NISRA Summer Camps 2012 - Woodstock Community Unit School ...

camp 

fun 

enriching the lives of people with disabilities through meaningful recreation experiences 

NISRA Summer Camps 2012 

Our Mission 

Our Values 

FUN PROFESSIONAL COMPASSIONATE TRUSTWORTHY INNOVATIVE 

Register by April 13 for a $25 discount! Final deadline: May 25

Northern Illinois Special Recreation Association (NISRA) is 

an extension of 13 park districts and cities (listed on the 

back cover of this brochure). Since 1976, the Association 

has provided weekly recreation programs, camps, 

special events, trips and 

Special Olympics for 

people with disabilities. 

Dedicated staff help 

participants experience the 

benefi ts of recreation and 

a healthy lifestyle. 

Staff e-mail addresses are the first letter of the first 

name, followed by the entire last name and @nisra. 

org. For example, cherendeen@nisra.org. 

Questions about camp? Please call: 

Kara Repsys, B.A., ext. 229 Regional Coord. 

(Call Kara w/basic questions about camps in Algonquin & Elgin) 

Tiffany Niccum, B.S., ext. 224 Regional Coord. 

(Call Tiffany w/basic questions about camps in Crystal Lake, Huntley, 

Lake in the Hills, and Friday Fun Days) 

Nicole Graver, B.S., ext. 247 Regional Coord. 

(Call Nicole w/basic questions about camps in Barrington & Cary) 

John Liuzzi, B.A., ext. 223 Regional Coord. 

(Call John w/basic questions about camps in Marengo & Woodstock) 

Cynthia Herendeen, B.A., ext. 234 Mgr. of Day Camp/Leisure Ed. 

(Call Cyndi w/specific questions about camp) 

Emily Todd, B.S., ext. 243 Mgr. of Cult. Arts/Spec. Events 

(Call Emily w/questions about Friday Field Trips) 

Jeri Burkett, ext 240 

Transportation Coord. 

(Call Jeri with questions about transportation) 

Courtney Fejedelem, B.S., ext. 225 Mgr. of Inclusion 

(Call Courtney w/questions about inclusion) 

Kerri Ruddy, B.S., ext. 237 Mgr. of Office Services 

(Call Kerri w/questions about registration, payment or scholarships) 

Brian Shahinian, M.P.A., ext. 233 Executive Director 

Carol Amoroso, ext. 236 Mgr. of Finance/Personnel 

Stephanie Friedlund, B.A., ext. 221 Administrative Assistant 

Jillian Giese, ext. 231 

Mgr. of Fund Development 

Sarah Holcombe, M.S., ext. 235 Mgr. of Comm./Marketing 

Jim Wiseman, B.S., ext. 230 Supt. of Recreation 

Maribeth Hutchison, M.Ed., ext. 238 Supt. of Program Operations 

Cathy Bott, B.A., ext. 228 Senior Mgr. of Support Staff 

Dana Seehafer, B.A., ext. 227 Senior Mgr. of Operations 

Heidi Jenkins, M.A., ext. 226 Mgr. of Ment. Health Serv./Outreach 

Dave Dauphin, B.S., ext. 247 Mgr. Spec. Olympics/Adapt Sports 

Lori Anderson, ext. 286 

Part-time Recreation Specialist 

Julie Baldwin, B.B., ext. 241 Human Resources Coord. 

John Carter, B.S., ext. 245 Part-time Mktng. Technology. Spec. 

2 

NISRA OFFICE 

285 Memorial Drive 

Crystal Lake, IL 60014 

(815) 459-0737 

(815) 459-0388 Fax 

e-mail: info@nisra.org 

web site: www.nisra.org 

Office hours: Monday-Friday, 8:30 am-5:00 pm* 

The office will be closed on the following dates: 

April 6 

May 28 

July 4 

*phone messages left after hours & on weekends are 

retrieved on the next business day 

NISRA’s Values 

NISRA’s staff dedicate themselves to providing 

fun, skill-building, life-enriching programs that 

fulfi ll our mission. We strongly believe that 5 core 

values defi ne who we are & what you can expect 

from us: Fun, Professional, Compassionate, 

Trustworthy, and Innovative. If at any time you 

feel that NISRA or its staff have not lived up to 

these values, please contact Brian Shahinian, 

Executive Director, at 815-459-0737. 

Satisfaction Guaranteed 

One of our goals is to provide you with the 

highest quality recreation programs and services 

possible. If you are not satisfi ed with a program, 

please contact the NISRA offi ce no later than the 

mid-point of the camp session so that we may 

resolve the situation. Resolutions may include a 

partial or full refund of your camp fee. 

Americans with Disabilities Act (ADA) 

NISRA will comply with the ADA, which prohibits 

discrimination in the provision of services, programs 

or facilities to individuals with disabilities. NISRA 

works closely with its member park districts and 

recreation departments to provide information 

on program inclusion, facility accessibility and 

communication devices. NISRA will make reasonable 

accomodations in recreation programs to enable 

participation by an individual with a disability who 

meets essential eligibility requirements for that 

recreation program. If you have questions about 

NISRA or the ADA, or believe that you have been 

unfairly discriminated against by NISRA, please call 

Brian Shahinian at (815) 459-0737.

NISRA’s Summer Camps... 

...laughter, learning, friendship, choices & FUN! 

NISRA’s Camp Staff 

NISRA camps are a great place to experience games, 

storytelling, sports, arts & crafts, singing, skits, and 

swimming this summer. Our camps have helped children 

grow in self-esteem, make friends, experience new places, 

learn games & songs, and develop physical skills. NISRA 

camps are not an extension of the special education 

curriculum, however many children retain concepts from the 

school year through the summer months. 

A Typical Camp Day... 

Here’s a sample schedule for a typical camp day 

at our full day camps: 

9:00 Arrive, get organized, group activity 

9:15 Arts & Crafts 

10:00 Music & Dancing 

10:30 Games & Sports (outdoor & indoor) 

11:45 Clean up before lunch 

12:00 Lunch & relaxation time 

12:45 Get ready for swimming 

1:00 Swimming* 

2:30 Change & gather things to go home 

*On non-swimming days, staff will plan alternate 

activities. 

Staff are selected based upon their previous recreation 

experiences, ability to teach and adapt activities, and 

enthusiasm for working with children & young adults with 

disabilities. Staff at the camps include high school students, 

and college students & college graduates in the fi elds of 

therapeutic recreation, special education, adapted physical 

education, and others. A variety of background checks are 

completed on all NISRA employees. 

Camp staff and volunteers attend 10-12 hours of 

orientation & training. The orientation covers general 

information about disabilities, adapting activities, behavior 

management, fi rst aid and emergency procedures, and a 

thorough review of the NISRA Summer Day Camp Policy & 

Procedure Manual. Specialized training is conducted on an 

as-needed basis. 

Behavior Expectations. Although NISRA recognizes 

that many campers have special behavioral 

challenges, guidelines have been established to 

ensure safety and enjoyment of all campers. The 

Behavior Code of Conduct expects summer day 

campers to: 

1) Show respect to all campers and counselors, and take 

direction from counselors. 

2) Refrain from using abusive or foul language. 

3) Refrain from causing bodily harm to self, other campers, 

and counselors. 

4) Show respect for equipment, supplies, and facilities. 

A positive approach will be used regarding discipline. NISRA 

will work closely with parents/guardians to develop behavior 

management plans. If inappropriate, disruptive or destructive 

behavior occurs, a prompt resolution will be sought. NISRA 

reserves the right to suspend or dismiss any camper whose 

behavior endangers the safety of him/herself or others. 

~ 

Asistencia en Espanol 

Si quiesiera inscribirse en un programa, y necesita asistencia 

en Espanol, ~ favor llamar a la ofi cina de NISRA. Deje un 

mensaje en extencion 301. Alquien les respondera lo mas 

pronto posible. Tele: (815) 459-0737 ext. 301. 

