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PROGRAM GUIDE - WSSRA

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WEST SUBURBAN SPECIAL RECREATION ASSOCIATION2915 Maple Street, Franklin Park, IL 60131847.455.2100 (voice or TTY)Office Hours: 8:30 AM - 5:00 PMMonday through FridayWinter 2011Photo by David KindlerThe West Suburban Special Recreation Association is a part of your local park district or village recreation program. We providerecreation programs for adults and children who have a physical impairment, a mental disability, or any other type of disability.Your park district or village governs the operation of the Association. The partner districts and villages and their representative toour Board of Directors are listed below:BOARD OF DIRECTORSBerwyn Park District ............................................................ Jeff JandaClyde Park District ............................................................. Alex RuedaVillage of Elmwood Park .......................................... John LannefeldPark District of Forest Park .............................................. Larry PiekarzPark District of Franklin Park ............................... Joseph D. ModrichVillage of Harwood Heights .................................Michael GadzinskiHawthorne Park District ............................................. Dennis RaleighNorridge Park District ................................................... Mark DeSalvoNorth Berwyn Park District ...................................... Joseph C. VallezPark District of Oak Park ...............................................Marty BraccoRiver Forest Park District .................................................. Mike SlettenBOARD MEETINGSThe Board of Directors of the Association meets on the secondTuesday of the month 8 times per year at 7:00 PM. Call theoffice at 847.455.2100 for the location of the meetings. Thepublic is invited to attend.REGISTRATION UPDATEALL WINTER 2011 REGISTRATIONS TAKEN ON AFIRST-COME, FIRST-SERVED BASIS AFTER ..........December 13, 2010WINTER PHONE-IN REGISTRATION BEGINS.......December 13, 2010WINTER REGISTRATION ENDS.................................. January 12, 2011SPRING 2011 BROCHURES DISTRIBUTED.....................February, 2011<strong>WSSRA</strong> STAFFSandra Gbur ........................236 ..................................................Executive Director................................................................sandyg@wssra.netMarianne Birko.....................226 ....................................... Superintendent of Recreation............................................... marianneb@wssra.netRobert A. Foster....................238 ...............................Superintendent of Safety & Operations..................................................bobf@wssra.netMaryellen Bilek.....................228 ................................................ Outreach Specialist........................................................maryellenb@wssra.netSherry Scouffas.....................225 ................................................ Outreach Specialist.................................................................sherrys@wssra.netGretchen Dennis..................219 ................................................. Inclusion Manager..........................................................gretchend@wssra.netMatt Barber...........................235 ......................................... Human Resource Manager.......................................................... mattb@wssra.netDawn Krawiec......................231 ................................................. Program Manager.................................................................dawnk@wssra.netAhren Hoffman.....................234 .............................................Recreation Coordinator............................................................ahrenh@wssra.netAnnie Lhotka.........................230 .............................................Recreation Coordinator..............................................................anniel@wssra.netApril Ryan..............................240 ............................................... Recreation Specialist...................................................................aprilr@wssra.netAmy Mepham......................232 ............................................... Recreation Specialist................................................................amym@wssra.netKristy Dacanay.....................224 .................................................... Lekotek Leader......................................................................kristyd@wssra.netLisa Gershak.........................221 ..................................................Finance Manager......................................................................lisag@wssra.netNoelia Hernandez...............222 ...........................................................Registrar.............................................................................nolyh@wssra.netAileen Maldonado..............220 ............................................. Administrative Assistant...........................................................aileenm@wssra.netLuz Rocha-Serrano..............245 ...................................................... <strong>WSSRA</strong> DriverLarry Feldt..............................245 ...................................................... <strong>WSSRA</strong> DriverJoe Wolfe...............................245 ...................................................... <strong>WSSRA</strong> DriverMike Zych..............................245 ...................................................... <strong>WSSRA</strong> Driver2<strong>WSSRA</strong>.NET


Programs at a GlanceTPP$<strong>WSSRA</strong>TransportationTransportation byPick Up PointBring Extra Moneyto ProgramCHILDREN 7-8SCHOOL AGE 9-19SUMMER DAY CAMP 15-18SPORTS AND FITNESS 20-23TEENS & YOUNG ADULTS 20-26ADULTS 22 YEARS & OLDER 20-26OLDER ADULTS 27-28SPECIAL EVENTS 28BEAT THE PHONE RUSHFAX your registration today at 847.455.2157. Contact yourlocal Park District for use of their FAX machine for your <strong>WSSRA</strong>registration.Por favor llame a la oficina de <strong>WSSRA</strong>. Deje un mensaje enextension 222. Noelia Hernandez les respondera lo mas prontoposible. Tel: 847.455.2100 ext. 222.INDIVIDUALS WHO HAVE A HEARING IMPAIRMENT ORCOMMUNICATION DISORDER CALL 847.455.2100TO UTILIZE OUR TDD!WWW.<strong>WSSRA</strong>.NETCheck out the <strong>WSSRA</strong> web site for up to date programinformation. E-Mail your comments to us: wssra@wssra.netFOLLOW US ON:KEY TO ABBREVIATIONSADD: Attention Deficit DisorderADHD: Attention Deificit Hyperactivity DisorderALZ: Alzheimer’sAUT: AutismBD: Behavior DisorderDD: Developmental DisabilityEC: Early ChildhoodHI: Hearing ImpairmentLD: Learning DisabilityMI: Mental ImpairmentMLH: Mental HealthPI: Physical ImpairmentSL: Speech & Language DelayVI: Visual Impairment<strong>WSSRA</strong>’s WINTER program session is 8 weeks in length for mostprograms. WINTER programs begin January 31, 2011. For exacttimes and days, please consult each program description in thisbrochure.Cover photo by Antonio Perez3 <strong>WSSRA</strong>.NET


Thank Yous<strong>WSSRA</strong> is looking for energetic & caring staff to assist in recreationprograms for individuals with disabilities. You will:• Meet new people while participating in fun recreation activities.• Enjoy personal growth.• Have a flexible schedule (morning, afternoon, evening & weekend hours available).• Gain leadership skills.• Enhance self-esteem by being part of a team that brings out the best in everyone.For more information call 847.455.2100 or visit www.wssra.net.THANK YOU VOLUNTEERS & STAFFWe thank all of <strong>WSSRA</strong>’s fall volunteers & staff. Programs could not run without them!Tania AndradeBrittney AngileriRebecca BaimanDanette BakerDavid BanasJoAnn BarberNick BarnesJon BasinskiHalina BednarzKaren BellafioreAnthony BeckerElizabeth BermanLakesha BeyAlex BrunetMary BullockJohn BuonicontiKristen CalvertKarina CarreraAngie ColemanKatie ColemanKristen CornaJason CurleyHeather DeLaGarzaDan DeRosaBertha DiazSam DiCaroNicole Di PaolaShelia DonoghueMarge DruskaGeoff EssexLauren FarmerBeverly FeltonSarah ForteMegan FosterLogan FrankSandra GarciaCarissa GottliebNichole GunnApril GuzmanKurt GrahnkeErin GrimesTim HanleyElliot HenryMayra HernandezRyan HornNina IannottaPatty IannottaTrisha IannottaKatherine JohnsonDina JonesMary JonesJamee KennyNancy KnudsonMegan KopczDave KordeshTim KordeshKelli KruegerSarah KuhrApril KusDaria LatochaAndrew LeeAshley LenardiCarlos MarroquinAmelia MartinezKris MazzaTeegan McFeelyKaitlin McNultyMike MeyerJenny MezaNatalie MezaJames NakatsukaJoanie NobleAnel OlivaresKaren OnischukDanielle PapeAnisa PashajAllison PorschakinJessica QuartararoAmanda RaimondiAnne RalenkotterMaria RamirezBryan RascheJill RecordLorie ReyesEmily RichardsonJunior RodriguezTom RyanJeff SchaeferNicole SchraubJeanne SimonsMary Kate SkalitzkyGisela SolisMaurissa StorkIrene TalaveraEric ThomasIgnacio TorresJohn VicarsMike VinciAmanda ZiupsnysNEW MEMBERSThe WSSRF welcomes newmembers. Please considerjoining! No one on theFoundation is asked todo more than they canhandle, yet by workingtogether, WSSRF raises$20,000 each year tosupport <strong>WSSRA</strong> programs.At each meeting,Foundation membershave the opportunityto give input and ideasabout program offerings.So come join the fun andhelp WSSRF improve andexpand programs forpersons of all ages withdisabiltiies. Call SherryScouffas at 847.455.2100ext. 225 to learn more.The WSSRFneeds you!5 <strong>WSSRA</strong>.NET


ChildrenLEKOTEKALL ABILITIES<strong>WSSRA</strong>’s Lekotek is a toy lending library and resource forfamily play. Families meet for a one hour play sessions eachmonth guided by a trained Lekotek leader. Families have theopportunity to borrow from our inventory of over 2,000 toysincluding adapted toys which makes play possible for all kids.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 that increase skills.• Self-esteem building.• Sibling play and fun.Monthly play sessions take place at the <strong>WSSRA</strong> office or NorthBerwyn Park District. Call Kristy or Ahren at 847.455.2100 fordetails and to schedule your first play session.Age: Birth to 6 YearsFee: $6.00 per visit (including toy check out)Registration Number: 100TUMBLING INTO FUNALL ABILITIESDon’t miss this opportunity to have your child enjoy some funwith friends after school. Participants will have the opportunityto run, jump and tumble and enjoy music, games and activities.Upon the conclusion of the program parents will pick-up theirchildren at Jefferson school.Age: 3 - 6 YearsDate: Mondays, January 31 – March 21, 2011(No program February 21)Time: 3:15-4:30 PMLocation: Jefferson School, BerwynFee: $14.50Registration Number: 114FUN FACTORYALL ABILITIESLASEC and Elmwood Park Early Childhood students canenjoy an extension of the school day by:• Enjoying music activities that will promote speech &language development.• Engaging in activities and games that help promotegross motor skills.• Participating in stimulating craft activities that helppromote fine motor development.• Eating a healthy snack provided weekly.Transportation to the program may be available.Upon the conclusion of the program parents will pick-uptheir children at the Franklin Park Community Center.Age: 3-7 YearsDate: Thursdays, February 3 – March 24, 2011Times: 118-01 11:45-1:15 PM118-02 3:45-5:15 PMLocation: Franklin Park Community CenterFee: $3.10 each week ($24.80 / 8 week session)Pick Up Point Trans: $1.40 each week($11.20/8 week session)Registration Number: 118CREATIVE MOVEMENTALL ABILITIES - ELMWOOD PARK AND LASEC STUDENTS ONLYDon’t miss this opportunity to have your child enjoy somefun with friends after school. Participants will have theopportunity to run, jump and tumble to music, games andactivities.This program is offered to Elmwood Park & LASEC studentsonly. The program will begin immediately following yourchild’s school day. Transportation is available to theprogram only. Upon the conclusion of the programparents will pick-up their children at the Norridge ParkDistrict.Age: 3 - 7 YearsDate: Fridays, February 4 – March 25, 2011Time: 3:45-4:45 PMLocation: Norridge Park District, Green RoomFee: $16.60 Trans to Program: $11.20Registration Number: 1117 <strong>WSSRA</strong>.NET


