hablamos espaÑol wssrawssra - west … espaÑol wssrawssra enriching lives through...
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HABLAMOSESPAÑOL
WSSRAWSSRAEnriching lives through recreationEnriching lives through recreation
FALL
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West Suburban Special Recreation Association2915 maple street, franklin park, il 60131847.455.2100 - voice or tty
office hours8:30 am – 5:00 pm - monday through friday
berwyn park district ............................... jeff jandaclyde park district ................................. larry banksvillage of elmwood park ......................... al schmidtpark district of forest park ...................steve thomaspark district of franklin park ........ joseph d. modrichvillage of harwood heights ...............anna wegreckihawthorne park district ......................dennis raleighnorridge park district ......................... mark desalvonorth berwyn park district ............... joseph c. vallezpark district of oak park ................... kassie porrecariver forest park district .........................mike sletten
Board of Directors Board Meetings
WHO WE ARE......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.
The 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.
wssra.net 3
All Fall 2017 registration is taken on a first come, first served basis.Fall deadline ..... September 8, 2017
PLEASE REVIEW OUR REGISTRATION POLICIES, THEY HAVE BEEN UPDATED!
ADD 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
Key to Abbreviations
WSSRA Staff
FALL CALENDAR ....................................................9
SPECIAL EVENTS ............................................. 10-11
CHILDREN & YOUTH ....................................... 12-14
HOLIDAY HULLABALLOS .....................................15
SWIM LESSONS .....................................................16
TEENS & YOUNG ADULTS .............................. 19-21
SOCIAL CLUBS ............................................... 22-23
SPORTS & FITNESS .................................................24
SPECIAL OLYMPICS ........................................ 25-26
OLDER ADULTS .....................................................27
REGISTRATION FORMS ................................... 28-32
REGISTRATION INFORMATION & POLICIES .. 33-34
Marianne Birko ....................226 .......................................executive director ......................................................................... [email protected] Hart ............................230 .......................................Superintendent oF recreation .................................................................annieh@wssra.netRobert A. Foster ...................238 .......................................Superintendent oF SaFety & operationS ........................................................bobf@wssra.netApril Ryan .............................231 .......................................StaFF manager ..........................................................................................aprilr@wssra.netCarlos Marroquin ................232 .......................................program manager ............................................................................. [email protected] Sturm ...............235 .......................................incluSion manager .................................................................................. [email protected] Walsh ........................240 .......................................public relationS coordinator .............................................................. [email protected] Hagins ..........................234 .......................................recreation SpecialiSt .................................................................................nickh@wssra.netKelly Baran ............................239 .......................................recreation SpecialiSt ................................................................................ [email protected] Springgate .............236 .......................................recreation SpecialiSt .............................................................................wendys@wssra.netCarla Pakenas .....................219 .......................................recreation SpecialiSt ...............................................................................carlap@wssra.netLisa Gershak .........................221 .......................................Finance manager ........................................................................................lisag@wssra.netNoelia Hernandez ...............222 .......................................regiStrar ..................................................................................................nolyh@wssra.netKarina Marroquin ................220 .......................................receptioniSt ..........................................................................................karinam@wssra.netAntonio Casas .....................220 .......................................receptioniSt .............................................................................................. [email protected] Harmon Bell .................224 .......................................Fund development SpecialiSt ....................................................................... [email protected] Rocha-Serrano .............224 .......................................lekotek leader ...............................................................................................luzs@wssra.netLarry Feldt ...........................................................................wSSra driver
Mike Zych ...........................................................................wSSra driver
Frank Quaranta .................................................................wSSra driver
A 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.
Our Program Guide
Registration Update
Table of Contents
Follow uS on /wSSra @wSSra @w.S.S.r.a
BERWYNHavlicek 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 .....847.455.5299
Franklin 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
OAK PARKAndersen Center820 Hayes Ave ..............708.524.2050Barrie 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
EMERGENCYPHONE
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.
WWW.WSSRA.NETCheck out the WSSRA on the
web for directions to program
locations and up to date
program information.
Email your comments to us:
Prog
ram
Loc
atio
ns
4 wssra.net
Online Registration
wssra.net 5
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!
BeginningDecember
1st
We are excited to announce
ONLINE Registration
www.wssra.netAVAILABLE AT
More information will be posted on the website,
Facebook and Instagram!
Follow us on Facebook andInstagram @w.s.s.r.a
Get
invo
lved
! & S
taff
Spo
tlig
ht
6 wssra.net
· 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 everyoneFor more information, call 847.455.2100 or visit wssra.net
WSSRA is looking for energetic & caring staff to assist in recreation programs for individuals with disabilities. You will:
Staff Spotlight
Photo: Wendy Springgate (Recreation Specialist) and Kelly Baran (Recreation Specialist)
Take a minute to get to know our new staff!
PERSONAL INTERESTS: Kelly: sports, nature, reading, spending time with my family
Wendy: Camping, trying new restaurants, art, boating, cribbage, volleyball, spending time with family and friends
FAVORITE MOVIES: Kelly: It’s a Wonderful Life and Ironman
Wendy: Midnight in Paris, Breakfast at Tiffany’s, 500 Days of Summer, Le Miserable
FAVORITE SPORTS TEAMS: Kelly: Chicago Blackhawks and the WSSRA Bobcats
Wendy: The Cubs and Western Michigan University Broncos
FAVORITE FOOD: Kelly: Pizza
Wendy: Anything with cheese
FAVORITE THING ABOUT WSSRA: Kelly: The staff, families, and participants. It has been great to get to know everyone, and I look forward to a future of fun!
Wendy: The amazing participants and phenomenal staff I have the privilege of working with.
For more program information please contact….
Kelly Baran Swim programs, and Older Adults
(pages 16, 27)
Carla Pakenas Children & Youth, Holiday Hullabaloos, WSSRA Young Athletes (pages 12 - 15)
Wendy Springgate Teens & Young Adults, School Days Out,
Inclusion Support (pages 19 - 21)
Nick Hagins Social Clubs, Special Olympics, Sports & Fitness(pages 22 -26)
Meet the Staff
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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!
aaaaaaaaaaa
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.
Special Events
MondayTuesday
Wednesday
ThursdayFriday
SaturdayHA
MBURG
ER MA
RY’Spage10
MA
KIN’ TRA
CKS 5K
page 10
FALLIN
’ FOR O
UR STARS
Page 8
PAREN
T DATE N
IGHT
page 14
SEASPA
R SWIM
MEET
page 26
FVSRA SW
IM M
EET page 26
NSSRA
BOW
LING
TO
URNA
MEN
T page 26
POLA
R EXPRESS STO
RYTIME TRA
IN
Page 35
WO
NDERW
ORKS
page 11
HOLIDA
Y HULLABA
LOO
Ages: 3 – 14Page 15
Ages: 15 – 26Page 15
SCHO
OL DA
YS OUT
October 9
Page 13
Novem
ber 22page 13
CO
MIN
G THIS W
INTER…
RECO
GN
ITION
BA
NQ
UETpage 35
DISNEY TRIP
Back Cover
HEALTHY STA
RT page 24
TEEN SC
ENE
page 20
EXPLORE THE A
RTS page 13
SWIM
LESSON
S page 16
BOBC
AT SW
IM TEA
M
(Formerly Stingray)
page 26
AQ
UA EXERC
ISEpage 24
TAE KW
ON
DO
page 12
WA
LK-N-DIN
E page 27
YOG
A
page 27
ICE SKA
TING
page 13
BOBC
ATS BA
SKETBALL
page 26
WEEKLY W
ORKO
UT page 24
WILD C
ARD
WEDN
ESDAYS
page 27
BERWYN
EXCURSIO
NS
page 21
JUST DAN
CE
Page 24
AM
T Page 13
YOG
A FO
R ALL
Page 13
SWIM
LESSON
S Page 16
TEAM
-UP page 24
HEALTHY STA
RT page 24
URBA
NITES
page 20
SUPER BOW
LERS page 13
CRO
SS-FITpage 24
SWIM
LESSON
S page 16
NO
W W
E’RE CO
OKIN
’ page 20
TOW
ERS SOC
IAL
page 27
SWIM
LESSON
S page 16
FOO
D CRITIC
S page 21
FRIDAY SHO
W TIM
E page 21
OUTDO
OR A
DVENTURES
page 19
LITTLE SPORTS
(Young Athletes
Program)
page 14
SENSO
RY EXPLORERS
page 14
SPORTS SA
TURDAYS
page 14
SENSO
RY SATURDA
YS page 14
SATURDA
Y BO
WLIN
G LEA
GUE
page 26
HOT SHO
TS & C
ITY SLICKERS
page 23
MO
ON
LIGHTERS
Page 22
Fall 2017
Hamburger Mary’s
TUESDAY, AUGUST 29TH
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 for first bingo card booklet of 10 bingo cards. Additional booklets $10 each. 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.***
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/118398 to learn moreRace proceeds benefit WSSRA
Saturday, 9/16/17
8:00am
Wonderworks Family Play Project
Wonderworks is opening its doors to WSSRA families to help their children unleash their imaginations through art, performance, design, building and gross-motor play. For one Sunday a month from now until June 2018 WSSRA will be hosting this event at Wonderworks.This is a Berwyn 708 Community Health Board grant funded program therefore space is limited to anyone not residing in the Berwyn Community.