3 

Inclusion 

NISRA and its member districts believe that individuals 

should participate at their highest ability level in 

recreation programs. For some, that may be NISRA 

day camps, for others a park district or recreation 

department program. NISRA staff provide assistance 

with inclusion to member district staff in the form of 

adapted equipment, training, program modifi cations 

and securing sign language assistance. Call Courtney 

at NISRA with questions about inclusion or contact your 

home district to register for a program.

Northern Illinois Special Recreation Association (NISRA) es una extensión de 13 distritos tos de parques 

y ciudades (anotados en la parte trasera de la portada). Desde 1976, la Asociación ha proveído 

programas de recreación semanales, campamentos diurnos, eventos especiales, viajes ylaOlimpiada 

Especial en la comunidad para niños y adultos con deshabilidades. 

Campamentos diurnos de NISRA... 

...risas, aprendizaje, amistad, oportunidades y DIVERSIÓN 

Los campamentos diurnos son un lugar fantástico para tener la experiencia de juegos, contar cuentos, deportes, artesanías, 

a 

cantar, actuación y natación este verano. Nuestros campamentos han ayudado a los niños crecer en auto-estima, formar 

amistades, tener experiencias de lugares nuevos, aprender juegos y canciones, y desarrollar destrezas físicas Los 

campamentos diurnos de NISRA no son una extension del currículo de educación especial, sin embargo muchos niños retienen 

los conceptos del año escolar durante los meses del verano. 

Un día típico del campamento diurno... 

Aquí tienen un ejemplo de un horario típico del día de campo 

en nuestros campamentos diurnos de horario completo: 

9:00 Llegar, organizarse, actividad en grupo 

9:15 Artesanías 

10:00 Música y Baile 

10:30 Juegos y deportes (adentro y afuera) 

11:45 Levantar todo antes de almorzar 

12:00 Almuerzo y tiempo para descansar 

12:45 Prepararse para la natación 

1:00 Natación* 

2:30 Cambiarse y juntar las cosas para el regreso a casa 

*Los días que no hay natación, el personal planeará 

actividades alternativas. 

Personal del Campamento diurno de NISRA 

Se selecciona el personal basado en sus experiencias 

previas en la recreación., su habilidad de enseñar y 

adaptar las actividades, y su entusiasmo para trabajar 

con niños y jóvenes con deshabilidades. El personal de 

los campamentos incluye estudiantes de la preparatoria 

y la universidad, y graduados en los campos de 

recreación terapeútica, educación especial, educación 

física adaptada y otros. Una variedad de examenes de 

su historia personal se completan para todo empleado 

de NISRA. El personal y los voluntarios asisten a 10 a 

12 horas de orientación y entrenamiento. La orientación 

cubre información general sobre las deshabilidades, el 

adaptar actividades, como corregir el comportamiento, y 

los procedimientos para primeros auxilios y emergencias. 

Cada miembro del personal recibe un Manual de Poliza y 

Procedimientos del Campamento Diurno. 

Transportación 

Transportación está disponible para el campamento. Para 

niños que asisten a clases de verano en sus escuelas la 

mitad del día, sus padres tienen que comunicarse con el 

departamento de transportación de su escuela para hacer 

los arreglos de transportación al Campamento Diurno de 

Medio Día. 

4 

COMO INSCRIBIR A SU HIJO/A 

Procedimiento de inscripción 

1. Complete los dos lados de las formas de inscripción 

(dice “registration”). Las formas proveen información 

necesaria personal y médica para asistir al personal del 

campamento. Si las formas son incompletas, la inscripción 

no se procesa y se le regresan. 

2. Se tiene que pagar la cuota completa antes del primer 

día del Campamento Diurno. Ahorre $25 al inscribir 

y hacer el pago completo de las siete semanas antes 

del 13 de abril. No se permite a ningún niño asistir al 

campamento hasta que se haya pagado la cuota entera. 

El personal notifi cará a los choferes y los Directores 

Presentes de cuales niños no asistirán por falta de paga. 

3. La inscripción se procesa sobre la base de primero 

inscrito, primero servido. Si el campamento diurno llega a 

su capacidad máxima, una lista de espera se establecerá 

y los que están en la lista se avisarán. 

4. Los que viven adentro de uno de los 13 distritos se 

consideran “residentes” y pagan la cuota de “residentes”. 

Los participantes de fuera de distrito pagan una cuota 

de “no residente” y su inscripción no se procesa hasta 

que las de residentes se procesan. Cada descripción del 

campamento diurno lleva las cuotas para residente y no 

residente así : R/NR. 

Planes de Paga/Becas 

Ud. tiene la opción de dividir sus pagos si no tiene 

posibilidad de pagar la cuota completa a la hora de 

inscribirse. Los pagos divididos deben de pagarse según el 

horario siguiente: 

• 1/3 de la cuota se paga al inscribirse 

• otra 1/3 parte tiene que pagarse el 11 de mayo 

• el pago fi nal se hace el 25 de mayo 

Las becas se asignan a los que califi can por difi cultad 

fi nanciera. Si quiere inscribirse y necesita asistencia 

fi nanciera, favor de hablar al (815) 459-0737 para una 

aplicación de beca. Puesto que las becas solo cubren 

una parte de la cuota del campamento, el restante tiene 

que pagarse POR COMPLETO antes del comienzo del 

campamento. Se le avisará después que se haga la decisión 

de quienes recibirán las becas.

FULL DAY CAMPS 

For more information, please see Page 2 to contact the staff member 

listed for the community where the camp is located. 

Camps for children ages 3-6 

Camperettes 

Group: Early Childhood, Ages 3-6 

Location: in Cary at Briargate School with swimming 

4 days/week at Cary Park District. 

Days & Dates: Mondays-Thursdays, 

June 11-July 26, no camp July 4 

Times: 9:00 am-3:00 pm 

Min/Max: 6/12 

Program # and Fees: 

#990 Resident w/no transportation 

#990 Non-resident w/no transportation 

#990T Resident w/transportation 

#990T Non-resident w/transportation 

Sunrise 

Group: Early Childhood, Ages 3-6 

Location: in Huntley at the R.E.C. Center with swimming 

2 days/week at Stingray Bay. 



Times: 9:30 am-3:30 pm 

Min/Max: 6/12 






$ 795 

$1265 

$1180 

$1640 

$ 795 

$1265 

$1180 

$1640 

Key to Abbreviations 

Check each camp’s description for the group for which it 

is designed: 

AUT: 

BD/ED: 

CD: 

LD/ 

ADD: 

PDD: 

MN: 

Autism Spectrum Disorders 

Behavior Disorders/Emotional Disorders 

Cognitive Disability (formerly Educable 

Mental Handicaps & Trainable Mental Handicaps) 

Learning Disabilities/ 

Attention Deficit Disorder 

Pervasive Developmental Disorder 

Multi-Need. Those with severe & 

profound delays of both a cognitive & 

physical nature. 

PH: Physical Limitations 

Campers with physical limitations may register for any 

camp & we will make the accomodations needed. 

Elgin area 

camps 

Kaleidoscope 

Group: CD, PDD, AUT, Ages 6-10 

Location: in Elgin at The Centre with swimming 4 days/week. 



Times: 9:15 am-3:15 pm 

Min/Max: 6/15 






$ 795 

$1265 

$1180 

$1640 

5 

Camp ROCK! 


Location: in Elgin at Lord’s Park with swimming 4 days/week 

at Lord’s Park Pool. 



Times: 9:30 am-3:30 pm 

Min/Max: 6/15 






$ 795 

$1265 

$1180 

$1640 

Turn the page for more!