ChildrenSATURDAY FUN CLUBSENSATIONAL SATURDAYSSUPER SATURDAYSALL ABILITIESParticipants will enjoy Saturdays filled with music, games, crafts and much more. Register for one or all 8 weeks. An activityschedule will be sent the first week of program. Dress for indoor & outdoor play.Date: Saturdays, February 5 – March 26, 2011Age: 3-6 YearsTime: 9:00-11:30 AMLocation: Carroll Recreation CenterFee: $10.40 week / $83.20 seasonAge: 3-11 YearsTime: 9:00-11:30 AMLocation: Norridge Park DistrictFee: $10.40 week / $83.20 seasonAge: 7-11 YearsTime: 12:15-2:45 PMLocation: Carroll Recreation CenterFee: $10.40 week / $83.20 seasonDate:SATURDAY FUN CLUB:SENSATIONAL SATURDAYS:February 5 ........................................104-01February 12...................................... 104-02February 19 ......................................104-03February 26 ......................................104-04March 5 ............................................104-05March 12 ..........................................104-06March 19 ..........................................104-07March 26 ..........................................104-08......................................................................105-01......................................................................105-02......................................................................105-03......................................................................105-04......................................................................105-05......................................................................105-06......................................................................105-07......................................................................105-08SUPER SATURDAYS:................................................................. 106-01................................................................. 106-02................................................................. 106-03................................................................. 106-04................................................................. 106-05................................................................. 106-06................................................................. 106-07................................................................. 106-08SPLASHTASTIC FAMILY SWIMATTENTION!MOMS, DADS, SIBLINGS- GRAB YOUR SWIMSUITS AND TOWELS!We are very excited to introduce <strong>WSSRA</strong>’s Family SwimSeries this season!Photo by David KindlerCome out and enjoy swimming as a whole family. Oneadult (18 years +) per 2 children must accompany them inthe pool.• Saturday January 22 10:30-12:00• Saturday February 19 10:30-12:00• Saturday March 19 10:30-12:00• Saturday April 16 10:30-12:00Come to 1, 2, 3 or all Saturday Family Swim’s and join us in asplash-tastic time in the water! This is a great opportunity forwater interaction and family fun!Fee: $10 per family of 4 ($2 @additional person)Location: Concordia University (pool is not accessible)Registration Number: 1938<strong>WSSRA</strong>.NET


School-AgedSWIM LESSONSALL ABILITIES<strong>WSSRA</strong> Swim Lessons are based on a Skill Development program through the American Red Cross. All skills will be taught in aprogression. Bring suit and towel. Parents are responsible for changing child before and after lesson. Participants are limited to onehalf hour lesson per season. Lessons are designed to be appropriate for specific age groups as well as skill level.PLEASE NOTE: ANYONE WITH POSSIBLE INCONTINENCE MUST WEAR PROTECTIVE PANTS UNDERNEATH THEIR SWIMSUITS. This is foreveryone’s health & safety. If your child is wearing a swim diaper, the public health code requires them to wear rubber pants inaddition to the diaper. Any problems in this area with your child could risk your child’s ability to participate in this program. If youhave any questions, please contact us at 847.455.2100. Thank you for your attention and support. (Note: Concordia University Pooland Morton East High School are not accessible to persons who are non-ambulatory or use a wheelchair).Age: 3 Years & Older, Preschoolers are welcome!REGISTRATIONNUMBERDAY TIME DATES LOCATION FEE151-01 Mondays 6:15-6:55 PM January 31 – March 21(No program Feb. 21, March 7)AgeAdvanced swimmers only - Must swim 1 length of pool151-02 Mondays 6:25-6:55 PM January 31 – March 21(No program Feb. 21, March 7)AgeAll AgesOPRFHS(Facility Pending)OPRFHS(Facility Pending)151-03 Wednesdays 5:00-5:35 PM February 2 – March 23 Concordia University(Not accessible)Age0-6 Years151-04 Wednesdays 5:45-6:20 PM February 2 – March 23 Concordia University(Not accessible)Age7 Years & Up151-05 Thursdays 6:30-7:10 PM February 3 – March 24 Morton East HS(Not accessible)AgeAll Ages$30.75(6 weeks)$26.25(6 weeks)$33.00(8 weeks)$33.00(8 weeks)$32.60(8 weeks)151-06 Fridays 3:45-4:15 PM February 4 – March 25 PAV YMCA $30.00(8 weeks)Age6 yrs & under151-07 Fridays 4:20-4:50 PM February 4 – March 25 PAV YMCA $30.00(8 weeks)AgeAll Ages151-08 Fridays 4:55-5:25 PM February 4 – March 25 PAV YMCA $30.00(8 weeks)Age7 yrs & older151-09 Fridays 5:30-6:00 PM February 4 – March 25 PAV YMCA $30.00(8 weeks)Age6 yrs & Under9 <strong>WSSRA</strong>.NET


School-Aged“I liketo swimbecause it’sfun- I can gounderwaterand sit on thebottom. ”EnriqueArmenta!SALTA:JUMP!LD, BD!Saltamos! Everybody jump! Jump, dance,run, and play along to music and games tochannel our energy into fun times. Participantswill also enjoy a light snack.Students will be bussed home by District 99 at4:00 PM. Participation numbers are limited.Call for registration information.Age: 6-10 YearsLocation: Warren Park School, CiceroWINTER SESSIONTime: 2:50-4:00 PMDate: Wednesdays, February 2 - Mar 23, 2011Fee: $16.10Registration Number: 126SPRING SESSIONTime: 2:50-4:00 PMDate: Wednesdays, April 13 - May 18, 2011Fee: $12.10Registration Number: 226YOGA FOR ALLALL ABILITIESParticipants will be introduced to simple yogapositions, meditative practice & stretchingexercises in a fun, playful environment. Theprogram’s focus will be on:• Body control• Gaining flexibility• Gaining strengthAge: 6-12 YearsDate: Tuesdays, February 1 – March 22, 2011Time: 3:30-4:10 PMLocation: Barrie Recreation Center, Oak ParkFee: $20.20Transportation to program only: $24.20Registration Number: 109SIGN UP FOR EXPLORE THEARTS TOO!EXPLORE THE ARTSALL ABILITIESGrab a brush, sponge or even use your fingersto paint, build a pot with clay, and discoveryour creative abilities. Add some music andwe’ll be dancing. There’s no limit to theelements we will explore!Age: 3-11 YearsDate: Tuesdays, February 1 – March 22, 2011Time: 4:15-5:00 PMLocation: Barrie Recreation Center, Oak ParkFee: $20.20Transportation home only: $24.20Registration Number: 107TAE KWON DOALL ABILITIESThis introductory class is designed to captivatethe interest of our youngest student. Karatefor Kids teaches the American Tae Kwon DoAssociation curriculum. It is based on theconcepts of positive mental attitude and highgoal setting. Building blocks for this systeminclude the following:•Goals •Self-control •Courtesy•Integrity •Friendship •Confidence•Self-awareness •Self-Esteem•Perseverance •Self Improvement•Respect •DedicationA uniform is required for all new students.(Additional one time fee of $40 for uniform)Age: 9-14 YearsDate: Tuesdays, February 1 – March 22, 2011Time: 7:15-8:00pmLocation: Karate for Kids10125 W. Grand Avenue, Franklin ParkPick up Point: North Berwyn Park DistrictDrop off time: 6:30 PMPick up time: 8:30 PMFee: $60.00Pick up Point Trans: $22.00Registration Number: 11310<strong>WSSRA</strong>.NET


School-AgedTACTILIANSALL ABILITIESJumping, crawling, smelling, touching &exploring is what we’ll do. Each week we willhave sensory stations set up for your child toexplore & enjoy.Age: 3-10 YearsDate: Mondays, January 31 – March 21, 2011(No Program Feb. 21 & March 7)Time: 3:15-4:45 PMLocation: Irving School, Oak ParkFee: $32.40 Trans: $36.30TRegistration Number: 137CREATIVE MOVEMENTALL ABILITIES -ELMWOOD PARK AND LASEC STUDENTS ONLYDon’t miss this opportunity to have your childenjoy some fun with friends after school.Participants will have the opportunity torun, jump and tumble to music, games andactivities.The program will begin immediately followingyour child’s school day. Transportation isavailable to the program only. Upon theconclusion of the program parents will pick-uptheir children at the Norridge Park District.Age: 3 - 7 YearsDate: Fridays, February 4 – March 25, 2011Time: 3:45-4:45 PMLocation: Norridge Park District, Green RoomFee: $16.60 Trans to Program: $11.20Registration Number: 111WE’VE GOT TALENT!ALL ABILITIESThe <strong>WSSRA</strong> talent search has begun! Comejoin us for some fun. We’ll be learning newdance moves, enjoying karaoke & creatingthrough improvisation. A light snack willbe provided. Door to door transportationavailable home only.Age: 11-22 YearsLocation: Morton West High SchoolWINTER SESSIONTime: 2:45-4:15 PMDate: Mondays, Jan 31 - Mar 21, 2011(No prog Feb 21, Mar 7)Fee: $12.10 Trans: $12.10Registration Number: 116SPRING SESSIONTime: 2:45-4:15 PMDate: Mondays, April 11 - May 16, 2011Fee: $12.10 Trans: $12.10Registration Number: 216DANCE MANIAColumbus West Students Only - MI, AUT, DDCome join us after a long day at school as weget up and DANCE! We’ll learn new movesand play games. Come prepared for crafts& dancing. A light snack will be provided.This program is partially funded by a grantfrom the Town of Cicero. Students will betransported home by District 99 at 4:00 PMAge: 7-14 YearsLocation: Columbus West School, CiceroWINTER SESSIONTime: 2:45-4:00 PMDate: Mondays, Jan 31 - Mar 21, 2011(No prog Feb 21, Mar 7)Fee: $12.10Registration Number: 120SPRING SESSIONTime: 2:45-4:00 PMDate: April 11 - May 16, 2011Fee: $12.10Registration Number: 220EMERGENCYPHONEThe purpose of thisphone number isto allow accessto <strong>WSSRA</strong> foremergencies onlyduring non-officehours.1. The phone maybe called Mondaythrough Friday, from5:00 PM to 11:00 PM,Saturday, 7:00 AMto 11:00 PM whenprograms are insession only.2. Leave amessage with yourphone number at847.833.9611 and a<strong>WSSRA</strong> staff will returnyour call.3. The emergencyphone should notbe a substitute forcalling the officefor non-emergencyquestions, such aspick up times.11 <strong>WSSRA</strong>.NET