Who: All WSSRA participants along with their parents and siblings (due to space families are limited to 5 people per session)
When: 1 Sunday per month September - JuneTime: 10:00am - 12:00pm Fee: FreeRegistration #: 174003 September 24 October 8 November 12 December 10 January 14 February 11 March 11 April 8 May 13 June 10
Wonderw
orks
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Wonder Works is a 6,400 square feet of fun, a place of creative place for kids birth through age eight. Located in Oak Park, Illinois at 6445 West North Avenue, the museum helps kids, their par-ents and caregivers unleash their imaginations though art, performance, design, building and more.
Wonder Works is committed to providing an en-vironment where early learning flourishes through our seven thoughtfully designed “experience zones” and educational programming. In North Avenue Arts Works, kids experience the artistic process with open-ended art projects and crafts. In Farm to market, children can “harvest” fruits and vegetables, transport them and set up a shop to sell or barter. Farm to Market also houses a quieter space – the Little Library – a store, and fire and police station. In Lights, Camera, Action!, kids can dress up and perform a song, dance or play thereby promoting communication and imagination; this exhibit also houses a beautiful puppet theater, Build It allows children to be-come little scientists through design, building, and trial and error. Our seasonal organic garden allows children to be involved in the growing pro-cess from seed sowing to digging and harvesting the garden’s produce. Creative and imaginative play are vital to a healthy child and Wonder Works Children’s Mu-seum provides countless opportunities for both, giving children a safe space to explore and the freedom to be a kid.
Open every day except Tuesday, Wonder Works is a child sized world where children learn through creative play. Guests can visit for $7 per person and memberships are available. We feature a part room and offer a variety of party packag-es during regular house and after hours. We host field trips year ‘round along with special events, such as our Concert Series, Dino Works, Young Ar-chitects, and Bubble Works.
Wonder Works is a non-profit 501 ©3 and gener-ates about 40% of its annual operating budget from donations.
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& Yo
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(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 adap-tive 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!
Reg#: 174002Day/Time: Call WSSRA to schedule your individual sessionsRegistration: Registration will resume for the FALL 2017 session.
TAE KWON DO (Age: 9 -14 years)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 • Self-esteem • Courtesy • Perseverance • Integrity • Self-improvement • Friendship • Respect • Confidence • Self-awareness
Location: Karate for Kids 9670 Franklin Ave. Suite #5, Franklin Park
Reg# Day Date Time Fee 174004 Mon 9/18-11/13* 7:15-8:00pm $61.50*No program Oct. 9 Uniform Fee: $40.00/one-time fee for new participants in addition to program fee above.
LEKOTEK
Parent Support Group
Are you interested in finding new resources?
Or connecting with other parents?
Well, WSSRA is interested in developing a Parent Support
Group and we need your feedback.
Please visit our website and complete our survey.
Children & Youth
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Ice Skating (Age: 8 -22 years) 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
Reg# Day Date Time Fee 174005 Tues 9/5-10/17 4:40-5:40pm $38.35
Round Trip Trans Fee: $43.40
Autism Movement Therapy ®(Age: 7-15 years) 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
Reg# Day Date Time Fee 174006 Wed 9/20-11/15 5:15– 5:55pm $16.90
Round Trip Trans Fee: $55.80
Yoga for All (Age: 7-15 years) 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
Reg# Day Date Time Fee 174007 Wed 9/20-11/15 6:00-6:45pm $16.90
Round Trip Trans Fee: $55.80
Super Bowlers (Age: 7-15 years) All Abilities
Hit the lanes with WSSRA and learn the fundamen-tals of bowling. Bumpers and adaptive equipment is available if needed.Location: Circle Lanes, Forest ParkReg# Day Date Time Fee 174008 Thurs 9/21-11/16 4:15-5:30pm $55.60
Round Trip Trans Fee: $55.80
Explore the Arts (Age: 3 -12 years) 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!
Location: Keystone Center, River Forest
Reg# Day Date Time Fee 174044 Mon 9/18-11/13* 4:30-5:30pm $35.50*No program Oct. 9Round Trip Trans Fee: $49.60
School Days Out (Ages 7 – 22 years) All Abilities Looking for something to do on those school holidays? Look no further! WSSRA has fun activities planned to keep the kids busy. Due to the popular-ity of these events, each enrollment will be a lottery.
Monday, October 9Have you ever seen a pumpkin smashing dinosaur? How about a close encounter with exotic animals? You can do both as you join us on a trip to Goebbert’s Farm in Barrington. Our day will also include a wagon ride and trip through a corn maze. Please bring your own sack lunch.Meeting Location: Carroll Center, Oak ParkReg# Day Date Time Fee 174042 Mon 10/9 9:00am – 3:00pm $30.00
Round-Trip Trans Fee: $6.20
Wednesday, November 22How do wild animals prepare for the upcoming winter? Do they slow down or become more active? Come join us and find out as we observe the animals at Brookfield Zoo. Please bring a sack lunch to enjoy next to the pond. Meeting Location: Carroll Center, Oak ParkReg# Day Date Time Fee 174043 Wed 11/22 9:00am – 3:00pm $35.70 Round-Trip Trans Fee: $6.20
Satu
rday
s -
Child
ren
& Yo
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Little Sports –Special Olympics Young Athletes (Age: 3 – 7 years) All Abilities
This program is designed for our little movers who are interested in becoming a part of our Special Olympic Young Athletes program. These activities will help children improve physically, cognitively and socially. In the end, participants and families will be able to be part of our culminating event. Location: Barrie Center, Oak Park
Reg# Day Date Time Fee 174009 Sat 9/23-11/18 9:00-10:15am $49.95
Sensory Explorers (Age: 3 – 7 years) All Abilities
This is a perfect program for the little ones to experience exploration and sensory stimulation! We will keep our hand busy with sensory bins, toys, and multiple crafts and movement activities.Location: Barrie Center, Oak Park
Reg# Day Date Time Fee 174010 Sat 9/23-11/18 10:15-11:30am $49.95
Sports Saturdays (Age: 8 - 11 years) All Abilities
Future sports stars wanted! This program is everything sports. We will be refining our sports skills from week to week with a variety of movement games and working in team sports. Program benefits: • Socializing and fun with friends. • Expanding our teamwork skills. • Refining sport and movement.Location: Barrie Center, Oak Park
Reg# Day Date Time Fee 174011 Sat 9/23-11/18 12:15-1:30pm $49.95
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 Park
Reg# Day Date Time Fee 174012 Sat 9/23-11/18 1:30-2:45pm $49.95
Parent Date Night (Age: 3-18 years) 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 Tacos and Tequila and you’re looking for something to do, come to the WSSRA Fallin’ for Our Stars event tonight. See page 8 for event details.