Algonquin area camps 

The following camps are based at Algonquin Middle School, 

with swimming 2 days/week at Algonquin Pool. 



Times: 9:15 am-3:15 pm 

Min/Max: 6/15 for each camp 

Looking for a half day option? See page 8. 

Discover 







$ 795 

$1265 

$1180 

$1640 

Barrington area camps 

The following camps are based in Barrington at Countryside 

Elementary School, with swimming 4 days/week at Barrington 

Park District’s Aqualusion. 



Times: 9:15 am-3:15 pm 


Explorer 







Looking for a half day option? See page 8. 

$ 795 

$1265 

$1180 

$1640 

Trailblazers 







$ 795 

$1265 

$1180 

$1640 

Voyager 







$ 795 

$1265 

$1180 

$1640 

Boardmaker Communication 

Boardmaker is a computer software program with tables 

displaying symbols & simple words for people who have 

difficulty speaking, who are non-verbal, or have other 

communication or transition challenges. If your child is 

in a NISRA camp and could benefit from this, please call 

us & we will create something customized specially for 

him or her. 

6


Camps for children with 

behavior & emotional disorders 

Gear up for a “cool” summer! This camp features ageappropriate 

activities for teens and 20-somethings. 

Additional fi eld trips and special events such as fi shing, 

swimming at a water park, touring local attractions and 

going out to lunch are included. Fees are slightly higher 

due to the trips. 

Adventure 

Group: BD/ED, Ages 7-12 

Location: in Huntley at the R.E.C. Center, with swimming 

2 days/week at Stingray Bay. 



Times: 9:30 am-3:30 pm 

Min/Max: 6/12 






Survivor 

Group: BD/ED, Ages 11-15 

Location: Hilltop Pavillion at Emricson Park in Woodstock with 

swimming 4 days/week at Woodstock Water Works 

Dates: Mondays-Thursdays, 


Times: 9:30 am-3:30 pm 

Min/Max: 6/20 

Program # and Fees*: 





$ 795 

$1265 

$1180 

$1640 

$ 840 

$1310 

$1250 

$1655 

*Fees are slightly higher due to additional fi eld trips & 

special events that are age apppropriate for teens. 

Sun Surfers 

Group: CD, Ages 13-25 

Location: in Crystal Lake at Hannah Beardsley School with 

swimming 1 day/week at West Beach & a fi eld trip on 

Thursdays* to a pool or other attraction. 



Times: 9:00 am-3:00 pm 

Min/Max: 6/20 






#998 Resident 2 day option 

#998T Resident 2 day option w/transp. 

#998 Non-resident 2 day option 

#998T Non-resident 2 day option w/transp. 

$ 840 

$1310 

$1250 

$1655 

$ 435 

$ 625 

$ 670 

$ 855 

*participants choosing the 2 day option will pay the same 

fee regardless of which 2 days of the week they choose. The 

2 days must be the same each week for the entire session 

due to staffi ng & transportation arrangements. 

Don’t delay...take $25 off the fee if you register 

for camp and PAY IN FULL by April 13th! (does 

not apply to Friday Trips and August Extended 

Camps) 

7

CAMPS IN COOPERATION WITH SUMMER SCHOOL 

These camps offer structured, fun activities around the summer school schedule, or are another 

option for those who prefer a shorter camp day. 

For more information, please see Page 2 to contact 

the staff member listed for the community where Camps in Algonquin 

the camp is located. 

The following camps are based at Algonquin Middle School, 

with swimming 2 days/week at Algonquin Pool 

SEDOM Center Camps in Woodstock 

...great for SEDOM students! 

The following camps are based at the SEDOM Center, with 

swimming 2 days/week at Woodstock Water Works 


June 13-July 12, no camp July 4 & July 5 

Times: 12:00 noon-3:30 pm 


Super Summer Fun I 

Group: LD, BD/ED, CD, AUT, PH, Ages 6-12 






Super Summer Fun II 

Group: LD, BD/ED, PH, CD, AUT, Ages 13-25 






Funshine 

Group: PH, Multiple Needs, Ages 6-25 






$ 550 

$ 855 

$ 745 

$1045 

Cosmos 

Don’t forget your swim gear, towel, sunscreen & sack lunch for this 

great camp that includes games, sports, and swimming every day! 


Location: Barrington Park District’s Langendorf Park & Aqualusion 

Days, Dates & Times: Mondays-Thursdays, 

June 11-July 5, after school until 3:15 pm. 

No camp July 4, and camp ends July 5. 

Min/Max: 6/12 




$ 550 

$ 855 

$ 745 

$1045 

$ 550 

$ 855 

$ 745 

$1045 

...great for District 220 students! 

$ 315 

$ 490 

NOTE: Transportation is often provided by the school district from 

summer school to camp. Parents, please be aware that you need 

to make arrangements for transportation from school to camp. 

Parents pick up campers at 3:15 at Aqualusion Pool. 

8 


To coordinate with the District 300 Summer School 

schedule, NISRA is offering a full day/half day combination: 

NISRA camp for District 300 students in summer school: 

Days, Dates & Times: 

Mondays-Thursdays, June 11-28, 11:15 am-3:15 pm 

Mondays-Thursdays, July 2, 3, 5, 9:15 am-3:15 pm. No camp July 4 

Mondays-Thursdays, July 9-19, 11:15 am-3:15 pm 

Mondays-Thursdays, July 23-26, 9:15 am-3:15 pm 


Discover Half Day Camp 







Trailblazers Half Day Camp 







Sunburst 


Location: Martin Elementary School, Lake in the Hills 

Min/Max: 6/12 




$ 675 

$1045 

$ 855 

$1220 

$ 675 

$1045 

$ 855 

$1220 


$ 740 

$1195 

To coordinate with the District 158 Summer School 

schedule, NISRA is offering a full day/half day combination: 

NISRA camp for District 158 students in summer school: 

Days, Dates & Times: 

Mondays-Thursdays, June 11-14, 9:15 am-3:15 pm 

Mondays-Thursdays, June 18-21, 12:00-3:15 pm 

Mondays-Thursdays, July 2, 3, 5, 9:15 am-3:15 pm. No camp July 4 

Mondays-Thursdays, July 9-26, 12:00-3:15 pm 

NOTE: If your child’s school schedule differs from these dates, we 

will try to make an accomodation. Camp will visit a local splash 

pad once each week.

CAMP TRANSPORTATION 

Call Jeri for information. 

Pick-up/Drop-off Transportation for Full Day Camps and August Extended Camps 

NISRA offers pick-up and drop-off transportation for all Full Day camps and the August Extended Camps (listed on 

pages 10 & 11). There is a minimum of 3 campers needed at each location in order to provide a bus pick-up/drop-off. 

For the 7-week camp session, parents will be mailed a confi rmation letter by June 4th with pick-up and drop-off times, 

transportation provider & route number for the location you choose. If you have not received the confi rmation letter by 

June 6th, please contact Jeri at the NISRA offi ce. 

Pick-up/Drop-off Transportation for Half Day Camps 

•The Half Day Camp registration fee “with transportation” is for drop-off only at the end of the camp day to one of the 13 

locations listed below 

•A mid-day pick-up at the NISRA Offi ce is available for transporting to the SEDOM camps only 

NOTE: Parents of Half Day campers attending summer school! 

For those Half Day campers attending summer school, parents/guardians need to 

contact their child’s summer school transportation department to make arrangements 

for transportation to Half Day camp. The NISRA camp transportation fee does not 

cover the fees that the school bus company may charge if they must drive to a camp 

that is outside of the school district boundaries. 