School-Aged“I likedwhen wemade the‘goobeleck’in WeirdScience. ”LatrellBirdowGOAL!LD, BD, VI, PIPut your fitness skills to the test. Learn how to:• Work as a team• Develop & refine a variety of sport skills• Develop a fitness routine you can continueon your own<strong>WSSRA</strong> will bus students to Unity. Transportationhome is available.Age: 7-22 YearsLocation: Unity East, CiceroWINTER SESSIONTime: 2:10-4:00 PMDate: Wednesdays, Feb 2 - Mar 23, 2011(No prog Feb 9, Mar 16)Fee: $12.10 Trans: $12.10Registration Number: 119SPRING SESSIONTime: 2:10-4:00 PMDate: Apr 13 - May 11, 2011(No prog Apr 27, May 18)Fee: $12.10 Trans: $12.10Registration Number: 219WEIRD SCIENCETMI, AUT, MI, DDExplore all things gooey, icky and fun! Studentswill be transported home by Cicero SchoolDistrict #99 at the end of the program. If youplan to pick up your child, please notify <strong>WSSRA</strong>staff in advance.Age: 7-22 YearsLocation: Cicero West, CiceroWINTER SESSIONTime: 2:50-4:00 PMDate: Thursdays, Feb 3 - Mar 24, 2011Fee: $16.20Registration Number: 123TSTRIKE OUT BOWLERSALL ABILITIES - FOR CICERO STUDENTS ONLYEnjoy an afternoon of bowling fun!Participants will:• Be taught bowling skills in a progression• Learn safe and correct techniques• Learn basic scoringBumpers and adaptive equipment willbe available if needed. Transportationto the program provided by District #99.Transportation home provided by the Town ofCicero Paratransit Program.Age: 7-22 YearsLocation: Town Hall Bowl, CiceroWINTER SESSIONTime: 3:00-4:30 PMDate: Thursdays, Feb 3 - Mar 24, 2011Fee: $40.00Registration Number: 127SPRING SESSIONTime: 3:00-4:30 PMDate: Thursdays, Apr 14 - May 19, 2011Fee: $30.00Registration Number: 227SPECIAL OLYMPICTRAINING & SPORTSMI, AUT, MH, DDEnjoy an afternoon of fitness fun and SpecialOlympic Track & Field Training. Participants will:• Practice for softball throw, short running andlong jump events.• Stretch & do warm up exercises.Participants will automatically be registeredfor SPRING Games on Sunday, May 1, 2011.All participants must have a current SpecialOlympic medical on file by March 1, 2011 toparticipate in SPRING Games. See page 22 forform.SPRING SESSIONTime: 2:50-4:00 PMDate: Thursdays, Apr 14 - May 19, 2011Fee: $12.10Registration Number: 223Age: 7-22 YearsDate: Thursdays, Feb 3 - Mar 24, 2011Time: 3:45-5:15 PMLocation: PAV YMCA, BerwynFee: $43.20 Trans: $48.40Registration Number: 132T12<strong>WSSRA</strong>.NET


School-AgedBERWYN SPORTS GALORELD, BD, VI, PIPut your fitness skills to the test. Learn to:• Work as a team • Refine your sports skills• Develop a fitness routine you can continueon your ownParticipants can develop their self-confidenceand decision making skills. Transportationhome is available.Age: 7-14 YearsLocation: Havlicek School, BerwynWINTER SESSIONTime: 3:00-4:30 PMDate: Wednesdays, Feb 2 - Mar 23, 2011Fee: $8.10 Trans: $8.10Registration Number:115SPRING SESSIONTime: 3:00-4:30 PMDate: Wednesdays, April 13 - May 11, 2011Fee: $8.10 Trans: $8.10Registration Number: 215TDOWNHILL SKIERALL ABILITIES & SIBLINGS TOO!Learn to downhill ski or polish your skills throughthree, one-hour group lessons by a speciallytrained instructor from Four Lakes Village inLisle, Illinois. Following the lessons each week,participants will have approximately two hoursof free skiing with the careful supervision of<strong>WSSRA</strong> staff. Transportation provided fromschool to ski resort and return home.Age: 8 Years & OlderDate: Wednesdays, Jan 5, 12, 19, 2011(Make-up date Jan. 26)Time: 3:30-7:30 PM, (Time includes drive time)Location: Four Lakes Village, LisleFee: $123.00Trans: $18.25Registration Number: 128TWINTER ZEBRA SPORTSALL ABILITIESCome join <strong>WSSRA</strong>’s rookie athletes, the“Zebras”, as they develop athletic skills andlearn a variety of games & sports. Skills to bedeveloped during this program are:• Eye/hand coordination• Eye/foot coordination• Running • Ball handling• Fielding • Learning to work as a teamCome join the fun!Age: 4-8 YearsDate: Wednesdays,Feb 9 – Mar 23, 2011Time: 6:30-7:15 PMLocation: Irving School, Oak ParkFee: $19.00Registration Number: 135WEDNESDAY EXPLORER’S CLUBHI, DEAF, HARD OF HEARINGJoin us for an afternoon of fun & games.Participants will have opportunities to:• Be challenged in team building activities• Learn team rules to games and about goodsportsmanship• Enjoy expressing themselves through dramaand art activities.This program is partially funded by a Town ofCicero grant.Age: 7-22 YearsLocation: Hawthorne Park District, CiceroWINTER SESSIONTime: 3:30-6:00 PMDate: Wednesdays, Feb 2 - Mar 23, 2011(No program Feb 9, Mar 16)Fee: $12.10Registration Number:125SPRING SESSIONTime: 3:30-6:00 PMDate: Wednesdays, Apr 13 - May 11, 2011(No prog Apr 27 )Fee: $8.10Registration Number: 225“I like tohelp Amylead the yogaposes at‘Yoga for All’.I always pickthe Tarzanpose from theenvelope! ”JulianDunn13 <strong>WSSRA</strong>.NET


Adaptive Sports“I love SuperSaturdaysbecause I getto spend theafternoonwith coolkids. ”AlexBrunetOPPORTUNITIES!<strong>WSSRA</strong> is teaming up with NEDSRA to offeradapted sports opportunities for anyonewith a physical disability. <strong>WSSRA</strong> will providestaffing for these programs but you mustprovide your own transportation to and fromthe program. If you have questions call<strong>WSSRA</strong>’s April Ryan at 847.455.2100 ext 240 oremail aprilr@wssra.net.These programs are open to anyone with aphysical disability who is ambulatory or usesa wheelchair. All players must play from asports chair for games and practices. <strong>WSSRA</strong>has sports chairs available for use. Check outthese exciting opportunities:JR BULLS PREPARATORYWHEELCHAIR BASKETBALLBasketball season is back and the Jr. Bulls Prepteam is the perfect answer for newcomers tothis sport. Practices will review basic skills, learnthe rules of the game and develop team play.Games are played throughout the Midwest.Fee will be pro-rated for new athletes.Age: 12 Years & UnderDate: Saturdays, Jan 8 - Mar 26, 2011Time: Noon - 2:00 PMLocation: NEDSRA Office,1770 W Centennial Place, AddisonFee: $300.00 (Includes tournaments)Payment plan available.Registration Number: 153BOCCIAPIJoin the Paralymic Boccia experience!Individuals with physical challenges aregiven the opportunity to try this new sportingexperience and compete in the Paralympicarena at regional games, tournaments andeven state competitions. Come out and meetnew friends while challenging yourself. Thisprogram is partially funded by ThumbuddySpecial. Limited transportation is available -Call for details.Age: 6-22 YearsDate: Saturdays, Feb 5 – Mar 26, 2011Time: 10:00 AM - 12:00 PMLocation: varies weeklyFee: $18.00 Trans: $48.40Registration Number: 150JR BULLS JVWHEELCHAIR BASKETBALLJR Bulls JV – is for the seasoned player. Theprogram begins with practices and then playgames throughout the Midwest.Fee will be pro-rated for new athletes.Age: 13 Years & OlderDate: Saturdays, Jan 8 - Mar 26, 2011Time: Noon - 2:00 PMLocation: NEDSRA Office,1770 W Centennial Place, AddisonFee: $300.00 (Includes tournaments)Payment plan available.Registration Number: 154T14<strong>WSSRA</strong>.NET


LOTTERYDEADLINE:FEBRUARY 4,2011West Suburban Special Recreation Association Summer Day Camp 2011<strong>WSSRA</strong>’s 2011 Summer Day Camp is designed for participants ages 3-22, who have a disabilityand/or receive special education services. Your child must be 3 -22 years of age on the first day ofcamp to participate. Day camp registration is conducted by a lottery. All persons who meet the age &registration requirements will be entered into the lottery. If you are not selected in the lottery for day campplacement you will be placed on a waiting list according to the order you were drawnin the lottery. <strong>WSSRA</strong> offers different day camps according to age and ability groups. Camp provides ageappropriaterecreational activities while achieving these goals:• To involve your child in fun recreational opportunities.• To improve your child’s motor skills and overall fitness.• To encourage an environment where your child can succeed and build self-esteem.• To help your child maintain & increase language and self-expression skills.CAMP ACTIVITIES MAY INCLUDE:• Sports • Music • Field Trips • Swimming (Full Day Only)• Drama • Games • Arts & Crafts<strong>WSSRA</strong> RESIDENTSServing residents of the Villages of Harwood Heights andElmwood Park and the Park Districts of Berwyn, Clyde, ForestPark,Franklin Park, Hawthorne, Norridge, North Berwyn, OakPark and River Forest.CAMP DATESJune 20 – July 29, 2011 Monday through Friday.There is NO CAMP on Monday July 4, 2011FULL-DAY CAMP (AGES 7-22)9:00AM – 3:00PM, Monday through FridayFull Day is not an option if your child attends summer school.HALF-DAY CAMP (AGES 7-22)Noon – 3:00PM, Monday through Friday• You must indicate on your registration form if you will beregistering for the half-day option.• A limited number of half day spots are available and will befilled according to the February lottery.• No adjusted registrations can be made for participantsattending summer school.PRESCHOOL CAMP (AGES 3-6)Choose one:Morning Session: No swimming offered. .......... 9:00–11:45 AMAfternoon Session: No swimming offered. ........ 12:15–3:00 PMCAMP LOCATIONSCamps may be held in Berwyn, Cicero, Forest Park or Oak Park.Camps will be assigned a location based on space needed andfacilities available. You will be notified by mail as to your child’scamp location.DAY CAMP FEESFull-Day Option:…………… ............................................ $468.00Half-Day/Preschool Option: ............................................ $234.00TRANSPORTATION FEESOne-Way Transportation: ............................................... $211.50Round-Trip Transportation: ............................................ $423.00TRANSPORTATIONDoor to door transportation for camp is available. You must signup for transportation when you are completing your registrationform. Limited transportation slots are available. Transportationfees will be added to your day camp registration. Transportationfor camp is not provided for participants without a physicaldisability living within 4 blocks of the assigned camp site.Buses are not air-conditioned.SCHOLARSHIPSIf you are unable to afford the fee for day camp, you may requesta scholarship application from the <strong>WSSRA</strong> office or downloadthe scholarship form from the <strong>WSSRA</strong> web site, www. wssra.net.All applications must be completed and returned by February 4,2011 with your day camp registration form. You will be notifiedby mail if you will receive a scholarship and the amount ofassistance granted. You must attend 20 days of camp in 2011 tobe eligible to receive a scholarship in 2012. Any medical leavemust be documented by a doctor.REGISTRATION PROCEDURES1. Walk-in, mail-in, or fax (847.455.2157) your Day Campregistration to <strong>WSSRA</strong>. You must call to confirm FAX wasreceived.2. You must return the Day Camp Registration fully completed,signed, and dated by February 4, 2011 at 5:00PM to beeligible for the lottery. Additionally, Scholarship Applicationforms must be in the office by this time as well.3. The lottery will be drawn and scholarships will be awardedFebruary 7-18, 2011.4. Letter of acceptance into <strong>WSSRA</strong> Day Camp, informationregarding scholarships awarded, and a payment schedule willbe mailed out beginning February 23, 2011.DAY CAMP PAYMENT SCHEDULE:1. First 1/3 of your total due March 25, 20112. Second 1/3 of total due April 21, 20113. Final payment due May 27, 2011. Anyone not completing theirpayment by May 27 will risk losing their camp placement.4. Cancellations prior to May 28, 2010 will receive a refund less a$10.00 processing fee. NO Refunds after May 27, 2011.Questions, call <strong>WSSRA</strong> 847.455.2100