Location: Ridgeland Commons Recreation Complex, Oak Park
Reg# Day Date Time Fee 174045 Fri 9/22 6:30p – 11:00p $31.50
Holiday Hullaballoos
wssra.net 15
Holiday Hullabaloo Fill 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!Location: TBD
(Age: 3 – 13) All Abilities
Free SkateEnjoy a day of ice skating fun at the Franklin Park Ice Arena! We will then head back to do some winter-themed crafts and games.Reg# Day Date Time Fee 174013-01 Wed 12/27 9:00am – 3:00pm $22.50
Mad ScienceJoin us for tons of hands-on experimenting and exploring over 200 exhibits at the Scitech Museum in Aurora! Lunch is included; please notify the office of any dietary restrictions. Reg# Day Date Time Fee 174013-02 Thurs 12/28 9:00am – 3:00pm $30.00
Discovery DayToday we will be spending the day at Legoland Discovery Center in Schaumburg. Let your imagination run free as we build and play together! Pizza is included for lunch; please notify the office of any dietary restrictions.Reg# Day Date Time Fee 174013-03 Fri 12/29 9:00am – 3:00pm $30.00
Horsing Around We are headed to Equestrian Connection in Lake Forest today. We’ll fill the day with horseback riding, grooming the horses, art therapy, and more!Reg# Day Date Time Fee 174013-04 Wed 1/3 9:00am – 3:00pm $35.50
Lions, Tigers and BearsCome join us for a day of exploring all of the animals at Brookfield Zoo! We’ll check out the Hamill Family Play Zoo as well as catch an amazing dolphin show.Reg# Day Date Time Fee 174013-05 Thurs 1/4 9:00am – 3:00pm $30.00
Halfway to SummerWe’ll be spending the day at Splash Landings indoor water park and pool in Glenview. Don’t forget a swimsuit and towel!Reg# Day Date Time Fee 174013-06 Fri 1/5 9:00am – 3:00pm $30.00
(Age:14-26) All Abilities
Mad ScienceJoin us for tons of hands-on experimenting and exploring over 200 exhibits at the Scitech Museum in Aurora! Lunch is included; please notify the office of any dietary restrictions.Reg# Day Date Time Fee 174014-01 Wed 12/27 9:00am – 3:00pm $30.00
Lions, Tigers and BearsCome join us for a day of exploring all of the animals at Brookfield Zoo! We’ll check out the Hamill Family Play Zoo as well as catch an amazing dolphin show.Reg# Day Date Time Fee 174014-02 Thurs 12/28 9:00am – 3:00pm $30.00
Free SkateEnjoy a day of ice skating fun at the Franklin Park Ice Arena! We will we’ll then head back to do some winter-themed crafts and games.Reg# Day Date Time Fee 174014-03 Fri 12/29 9:00am – 3:00pm $22.50
Halfway to SummerWe’ll be spending the day at Splash Landings indoor water park and pool in Glenview. Don’t forget a swimsuit and towel!Reg# Day Date Time Fee 174014-04 Wed 1/3 9:00am – 3:00pm $30.00
Horsing Around We are headed to Equestrian Connection in Lake Forest today. We’ll fill the day with horseback riding, grooming the horses, art therapy, and more!Reg# Day Date Time Fee 174014-05 Thurs 1/4 9:00am – 3:00pm $35.50
GameWorksIncludes pizza for lunch and games. Reg# Day Date Time Fee 174014-06 Fri 1/5 9:00am – 3:00pm $35.00
Holiday HullaballooRound Trip Trans Fee: $6.20/event
Swim
Les
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NEW!
(Age: 3 years & up) All Abilities
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 swim lessons use the progressive American Red Cross Learn-To-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.
OAK PARK RIVER FOREST HIGH SCHOOL Reg # Day Time Dates Age Fee 174015-01 Mon 6:10-6:40pm 9/18 - 11/13* 3 - 8 $31.20174015-02 Mon 6:40-7:10pm 9/18 - 11/13* 8 & up $31.20*No Program Oct. 9 MANNHEIM MIDDLE SCHOOL, MELROSE PARKReg # Day Time Dates Age Fee 174015-03 Wed 7:00-7:30pm 9/20 - 11/15 Parent/Tot (2-5) $33.25174015-04 Wed 7:35-8:05pm 9/20 - 11/15 5 & up $33.25 MORTON EAST HIGH SCHOOL, CICEROReg # Day Time Dates Age Fee 174015-05 Thurs 6:30-7:00pm 9/21 - 11/16 3 - 8 $33.25 174015-06 Thurs 7:00-7:30pm 9/21 - 11/16 8 & up $33.25
PAV YMCA, BERWYN Reg # Day Time Dates Age Fee 174015-07 Fri 3:45-4:15pm 9/22 - 11/17 3 - 8 $33.25174015-08 Fri 4:20-5:10pm 9/22 - 11/17 6 & Up $33.25 174015-09 Fri 5:15-5:45pm 9/22 - 11/17 3 - 8 $33.25 174015-10 Fri 5:50-6:10pm 9/22 - 11/17 8 & up $33.25174015-11 Fri 6:15-6:35pm 9/22 - 11/17 8 & up $33.25
wssra.net 17
Splish Splash Summ
er Bash Sponsors - Gold
WSSRA
Summer Bash
Spl i s h SplashSpl i s h SplashSummer Bash
Serving the residents of the Park Districts of Berwyn, Clyde, Forest Park
Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park, River Forest,
And the Vilages of Elmwood Park & Harwood Heights.
westsuburban
specialrecreation
association
2915 maple streetfranklin park, il 60131P 847.455.2100F 847.455.2157wssra.net
Featuring the
Wacky Quacky Duck Splash
June, 2017
Dear Friend:
West Suburban Special Recreation Association serves residents with disabilities that live in Berwyn, Cicero, Forest Park, Oak Park, River Forest, Elmwood Park, Franklin Park, Norridge and Harwood Heights in year round recreation programs for 40 years. As an Association our biggest challenge lies in providing enough recreation opportunities for all of the participants who register for programs. In addition, our scholarship funds are decreasing and proceeds from this event are crucial for replenishing that much needed assistance.
WSSRA would like to offer you the opportunity to support the Annual Wacky Quacky Duck Splash to be held on July 20, 2017 as part of our Splish Splash Summer Bash held at the Park District of Forest Park’s Aquatics Center from 6:30 – 9:30PM.
WSSRA invites your business to sponsor the Wacky Quacky Duck Splash with a tax “deducktible” donation. Here are 5 ways to support this event and get your name out to the public:
Consider a business sponsorship level of Gold Duck, Silver Duck, Friend, Prize or Media sponsorship. Your sponsorship will assist us in enticing hundreds of people to adopt a rubber duck for our duck races down the slides of the Forest Park pool. The funds raised from sponsorship and duck sales will provide scholarships for WSSRA participants who are in need. See the attached Sponsorship form for details.
To participate, complete and return the attached Sponsorship sheet or go to wssra.net to register your sponsonship by July 18, 2017. Send to WSSRA at 2915 Maple Street Franklin Park 60131 or email [email protected]. If you would like additional information or have questions, please call me at 847.455.2100.
Working together, we can bring fun and friendship into the lives of the very special people served by WSSRA. Do your part and help us reach our $10,000 goal again this year, for this fund-raiser.
Thank you for your consideration.