Pick-up/Drop-off Locations: 

1. Barrington Park District Fitness & Recreation Center at Langendorf Park 

2. Cary Park District Community Center 

3. Carpentersville Dolphin Cove 

4. Crystal Lake NISRA Offi ce 

5. Elgin The Centre 

6. Hampshire Park District Recreation Offi ce 

7. Harvard City Hall 

8. Huntley Park District R.E.C. Center 

9. Lake in the Hills Village Hall 

10. Marengo Park District Offi ce 

11. McHenry McHenry Municipal Center in McHenry 

12. Wauconda Park District Community Center 

13. Woodstock Woodstock Recreation Center 

See Page 22 of this brochure for addresses to these locations, and 

pages 12 & 13 for Friday Field Trip transportation information. 

Bus Aides 

NISRA will be assigning a bus aide for each of the buses used for summer day camp transportation. However, there may 

be days when an aide is unavailable and NISRA will not have adequate notice to either assign a substitute aide or advise 

parents/guardians that an aide will not be on the bus that day. It is the parent/guardian’s responsibility to confi rm at the 

pick-up point each day that a bus aide is available, and if not, to choose whether to have their child ride the bus. If a 

parent/guardian believes that his/her child needs a 1:1 bus aide, please indicate the need on the camp registration form 

and briefl y explain the reason for the request. 

Carpooling 

Those interested in sharing your name and phone number for potential carpooling with other parents should contact the 

NISRA Offi ce. NISRA will develop a list of potential carpoolers. 

9

AUGUST/EXTENDED CAMPS 

Call Cyndi for information. 

July 30-August 3 

Safety Town 

Young children learn about safety & 

explore the miniature town of buildings, 

streets & signs at Safety Town! In this 

collaborative program, funded by 

the Barrington Junior Women’s Club, 

a safety concept is introduced & 

reinforced each day. In the afternoon, 

campers enjoy daily swimming. 

Group: Ages 3-9 

Location: in Barrington at The Orchard Church & Langendorf Park 

Days & Dates: Mon, July 30-Fri, Aug 3 

Time: 9:30 am-3:30 pm 

Min/Max: 6/12 






$140 

$230 

$190 

$275 

Bravehearts 

Therapeutic riding, outdoor swimming, 

and camp activities in a nature-fi lled 

community park make BraveHearts 

the camp for creating memories! 

BraveHearts Therapeutic Riding and 

Educational Center and NISRA are 

providing this cooperative camp. The fee 

includes a 1/2 hour riding lesson, equine 

education and crafts. 

10 

Group: CD, AUT, MN, Ages 10-16 

Location: in Harvard at BraveHearts Riding Center & Harvard 

pool. Campers meet at the Harvard Library each day, then go 

to BraveHearts. 

Days & Dates: Mon, July 30-Fri, Aug 3 

Times: 9:00 am-3:00 pm 

Min/Max: 6/10 






$270 

$345 

$320 

$415

July 30-August 10 

August Adventure 

End your summer vacation by exploring 

Emricson Park and all the fun things we can 

do outdoors. We’ll make this our home base, 

but we’ll also take fi eld trips to lots of local 

attractions. Each day also includes cooling 

off in the pool at Woodstock Waterworks. 

This is a week of outdoor summer fun you 

won’t want to miss! 

Group: BD/ED, LD/ADD, Ages 12-21 

Location: Hilltop Pavillion at Emricson 

Park, Woodstock, with daily swimming at 

Woodstock Water Works. 

Days & Dates: Mon, July 30-Fri, Aug 3, and 

Mon, Aug 6- Fri, Aug 10 

Time: 9:00 am-3:00 pm 

Min/Max: 6/15 






NOTE: Fee is slightly higher due to fi eld 

trips. Please contact the NISRA Offi ce if your 

child is only able to attend one week. 

(Now 2 weeks!) 

$355 

$525 

$455 

$625 

Galaxy 

Don’t miss out on 2 more weeks of summer fun! This camp is an 

extension of NISRA’s 7 week camps, especially for campers who 

benefi t from a “home base” with a predictable schedule and 

lots of structure. Campers can enjoy a daily routine of creative 

activities & games with easy transitions. 

Group: AUT, PDD, Ages 6-25 (ideally suited for campers from 

NISRA’s Explorer & Voyager camps) 

Location: in Barrington at Countryside Elementary School, with 

swimming at Barrington Park District’s Aqualusion. 

Days & Dates: Mon, July 30-Fri, Aug 3, and 

Mon, Aug 6-Fri, Aug 10 

Time: 9:15 am-3:15 pm 

Min/Max: 6/15 






$300 

$465 

$435 

$605 

NOTE: Please contact the NISRA Offi ce if your child is only able 

to attend one week. 

X Camp for Youth 

X Camp for Teens 

X-camp = X-citement! We’re spending 2 more weeks enjoying 

camp, friends, and special activities. Deicke Park offers us a 

chance to play fi eld games, fi sh in the pond, explore the big 

playground, and of course swim at Stingray Bay. 

Group: BD/ED, LD/ADD, EMH, TMH, PDD, AUT, Ages 6-12 

Location: in Huntley at the R.E.C. Center with swimming at 

Stingray Bay. 

Days & Dates: Mon, July 30 - Fri, Aug 3, and 


Time: 9:00 am-3:00 pm 

Min/Max: 10/25 






NOTE: Please contact the NISRA Offi ce if your child is only 

able to attend one week. 

$300 

$465 

$435 

$605 

Spend 2 more weeks hanging out with your friends at camp! 

Deicke Park offers us a chance to play fi eld games, fi sh in the 

pond, and of course swim at Stingray Bay. 

Group: BD/ED, LD/ADD, EMH, TMH, PDD, AUT, Ages 13-25 

Location: in Huntley at the R.E.C. Center with swimming at 

Stingray Bay. 

Days & Dates: Mon, July 30 - Fri, Aug 3, and 


Time: 9:00 am-3:00 pm 

Min/Max: 10/25 






NOTE: Please contact the NISRA Offi ce if your child is only 

able to attend one week. 

$300 

$465 

$435 

$605 

11

Minimum/Maximum for each week: 8/16 

Friday Field Trips 

for Ages 7-13 

Call Emily for information. 

DATE ACTIVITY TIME PROG # R/NR FEE 

June 15 

Mosaics & More! 9:00 am-3:00 pm #8223 $29/$51 

You’ll make your own mosaic art project in the new Sage Therapeutic Recreation Center Art Studio. After creating 

your own masterpiece, we’ll go bowl a few games and see how many strikes & spares we can get! 

Please bring a labeled sack lunch & drink; also please wear or bring socks for bowling. 

June 22 Bulls and Sox Training Academy 9:00 am-3:00 pm #8224 $32/$56 

At this amazing Academy in Lisle, we’ll experience “Exergaming!” Check out the NeuroBrain Bike and try iDance. 

After working up an appetite we’ll have a pizza party at Passero’s Pizza in Lisle. 

Please wear comfortable clothes & gym shoes. Fee includes lunch. Bulls and Sox Academy waiver must be signed 

before participating. 

June 29 

July 6 

July 13 

July 20 

July 27 

Wagner Farm 9:00 am-3:00 pm #8225 $24/$42 

Get your boots out and your work gloves on, it’s time to experience work on a farm! Learn how to care for and 

feed cows, horses, and chickens. 

Please bring a labeled sack lunch & drink. 

Soar & Swim 9:00 am-3:00 pm #8226 $28/$49 

Check out the newest trampoline craze at Epic Air in South Elgin. Soar through the air using the wall to wall 

trampolines and dive into a pit of foam. Then we’ll head over to Dolphins Cove for a refreshing afternoon of 

swimming. 

Please bring a labeled sack lunch & drink; swimsuit, towel & sunscreen. Epic Air waiver must be signed before 

participating, and you will need to wear or bring socks. 

Brookfield Zoo 9:00 am-3:00 pm #8227 $41/$71 

Whether it’s the lions, bears or monkeys, there will surely be something for you at the zoo! 