Asociación West Suburban de Recreación Especial Campamento de Verano de Día 2011El Campamento de Verano de Día 2011 de <strong>WSSRA</strong> es diseñado para los participantes edades3-22, quien tiene una descapacidad y/o recibe servicios de educación especial. Su niño debetener de 3 -22 años de edad en el primer día de participación del campamento. Inscripción delCampamento de Día es conducido por medio de una lotería. Todas las personas que tienen la edady requerimientos de inscripción entrarán en la lotería. Si usted no es seleccionado en la lotería paraparticipar en campamento de día, usted será puesto en una lista de espera de acuerdo a la ordenen la que quedó en el sorteo. <strong>WSSRA</strong> ofrece diferentes campamentos de día de acuerdo a la edad ylos grupos de habilidad. El campamento provee actividades de recreación apropiada a la edad y almismo tiempo logra estas metas:• Involucrar a su niño en oportunidades divertidas recreacionales.• Mejorar las habilidades motrices de su niño y aptitud en general.• Fomentar el ambiente en donde su niño pueda lograr y edificar su propia-estima.• Ayudar a mantener o ayudar a que su niño mantenga el incremente de su lenguaje y habilidadesde expresión-propia.ACTIVIDADES DEL CAMPAMENTOLas actividades del Campamento pueden incluir:• Natación (Día Completo Solamente)• Deportes • Drama • MúsicaRESIDENTES <strong>WSSRA</strong>Sirviendo a los residentes de los Municipios de Harwood Heightsy Elmwood Park y Distritos de Parques de Berwyn, Clyde, ForestPark, Franklin Park, Hawthorne, Norridge, North Berwyn, OakPark y River Forest.FECHAS DE CAMPAMENTOJunio 20 – Julio 29, 2011 Lunes a Viernes.NO hay CAMPAMENTO el Lunes, 4 de JulioCAMPAMENTO DE DÍA-COMPLETO (EDADES 7-22)9:00AM – 3:00PM, Lunes a ViernesDía Completo es una opción si su niño no asiste a la escuelade verano.CAMPAMENTO DE MEDIO-DÍA (EDADES 7-22)Medio día – 3:00PM, Lunes a Viernes• Usted debe indicar en su forma de inscripción si usted estainscribiendo para la opción de medio-día.• Hay un número limitado de lugares para campamento de mediodía, y se llenarán de acuerdo de la lotería del Febrero.φ No se puede hacer ajustes de inscripción para losparticipantes que asistan escuela de verano.CAMPAMENTO PREESCOLAR (EDADES 3-6)Escoja uno:Sesión de la Manana: No se ofrece natación...... 9:00–11:45AMSesión de la Tarde: No se ofrece natación. ....... 12:15–3:00 PMLOCALIDADES DE LOS CAMPAMENTOSLos campamentos pueden estar localizado en Berwyn, Cícero,Forest Park o Oak Park. Los participantes seran asignado unalocalizacion basada en edad y descapacidad. Se le notificaránpor correo acerca de la localidad del campamento de su niño.TRANSPORTACIÓNTransportación de puerta-a-puerta para el campamento esdisponible. Usted debe inscribirse para la transportacióncuando complete su forma de inscripción. Lugares limitadosde transportación están disponibles. El costo de transportaciónsera cargada junto con el inscripción de campamento de día.La transportación para el campamento no es proveída paraparticipantes sin discapacidades físicas viviendo dentro de 4cuadras del sitio del campamento asignado. Los autobuses notienen aire-condicionado.PLAZO DELOTERÍA:4 DE FEBRERODE 2011COSTO DE CAMPAMENTO DE DÍAOpción de Día-Completo ............................................ $468.00Opción de Medio-Día/Preescolar ............................... $234.00COSTO DE TRANSPORTACIÓNTransportación de Ida ................................................. $211.50Transportación de Ida y Vuelta .................................... $423.00BECASSi no puede pagar el costo de campamento de día, usted puedesolicitar ayuda por beca de la oficina <strong>WSSRA</strong> o descargarla forma de beca de la pagina de internet de <strong>WSSRA</strong>, www.wssra.net. Es necesario completar y regresar la forma de becaantes de el 4 de febrero de 2011 con su forma de inscripciónpara el campamento de día. Usted será notificado por correosi usted recibirá una beca y el cantidad de ayuda que recibira.Es necesario asistir 20 días al campamento en 2011 paraser elegible para recibir una beca en el año 2012. Cualquierproblema médica debe ser documentado por un médico.PROCEDIMIENTOS DE INSCRIPCIÓN1. Pase en persona, envíe, o mande por fax (847.455.2157) suinscripción de Campamento de Día de <strong>WSSRA</strong>.2. Usted debe regresar la Registración de Campamento de Díatotalmente completa, firmada, y fechada antes de el 4 deFebrero de 2011 a la 5:00PM para ser elegible para la lotería.Adicionalmente, la forma de Aplicación de Becas necesitaestar en la oficina junto con la forma de inscripcionde Campamento3. La lotería sera procesado durante el tiempo de el 7 al 18 deFebrero de 2011.4. Una carta de aceptación al Campamento de Día de <strong>WSSRA</strong>,información referente a becas recibidas, y un calendario depagos sera enviado por correo, comenzando el 23 de Febrerode 2011.HORARIO DE PAGOS DEL CAMPAMENTO DE DÍA:1. La primera parte de su balance total es debido antes que el 25de Marzo de 2011.2. La segunda parte de su balance total es debido antes que el21 de Abril de 2011.3. El pago final se debe antes que el 27 de Mayo de 2011.Cualquier persona que no termine de hacer sus pagos para el27 de Mayo puede perder su lugar en el campamento4. Cancelaciones antes de el 27 de Mayo de 2011 recibirán unreembolso menos $10.00 por costo de proceso. NO HAYREEMBOLSO después del 27 de Mayo de 2011.Para Preguntas, llame a <strong>WSSRA</strong> al 847.455.2100


LOTTERY DEADLINE: February 4, 20112011 DAY CAMP REGISTRATIONFAX TO: 847.455.2157MAIL TO: <strong>WSSRA</strong>, 2915 Maple Street, Franklin Park, IL 60131DISABILITY□ Learning Disability□ Behavior Disability□ Hearing Impairment□ Developmental Disability□ Visual Impairment□ Physical Impairment□ Autism□ Other___________________SCHOLARSHIP REQUEST□ Request Scholarship□ Participates in free lunch program at schoolCAMPER’S T-SHIRT SIZEChild Size: □ 6-8 □ 10-12 □ 14-16Adult Size: □ S □ M □ L □ XL □ XX □ XXXCAMP OPTIONS□ 1/2 Day Option 7 & Up□ Full Day Option 7 & Up□ AM Preschool age 3 to 6□ PM Preschool age 3 to 6TRANSPORTATION OPTIONScheck ONE□ Transport Self□ <strong>WSSRA</strong> Round Trip□ <strong>WSSRA</strong> Home Only□ <strong>WSSRA</strong> To Camp Onlyparticipant’s name: _________________________________________ □male □female participant’s birthdate: ________ / ____/ ________parent/guardian 1: __________________________________________ parent/guardian 2: __________________________________________address: __________________________________________________ city: _______________________________ zipcode: ______________home phone: ________________________________ park district/village: _______________________________________________________e-mail address:work phone 1 (whose): ______________________________________ work phone 2 (whose): ______________________________________cell phone 1 (whose):________________________________________ cell phone 2 (whose): _______________________________________emergency contact person (other than parent): __________________________________ emergency phone: ___________________________current school: ______________________________________ current teacher: ___________________________________________________doctor’s name: ____________________________________________________ doctor’s phone: _____________________________________does participant use wheelchair/walker/other? □yes □no specify: ________________________________________________________can participant transfer from wheelchair? □yes □no is participant subject to seizures? □yes □no Please attach seizure treatment plan.does participant have a communicable disease? □yes □noif yes, please explain: _________________________________________________________________________________________________photo permission: □yes □nowill medication be taken at camp? □yes □no Please attach instructions for medical procedures.list any medication: ___________________________________________________________________________________________________list any allergies: _____________________________________________________________________________________________________West Suburban Special Recreation Association WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT (READ CAREFULLY)Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims forinjuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in programs. Inregistering 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 maysustain 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 participatinggovernmental units, any and all independent contractors, officers, agents, servants, and employees of the governmental bodies and independent contractors, and any and all other persons andentities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs.I do hereby fully release and discharge the West Suburban Special Recreation Association and the other related parties from any and all claims for injuries, damages or loss, which I may have orwhich may accrue to me on account of my participating in these programs.I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all claims resulting from injuries, damagesand 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 amparticipating 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, andapparatus, 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 anyadvisement or warnings of particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement.In case of emergency, I give my permission for the participant to receive any first-aid, transportation or medical attention that may be required.You must return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple Street, Franklin Park, IL 60131 or send by fax to 847.455.2157.When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.PARENT/PARTICIPANT/GUARDIAN SIGNATURE ________________________________________________________________Date___________________For office use only: SC_____ BF____ LG____ SA requested: Y N SA returned: Y N Date Received:____________________ Previous Year Camp Location:____________________