Cordially,
Marianne Birko, CTRS, CPRPExecutive Director
Splis
h Sp
lash
Sum
mer
Bas
h Sp
onso
rs
18 wssra.net
WSSRA
Summer Bash
Spl i s h SplashSpl i s h SplashSummer Bash
Serving the residents of the Park Districts of Berwyn, Clyde, Forest Park
Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park, River Forest,
And the Vilages of Elmwood Park & Harwood Heights.
westsuburban
specialrecreation
association
2915 maple streetfranklin park, il 60131P 847.455.2100F 847.455.2157wssra.net
Featuring the
Wacky Quacky Duck Splash
June, 2017
Dear Friend:
West Suburban Special Recreation Association serves residents with disabilities that live in Berwyn, Cicero, Forest Park, Oak Park, River Forest, Elmwood Park, Franklin Park, Norridge and Harwood Heights in year round recreation programs for 40 years. As an Association our biggest challenge lies in providing enough recreation opportunities for all of the participants who register for programs. In addition, our scholarship funds are decreasing and proceeds from this event are crucial for replenishing that much needed assistance.
WSSRA would like to offer you the opportunity to support the Annual Wacky Quacky Duck Splash to be held on July 20, 2017 as part of our Splish Splash Summer Bash held at the Park District of Forest Park’s Aquatics Center from 6:30 – 9:30PM.
WSSRA invites your business to sponsor the Wacky Quacky Duck Splash with a tax “deducktible” donation. Here are 5 ways to support this event and get your name out to the public:
Consider a business sponsorship level of Gold Duck, Silver Duck, Friend, Prize or Media sponsorship. Your sponsorship will assist us in enticing hundreds of people to adopt a rubber duck for our duck races down the slides of the Forest Park pool. The funds raised from sponsorship and duck sales will provide scholarships for WSSRA participants who are in need. See the attached Sponsorship form for details.
To participate, complete and return the attached Sponsorship sheet or go to wssra.net to register your sponsonship by July 18, 2017. Send to WSSRA at 2915 Maple Street Franklin Park 60131 or email [email protected]. If you would like additional information or have questions, please call me at 847.455.2100.
Working together, we can bring fun and friendship into the lives of the very special people served by WSSRA. Do your part and help us reach our $10,000 goal again this year, for this fund-raiser.
Thank you for your consideration.
Cordially,
Marianne Birko, CTRS, CPRPExecutive Director
Silver SponsorsTHE JOAN BERMAN FAMILYHAWTHORNE PARK DISTRICTFOREST AGENCY INSURANCE
CUSTOM PROMOSJIMMY’S PLACE
FriendsJOSEPH DONOGHUE
THE PATTERSON FAMILYAL PIEMONTE FORD
BERWYN EAGLESOLD SCHOOL TAVERN & GRILL
PIONEER TAP
Teens & Young Adults
wssra.net 19
Outdoor Adventures (Age: 12 - 22) MI, DD, LD, VI
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 9:20 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
Frolic in the GardenWe will be taking a trip the visit the Chicago Botanic Gardens where we will walk and enjoy the beautiful flowers.Reg# Day Date Time Fee 174016-01 Sat 9/23 9:15am-12:15pm $14.65
Hit the TrailWe will be heading over to Trailhead Museum to enjoy the final days of summer and sunshine. Reg# Day Date Time Fee 174016-02 Sat 9/30 9:15am-12:15pm $14.65
Getting our Hands Dirty pt. 1We will be volunteering at a community garden and learning about horticulture and nutrition.Reg# Day Date Time Fee 174016-03 Sat 10/7 9:15am-12:15pm $14.65
Play for AllWe will be going to the Chicago Children’s Museum for a fun morning of adaptive play.Reg# Day Date Time Fee 174016-04 Sat 10/14 9:15am-12:15pm $14.65
Fall is in the Air!We will be heading to the Scarecrow Trail at Morton Arboretum to see the fall decorations and colors.Reg# Day Date Time Fee 174016-05 Sat 10/21 9:15am-12:15pm $14.65
Boo at the ZooWe will be headed to Brookfield Zoo to view the Lions, Tigers and Bears (oh my!). Wear your Halloween costume.Reg# Day Date Time Fee 174016-06 Sat 10/28 9:15am-12:15pm $14.65
Getting our Hands Dirty pt. 2We will be volunteering at a community garden and learning about horticulture and nutritionReg# Day Date Time Fee 174016-07 Sat 11/4 9:15am-12:15pm $14.65
Urban ExplorersWe will be heading to Maggie Daly Park to explore the urban park and fall colors.Reg# Day Date Time Fee 174016-08 Sat 11/11 9:15am-12:15pm $14.65 Show your ColorsShow off your artistic skills with this fun art day. An artist will be coming in and instructing us on a project.Reg# Day Date Time Fee 174016-09 Sat 11/18 9:15am-12:15pm $14.65
School Days Out (Ages 7 – 22 years) All Abilities Looking for something to do on those school holidays? Look no further! WSSRA has fun activities planned to keep the kids busy. Due to the popular-ity of these events, each enrollment will be a lottery.
Monday, October 9Have you ever seen a pumpkin smashing dinosaur? How about a close encounter with exotic animals? You can do both as you join us on a trip to Goebbert’s Farm in Barrington. Our day will also include a wagon ride and trip through a corn maze. Please bring your own sack lunch.Meeting Location: Carroll Center, Oak ParkReg# Day Date Time Fee 174042 Mon 10/9 9:00am – 3:00pm $30.00
Round-Trip Trans Fee: $6.20
Wednesday, November 22How do wild animals prepare for the upcoming winter? Do they slow down or become more active? Come join us and find out as we observe the animals at Brookfield Zoo. Please bring a sack lunch to enjoy next to the pond. Meeting Location: Carroll Center, Oak ParkReg# Day Date Time Fee 174043 Wed 11/22 9:00am – 3:00pm $35.70 Round-Trip Trans Fee: $6.20
Parent Support GroupAre you interested in
finding new resources? Or connecting with
other parents?
Well, WSSRA is interested in developing a Parent Support Group
and we need your feedback.
Please visit our website and complete our survey.
