the release of liability is necessary. The cost of such coverage would make our program fees to high for most to afford. Please review your personal health plan to be certain that you and your family have coverage in instances like these.Our objective is to offer a high-quality program at a reasonable cost. The use of a release of liability, when appropriate, is but one way we are trying to meet that objective. If you have questions, call the WSSRA executive director. We appreciate your continued involvement and support.
NON-RESIDENT POLICYWSSRA programs are limited to people who live in the WSSRA partner districts and villages. If you live outside of the WSSRA communities and are interested in participating in a special recreation program, call your park district or village recreation department. Call the WSSRA executive director for more information.
SAY CHEESE Photos & videos are periodically taken of people participating in WSSRA & Inclusive Partner District programs & activities. All persons registering for WSSRA and Partner Inclusion programs/activities thereby agrees that any photograph or videotape taken by WSSRA may be used for promotional
purposes including its electronic media, videotapes, brochures, flyers and other publications without additional,
prior notice or permission and without compensation to the participant, rights to royalties or any other consideration now and in the future.
Bring your family on our magical journey to the North Pole. We’ll read
“The Polar Express” by Chris Van Allsburg
while enjoying light refreshments, activities, good company,
and a visit from Santa himself!
Saturday, December 8 • 12:45 – 3:15pmTrain Departs Berwyn at 12:55p, Returns at 3:15p
Fee: $8.00 (11 years & younger) $15.00 (12 years & older)Sponsored by: Thumbuddy Special
**Seats are limited! 5 tickets per family, all children must be accompanied by and adult. Wheelchair seating available.
The POLAR EXPRESS Storytime Train
Join us for a night of celebrating WSSRA participants, families, staff, & volunteers with dinner, drinks & dancing.
All participants must be accompanied by a guest.
Recognition BanquetSaturday, February 9, 2019
6:30p – 9:00p
Location: Center at North Park, Franklin Park
Fee: Free for Staff, participants, & volunteers. $25 for all additional guests
West Suburban Special Recreation Association2915 Maple Street, Franklin Park, IL 60131P 847.455.2100 | F 847.455.2157www.wssra.net
PRSRT STDU.S. POSTAGE
PAIDPERMIT NO. 317
FOND DU LAC, WI
11.2.18 7:00 - 11:00pmCheney MansionOak Park
West Suburban Special Recreation Association & Foundation present
Join us for a special night of fun & fundraising to benefit the Stars of WSSRA
Beer, Wine & Signature Martini
Appetizers & Sweet Table
Blackjack, Poker, Roulette,
Craps, Slots & Live Auction
Starlit Casino Night Featuring:
FOR TICKETS & SPONSORSHIP OPPORTUNITIES VISIT WSSRA.NET
Tickets are $100 each | $180 for two | $120 each at the door