PLAZO DE LOTERÍA: 4 de Febrero de 2011 a las 5:00pmINSCRIPCIÓN DE CAMPAMENTO DE DÍA 2011 DE <strong>WSSRA</strong>FAX A: 847.455.2157ENVÍE A: <strong>WSSRA</strong>, 2915 Maple Street, Franklin Park, IL 60131DISCAPACIDAD□ Discapacidad de Aprendizaje□ Discapacidad de Comportamiento□ Impedimento de Audición□ Autismo□ Discapacidad de Desarrollob□ Impedimento de Visión□ Impedimento Físico□ Otro___________________SOLICITUD DE BECA□ Pida una Beca□ Participantes de almuerzogratis programa escolarMEDIDA DE CAMISETA DEL CAMPISTAMedida Niños: □ 6-8 □ 10-12 □ 14-16Medida Adultos: □ S □ M □ L □ XL □ XX □ XXXOPCIONES DE CAMPAMENTO□ Opcion de 1/2 Dia 7 y mayor□ Opcion de Dia completo 7 y mayor□ AM Preescolar edad 3 a 6□ PM Preescolar edad 3 a 6OPCIONES DE TRANPORTACIONESmarque UNO□ Transportacion Propia□ <strong>WSSRA</strong> Viaje Redondo□ <strong>WSSRA</strong> A La Casa Solamente□ <strong>WSSRA</strong> Al Campamentonombre del participante: _____________________________________ □masc. □fem. fecha de nacimiento del participante: ___/ ___ / _____padre/guarda legal 1: _______________________________________ padre/guarda legal 2: ________________________________________dirección: _________________________________________________ ciudad: _____________________________ código postal: __________tel de casa: _________________________________ distrito de parque/municipalidad _____________________________________________correo electrónico:tel del trabajo 1 (de quien?): __________________________________ tel del trabajo 2 (de quien?): __________________________________tel cel 1 (de quien?): ________________________________________ tel cel 2 (de quien?): ________________________________________persona contacto de emergencia(otra persona que no sea el padre): _______________________ teléfono de emergencia: __________________escuela: ___________________________________________ maestro(a): _______________________________________________________nombre de doctor: _________________________________________________ teléfono de doctor: ___________________________________¿el participante usa silla de ruedas/andador/otros? □si □no especifico: ____________________________________________________¿puede el participante transferirse de la silla de ruedas? □si □no¿es el participante sujeto asimientos/attaques? □si □no Por favor adjunte su plan de tratamiento para attaques.¿tiene el participante alguna enfermedad contagiosa? □si □nosi la tiene, por favor explique: ___________________________________________________________________________________________permiso para fotos: □si □noel participante toma medicacion durante el campamento?: □yes □no Por favor adjunte instrucciones para procedimientos médicos.¿qué medicamento se estará tomando en el campamento? ____________________________________________________________________lista de cualquier alergia: ______________________________________________________________________________________________Asociación West Suburban de Recreación Especial LIBERACION DE RENUNCIA DE TODO RECLAMO Y CONTIENE ACUERDO INOCUO (LEA CUIDADOSAMENTE)Lea con cuidado por favor esta forma y esté enterado que al inscribirse y tomar parte en programas de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciandode todo reclamo surgiendo de alguna lesión fuera de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres otutores así como participantes en los programas. Al registrarse para estos programas, usted concuerda de la siguiente manera:Cuando un participante en estos programas, yo reconozco y admito que hay ciertos riesgos de lesiones física, y yo concuerdo en asumir el riesgo total de cualquier lesión, daños o la pérdida quepuedo sostener a consecuencia de tomar parte de cualquier manera, en cualquier y toda actividad conectada con o asociado con tales actividades que implica riesgos substanciales de lesiones.Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener consecuencia por tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial,de cualquier y toda unidad gubernamental participante, cualquier y todo contratista independiente, oficiales, agentes, sirvientes, y empleados de los cuerpos gubernamentales y contratistasindependientes, y cualquier y toda persona y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquiera lesión, que yo quizás sostenga al tomarparte en estos programas.Yo por la presente libero completamente y descargo la Asociación West Suburban de Recreación Especial, y otros partidarios relacionados de cualquier y todo reclamo por lesiones, daños opérdidas, que pueda tener o que pueda acumulárseme por motivo de que yo tomé parte en estos programas. Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación WestSuburban de Recreación Especial y cualquier y todos los otros partidarios de cualquier y todo reclamo que resulte de un lesión, daño y pérdida sostenidos por cualquiera, y surgiendo fuera de,conectado con o en cualquier manera asociada con mi conducta y las actividades de estos programas.Comprendo aún más y concuerdo que los términos como “participación, y” actividades”, se refirieren a este acuerdo, incluye todos los ejercicios y movimientos físicos de cualquier naturalezamientras tome parte en estos programas e incluye aún más la provisión de, o el fracaso para proporcionar instrucciones o supervisión apropiadas, el uso y el ajuste de cualquier y todamaquinaria, equipo, y aparato, y algo relacionado a mi uso de los servicios, las facilidades, o local, implicado en estos programas, y en el transporte a y de acontecimientos.Comprendo la naturaleza de estos programas para los cuales me registro, y he leído y he comprendido completamente esta Renuncia, Liberación y Tengo Acuerdo Inocuo. Comprendo aún másque cualquier deliberación o las advertencias de riesgos particulares de estos programas que recibo subsiguientemente serán integradas por referencia en y llegan a ser una parte de esteAcuerdo.En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueden ser requeridos.Yo debo regresar esta liberación y renuncia de todo reclamo por correo o fax. Yo puedo enviar esta liberación al 2915 Maple Street, Franklin Park, IL 60131 o enviar por transmisiónfacsímil al 847.455.2157. Cuando enviando por fax, es de mutuo entendimiento que el documento facsímil substituirá por y tendrá el mismo efecto legal que la forma original.FIRMA DEL PADRE/PARTICIPANTE/TUTOR ________________________________________________________________ Fecha___________________For office use only:For office use only: SC_____ BF____ LG____ SA requested: Y N SA returned: Y N Date Received:____________________ Previous Year Camp Location:____________________


School-AgedRegistration Number: OUTDOOR ADVENTURESMI, DD, LD, VIJoin us for a Saturday morning of thrills and excitement as we explore our communities with a special focus on our environment!Register for one or all 8 exciting events. Van will not wait longer than 5 minutes past start time for traveling programs.Age: 12-22 YearsDate: Saturdays, Feb 5 – Mar 26, 2011Time: 9:30-12:30 PMLocation: Park District of Forest Park Building #4REGISTRATIONNUMBERDATEDROP OFF &PICK UP TIMES131-01 02/05 9:30am-12:30pm131-02 02/12 9:30am-12:30pm131-03 02/19 9:30am-12:30pm131-04 02/26 9:30am-12:30pm131-05 03/05 9:30am-12:30pm131-06 03/12 9:30am-12:30pm131-07 03/19 9:30am-12:30pm131-08 03/26 9:30am-12:30pmACTIVITY DESTINATION FEEHappy, Happy Birthday!- Let’s celebrate the Forest Park Bldg #4 $13.70birthdays of our forefathers and President’s Day inthe month of February.Special Notes: Dress for the weather for outdoor activities.Monkey’n Around- We’re going to the zoo to see Lincoln Park Zoo $13.70lions and tigers and bears, oh my!Special Notes: Dress for the weather.Mad Scientists- Put your lab coats on to make Forest Park Bldg #4 $13.70wacky science experiments in the Forest Parklaboratory!Special Notes: Note allergies.Get into “The Grove”- Explore the 123 acres of The Grove, Glenview $13.70prairie grove land and learn about hawks and owlsin the Natural Science Classroom.Special Notes: Dress for the weather.DuPage Children’s Museum- Explore the differentneighborhoods of the museum includingwaterworks, airworks, make it move and muchmore!Special Notes: Dress in layers for indoor play.Leaping Leprechauns- Go on a scavenger huntfor 4 leaf clovers, play games, and make a craft tocelebrate St. Patty’s Day.Special Notes: Dress for the weather.Swimmin’ @ Concordia- Enjoy the warm pool atConcordia University for open swim. Pool is notaccesible to wheel chairs.Special Notes: Dress for the weather.Indian Boundary Park & Cultural Center- Check outthe duck filled lagoon and zoo area with goats,sheep, chickens, and ducks!Special Notes: Dress for the weather.Dupage Children’sMuseum, Naperville$13.70Forest Park Bldg #4 $13.70ConcordiaUniversity, RiverForestIndian Boundary,Chicago$13.70$13.7019 <strong>WSSRA</strong>.NET


Sports & FitnessSPECIAL OLYMPICSIllinois Special Olympics provides year round sports trainingin a variety of Olympic-type sports for children and adultswith mental impairments or closely related developmentaldisabilities who are 8 years of age or older. The programgives athletes opportunities to develop physical fitness,demonstrate courage, experience joy and participate inthe sharing of skills and friendship with their families and otherathletes. <strong>WSSRA</strong> supports the mission of Special Olympicsthrough the participation in the following sports:Track & Field, Softball, Aquatics, Basketball,Bowling, Volleyball, and GolfCRITERIA FOR PARTICIPATIONAll Special Olympic athletes must have a current, completedApplication for Participation in Illinois Special Olympics formon file with the Special Olympic coordinator at <strong>WSSRA</strong>. Thisform contains four sections:1. Athlete Information2. Parent and/or Guardian Authorization & MedicalAuthorization3. Health Insurance and Emergency Information4. Medical Clearance (This MUST be completed by aphysician).Applications for Participation in Illinois Special Olympicsare valid for 2 years based on the earliest signed date onthe medical application form. We can FAX the medicalapplication form to you today. Anyone interested inparticipating, starting a new sport, or volunteering, pleasecontact:<strong>WSSRA</strong> Special Olympics Coordinator,2915 Maple Street, Franklin Park, IL 60131, 847.455.2100.WDSRA & SO DISTRICT AQUATICS MEETSMI, AUT, DDStingray Swim Team Members- the swim meet that you’ve beenpreparing for all year! You’ll have the opportunity to qualifyfor the Illinois Special Olympic State Games. Transportation isprovided by pick-up points. All registrants must have a currentISO Medical on file to participate. See eligibility informationabove.Age: 8 Yrs & OlderRegistration deadline: Feb 1, 2011133-01: WDSRA Aquatics Meet: Saturday, Feb 5, 2011Location: West Chicago High SchoolFee: $15.00 Trans: $2.75133-02: District Aquatic Meet: Wednesday, Mar 2, 2011Location: Neuqua Valley High School, NapervilleFee: Free Trans: $2.7520<strong>WSSRA</strong>.NETPP<strong>WSSRA</strong> STINGRAY SWIM TEAMStingray Swim Team is a training program for participants whoare comfortable in the water. Participants will be expected toswim consecutive laps throughout a majority of the program.Those wishing to compete in Special Olympics can receivetheir training in the program but are not obligated to competewith <strong>WSSRA</strong>. Bring a suit and towel. Transportation is availableon a limited basis. Please Note: Due to the limited swim lessonsavailable, swim team members are not eligible for swim lessons.Date: Mondays, Jan 31 – Mar 21, 2011(No program Feb 21, Mar 7)Time: 7:00-8:10 PM (Pool time 7:05-8:10)Location: OPRFHS (Facility Pending)Fee: $37.50 Trans: $36.30Registration Number: 141TEEN & ADULT AQUA ATHLETICSMLH, MI, AUT, DDEnjoy one of the greatest modes of exercise. Through water,participants can increase their:• cardiovascular system• strength• flexibility• mobility• range of motionAll while having fun in the pool with friends.Age: 15 Years & OlderDate: Mondays, Jan 31 – Mar 21(No program Feb 21, Mar 7)Time: 8:15 - 9:00 PMLocation: OPRFHS (Facility Pending)Fee: $32.00 Trans: $36.30Registration Number: 148SEASPAR BOWLING TOURNAMENTIf a participant is signed up for <strong>WSSRA</strong> Saturday Bowling, heor she may choose to compete in the SEASPAR Tournament.REGISTRATION DEADLINE IS MARCH 1, SIGN UP TODAY!Transportation provided from pick up points to be announced.Date: Saturday, Apr 16, 2011Time: Noon - 4:30 PMLocation: Willowbrook Lanes, WillowbrookFee: $20.00 Trans: $2.75Registration Number: 238TTPP