Teen
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Youn
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Teen Scene Who: West Leyden LIFE Students Location: Students will be picked up for program at WLHS by WSSRA. Parent pick-up after program is the WSSRA office @ 5:00pm. *No program, October 9th
Let’s get Out!Let’s enjoy the last days of summer outdoors! We’ll have yard games and popsicles. Wear sneakers and bring sunscreen.Reg# Day Date Time Fee 174017-01 Mon 9/18 2:45-5:00pm $5.50
Ice cream, you scream!Make homemade ice cream and play games at the WSSRA office.Reg# Day Date Time Fee 174017-02 Mon 9/25 2:45-5:00pm $5.50
Up your AlleyLet’s head over to Brunswick Zone and get our strikes and spares on! Bring extra money for extra arcade games or a snack.Reg# Day Date Time Fee 174017-03 Mon 10/2 2:45-5:00pm $5.50
Hit the Trail!We are hitting the Trails at Trailside Museum! We’ll find some furry friends and fun along the way! W e a r sneakers and bring a sweater.Reg# Day Date Time Fee 174017-04 Mon 10/16 2:45-5:00pm $5.50
Come on Board!Games Galore! New and old, We will be playing our favorite board games! Feel free to bring your favorite!Reg# Day Date Time Fee 174017-05 Mon 10/23 2:45-5:00pm $5.50
Trick-or-Treat!Bring your favorite costumes and treats to share! We’re having a Spooky good time at our Halloween Party! Dress up!Reg# Day Date Time Fee 174017-06 Mon 10/30 2:45-5:00pm $5.50
Have a slice!Let’s travel to Eli’s Cheesecake to take a look behind the scenes… we’ll even get a chance to try some samples! Bring extra money if you would like to buy other food.Reg# Day Date Time Fee 174017-07 Mon 11/6 2:45-5:00pm $5.50
Movies, movies, moviesEach person can bring a Pg rated movie, we will vote on which one we will watch in the WSSRA office with popcorn.Reg# Day Date Time Fee 174017-08 Mon 11/13 2:45-5:00pm $5.50
Transportation: Home only transportation is available to students who live in WSSRA partner communities. Trans Fee: $3.00/week
Urbanites Who: West Leyden Transition Program Students Location: Students will be picked up for program at WLHS by WSSRA. Parent pick-up after program is the WSSRA office @ 5:00pm
Up your AlleyLet’s head over to Brunswick Zone and get our strikes and spares on! Bring socks and extra money for extra arcade games or a snack.Reg# Day Date Time Fee 174018-01 Thurs 10/5 2:45-5:00pm $5.50
Hit the Trail!We are hitting the Trails at Trailside Museum! We’ll find some furry friends and fun along the way! Wear sneakers and bring a sweater.Reg# Day Date Time Fee 174018-02 Thurs 10/12 2:45-5:00pm $5.50
Come on Board!Games Galore! New and old, We will be playing our favorite board games! Feel free to bring your favorite!Reg# Day Date Time Fee 174018-03 Thurs 10/19 2:45-5:00pm $5.50 Movies, Movies, MoviesEach person can bring a PG rated movie, we will vote on which one we will watch in the WSSRA office with.Reg# Day Date Time Fee 174018-04 Thurs 10/26 2:45-5:00pm $5.50 Have a slice!Let’s travel to Eli’s Cheesecake to take a look behind the scenes… we’ll even get a chance to try some samples! Bring extra money if you would like to buy other food.Reg# Day Date Time Fee 174018-05 Thurs 11/2 2:45-5:00pm $5.50
Now We’re Cookin’ Age: 15 & older) DD, MLH, HI
Let’s get back into the kitchen with WSSRA. Program participants will enjoy making their own healthy creations, and bringing recipes home to share.
Location: Park District of Forest Park, Main Building
Reg# Day Date Time Fee 174019 Thurs 9/21-11/16 7:30-9:00p $53.35
Round Trip Trans Fee: $55.80
Teens & Young Adults
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Berwyn Excursions Who: Morton West High School Students Location: Morton West High School
Let’s get Out!Let’s enjoy the last days of summer outdoors! We’ll have yard games and popsicles . Wear sneakers and bring sunscreen.Reg# Day Date Time Fee 174020-01 Wed 9/20 2:45-5:00pm $5.50
Up your AlleyLet’s head over to Circle Lanes and get our strikes and spares on! Bring extra money for extra arcade games or a snack.Reg# Day Date Time Fee 174020-02 Wed 9/27 2:45-5:00pm $5.50
Hit the Trail!We are hitting the Trails at Trailside Museum to enjoy the fall colors. Wear sneakers and bring a sweater.Reg# Day Date Time Fee 174020-03 Wed 10/4 2:45-5:00pm $5.50
Let’s Go Shopping! We’re heading over to North Riverside Mall to check out the stores and eateries. Bring Extra money for shopping.Reg# Day Date Time Fee 174020-04 Wed 10/11 2:45-5:00pm $5.50
10/18 - ½ DAY- NO EXCURSION
Lucky StrikesLet’s head over to Circle Lanes and get our strikes and spares on! Bring extra money for extra arcade games or a snack.Reg# Day Date Time Fee 174020-05 Wed 10/25 2:45-5:00pm $5.50
Trick-or-Treat!Wear your Halloween costume and be ready for a “goul”d time! We’re having snacks and Halloween ac-tivities! Dress up!Reg# Day Date Time Fee 174020-06 Wed 11/1 2:45-5:00pm $5.50
Come on Board!Games Galore! New and old, We will be playing our favorite board games! Feel free to bring your favorite!Reg# Day Date Time Fee 174020-07 Wed 11/8 2:45-5:00pm $5.50
They “strike” again! Let’s head over to Circle Lanes and get our strikes and spares on! Bring extra money for extra arcade games or a snack.Reg# Day Date Time Fee 174020-08 Wed 11/15 2:45-5:00pm $5.50
Transportation: Home only transportation is available to students who live in WSSRA partner communities.
Trans Fee: $3.00/week
Food Critics (Age: 15 & older) MI, DD, AUT, MLH
Family Style! Come and enjoy the variety of food that these family restaurants have to offer! Come and socialize and participate in a lively discussion about what we liked best each week. Bring at least $25 to cov-er your food and share of the tip. Participants must be able to sit for a meal with minimal interruptions to others.Location: Carroll Center, Oak Park
Destination: Bakers Square!
Reg# Day Date Time Fee 174021-01 Fri 9/22 6:30-9:15pm $12.80
Destination: Elmwood Family Restaurant
Reg# Day Date Time Fee 174021-02 Fri 9/29 6:30-9:15pm $12.80
Destination: Family Palace Harwood HeightsReg# Day Date Time Fee 174021-03 Fri 10/13 6:30-9:15pm $12.80
Destination: Dappers Family Restaurant AddisonReg# Day Date Time Fee 174021-04 Fri 10/20 6:30-9:15pm $12.80
Destination: Ale HouseOak ParkReg# Day Date Time Fee 174021-05 Fri 11/3 6:30-9:15pm $12.80
Destination: Chili’sNorth RiversideReg# Day Date Time Fee 174021-06 Fri 11/10 6:30-9:15pm $12.80
Trans Fee: $2.80/week Pick-Up Points: WSSRA Office and Cicero McDonalds
Show Time 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. In order to minimize disturbance to other movie pa-trons, participants must be able to focus on a movie for two hours with minimal breaks. Participants need to bring $20 for ticket and snacks.Location: Carroll Center, Oak Park
Reg# Day Date Time Fee 174025-01 Fri 10/6 6:30-9:15pm $13.30174025-02 Fri 10/27 6:30-9:15pm $13.30174025-03 Fri 11/17 6:30-9:15pm $13.30
Trans Fee: $2.80/week Pick-Up Points: WSSRA Office and Cicero McDonalds
Soci
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22 wssra.net
Moonlighters
(Age: 15 years and older)MI, DD, AUT
Location: Carroll Center
Fall Fest!Join us for Elmwood Park’s Fall Fest. We will enjoy some fall crafts, food and take in some good mu-sic. Bring money for food and games.Reg# Day Date Time Fee 174024-01 Sat 9/23 6:00-9:00pm $15.00
Movies Under the Stars!Let’s take in a movie under the stars at Cascade Drive in movie theater in West Chicago. This event will be weather and movie appropriateness permit-ting. If bad weather we will go to the movie theater instead. Bring money for concession stand. Bring a lawn chair to sit in. *Parents will be called with pick up time. Reg# Day Date Time Fee 174024-02 Sat 9/30 5:00-9:00pm* $25.00
Game Night!Come one; come all to Carroll Center for games and snacks. Tonight we will be playing cards, board games and making some delicious snacksReg# Day Date Time Fee 174024-03 Sat 10/7 6:00-9:00pm $12.75
Wolves Game!Come and have a howling good time at the Chicago Wolves 2017 home opener at Allstate Are-na. We will stay for whole game; parents will be called with pick up time. Bring Money for concessions and souvenirs. Reg# Day Date Time Fee 174024-04 Sat 10/14 6:00-9:00pm $30.00
Chopped! Let’s test your ingenuity and cooking skills, tonight we will be making pizzas with secret ingredients. Reg# Day Date Time Fee 174024-05 Sat 10/21 6:00-9:00pm $12.75
Lincoln Karaoke!Let’s party, karaoke style when we head over to Lincoln Karaoke. We will have a private room where we can sing and not have to worry about belting out our best renditions of your favorite songs. Please be on time, we’re leaving at 5:15. Bring extra money. There is a $20 food and drink cover charge. Reg# Day Date Time Fee 174024-06 Sat 10/28 5:15-9:00pm $20.00
Bowling!Can you pick up a 7 10 split? Try your best when we head over to Circle Lanes for a fun filled night of bowling. Bring money for snacks at bowling alley.Reg# Day Date Time Fee 174024-07 Sat 11/4 6:00-9:00pm $20.40
Girls Night Out!Ladies, tonight is for you! Join us for some shopping fun at the Streets of Woodfield. Bring Money for shop-ping and food. Reg# Day Date Time Fee 174024-08 Sat 11/11 6:00-9:00pm $15.00
Guys Day Out!Gentlemen, today is your day! Join us as we head over to Millers Ale House in North Riverside for Drinks, Food and the Bears game. *We will contact parents when leaving the restaurant. Bring money for food and drinks. Reg# Day Date Time Fee 174024-09 Sun 11/12 11:00am-end $19.50 of game*
Electronic Golf!Fore! Let’s see how good you can hit a golf ball when we go to Top Golf in Wooddale. Food and drink will be included. Reg# Day Date Time Fee 174024-10 Sat 11/18 5:30-9:00pm $35.00
Trans Fee: $2.80/week Pick-Up Points: WSSRA Office and Cicero McDonalds
Join 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 Nick at the office and he’ll help you find the right group!