Please bring a labeled sack lunch & drink; and wear and bring sunscreen. Fee includes a snack. 

Cinderella 9:00 am-3:00 pm #8228 $40/$70 

At the Metropolis Performing Arts Center in Arlington Heights, we’ll watch Cinderella on her magical, musical 

journey from rags to riches in this classical fairy tale. After the show we’ll enjoy a sub sandwich at Jimmy John’s. 

Fee includes lunch. 

Raging Waves 9:00 am-3:00 pm #8229 $47/$81 

Once again we’ll ride the waves, loosen up on the lazy river, or test our courage on the curvy slides at this good 

ole’ waterpark in Yorkville. 

Please bring a labeled sack lunch & drink; swimsuit & towel. Also, wear & bring sunscreen. Fee includes a snack. 

NOTE: Plans will change if there is bad weather. 

Trips include several locations each week and may 

involve a lengthy van ride, stops at additional places, 

and/or may have stimulating sights & sounds that 

could be diffi cult for participants who benefi t from 

routine, structured situations. Shorter length trips are 

listed on page 15. If you have questions about the 

appropriateness of some trips for your child, please 

call Emily at the NISRA offi ce. 

Friday Field Trip Transportation 

•Dolphin Cove, Carpentersville 

•Woodstock Recreation Center 

•NISRA Offi ce, Crystal Lake 

•Lake in the Hills Village Hall 

•Huntley R.E.C. Center 

Pick-up & Drop-off times will be determined after registration. 

Minimum of 3 campers needed at a location in order for NISRA to 

pick-up. Please list your transportation choice on the Registration 

Form. You will receive a fl yer with your confi rmed transportation 

locations prior to June 17th. 

12


FRIDAY FIELD TRIPS 

for Ages 14-21 

Call Emily for information. 

DATE ACTIVITY TIME PROG # R/NR FEE 

June 15 

June 22 

June 29 

July 6 

July 13 

July 20 

July 27 

Sports Fanatics 9:00 am-3:00 pm #8230 $22/$39 

Let’s check out Players Choice Academy, McHenry County’s premier sports training facility. Practice your baseball 

swing, basketball dribble, and volleyball bump. We’ll also play a game of mini golf and disc golf at Lippold Park. 

Please bring a labeled sack lunch & drink. 

EXTREME! 9:00 am-3:00 pm #8231 $38/$67 

With wall to wall trampolines, foam pits and dodgeball courts you’ll experience plenty of bouncing & bobbing! 

After our fun at Xtreme Trampolines, we’ll head to a matinee movie at the Picture Show in Bloomingdale. 

Please bring a labeled sack lunch & drink. Fee includes a snack. Xtreme Trampoline waiver must be signed before 

participating. 

Water & Ice 9:00 am-3:00 pm #8232 $19/$33 

Lace up your skates & glide on the smooth, cold ice at the ch...ch...ch...chilly Crystal Lake Ice House. After our 

frosty frolic we’ll bask in the warmth of the sun at Barrington’s Aqualusion Pool. 

Please bring a labeled sack lunch & drink, swimsuit, towel, and sunscreen. Also please wear socks for ice skating; fee 

includes skate rental. 

Young Chefs Academy and The Grove 9:00 am-3:00 pm #8233 $39/$69 

Learn all about cooking from a real expert in this professional kitchen. You’ll create your own pizza & dessert. 

While we’re in the Glenview neighborhood, we’ll visit The Grove National Historic Landmark to learn about the 

local prairielands and wildlife. 

Fee includes lunch. 

Ride the Rails 9:00 am-3:00 pm #8239 $34/$60 

Let’s take the Metra train to Arlington Heights where we can enjoy some good ‘ole fashioned roller skating at the 

Orbit Skate roller rink. 

Please bring a labeled sack lunch & drink, and wear or bring socks for skating. 

Raging Waves 9:00 am-3:00 pm #8240 $47/$81 

Once again we’ll ride the waves, loosen up on the lazy river, or test our courage on the curvy slides at this good 

ole’ waterpark in Yorkville. 

Please bring a labeled sack lunch & drink; swimsuit & towel. Also, wear & bring sunscreen. Fee includes a snack. 

Brookfield Zoo 9:00 am-3:00 pm #8241 $41/$71 

Whether it’s the lions, bears or monkeys, there will surely be something for you at the zoo! 

Please bring a labeled sack lunch & drink; and wear and bring sunscreen. Fee includes a snack. 

NOTE: Plans will change if there is bad weather. 

Trips include several locations each week and may 

involve a lengthy van ride, stops at additional places, 

and/or may have stimulating sights & sounds that 

could be diffi cult for participants who benefi t from 

routine, structured situations. If you have questions 

about the appropriateness of some trips for your 

child, please call Emily at the NISRA offi ce. 

Friday Field Trip Transportation 

•Dolphin Cove, Carpentersville 

•Woodstock Recreation Center 

•NISRA Offi ce, Crystal Lake 

•Lake in the Hills Village Hall 

•Huntley R.E.C. Center 

Pick-up & Drop-off times will be determined after registration. 

Minimum of 3 campers needed at a location in order for NISRA to 

pick-up. Please list your transportation choice on the Registration 

Form. You will receive a fl yer with your confi rmed transportation 

locations prior to June 17th. 

13

FRIDAY FUN DAYS 

for Early Childhood participants, Ages 3-6 

Call Tiffany for information. 

It’s time for fun at these early childhood activities designed to let your child explore new 

places and enjoy new experiences. Each day’s program will be centered around a theme. Sign 

up for a few or all! Participants should bring a labeled sack lunch & drink each week. 


DATE ACTIVITY/THEME/LOCATION TIME PROG # R/NR FEES 

June 15 All About Music 9:30 am-12:00 noon #2135 $10/$18 

Music Room, Sage Therapeutic Recreation Center at 

the NISRA Offi ce, 

285 Memorial Drive, Crystal Lake 

Sing, dance, and play a variety of musical instruments! 

We’ll even make a few instruments! 

June 22 Day at the Farm 9:30 am-12:00 noon #0112 $12/$21 

Randall Oaks Barnyard Zoo, 17 N 350 Randall Road (just south of Binnie Road), West Dundee 

Discover life at the zoo & get a chance to feed the animals. 

June 29 Art Day 9:30 am-12:00 noon #2125 $12/$21 

Lake in the Hills Village Hall Multipurpose Room (downstairs), 600 Harvest Gate, Lake in the Hills 

We’ll use all kinds of messy art supplies to create some masterpieces! Please bring a paint smock or shirt. 

July 6 Nature Adventure 9:30 am-12:00 noon #3112 $10/$18 

Pepper Family Accessible Treehouse, 

511 Lake Zurich Road, Barrington 

Explore nature & the Treehouse at 

Citizens Park. Meet at the Treehouse. 

July 13 Outer Space 9:30 am-12:00 noon #1102 $10/$18 

Woodstock Public Library, 414 W. Judd Street, Woodstock 

Get ready to blast off as we explore outer space. 

July 20 Under the Sea 10:00 am-12:30 pm* #2124 $12/$21 

Huntley R.E.C. Center & Stingray Bay. Meet at the R.E.C. Center at 12015 Mill Street, Huntley 

Learn about sea creatures & then swim at Stingray Bay. Please come wearing your swimsuit & bring a towel. 

*note the different time for this day. 

14

Friday Adventures 

for Youth, Ages 7-13 

Call Tiffany for information. 

Friday afternoons are a great time to explore new places and try new experiences. These activities 

are designed for youth of all ability levels, who would enjoy exploring local sites for an afternoon, 

rather than the full day outings to farther destinations listed on page 12. Sign up for a few or all! 