Sports & FitnessBOBCATS BASKETBALLMI, AUT, DDAll teens and adults who are interested in joining the <strong>WSSRA</strong>Bobcats Basketball Team, register now! Practices and gameswill be held on Tuesday evenings. During the WINTER seasonparticipants will practice and prepare for the game seasonwhich begins at the end of December and goes through theend of March. All participants must participate in the practiceseason in order to be a part of the game season.Bobcat Basketball Philosophy: In establishing the Bobcat’sbasketball program, the <strong>WSSRA</strong> has set criteria the program willfollow. <strong>WSSRA</strong> will emphasize teamwork, good sportsmanship,and giving one’s best in a safe and healthy environment.Competitiveness will come from the game itself and not fromemphasis on the score. Each player will:• Practice & develop ball handling, dribbling & shooting.• Learn about play development.• Be a part of a team and learn the importance of teamwork.• Learn and play different positions.More information about the game schedule and locations willbe available upon registration. NOTE: YOU MUST BE IN THE 1STSESSION TO BE ABLE TO JOIN AND COMPETE IN GAMES IN THE2ND SESSION.New players must purchase a uniform before being able tocompete on the Bobcats basketball team.Age: 15 Years & OlderSession II Game seasonDate: Tuesdays, Jan 1 - Feb15, 2011Time: 6:30-8:00 PM (Time may vary based on location)Game locations: Check the website: <strong>WSSRA</strong>.net or contactAnnie Lhotka for up to date game information 847-455-2100Fee: $120.00 for Session I & IIRegistration Number: 199WEEKLY WORKOUTMI, AUT, DD, MLHLet’s work out! It’s a great way to end your day and improveyour physical condition through:• exercise stations• light weight lifting• low impact aerobics<strong>WSSRA</strong> will provide door to door transportation.GOOD SPORTSMANSHIP<strong>WSSRA</strong> encourages parents and families to attend gamesand tournaments and cheer the teens/young adults on!We expect coaches, players and parents to demonstrategood sportsmanship during these events. This includesrespect and support of coaching staff and officials whoare working on behalf of your player. Any person notdemonstrating good sportsmanship including behavioroutbursts towards a player or coaching staff and/orofficials, that is deemed threatening, will not be tolerated.You may be asked to leave and your future participationand attendance at events will be in jeopardy. Byregistering your son/daughter/dependent for theseprograms you are agreeing to follow these guidelinesas written. Please refer any concerns or questions to theSuperintendent of Recreation. We look forward to a safeand successful season.ISO TRACK & FIELD CLINICMI, AUT, DD, MHCome out and train for the Special Olympic Track & Fieldteam. Weekly programs will include warm up & practicefor these events: softball throw, short running race, & longjump. Participants will have the opportunity to participatein the Regional Special Olympic Meet in SPRING and willautomatically be registered for SPRING Games on Sunday,May 1, 2011. All participants must have a current SpecialOlympic medical on file by March 1, 2011 to participate inSPRING Games. See page 11 for form. Participants must beregistered for winter and spring training session to compete.Age: 13 Years & OlderDate: Wednesdays, Feb 2 - Mar 23, 2011Time: 7:15-8:30 PMLocation: Cicero Community CenterFee: $36.00 Trans: $48.40Registration Number: 142TAge: 13 Years & olderDate: Tuesdays, Feb1 - Mar 22, 2011Time: 7:00-8:15 PMLocation: Franklin Park Community CenterFee: $36.00 Trans: $48.40Registration Number: 147T21 <strong>WSSRA</strong>.NET


APPLICATION FOR PARTICIPATION IN SPECIAL OLYMPICS ILLINOISValid Application for Participation is mandatory for all competitors605 E. Willow St. • Normal, IL 61761-2682 • 309-888-2551ATHLETE INFORMATION MEDICAL CLEARANCEAthlete Name (last name, space, first name)SO ILL Rev. 8-1-10BirthdateM M D D Y YSO ILL OFFICE ONLYPLEASE CHECK MEDICAL INFORMATIONAgency NameAthlete’s Mailing AddressAthlete’s CityParent’s/Guardian’s (Please Circle One) Home AddressParent’s/Guardian’s CitySex (M or F)Does athlete have Down Syndrome?Yes NoIf yes, have x-rays of the C1-C2 vertebraebeen taken and examined?Yes NoDate of x-rayIs the athlete clear of Atlantoaxial Instability?Yes NoState Zip CodeEthnicity-Parent’s/Guardian’sHome TelephoneHEALTH INSURANCE & EMERGENCY INFORMATION (Required for Processing)Person to be contactedin case of emergencyWhite Black/African AmericanHispanic/Latino OtherMedical Insurance CompanyAsianStateZip Code- -EmergencyContact Phone ( )Policy Number-Does the athlete have or is the athlete:Heart Problems Yes NoDiabetic Yes NoEpileptic/Seizures Yes NoBlind Yes NoDeaf Yes NoHepatitis Yes NoOtherCurrent Medication DosagePARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASEI, on my own behalf or as the undersigned parent and/or legal guardian of the above named applicant (hereafter referred to as the “Entrant”), hereby request permission for theEntrant to participate in Special Olympics programs. I acknowledge that Special Olympics will screen all entrants using the Sex Offender Public Registry and the Child Murder andViolent Offender Against Youth Registry and understand that entrants listed on either Registry will be denied participation. I affirm that this Entrant has never been on said Registriesor, if Entrant was listed on either Registry but has since been removed, I will contact Special Olympics Illinois for instructions before submitting this application.I represent and warrant to you that the Entrant is physically and mentally able to participate in Special Olympics, and I submit herewith a subscribed medical certificate. I understand thatif the athlete has Down Syndrome, he/she cannot participate in sports or events which, by their nature result in hyper-extension, radical flexion or direct pressure on the neck or upperspine unless a full radiological examination establishes the absence of Atlantoaxial Instability. I am aware that the sports and events for which this radiological examination is requiredare equestrian sports, artistic gymnastics, diving, pentathlon, high jump, alpine skiing, soccer, soccer skills, powerlifting squat and butterfly stroke and diving starts in swimming.On behalf of the Entrant and myself, I acknowledge that the Entrant will be using facilities at his/her own risk and I, on my own behalf, herby release, discharge and indemnifySpecial Olympics from all liability for injury to person or damage to property of myself and Entrant.In permitting the Entrant to participate, I am specifically granting permission to Special Olympics Illinois to use the likeness, voice and words of the Entrant in television, radio, films,newspapers, magazines and other media, and in any form not heretofore described, for the purpose of advertising or communicating the purposes and activities of SpecialOlympics and in appealing for funds to support such activities. I understand that by signing below I consent for the Entrant to participate in the Special Olympics Healthy AthletesProgram that provides individual screening assessments of health status and health care needs. The Entrant has no obligation to participate and I understand the Entrant shouldseek his/her own medical advice and assistance and Special Olympics is not responsible for the Entrant’s health.If I am not personally present at Special Olympics activities in which the Entrant is to compete, so as to be consulted in case of necessity, you are authorized on my behalf and atmy account to take such measures and arrange for such medical and hospital treatment as you may deem advisable for the health and well-being of the Entrant.I, THE UNDERSIGNED ADULT ENTRANT, have read and fully understand theprovisions of the above release and/or have had them explained. I hereby agree that Iwill be bound thereby and I shall defend Special Olympics Illinois and hold it harmlessfrom disaffirmation thereof.EntrantWitness DateAthlete’s Email AddressI, THE UNDERSIGNED PARENT AND/OR GUARDIAN of the above specifiedEntrant, have read and fully understand the provisions of the above release and haveexplained them to said Entrant. I hereby agree that I and said minor will be boundthereby, and I shall defend Special Olympics Illinois and hold it harmless from anydisaffirmation thereof by said minor.Signature of Parentand/or Legal Guardian(Check appropriate box)Print Name DateParent’s Email AddressAllergies to medication, if any:Date of last Tetanus shot:I have examined the above-named Entrantand, in my opinion, there is no mental orphysical reason why he or she should notparticipate in the Special Olympics sportstraining and competition program. Furtherinformation will be forwarded if required.Current medication, if any, is specified withdosage on this application.Examination DateDoctor’s SignaturePrint NameAddressCity State ZipPhone ( )Original parent/guardian and doctor signatures are required by the office of Special Olympics Illinois. Faxed signatures will not be accepted.


Sports & FitnessSPECIAL OLYMPICTRAINING & SPORTSMI, AUT, MH, DDEnjoy an afternoon of fitness fun and SpecialOlympic Track & Field Training. Participants will:• Practice for softball throw, short running andlong jump events.• Stretch & do warm up exercises.• Learn healthy eating by having healthysnacks.Participants will automatically be registeredfor SPRING Games on Sunday, May 1, 2011.All participants must have a current SpecialOlympic medical form on file by March 1, 2011to participate in SPRING Games. See page 22for form.Date: Thursdays, Feb 3 - Mar 24, 2011Time: 3:45-5:15 PMLocation: PAV Berwyn YMCA, BerwynFee: $43.20 Trans: $48.40Registration Number: 132TSATURDAY BOWLING LEAGUEMI, AUT, DD, SP, MHSpend your Saturdays with friends whilesharpening your bowling skills through practiceand instruction. An adaptive ball and bowlingramp will be available.Age: 13 Years & olderLocation/Pick Up/Drop off:<strong>WSSRA</strong> Office, Franklin Park/11:55 AM/3:55 PMHarwood Heights Village Halll/12:10 PM/3:15 PMElmwood Park Recreation Center/12:30 PM/3:20 PMMcDonalds, 5500 Cermak, Cicero/12:30 PM/3:20 PMDate: Saturdays, Feb 5 – Mar 26, 2011Time: 1:00 3:00 PMLocation: Circle Lanes, Forest ParkFee: $70.00Pick up Point Trans: $22.00Registration Number: 110BROADWAY TOURHI, VI, PI MLH, DDSee live Broadway productions. Sign up for one or all three events. Registered participantswill be notified of the actual show dates once <strong>WSSRA</strong> is able to secure tickets after the ticketrelease date. Once you are notified of the actual show date and time you are obligated tothe ticket. Ticket prices may vary from list below: Participants need to be able to focus on a2+ hour performance with minimal interruptions. This is to minimize the disturbance to otheraudience members.Age: 15 years and upReg. # Date Activity Destination FeePP“I lovebowlingbuddies!You get twoturns!” hesaid with afist pumpCarlosArrez181 2/8/11 –2/13/11381 6/28/11 –7/10/11Rain: A tribute to the Beatles RAIN coversThe Beatles from the earliest beginningsthrough the psychedelic late 60s andtheir long-haired hippie, hard-rockingrooftop days.Beauty and the Beast Experience theromance and enchantment of DISNEY’SBEAUTY AND THE BEAST!481 11/13/11 The Sound of Music Experience theenchanting story of Maria & the 7 VonTrapp children.Ford Center/OrientalTheatre,ChicagoFord Center/OrientalTheatre,ChicagoDrury LaneTheatre, OakBrook Terrace$40.00$40.00$40.0023 <strong>WSSRA</strong>.NET