Social Clubs
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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.
Hot Shots & City Slickers (Age: 15 years and older)MI, DD, AUT
Location: Forest Park Building #4
Fall Fest!Join us for Elmwood Park’s Fall Fest. We will enjoy some fall crafts, food and take in some good music. Bring money for food and games.Club Reg# Day Date Time Fee HS* 174022-01 Sat 9/23 6:00-9:00pm $15.00CS** 174023-01 Sat 9/23 6:00-9:00pm $15.00
Game Night!Come one; come all to Carroll Center for games and snacks. Tonight we will be playing cards, board games and making some delicious snacksClub Reg# Day Date Time Fee HS* 174022-02 Sat 9/30 6:00-9:00pm $12.75CS** 174023-02 Sat 9/30 6:00-9:00pm $12.75
Bowling!Can you pick up a 7 10 split? Try your best when we head over to Circle Lanes for a fun filled night of bowling. Bring money for snacks at bowling alley.Club Reg# Day Date Time Fee HS* 174022-03 Sat 10/7 6:00-9:00pm $20.40CS** 174023-03 Sat 10/7 6:00-9:00pm $20.40
Chopped! Let’s test your ingenuity and cooking skills, tonight we will be making pizzas with secret ingredients. Club Reg# Day Date Time Fee HS* 174022-04 Sat 10/14 6:00-9:00pm $12.75CS** 174023-04 Sat 10/14 6:00-9:00pm $12.75
Lincoln Karaoke!Let’s party, karaoke style when we head over to Lincoln Karaoke. We will have a private room where we can sing and not have to worry about belting out our best renditions of your favorite songs. Please be on time, we’re leaving at 5:15. Bring extra money. There is a $20 food and drink cover charge. Club Reg# Day Date Time Fee HS* 174022-05 Sat 10/21 5:15-9:00pm $20.00CS** 174023-05 Sat 10/21 5:15-9:00pm $20.00
Halloween Party!Come dressed in your scariest Halloween costume for our spooktacular party. Enjoy some Halloween themed games, crafts and snacks. Club Reg# Day Date Time Fee HS* 174022-06 Sat 10/28 5:15-9:00pm $12.75CS** 174023-06 Sat 10/28 5:15-9:00pm $12.75
Movie Night!Join us for WSSRA movie night at the Park District of Forest Park. Tonight we will be watching a movie while enjoying some freshly popped popcorn. Club Reg# Day Date Time Fee HS* 174022-07 Sat 11/4 5:15-9:00pm $12.75CS** 174023-07 Sat 11/4 5:15-9:00pm $12.75
Girls Night Out!Ladies, tonight is for you! Let’s shop n’ dine. Join us for some shopping fun at the Oak Brook Shopping Center. We’ll shop till we drop then head over to the District for some dinner. Bring Money for shopping and food. Club Reg# Day Date Time Fee HS* 174022-08 Sat 11/11 6:00-9:00pm $15.00CS** 174023-08 Sat 11/11 6:00-9:00pm $15.00
Guys Day Out!Gentlemen, today is your day! Join us as we head over to Millers Ale House in North Riverside for Drinks, Food and the Bears game. *We will contact parents when leaving the restaurant. Bring money for food and drinks. Club Reg# Day Date Time Fee HS* 174022-09 Sun 11/12 11:00am-end $19.50CS** 174023-09 Sun 11/12 of game* $19.50
Pizza Party!It’s the end of the season let’s party! Tonight we will have pizza from Dominos and enjoy some games with your friends for the last time this season. Club Reg# Day Date Time Fee HS* 174022-10 Sat 11/18 5:15-9:00pm $12.75CS** 174023-10 Sat 11/18 5:15-9:00pm $12.75
*HS - Hot Shots 174022/**CS - City Slickers 174023
Trans Fee: $2.80/week Pick-Up Points: WSSRA Office and Cicero McDonalds
Spor
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Healthy Start (Age: 21 and older)All Abilities
Start 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 Center
Reg# Day Date Time Fee 174026-01 Mon 9/18-11/13* 10:00-11:30am $47.40*NO PROGRAM on Oct. 9 Round Trip Trans Fee: $49.60
174026-02 Thurs 9/21-11/16* 10:00-11:30am $53.35Round Trip Trans Fee: $ 55.80
Weekly Workout (Age: 13 and older)MI, AUT, DD, MLH
Finish your day with a great workout! Improve your physical condition through: • Exercise stations; • Weight lifting; • Low impact aerobicsLocation: Franklin Park Community Center
Reg# Day Date Time Fee 174027 Tues 9/19-11/14 7:00-8:15pm $44.50
Round Trip Trans Fee: $ 55.80
Aqua Exercise (Age: 15 and older)MLH, MI, AUT, DD
Aqua exercise is one of the best exercises for the body with minimal gravitational pull, all muscle groups are worked out. Workouts cover cardio and strength. While having fun in the pool with your friends to vari-ous-upbeat music, you will also improve your: • Strength; • Flexibility; • Mobility; • Resting Heart Rate; • Range of motionLocation: OPRFHS, Oak Park
Reg# Day Date Time Fee 174028 Mon 9/18-11/13* 8:15 – 9:00pm $39.30*NO PROGRAM on Oct. 9
Round Trip Trans Fee: $49.60
Just Dance (Age: 13 and older)All abilities
In this class you will learn cool dance moves and dance the night away. You will learn some basic steps and movement while also being free to express your inner soul. Bring your dancing feet and your desire to move.
Instructor: Melissa SimoMelissa has been teaching dance at Seguin and to individuals with special needs for over 3 years.
Location: Liberty Center, Berwyn
Reg# Day Date Time Fee 174032 Wed 9/20-11/15 6:15pm-7:15pm $51.50
Round Trip Trans Fee: $ 55.80
Cross Fit (Age: 15 and 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 participants physical ability! We ask that the participant be able to follow multi-step direction with minimal prompting.Location: O’Hare Cross Fit, Franklin Park
Reg# Day Date Time Fee 174048 Thurs 9/21-11/16 6:30 7:30pm $35.55
Round Trip Trans Fee: $ 55.80
Team Up(Age: 21 and older)
WSSRA is pleased to partner with Community Support Services (CSS) in its offering of the Team Up fitness program. WSSRA provides a structured fitness component once a week to individuals who are enrolled in the program.
This program is grant- funded through the Community Mental Health Board of Oak Park residents only.
Criteria: Participants must meet residency criteria, must be successful socially with a 4:1 staffing ratio, and must be independent in personal care.