DATE ACTIVITY/THEME/LOCATION TIME PROG # R/NR FEES 

June 15 Jump ‘n Art 1:00 am-3:30 pm #2227 $22/$38 

Monkey Joe’s, Crystal Lake, and 

Art Studio in the Sage Therapeutic Recreation Center at the NISRA Offi ce, Crystal Lake 

We’ll “monkey around” at Monkey Joe’s on the infl atable slides, jumps & obstacle courses. Then 

we’ll make a healthy snack & dabble with an art project in NISRA’s new art studio. Please note: 

parents need to complete a waiver for Monkey Joe’s before their child can participate. The 

waiver may be signed at the NISRA Offi ce at 12:45 pm when your child is dropped off for the 

program. 

Van Departs Transportation Location Returns 

12:45 pm NISRA Offi ce 3:30 pm 

June 22 Putt ‘n Paddle 1:00 am-3:30 pm #2228 $13/$23 

Lippold Park, Crystal Lake, and Main Beach, Crystal Lake 

We’ll play a couple of rounds of putt putt golf at the Lippold Park Mini Golf Course. Then we’re off 

to Main Beach where we’ll make our own healthy snack before paddling around the lake in canoes. 

Please note: be sure your child wears his/her swim suit under their clothes and brings a beach towel. 



June 29 Explore ‘n Play 1:00 am-3:30 pm #2229 $13/$23 

Crystal Lake Nature Center, Veteran Acres Park, Crystal Lake 

Take a guided tour of the Nature Center to explore insects and animals that crawl, hop & fl y. 

Then we’ll make a healthy snack, hike, and play backyard games at Veteran Acres Woods. 

Please note: parents need to complete a waiver for the Nature Center before their child can 

participate. The waiver may be signed at the NISRA Offi ce at 12:45 pm when your child is 

dropped off for the program. 



July 6 Science Fun ‘n Fit 1:00 am-3:30 pm #2241 $13/$23 

Teaching Kitchen & Community Room, Sage Therapeutic Recreation Center at 

the NISRA Offi ce, Crystal Lake 

Create fun & messy hands-on science experiments in 

the new Teaching Kitchen. Then we’ll make our own 

healthy snack and try out several exciting Wii sports 

and adventure games. Please bring a paint smock or 

shirt that can get messy. 

15

HOW TO REGISTER 

Registration Procedure 

1. Complete front and back sides of the registration forms. The 

forms provide necessary medical and personal 

information to assist the day camp counselors. If the forms are 

not complete, the registration will not be processed and they 

will be returned to you. 

2. Full payment must be made by the start of camp. Save 

$25 by registering and paying for a 7 week camp fee IN 

FULL by April 13th! No camper will be allowed to attend 

camp until the entire fee has been paid. Staff will notify van 

drivers and Site Directors of those who will not be attending 

due to incomplete payment. 

3. Registration is processed on a fi rst-come, fi rst-serve basis. If 

camp reaches maximum capacity, a waiting list will be started, 

and those on the list will be notifi ed. 

4. Those living within one of NISRA’s 13 member districts are 

considered “residents” and pay the resident fee. Out-of-district 

participants are charged a non-resident fee and registration is 

not processed until after residents. Each camp description lists 

the fees for residents and non-residents as R/NR. 

Township Information 

We ask for your township on the registration form because 

area townships give grants to NISRA. If you are unsure of 

your township, call the township closest to your residence. 

Cancellation and Refund Policy 

Day Camp 

Credits and refunds must be requested three business days 

prior to the start of camp. The cost of camp, minus a $5.00 

processing fee, will be refunded. After camp has started, 

credits and refunds will be issued for medical or unavoidable 

circumstances only (ex. job transfer, moving, etc.) Proof of the 

reason may be required. A pro-rated credit or refund, based 

upon the number of weeks, will be issued, minus the $5.00 

processing fee. 

Friday Trips 

Credits and refunds must be requested three business days 

prior to the Friday trip (Friday Field Trips, Friday Fun Days, 

Friday Adventures). The cost of the trip, minus a $5.00 processing 

fee, will be refunded. No credits or refunds will be 

issued if tickets have been purchased or supplies bought. 

Medication Permission 

A Medication Permission form will be sent to you if the 

participant will need to take medication during camp hours. 

Resident Priority Registration 

ends April 23 

Non-Resident Registration 

begins April 24* 

Final Registration Deadline 

April 26 

(Residents of NISRA’s 13 member districts will be 

registered fi rst. *Non-residents may submit their 

registration at any time, however, their forms will 

be processed beginning April 24) 

Take $25 off the fee if you register for a 7 week 

camp and PAY IN FULL by April 13th! (does not 

apply to Friday Trips and August Extended Camps) 

If your registration is late, participant: 

•will be placed on a waiting list if camp is full 

•may miss the fi rst week of camp 

•may be omitted from transportation 

Payment Plans/Scholarships 

You may make divided payments if you are unable to pay 

the full camp fee at the time of registration. Divided payments 

should be made according to the following schedule: 

•1/3 of the fee is due with your registration form 

•another 1/3 of the fee is due May 11 

•the fi nal payment is due on May 25 

Scholarships are awarded to those who qualify based 

upon fi nancial hardship. If you would like to register and 

need fi nancial assistance, please call (815) 459-0737 for a 

scholarship application. Since scholarships cover only a part 

of the camp fee, the remaining balance must be PAID IN 

FULL prior to the start of camp. You will be notifi ed after the 

decisions are made for all scholarships. 

Prorating Camp Fee for Vacation 

Camp fees will be prorated for family vacations of two 

weeks or longer. The fee will be reduced by one half of the 

length of time of the vacation. For example: 

• 2 week vacation = 1 week reduction in the camp fee 

• 3 week vacation = 1 1/2 week reduction in the camp fee 

Please call the NISRA offi ce for assistance. 

The NISRA Summer Day Camp is funded, in part, by the 

McHenry County Mental Health Board & the Barrington 

Area United Way. 

16

SUMMER DAY CAMP 2012 REGISTRATION FORM 

Is camper a new participant? __Yes __No If yes, how did you hear about NISRA?________________________________ 

Camper’s Information 

Last Name______________________________________ First Name____________________________________________ 

Address ________________________________________________ City __________________________ Zip ________ 

Subdivision (if applicable)_____________________________ County __________________ Township _______________ 

Home Phone ( )_______________________ 

Birthdate ______ Age ____ Sex: ___Female ___Male Special Ed. Classifi cation/Medical Diagnosis __________________ 

School District ______________ School ___________________________ Community where school located ____________ 

Teacher/Social Worker _____________________ Teacher/Social Worker Phone ( )________________________ 

Down syndrome? ___Yes ___No If yes, checked for Atlanto-Axial Subluxation Condition? ____ Date Condition cleared? ____ 

Family/Contact Information 

Family/Guardian Names & Phone Numbers: 

Primary Guardian______________________________________ Relationship_______________________________ 

Last Name 

First Name 

Phone: (H) ( )_______________ (C) ( )________________ (W) ( )________________ 

Secondary Guardian______________________________________ Relationship_______________________________ 

Last Name 

First Name 

Phone: (H) ( )_______________ (C) ( )________________ (W) ( )________________ 

Who should NISRA contact? ___ both parents/guardians? ___Primary Guardian only? ___Secondary Guardian only? 

Email address if you would like occassional reminders from NISRA (please print)_____________________________________ 

Emergency Contact–Name of a relative or friend who can respond in case of emergency when you cannot be reached. 

Last Name____________________________ First Name_______________________ Relationship___________________ 

Phone: (H) ( )_____________________ (C) ( )__________________ (W) ( )_____________ 

Release for NISRA to contact your child’s teacher/social worker in order to gather information to assist our camp counselors 

with meeting your child’s needs? ___Yes ___No 

Parent/Guardian signature ________________________________________ Date__________ 

NISRA takes photos at camp. Photos may be used to promote NISRA through publications & member district brochures, 

displays, advertisements, our web site, and social media. The participant’s identity is kept anonymous. If you do NOT wish to 

give photo permission, please sign your initials here: _____. (If left blank, we will assume permission is given). 