HOT SHOTS:pick up & drop off @Carroll CenterDANCE FEVERTonight we will join our friends at Answer Inc. for the annual DanceFever. Don’t miss an opportunity to dance the night away!Date: 1/15/11 Time: 5:00 – 9:00pm Registration Number: 173-01Destination: River Forest Community Center, River ForestPick-up/Drop-off: Carroll Recreation Center Fee: $12.00IT’S ALL FUN AND GAMESBored??? Join your friends for an exciting night filled with board,video games, and lots of fun!Date: 2/5/11 Time: 6:00 – 9:00pm Registration Number: 173-02Destination: Carroll Center Fee: $12.00UIC FLAMESHelp us cheer on the Flames tonight as we travel to the UIC Pavilionto watch the Flames play Milwaukee. Go Flames!!! Bring money forsnack.Date: 2/12/11 Time: 4:00-8:30pm Registration Number: 173-03Destination: UIC Pavilion Fee: $16.00ICE SKATINGLet’s take advantage of the chilly weather and have some winterfun ice skating with our friends!Bring $9 for skate rentals & hot cocoa.Date: 2/19/11 Time: 6:00-9:00pm Registration Number: 173-04Destination: Daley Bicentennial Ice Skating Rink Fee: $16.00SNOW-MUCH FUN!!!It’s a winter wonderland! Let’s get together and build somesnowmen and drink some hot cocoa.Date: 2/26/11 Time: 6:00-9:45pm Registration Number: 173-05Destination: Carroll Center Fee: $12.00SIGHTSEEING SCAVENGER PHOTO TOURLet’s head to the city and take some pictures in front of somehistorical and Chicago landmarks! Snap!Date: 3/5/11 Time: 6:00–9:00pm Registration Number: 173-06Destination: Chicago Fee: $16.00SHAM-ROCK THE HOUSEIt’s a Patty’s day celebration. Gather round for some festiveactivities and snacks. Meet at Forest Park Park District.Date: 3/12/11 Time: 7:00-10:00pm Destination: Park District of ForestPark Fee: $12.00 Registration Number: 173-07OAK PARK ICE SHOWWe’re going to the Paul Hruby Ice Arena to watch talented skatersstrut their stuff on the ice! Fee: $18.00Date: 3/19/11 Time: 6:00-9:30pm Registration Number: 173-08Destination: Paul Hruby Ice Arena at Ridgeland CommonZUMBAZUMBA is a fusion of Latin and International music. Join us as aninstructor leads us with energetic and easy to follow dance moves!Date: 3/26/11 Time: 6:00-9:00pm Destination: Carroll CenterFee: $16.00 Registration Number: 173-09SOCIALITES:pick up & drop off @Carroll CenterDANCE FEVERTonight we will join our friends at Answer Inc. for the annual DanceFever. Don’t miss an opportunity to dance the night away!Date: 1/15/11 Time: 5:00 – 9:00pm Registration Number: 176-01Destination: River Forest Community Center, River ForestPick-up/Drop-off: Carroll Recreation Center Fee: $12.00ICE SKATINGLet’s take advantage of the chilly weather and have some winterfun ice skating with our friends!Bring $9 for skate rentals & hot cocoa.Date: 2/5/11 Time: 6:00 – 9:00 pm Registration Number: 176-02Destination: Daley Bicentennial Ice Skating Rink Fee: $16.00UIC FLAMESHelp us cheer on the Flames tonight as we travel to the UIC Pavilionto watch the Flames play Milwaukee. Go Flames!!!Bring money for snack.Date: 2/12/11 Time: 4:00-8:30 pm Fee: $16.00Destination: UIC Pavilion Registration Number: 176-03SNOW-MUCH FUN!!!It’s a winter wonderland! Let’s get together to build some snowmenand drink some hot cocoa.Date: 2/19/11 Time: 6:00-9:00pm Fee: $12.00Destination: Carroll Center Registration Number: 176-04ONCE ON THIS ISLANDLet’s head over to OPRF High School and see a captivating musicalthat tells a story of two different societies on a Caribbean Island.Date: 2/26/11 Time: 6:00-9:45pm Fee: $18.00Destination: OPRFHS Registration Number: 176-05MARDI GRAS MASQUERADE BALLIt’s a bead bash! Join all your friends for Mardi Gras inspired activitiesand music.Date: 3/5/11 Time: 6:00–9:00pm Destination: Carroll CenterFee: $12.00 Registration Number: 176-06SHAM-ROCK THE HOUSEIt’s a Patty’s day celebration. Gather round for some festiveactivities and snacks. Meet at Forest Park Park District.Date: 3/12/11 Time: 6:00–9:00pm Destination: Park District of ForestPark Fee: $12.00 Registration Number: 176-07MAD SCIENTISTSSlip on a lab coat and let’s do some MAD science! Join fellowscientists to make some experiments and transform the BarrieCenter into our own laboratory!Date: 3/19/11 Time: 6:00–9:30pm Registration Number: 176-08Destination: Carroll Center Fee: $12.00ICE MELTIN’ BLUESWe’re heading to Long Grove to listen to some music, walk around,and do some window shopping. Bring $5 for snack.Date: 3/26/11 Time: 6:00-9:00pm Registration Number: 176-09Destination: Long Grove Fee: $16.00Program Location: Carroll Center, 1125 S Kenilworth, Oak Park Pick Up Point: <strong>WSSRA</strong> Office, 2915 Maple Street, Franklin Park orMcDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DDMI 15 years and older24<strong>WSSRA</strong>.NET


CITY SLICKERS:pick up & drop off @Barrie CenterDANCE FEVERTonight we will join our friends at Answer Inc. for the annual DanceFever. Don’t miss an opportunity to dance the night away!Date: 1/15/11 Time: 5:00 – 9:00pm Registration Number: 174-01Destination: River Forest Community Center, River ForestPick-up/Drop-off: Barrie Recreation Center Fee: $12.00ZUMBAZUMBA is a fusion of Latin and International music. Join us as aninstructor leads us with energetic and easy to follow dance moves!Date: 2/5/11 Time: 6:00 – 9:00 pm Registration Number: 174-02Destination: Barrie Center Fee: $16.00UIC FLAMESHelp us cheer on the Flames tonight as we travel to the UIC Pavilionto watch the Flames play Milwaukee. Go Flames!!!Bring money for snack.Date: 2/12/11 Time: 4:00-8:30 pm Fee: $16.00Destination: UIC Pavilion Registration Number: 174-03ICE SKATINGLet’s take advantage of the chilly weather and have some winterfun ice skating with our friends!Bring $9 for skate rentals & hot cocoa.Date: 2/19/11 Time: 6:00 – 9:00 pm Registration Number: 174-04Destination: Daley Bicentennial Ice Skating Rink Fee: $16.00SNOW-MUCH FUN!!!It’s a winter wonderland! Let’s get together to build some snowmenand drink some hot cocoa.Date: 2/26/11 Time: 6:00-9:45pm Fee: $12.00Destination: Barrie Center Registration Number: 174-05SIGHTSEEING SCAVENGER PHOTO TOURLet’s head to the city and take some pictures in front of somehistorical and Chicago landmarks! Snap!Date: 3/5/11 Time: 6:00–9:00pm Registration Number: 174-06Destination: Chicago Fee: $16.00SHAM-ROCK THE HOUSEIt’s a Patty’s day celebration. Gather round for some festiveactivities and snacks. Meet at Forest Park Park District.Date: 3/12/11 Time: 6:00–9:00 pm Registration Number: 174-07Destination: Park District of Forest Park Fee: $12.00OAK PARK ICE SHOWWe’re going to the Paul Hruby Ice Arena to watch talented skatersstrut their stuff on the ice! Fee: $18.00Date: 3/19/11 Time: 6:00-9:30pm Registration Number: 174-08Destination: Paul Hruby Ice Arena at Ridgeland CommonMAD SCIENTISTSSlip on a lab coat and let’s do some MAD science! Join fellowscientists to make some experiments and transform the BarrieCenter into our own laboratory!Date: 3/26/11 Time: 6:00-9:00pm Registration Number: 174-09Destination: Barrie Center Fee: $12.00MOONLIGHTERS:pick up & drop off @Barrie CenterDANCE FEVERTonight we will join our friends at Answer Inc. for the annual DanceFever. Don’t miss an opportunity to dance the night away!Date: 1/15/11 Time: 5:00 – 9:00pm Registration Number: 175-01Destination: River Forest Community Center, River ForestPick-up/Drop-off: Barrie Recreation Center Fee: $12.00ICE SKATINGLet’s take advantage of the chilly weather and have some winterfun ice skating with our friends!Bring $9 for skate rentals & hot cocoa.Date: 2/5/11 Time: 6:00 – 9:00 pm Registration Number: 175-02Destination: Daley Bicentennial Ice Skating Rink Fee: $16.00UIC FLAMESHelp us cheer on the Flames tonight as we travel to the UIC Pavilionto watch the Flames play Milwaukee. Go Flames!!!Bring money for snack.Date: 2/12/11 Time: 4:00-8:30 pm Fee: $16.00Destination: UIC Pavilion Registration Number: 175-03SNOW-MUCH FUN!!!It’s a winter wonderland! Let’s get together to build some snowmenand drink some hot cocoa.Date: 2/19/11 Time: 6:00-9:00pm Fee: $12.00Destination: Barrie Center Registration Number: 175-04ONCE ON THIS ISLANDLet’s head over to OPRF High School and see a captivating musicalthat tells a story of two different societies on a Caribbean Island.Date: 2/26/11 Time: 6:00-9:45pm Fee: $18.00Destination: OPRFHS Registration Number: 175-05MARDI GRAS MASQUERADE BALLIt’s a bead bash! Join all your friends for Mardi Gras inspired activitiesand music.Date: 3/5/11 Time: 6:00-9:00pm Destination: Barrie CenterFee: $12.00 Registration Number: 175-06SHAM-ROCK THE HOUSEIt’s a Patty’s day celebration. Gather round for some festiveactivities and snacks. Meet at Forest Park Park District.Date: 3/12/11 Time: 6:00–9:00pm Registration Number: 175-07Destination: Park District of Forest Park Fee: $12.00MAD SCIENTISTSSlip on a lab coat and let’s do some MAD science! Join fellowscientists to make some experiments and transform the BarrieCenter into our own laboratory!Date: 3/19/11 Time: 6:00-9:30pm Registration Number: 175-08Destination: Barrie Center Fee: $12.00ICE MELTIN’ BLUESWe’re heading to Long Grove to listen to some music, walk around,and do some window shopping. Bring $5 for snack.Date: 3/26/11 Time: 6:00-9:00 pm Registration Number: 175-09Destination: Long Grove Fee: $16.00Program Location: Barrie Center, Garfield & Lombard, Oak Park Pick Up Point: <strong>WSSRA</strong> Office, 2915 Maple Street, Franklin Park orMcDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI 15 years and olderNEW TO SATURDAY NIGHTS – CALL THE OFFICE FOR GROUP PLACEMENT 847.455.2100