Day Date Time W&TH Ongoing 8:30am-1:30pm
To Register or for more information: Contact Bailey Pedersen at Community Support Services 708-354-4547
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, Bowling, Golf, Gymnastics, Softball, Track & Field, and Volleyball.
Good SportsmanshipWe all share a responsibility in making the Special Olympics training and competition program a pos-itive experience that promotes the growth & development of our athletes. We’re counting on you and your athlete to do the following:
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 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.Failure to do so will result in removal from the practice or competition and may jeopardize your attendance at future events.
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 con-tains 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 28 for the Application.
wssra.net 25
Spec
ial O
lym
pics
26 wssra.net
Bobcat Swim Team (Formerly the Stingrays)Bobcat 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. Bobcat members are eligible, but not obligated for Special Olympic aquatic competition. Swim team members are not eligible to register for WSSRA swim lessons.Location: Oak Park River Forest High School, Girls Pool
Reg# Day Date Time Fee 174029 Mon 9/18-11/13 7:15-8:15pm $47.40 *NO PROGRAM on Oct. 9 Round Trip Trans Fee: $49.60
Don’t forget to sign up for swim meets below! SEASPAR Swim Meet Location: Downers Grove North High SchoolReg# Day Date Time Fee 174034 Sat 11/18 TBD $15.70 Transportation Pick Up Points: WSSRA Office & Fox Park
FVSRA Swim Meet Location: Norris Recreation Center, St. CharlesReg# Day Date Time Fee 174035 Sat 12/2 TBD $15.70 Transportation Pick Up Points: WSSRA Office & Fox Park
Bobcat Basketball (Age: 15 and older)MI, AUT, DD
The WSSRA Bobcat Basketball philosophy emphasiz-es teamwork, good sportsmanship, and giving one’s best in a safe and healthy environment. Competi-tiveness will come from the game itself and not from emphasis on the score. Players will: • Learn the fundamentals of softball; • Learn and play different positions; • Be a part of a team and learn the importance of teamwork.Locations: TBD **You will be notified of practice and game locations once teams have been established.Registration Deadline: September 15
Reg# Day Date Time Fee Practice Season174033 Sept 26 – NovGame Season174033 Tues Nov-Feb 6:30-8:00pm $150.00**includes practice & game season
Transportation Pick Up Point: WSSRA Office Trans Fee: $25.00 (fee cannot be adjusted to a weekly basis)
Saturday Bowling League (Age: 13 years and 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!Location: Circle Lanes, Forest Park
Reg# Day Date Time Fee 174030 Sat 9/23-11/18 1:00-3:00pm $82.90
Trans Fee: $25.20 Transportation Pick Up Points: WSSRA Office Harwood Heights Village Hall Elmwood Park Recreation Center Cicero McDonalds
NSSRA Bowling TournamentIf you’re registered for Saturday Bowling League, compete in NSSRA’s annual tournament! Registration is limited—Don’t wait to register!Location: Brunswick Zone, Deerfield
Reg# Day Date Time Fee 174036 Sat 12/2 10:00am-1:00pm $24.10
Transportation Pick Up Points: WSSRA Office Fox Park
Older Adults
wssra.net 27
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).
Destination: Proksa Park Lunch: Buona BeefReg# Day Date Time Fee 174037-01 Tues 9/19 9:30a-12:15p $11.80
Destination: Oriole Park Lunch: Family PalaceReg# Day Date Time Fee 174037-02 Tues 9/26 9:30a-12:15p $11.80
Destination: Morton Arboretum Lunch: Ginkgo RestaurantReg# Day Date Time Fee 174037-03 Tues 10/3 9:30a-12:15p $11.80
Destination: Commons Park Lunch: Yai Yai’s RestaurantReg# Day Date Time Fee 174037-04 Tues 10/10 9:30a-12:15p $11.80
Destination: North Park Lunch: Culver’sReg# Day Date Time Fee 174037-05 Tues 10/24 9:30a-12:15p $11.80
Destination: Norridge Park Lunch: Panera BreadReg# Day Date Time Fee 174037-06 Tues 10/31 9:30a-12:15p $11.80
Destination: Austin Gardens Lunch: Lou Malnati’s PizzaReg# Day Date Time Fee 174037-07 Tues 11/7 9:30a-12:15p $11.80
Round Trip Transportation Fee: $6.20/week
Shop and 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 for purchasing their own lunch ($15/week).
Destination: Yorktown Lunch: Food CourtReg# Day Date Time Fee 174038-01 Tues 10/17 9:30a-12:15p $11.80 Destination: Forest Park Walmart Lunch: PortillosReg# Day Date Time Fee 174038-02 Tues 11/14 9:30a-12:15p $11.80
Round Trip Transportation Fee: $6.20/week
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, improve your mood, and help with joint problems! 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 with trained instructor.
Location: Village of Harwood Heights
Reg# Day Date Time Fee 174039 Tues 9/19-11/14 10:00-11:15am $24.75
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: Franklin Park Community Center
Reg# Day Date Time Fee 174040-01 Wed 9/20 9:30am-12:00pm $11.10174040-02 Wed 9/27 9:30am-12:00pm $11.10174040-03 Wed 10/4 9:30am-12:00pm $11.10174040-04 Wed 10/11 9:30am-12:00pm $11.10174040-05 Wed 10/18 9:30am-12:00pm $11.10174040-06 Wed 10/25 9:30am-12:00pm $11.10174040-07 Wed 11/1 9:30am-12:00pm $11.10174040-08 Wed 11/8 9:30am-12:00pm $11.10174040-09 Wed 11/15 9:30am-12:00pm $11.10
Round Trip Transportation Fee: $6.20/week
Towers Socials (Age: Adults)PI,VI, 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.
Location: Franklin Towers, Franklin Park
Reg# Day Date Time Fee 174041-01 Fri 9/15 12:30-2:30pm FREE174041-02 Fri 10/20 12:30-2:30pm FREE174041-03 Fri 11/17 12:30-2:30pm FREE174041-04 Fri 12/15 12:30-2:30pm FREE
Round Trip Transportation Fee: $6.20/week
I, TH
E U
ND
ERSI
GN
ED A
DU
LT E
NTR
AN
T, h
ave
read
and
fully
und
erst
and
the
prov
i-si
ons
of th
e ab
ove
rele
ase
and/
or h
ave
had
them
exp
lain
ed. I
her
eby
agre
e th
at I
will
be
boun
d th
ereb
y an
d I s
hall
defe
nd S
peci
al O
lym
pics
Illin
ois
and
hold
it h
arm
less
from
dis
af-
firm
atio
n th
ereo
f.
Ent
rant
___
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
__
□ A
thle
te is
ow
n gu
ardi
an
Witn
ess
____
____
____
____
____
____
____
____
____
____
___
Dat
e __
____
____
____
__
Ath
lete
’s E
mai
l Add
ress
___
____
____
____
____
____
____
____
____
____
____
____
____
_
A
PPLI
CA
TIO
N F
OR
PA
RTI
CIP
ATI
ON
IN S
PEC
IAL
OLY
MPI
CS
ILLI
NO
IS
Val
id A
pplic
atio
n fo
r Par
ticip
atio
n is
man
dato
ry fo
r all
com
petit
ors
605
E. W
illow
St.