Prog # Camp/Trip Name Bus Pick-up Location (if applies) Drop-off Location Program Fee 

FOR OFFICE 

USE ONLY 

R / NR 

If requesting divided payments, please check 

(1/3 of the total fee is due: with registration, on May 11, and fi nal payment on May 25) Total Fees 

Date rec’d.____ 

By____ 

In computer 

Wait List 

Other agency pay 

Scholarship 

17 

Check #________ 

Cash________ 

Charge________ 

Total Due ________ 

+/-Credit/Balance Due________ 

Grand Total= ________ 

Amount Paid ________

This form must be signed, and fees PAID IN FULL (including any past due balance) before registration will 

be processed and the participant will be allowed to attend camp. If program fees will be paid by another 

agency, please attach the agency’s funding approval form, SIGNED BY THE AGENCY to this Registration 

Form. Submit both to NISRA. 

Billing Name/Agency_______________________________ Phone ( )____________________ 

You may pay by credit card. Please check one: Mastercard VISA Discover 

Account #__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date ___/___ Security Code______ 

(on back of card) 

Cardholder Name (please print)________________________________ Signature_________________ 

WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT FOR NORTHERN ILLINOIS SPECIAL 

RECREATION ASSOCIATION – READ CAREFULLY 

Please read this form carefully and be aware that in signing up and participating in NISRA programs, you will be waiving and releasing 

all claims for injuries arising out of these programs that you or the other 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 NISRA, any and all 

other participating or cooperating governmental units, any and all independent contractors, offi cers, 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 herby fully release and discharge NISRA 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 NISRA 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 asssociated 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 service, facilities, or premises involved in these programs, and transportation to and from any 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 advisements 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 fi rst-aid, transportation or medical attention that may be 

required. 

I authorize NISRA to release participant information fi les to McHenry County Mental Health Board for the purpose of NISRA program funding 

review. 

A facsimile signature shall substitute for and have the same legal effect as an original form signature. 

Participant/Parent Signature____________________________________________ 

Date______________ 

Once you’re registered, a Parent Handbook with more details about camp will be mailed to you 

approximately 2 weeks prior to the start of camp. 

- - - - - - - - - - Detach and mail or drop off, with payment to: NISRA, 285 Memorial Drive, Crystal Lake, IL 60014 - - - - - - - - 

18

- - - - - - - - - - Detach and mail or drop off, with payment to: NISRA, 285 Memorial Drive, Crystal Lake, IL 60014 - - - - - - - - 

Camper’s Name:_______________________________________________ 

Doctor Name:_______________________________________ Phone ( )______________________ 

Medical Conditions: (Check all that apply) 

__Diabetes __Shunts __PKU __Glasses __Hearing Aid __Needs Sign Language assistance 

__Allergies. List:______________________________________________________________________________________ 

Seizures: ___ Yes ___No. If yes, see page 20. 

Have a Seizure Plan? ___Yes (submit a copy with registration) ___No (please complete form in this brochure) 

Personal Care: (Check if participant needs assistance) 

___Dressing (needs assistance) ___Toileting (needs assistance) ___Feeding (needs assistance) 

Comments:___________________________________________________________________________________________ 

Medication: Will the participant take medication during camp hours? ___Yes ___No. If yes, a medication permission form will 

be mailed to you. 

Ratio: NISRA provides an approx. 1:2 - 1:4 ratio for most camp groups. If you are requesting a different ratio, please briefl y 

explain the reason:___________________________________________________________________ (Note: camp ratios 

may be different than school ratios which are designed to meet specifi c academic achievement standards) 

Mobility: __Wheelchair: __Manual __Power. __Vehicle Harness. Size:___. Transfers to seat? ___Yes ___No 

__Canes __Walker __A.F.O. (ankle, foot orthosis) Will a car seat be provided for the participant? ___Yes ___No 

Is a bus aide requested? ___Yes ___No If yes, please briefl y explain the reason:_____________________________ 

Carpooling Please contact the NISRA Offi ce if you would like to be put on a list with other potential carpoolers. 

Swim level: ___Pre-beginner ___Beginner ___Advanced Beginner 

T-shirt: Each camper receives a t-shirt. Size needed: Child Size: XS S M L XL Adult Size: S M L XL XXL 

Note: August Extended Camps do not include a t-shirt. 

List names of people signifi cant to the participant and their relationship to him/her:________________________________ 

_______________________________________________________________________________________________ 

Family pets (animal & name): ________________________________________________________________ 

List any recent changes that may affect participant in camp, for ex. medication, new home, death in the family, etc.: 

_______________________________________________________________________________________________ 

Participant’s reaction/adjustment:______________________________________________________________________ 

Names of friends going to this camp:__________________________Response to new people/situations:______________ 

Activities participant enjoys:_______________________________________Dislikes:___________________________ 

New activities participant would like to try:______________________________________________________________ 

Goals you would like counselors to work on:______________________________________________________________ 

Participant’s ability to join in group activities is:___________________Ability to keep track of his/her belongings is:______ 

Participant’s ability to follow directions and accept limits/rules is:______________________________________________ 

Participant communicates by (verbal/nonverbal):_______________He/she shows pain by:__________________________ 

Participant shows anger by:_______________________________He/she shows frustration by:_____________________ 

Participant shows affection by:______________________________He/she shows happiness by:____________________ 

Participant’s understanding of sexual information is:________________________________________________________ 

Participant sometimes has the following inappropriate behaviors:______________________________________________ 

Please use an additional sheet of paper to describe any additional behaviors unique to the participant, for ex., acts out when 

he/she hears a specifi c word, has a signfi cant object that he/she carries at all times, etc. 

19

Seizure Information 

If the registration form indicates that the participant experiences seizures, a completed Seizure Questionnaire, or 

equivalent seizure plan is required for participation in NISRA programs. The document is kept on file and a copy is 

given to the program leader in order to provide the desired level of care in the event of a seizure during the program. 

Seizure Questionnaire 

Please complete this form if the camper experiences seizures, or 

return a copy of your child’s seizure plan from his/her school. 

Date:___/___/___ 

Participant’s Name:__________________________________ 

Parent/Guardian:____________________________________ Phone: ( )_______________ 

Emergency Contact Name:_________________________________ Phone: ( )_______________ 

Emergency Contact Relationship: _____________________________________________________ 

Current Medication(s): 

Name Dosage Time(s) of intake 

________________________________________ _____________________ __________________ 

________________________________________ _____________________ __________________ 

________________________________________ _____________________ __________________ 

________________________________________ _____________________ __________________ 

Please note: NISRA will not administer rectal diastat. 

Seizure type (please check): 

_____ Absence (staring spell) _____ Atonic (drop) 

_____ Simple Partial _____ Generalized (Gran Mal) 

_____ Complex Partial 

_____ Other (explain):_____________________________________________________________________ 

What was the date of the participant’s last seizure? ___/___/___ 

How long does the seizure last?_________________________________________ 

How long was the longest seizure?_______________________________________ 

Are there any symptoms prior to the onset of the seizure? (ie., smells, stomach pain, fear, sounds) 

Explain: ________________________________________________________________________________ 

______________________________________________________________________________________ 

Please list the necessary steps you would like NISRA to take in the event of a seizure: 

1. Call 911 for a seizure lasting more than _____ minutes. 

2. 

3. 

Parent/Guardian Signature:____________________________________________ 

Date:_______________ 

Please return this completed form, or other seizure plan, along with your Registration Form to the NISRA office. 