Teens & Young Adults26<strong>WSSRA</strong>.NETWINTER ESCAPEMI, DDPlan ahead and register for a lively winter overnight experienceshared with our friends from NISRA. Weather permitting,participants will:• Enjoy a winter horseback ride• Cross Country Ski • Hike & Sled• Play Snow Volleyball • Enjoy A Camp FireParticipants must be:• Toilet Trained.• Responsible for independent personal care including feeding,dressing & toileting.• Devoid of emotional outbursts that require 1:1 staffing.• Participant is successful socially within 1 staff person per 1participants staffing ratio.More information will be sent upon registration.Age: 13 Years & OlderDate: Jan 14, 15, 16, 2011Depart & return from <strong>WSSRA</strong> OfficeLocation: White Pines Ranch, Oregon, IllinoisFee: $220.00Registration Number: 146re-DESIGNMLH, MI, DDFill your Thursday evenings with the excitement of takingsomething old and making it new. This four week class willconsist of a weekly project and one personal ongoing project.Projects could include: renewing an old lamp shade, creatingand designing a handbag. The sky is the limit! We will concludethe season with a showcase of our wares.Age: 19 Years & OlderDate: Thursdays, Feb 3, 10, 17, 24, 2011Time: 7:00-8:30 PMLocation: Elmwood Park Recreation Center (Facility Pending)Fee: $15.60 Trans: $24.20Project fee: $15.00Registration Number: 130-01iDANCEMLH, MI, DDLearn the latest moves and groove to your favorite hip hoptunes. Join us for four weeks of fun times.Age: 19 Years & OlderDate: Thursdays, Mar 3, 10, 17, 24, 2011Time: 7:00-8:30 PMLocation: Elmwood Park Recreation Center (Facility Pending)Fee: $15.60 Trans: $24.20Registration Number: 130-02TTSHOW TIMEMI, AUT, DDEnjoy a night at the movies with friends. Participants need tobring $20.00 to pay for the show and snacks. Meeting timewill be based on local show schedule. Call the office theWednesday before program for information on show time.Participants need to be able to focus on a movie 2 hours inlength with limited breaks. This is to minimize the disturbance toother audience members. Registration is limited.Age: 15 Years & OlderCarroll Recreation Center, Oak Park locations onlyPick up Points available:<strong>WSSRA</strong> Office: 5:15 PM, 10:00 PMCicero McDonalds: 6:15 PM, 9:15 PMRegistration Number: 160-01 Friday, Feb 11, 2011Fee: $12.50 Trans: $2.75Registration Number: 160-02 Friday, Mar 11, 2011Fee: $12.50 Trans: $2.75FOOD CRITICSMLH, MI, AUT, DDCome with us and compare the tastes and surroundings of sixlocal “Family Restaurants.” Lively discussions about what weliked best each week will be part of the fun. Bring $20 to coveryour food and share of the tip. Participants need to be able tosit for a meal with minimal interruptions to others.Age: 15 Years & OlderDate: Fridays, Feb. 4, 18 Mar 4, 18, 2011Time: 6:30-9:15 PMLocation: Carroll Center, Oak ParkFee: $12.00 per weekTransportation:$2.75 per week/ $16.50 for 6 weeksPick up points:<strong>WSSRA</strong> Office: 5:15 PM, 10:00 PMCicero McDonalds: 6:15 PM, 9:15 PMRegist # Date Restaurant Location161-01 Feb 4 Mother’s Day North Riverside161-02 Feb 18 Kopper Kitchen Elmhurst161-03 Feb 25 Omega Lombard161-04 Mar 4 Connies Berwyn161-05 Mar 18 Family Palace Harwood Heights161-06 Mar 25 Elmwood Family Restaurant Elmwood Park


Older AdultsWILD CARD WEDNESDAYSHI, VI, PI, MLHJoin us for an early morning of socializing and card shuffling fun!Light & healthy refreshments will be served. Participants canregister for one or all of the weeks.Time: 9:30 AM-12:30 PMLocation: Franklin Park Community CenterFee: $83.20 / 8 weeks ($10.40 per week)Trans: $48.40 / 8 weeks ($6.05 per week)Date: Wednesdays165-01: February 2165-02: February 9165-03: February 16165-04: February 23165-05: March 2165-06: March 9165-07: March 16165-08: March 23WINNER TAKES ALLHI, VI, PI, MLHJoin us for a night of socializing, laughter & games. We will learna different game as well as play some old favorites. Each weekwe will order dinner “take-out” from a local favorite. Bring $10for dinner.Date: Thursdays, February 3 – March 24Time: 6:00-8:30 PMLocation: <strong>WSSRA</strong> Office, Franklin ParkFee: $7.45 per week / $45.00 6 weeksTrans: $6.05 per week / $36.30 6 weeksRegistration Number: 162TTWALK’N DINEHI, VI, PI, MLHJoin the <strong>WSSRA</strong> Walking Club and get walking to a healthierheart while enjoying friends too! The group will walk or wheelat different locations. Afterwards, join us for an enjoyable,light, healthy lunch together at different local restaurants.Participants will be responsible for buying their own lunch.Participants must be independent in mobility. Sign up for theweeks that fit your schedule!Date: Tuesday, February 1 – March 22, 2011Time: 9:30 AM-12:30 PMLocation: VariesFee: $11.00 week / $88.00 allTrans: $6.05 week / $48.40Program # Date Location167-01: February 1 North Riverside Mall167-02: February 8 Harlem-Irving Plaza167-03: February 15 North Riverside Mall167-04: February 22 Golf Mill167-05: March 1 North Riverside Mall167-06: March 8 Harlem-Irving Plaza167-07: March 15 North Riverside Mall167-08: March 22 YorktownCITY TOURSHI, VI, PI, MLHJoin us Friday mornings! Select the week(s) that are of yourinterest and meet your budget. Each program is separate.Please share your ideas for future events. Admission costs toactivities are covered in the fee. Due to tour time schedules,there may not be a planned lunch stop. Door to doortransportation is available.Time: 10:00 AM - 2:00 PM (Fridays)Fee: See each event Trans: $6.05 per weekTTREGISTRATIONNUMBERDATEDROP OFF &PICK UP TIMES171-01 2/11/11 10:00am-2:00pmSpecial Notes: Bring $10 for lunch.171-02 3/11/11 10:00am-2:30pmACTIVITY DESTINATION FEEValentine’s Day Party with the residents of FranklinTowers. We’ll celebrate the loving holiday withtakeout lunch, a romantic craft, and games.Art Institute of Chicago. We’ll travel to the ArtInstitute where we’ll join a guided audio tour thatyou can follow at your own pace. Lunch at theGarden Café.Special Notes: Please bring $15 for Lunch.171-03 3/25/11 10:00am-2:00pmTravel to the Aurora Outlet Mall where we’ll shop forthe deals.Special Notes: Bring $ for shopping.Franklin Towers $8.00Art Institute ofChicago$12.00Aurora Outlet Mall $8.0027 <strong>WSSRA</strong>.NET


Special EventsCOFFEE CARDS & CRAFTSBeat the Winter Blues come out and make new friends, play games and enjoy a cup of coffee or two. Join us for one or all ofthese card shuffling Fridays.Age: Older Adults, PI VI, MLHREG. # DATEDROP OFF &PICK UP TIMES172-01 FridaysJan. 21, 2011172-02 Friday,Feb. 18, 2011ACTIVITY DESTINATION FEE/TRANS12:30 – 2:30pm Out with the old in with the new! Start the NewYear crafting while enjoying a snack and coffee.End the program with a card game of Garbageand win a prize!12:30 – 2:30pm Valentines Day is near! Make something specialfor that special someone while enjoying snacksand coffee. End the program with a card game ofGarbage and win a prize!Franklin Towers,Franklin ParkFranklin Towers,Franklin ParkT$5.00/$6.05$5.00/$6.05172-03 Friday, March18, 201112:30 – 2:30pm Shamrock Shuffle! Shuffle your cards for a game ofGarbage and add a little Irish trivia to the fun whilesnacking on Irish soda bread and drinking coffee.Franklin Towers,Franklin Park$5.00/$6.05YOU’RE INVITED TO AGOLF “PAR-TEE” FUNDRAISEREnjoy 3 hours of golf fun: driving range, swing evaluation,longest drive competition, virtual golf, drinks, refreshments& tips from a pro.Date: February 5, 2011Check our web site, www.wssra.net for updates.Location: White Pines Golf Dome at the White Pines Golf Course500 W Jefferson Street, Bensenville(Funds raised support <strong>WSSRA</strong> programs)Call 847.455.2100 to RSVPRegistration Number: 197WINTER FESTALL ABILITES - ALL AGESCrafts, games & winter fun are all a part of our winter family fest.Bring supplies (hat, scarves, etc.) to enter our Snowman buildingcontest - the more creative the better! Snowman contestwinners will be awarded at 2:30 PM - don’t be late. Alternativeindoor activities planned if weather does not cooperate. Pleaseregister by February 1, 2011.FLAP JACK BUNNY HOPALL ABILITIES - <strong>WSSRA</strong> PARTICIPANTS & SIBLINGS TOO!Celebrate the SPRING holidays with <strong>WSSRA</strong> & friends at our ALLYOU CAN EAT Pancake Breakfast and Bunny Hop. The buildingis accessible, bring the whole family & join the fun! Call in yourreservation today at 847.455.2100.Date: Saturday, April 9, 2011Time: 8:30-10:30 AMLocation: Ascension Church, Pine Room601 Van Buren, Oak ParkFee: $1.00 per child 12 & under$5.00 per person 13 & upRegistration Number: 195Date: Sunday, February 6, 2011Time: 1:00-3:00 PMLocation: TBAFee: Free Registration Number: 19628<strong>WSSRA</strong>.NET


WINTER 2011 REGISTRATION FORMMAIL TO: <strong>WSSRA</strong>, 2915 Maple Street, Franklin Park, IL 60131 FAX TO: 847.455.2157 SIGNED REGISTRATION MUST BE RECEIVED BY JANUARY 12, 2011Participant’s Name:_________________________________________________ Birth Date:______________________Address:_________________________________________________ City/State:_________________________ /_________ Zip:___________________________Park District/Village:_________________________________________________ Home Phone:______________________________________________________Parent Or Guardian Name:__________________________________________________ E-Mail:____________________________________________________Parent/Guardian Work Phone:_______________________________________ Parent/Guardian Cell Phone:_____________________________________Who Should We Contact If Parent/Guardian Is Unavailable? Name:____________________________________ Phone:__________________________Doctor’s Name: __________________________________________________ Doctor’s Phone:_________________________________Present School/ Workshop/Other:______________________________________________________________________________________________________Teacher/Supervisor Name:___________________________________________ Dismissal Time:____________________________________________________Participant’s Disability:_________________________________________________________________________________________________________________Can Participant Transfer? □Yes □No Does Participant Use Wheelchair/Walker? Specify:__________________________________________________Is Participant Subject To Seizures: □Yes □No List Any Medication:________________________________________________________________________Is Medication Taken At Program? □Yes □NoList Any Allergies:______________________________________________________________________________________________________________________Does Participant Have A Communicable Disease? □Yes □No If Yes, Please Explain_____________________________________________________________________________________________________________________________________________________________________________________________Program # Program Name Day Fee TranspSubtotalProgram &Transport FEESTOTAL DUE:FEE PAYMENT OPTION - CHECK ONE□ Total Payment Enclosed□ Total Payment to Follow (if FAXED)□ Request Scholarship□ Payment Plan – Arranged with Finance Manager□ Credit Card□ Visa □ Master Card □ Discover Exp. Date: _______________ Card Number:COMMENT SHEET – WE WELCOME YOUR INPUT!We invite you to share with us your program ideas and comments about our services:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________You can also send us an email at wssra@wssra.netSupport WSRRA by following us on

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