· Nor
mal
, IL
6176
1-26
82 ·
309-
888-
2551
ATH
LETE
INFO
RM
ATIO
N
Athl
ete
Nam
e (la
st n
ame,
spa
ce, f
irst n
ame)
PAR
ENT
AN
D/O
R G
UA
RD
IAN
AU
THO
RIZ
ATIO
N A
ND
MED
IA R
ELEA
SE
I, on
my
own
beha
lf or
as
the
unde
rsig
ned
pare
nt a
nd/o
r leg
al g
uard
ian
of th
e ab
ove
nam
ed a
pplic
ant (
here
afte
r ref
erre
d to
as
the
“Ent
rant
”), h
ereb
y re
ques
t per
mis
sion
for t
he E
ntra
nt to
pa
rtici
pate
in S
peci
al O
lym
pics
pro
gram
s. I
ackn
owle
dge
that
Spe
cial
Oly
mpi
cs w
ill s
cree
n al
l ent
rant
s us
ing
the
Sex
Offe
nder
Pub
lic R
egis
try a
nd th
e C
hild
Mur
der a
nd V
iole
nt O
ffend
er
Aga
inst
You
th R
egis
try a
nd u
nder
stan
d th
at e
ntra
nts
liste
d on
eith
er R
egis
try w
ill b
e de
nied
par
ticip
atio
n. I
affir
m th
at th
is E
ntra
nt h
as n
ever
bee
n on
sai
d R
egis
tries
or,
if E
ntra
nt w
as li
sted
on
eith
er R
egis
try b
ut h
as s
ince
bee
n re
mov
ed, I
will
con
tact
Spe
cial
Oly
mpi
cs Il
linoi
s fo
r ins
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
sing
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
assi
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
ac
coun
t to
take
suc
h m
easu
res
and
arra
nge
for s
uch
med
ical
and
hos
pita
l tre
atm
ent a
s yo
u m
ay d
eem
adv
isab
le fo
r the
hea
lth a
nd w
ell-b
eing
of t
he E
ntra
nt.
I, TH
E U
ND
ERSI
GN
ED P
AR
ENT
AN
D/O
R G
UA
RD
IAN
of t
he a
bove
spe
cifie
d E
ntra
nt,
have
read
and
fully
und
erst
and
the
prov
isio
ns o
f the
abo
ve re
leas
e an
d ha
ve e
xpla
ined
them
to
sai
d E
ntra
nt. I
her
eby
agre
e th
at I
and
said
min
or w
ill b
e bo
und
ther
eby,
and
I sh
all d
efen
d S
peci
al O
lym
pics
Illin
ois
and
hold
it h
arm
less
from
any
dis
affir
mat
ion
ther
eof b
y sa
id m
inor
.
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
____
____
____
____
P
aren
t’s E
mai
l Add
ress
___
____
____
____
____
____
____
____
____
____
____
____
____
__
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 _
____
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____
____
____
____
____
____
___
P
olic
y N
umbe
r ___
____
____
____
____
____
____
____
____
____
____
____
_
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
-
Zip
Cod
e
Stat
e
-
Zip
Cod
e
Pare
nt’s
/Gua
rdia
n’s
Hom
e Te
leph
one
- -
□ W
hite
□ B
lack
/Afr
ican
Am
eric
an
□ A
sian
□
His
pani
c/La
tino
□ O
ther
___
____
____
____
____
____
____
____
____
____
_ Et
hnic
ity
Birth
date
M
M
D
D
Y
Y
Se
x (M
or 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?
Ye
s □
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
Yes □
No
□
Epi
lept
ic/S
eizu
res
Yes □
No
□
Blin
d
Yes □
No
□
Dea
f
Yes □
No
□
Hep
atiti
s
Yes □
No
□
Oth
er _
____
____
____
____
____
____
____
_
Cur
rent
Med
icat
ion
D
osag
e
____
____
____
____
____
____
____
____
____
_ __
____
____
____
____
____
____
____
____
___
____
____
____
____
____
____
____
____
____
_
Alle
rgie
s to
med
icat
ion,
if a
ny: _
____
____
___
____
____
____
____
____
____
____
____
____
_ D
ate
of la
st T
etan
us s
hot:
____
____
____
____
I ha
ve e
xam
ined
the
abov
e-na
med
Ent
rant
and
, in
my
opin
ion,
ther
e is
no
men
tal o
r phy
sica
l rea
son
why
he
or
sh
e sh
ould
not
par
ticip
ate
in th
e
S
peci
al O
lym
pics
spo
rts tr
aini
ng a
nd
co
mpe
titio
n pr
ogra
m. F
urth
er in
form
a-
tio
n w
ill b
e fo
rwar
ded
if re
quire
d.
C
urre
nt m
edic
atio
n, if
any
, is
spec
ified
with
dos
age
on th
is a
pplic
atio
n.
Exa
min
atio
n D
ate
____
____
____
____
____
__
Doc
tor’s
Sig
natu
re _
____
____
____
____
____
_ P
rint N
ame
____
____
____
____
____
____
___
Add
ress
___
____
____
____
____
____
____
___
City
___
____
____
____
Sta
te _
___
Zip
____
__
Pho
ne (_
____
)___
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mail to: wssra, 2915 maple street, franklin park, il 60131 ··· fax to: 847.455.2157 ··· signed registration must be received by september 8, 2017
participant’s name: ________________________________________________________ birth date: ______________________________________________
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 2017 REGISTRATION FORM
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) * request scholarship
* payment plan arranged with bob foster
* credit card * visa * master card
card number: expiration date: _____ / _____
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
program # program name day fee trans program & trans fee subtotal
total due:
HOLD HARMLESS RELEASE ON
REVERSE SIDE
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:
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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
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?:_________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
current seizure related medication:
time of intake
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) : _________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
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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wssra.net 33
REGISTRATION OPTIONSIn order to participate in Fall programs, your completed AND signed registration form must be received in the WSSRA office by September 8th. 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 8th 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]
FAX TO847.455.2157
PHONE TO:847.455.2100
WSSRA Registration & Pol icies
34 wssra.net
PARTICIPANT 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.
WSSRA Registration & Pol icies
Saturday, December 9 12:45 – 3:15pm
Train Departs Berwyn at 12:55p, Returns at 3:15pFee: $8.00 (11 years & younger)
$15.00 (12 years & older)
Saturday, February 10th6:30 - 9:00pm
Location:
Center at North Park
10040 W. Addison Ave.,
Franklin Park
Join us
for a ni
ght of c
elebrati
ng
WSSRA pa
rticipan
ts, families
, staff, &
voluntee
rs with
dinner, d
rinks &
dancing.
All part
icipants
must be a
ccompani
ed
by a gue
st.
Recognition Banquet
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
Trip to Disney
ELIGIBLE PARTICIPANTS:• participants who are responsible for independent personal care including feeding, dressing &
toileting
• participants who are independent in mobility either walking or wheeling
• participants who are successful socially at a 5:1 participant staffing ratio
• participants who are devoid of emotional outbursts that require 1:1 staffing
• call ANNIE HART with questions concerning eligibility (WSSRA reserves the right to determine if this trip is appropriate for an individual)
WE’LL DO:• We’ll attend various shows and parades
while visiting the parks• Dine with Disney Characters• Swimming at the hotel• Magic Kingdom• Epcot Center• Animal Kingdom
WHAT’S INCLUDED:• Room
• Airfare• 3 Meals Per Day
• Entrance To 3 Walt Disney World Parks• Price Excludes Spending Money
• Price May Vary By $100 Based On Group Size And Flight Rates
• A $300 Non-Refundable Deposit Is Due Upon Registration.
Refunds Will Be Considered If A Physicians Note Prohibiting Travel Accompanies Your Request For Refund Or Another WSSRA Participant Is Able To
Go On Late Notice• No Scholarships Are Available For This Trip
REGISTRATION:• call the office
• the program is limited to 10 participans
• due to the popularity of this trip it will be offered as a lottery
• all participants interested in attending this trip to Disney
World must register no later than October 3rd at 10am
• the lottery will be pulled on October 3rd and we will contact you by October 6th
DATE: JANUARY 7-11
AGE: 18 & UP
FEE: $1,500
PROGRAM NUMBER: 174049
PRSRT STDU.S. POSTAGE
PAIDPERMIT NO. 317
FOND DU LAC, WI