20

INFORMATION & POLICIES 

Severe Weather Guidelines 

The guidelines below are used by NISRA’s staff to 

determine whether to delay or cancel programs & camps. 

Typically participants will be called when conditions force a 

change in the schedule. 

Hot Weather Guidelines 

Outdoor programs may be cancelled if any of the 

following conditions exist: 

•Temperature is above 95 degrees 

•Heat Index is 103 degrees or higher 

Indoor programs where there is no air conditioning may 

be cancelled at the discretion of the NISRA staff prior to 

the program or by the Program Leader at the program. 

All programs will be cancelled when the National Weather 

Service has issued a Tornado Warning for any of these 

counties: Lake, Kane, Cook or McHenry. 

If you are unsure about program cancellation after offi ce 

hours, visit our web site at www.nisra.org, or you may call 

the NISRA offi ce at 815-459-0737, ext. 300 where there 

may be updated information available. 

Mandated Reporters 

NISRA staff are mandated by the State of Illinois to report 

to the DCFS hotline if they observe a situation that provides 

reasonable cause to suspect child abuse or neglect. 

Workers in certain professions, including “recreational 

program” personnel have this legal mandate. Staff are 

trained in signs & symptoms of abuse & neglect, and the 

procedure for making a report. 

Illness Guidelines 

In order to prevent the spread of illness, it is recommended 

that participants not attend NISRA programs when any of 

the following conditions exist: 

•Fever over 100 degrees 

•Vomiting within the last 24 hours 

•Persistent diarrhea 

•Persistent cough and/or cold symptoms 

•“Pink Eye” (conjunctivitis) 

•Symptoms of mumps, measles, chicken pox, strep throat, 

fl u, impetigo, or Hand, Foot & Mouth Disease 

•Runny nose with yellow or green discharge (indicates 

infections) 

•Lice or mites present 

•Contagious rash or rash of unknown origin 

You will be contacted immediately to make arrangements 

for the participant to go home if any of these symptoms are 

present. 

Swim Diapers/Pool Pants 

...are required for all campers who are incontinent. 

The Abilitations catalog at (800)850-8602 or 

www.abilitations.com has a variety of styles & sizes. 

Program Policies 

You will receive a Parent Handbook with information 

that you’ll need to know about camp. Additionally, listed 

below are some of NISRA’s year round program and camp 

policies: 

1. When participants of varying ages & ability levels are 

in the same camp, they will be grouped appropriately. 

2. If a camper will be absent, please call the NISRA offi ce. 

3. Participants must be dropped off & picked up at the 

designated times for camp or the transportation location 

chosen. Delays create a number of problems & additional 

costs. Staff will notify the NISRA offi ce of continual lateness 

and a fi ne will be assessed. 

4. If you are transporting your child to camp, please checkin 

with the staff upon arrival and at departure. 

5. If staff observe that it appears unsafe to release a 

camper to the person picking him/her up after camp, the 

staff will call a supervisor to determine what other transportation 

alternatives may be possible. 

6. While NISRA staff will assist the campers with their 

belongings, NISRA cannot be responsible for lost or stolen 

property. Campers should not bring valuable games, toys, 

or other items to camp. 

21

TRANSPORTATION LOCATIONS 

Please call the NISRA Office at 815-459-0737 with transportation questions 

and we will assist you. 

Pick-up/Drop-off Locations: 

Barrington Park District Fitness & Recreation Center at 

Langendorf Park 

235 Lions Drive 

Barrington 

Cary Park District Community Center 

255 Briargate 

Cary 

Carpentersville/Dolphin Cove 

665 Barrington Avenue 

Carpentersville 

Crystal Lake/NISRA Office 


Crystal Lake 

Elgin/The Centre 

100 Symphony Way 

Elgin 

Hampshire Township Park District Recreation Office 

390 South Avenue 

Hampshire 

Huntley Park District R.E.C. Center 

12015 Mill Street 

Huntley 

Lake in the Hills Village Hall 

600 Harvest Gate 

Lake in the Hills 

Marengo Park District Office 

825 Indian Oaks Drive 

Marengo 

McHenry Municipal Center 

333 South Green Street 

McHenry 

Wauconda Park District Community Center 

600 Main Street 

Wauconda 

Woodstock Recreation Center 

820 Lake Avenue 

Woodstock 

Harvard City Hall 

230 W. Diggins Street 

Harvard 

Special days at camp 

Watch your camp newsletter 

for special days at camp, including: 

• back yard games 

• geocaching 

• young scientists 

• nature/adventure 

• art projects from recycled objects 

• drama/improvisation 

• dance (lots of styles) 

• sculpture & other art forms 

and, of course, the ever-popular 

Fun Fair, the ultimate play day, with all kinds of special entertainment & 

games...watch your newsletter for details. 

22

FACILITY LOCATIONS 

Please call the NISRA Office at 815-459-0737 and we will assist you or 

direct you to another phone number to reach the camp. 

Camperettes 

Briargate School 

100 South Wulff Street 

Cary 

Sunrise, Adventure 

Huntley R.E.C. Center 


Huntley 

Kaleidoscope 

The Centre 

100 Symphony Way 

Elgin 

Camp ROCK! 

Lord’s Park 

100 Oakwood Boulevard 

Elgin 

Sunburst 

Martin Elementary School 

10920 Reed Road 

Lake in the Hills 

Cosmos (4 weeks) 

Barrington Park District Langendorf Park & 

Aqualusion Pool 


Barrington 

Full Day & Half Day Camps 

Explorer, Voyager 

Countryside Elementary School 

205 West County Line Road 

Barrington 

Discover, Trailblazers 

Algonquin Middle School 

520 Longwood Drive 

Algonquin 

Survivor 

Hilltop Pavillion at Emricson Park 

South Street, east of Route 14 


Sun Surfers 

Hannah Beardsley School 

515 East Crystal Lake Road 

Crystal Lake 

Super Summer Fun I & II, Funshine 

SEDOM Center 

1200 Claussen 


and 

Emricson Park & Woodstock Water Works 



Safety Town 

The Orchard Church and 

1301 South Grove Avenue 

Barrington 

Langendorf Park/ 

Barrington Park District 


Barrington 

X Camp for Youth, and for Teens 

Huntley R.E.C. Center 


Huntley 

August Adventure 

Hilltop Pavillion at Emricson Park & Woodstock Water Works 



Extended camps 

23 

Bravehearts 

Meets at Harvard Diggins Library 

900 East McKinley Street 

Harvard 

Galaxy 

Countryside Elementary School 

205 West County Line Road 

Barrington


Crystal Lake, IL 60014 

Presorted Standard 

U.S. POSTAGE 

PAID 

CRYSTAL LAKE, IL 

PERMIT NO. 47 

Serving residents with disabilities in: 

• Barrington Park District 

• Cary Park District 

• Crystal Lake Park District 

• Dundee Township Park District 

• City of Elgin 

• Hampshire Township Park District 

• City of Harvard 

• Huntley Park District 

• Village of Lake in the Hills 

• Marengo Park District 

• City of McHenry 

• Wauconda Park District 

• City of Woodstock 

Thank you for your partnership & commitment to 

providing meaningful recreation services for 

residents with disabilities. 

Summertime Fun... 

Would you like your child to start learning to swim 

this summer? Or make new friends? Spend some time 

outdoors? Take trips, eat ice cream and just have 

FUN?! NISRA’s Summer brochure will be delivered to 

schools in early May. It will have a great line-up of 

weekly skill development programs, special events 

and trips. Don’t miss out on the fun! 

“Like” us on Facebook! 

Para asistencia en Espanol 

~ 

vea la pagina 3 & 4. 

• 815-459-0737 

• www.nisra.org

NISRA Summer Camps 2012 - Woodstock Community Unit School ...

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