SPECIALIZED pROGRAMS

SPECIALIZED pROGRAMS SUMMER 

2016 

EXPLORE 

MORE! 

ADULT Camp 2016 

See Page 6 For Details 

SPECIALIZED PROGRAMS 206-684-4950 

4554 NE 41st Street, Seattle, 98105 

Visit our web site at: 

SEATTLE.GOV/PARKS

GENERAL INFORMATION 

PARKS MANAGEMENT 

Jesús Aguirre, Superintendent 

Kelly Guy, Recreation Director 

Brenda Kramer, Manager, Special Units 

RECREATION STAFF 

Tim Pretare, Coordinator, Specialized Programs 

Linda Guzzo, Administrative Specialist 1 

Tori Fernau, Adult Recreation Specialist 

Anthony DeMarco, Recreation Leader 

Allison Leonard, Recreation Leader 

Iris Swisshelm, Recreation Attendent 

LOOKING FOR SOMETHING 

REWARDING TO DO? 

VOLUNTEER WITH 

SPECIALIZED 

PROGRAMS! 

Work with participants to help make 

their recreational experience enjoyable. We are looking 

for volunteers, 18 years and older, to share their time in 

assisting with our sports programs, youth after school 

activities, cooking, and social programs. 

DISCLAIMER 

Although we strive to be accurate, this brochure is published 

for information purposes only. Changes may be necessary 

to the content depending on levels of participation or other 

factors. Fees may change after printing and after City Council 

action on the City budget each year. Please visit www.seattle. 

gov/parks for updated information. 

A MESSAGE FROM THE 

SUPERINTENDENT 

Dear Neighbor, 

Summer is one of the best times for parks and 

recreation. Our beaches are dotted with volleyball 

players and sand castles, our lawns are full of 

picnic blankets and laughing children and our 

pools are inundated with swimming kids and 

seasoned divers. For those reasons, summer is 

also one of our busiest times of the year. 

Due to unprecedented high temperatures and 

beach attendance in 2015, we’ll be opening two 

swimming beaches early this year. Madrona 

Beach and East Green Lake Beach will open 

on May 28, weather permitting, while all other 

beaches will open for the season on June 25. 

2016 is also the first year that the department will 

start collecting property tax through the Seattle Park 

District. Seattle Parks and Recreation will collect $47 

million annually to support programs and initiatives. 

For 2016, some Park District highlights include: 

• Programs for People: More staffing and 

services at community centers, teen programs, 

lifelong recreation programs and special 

populations programs that began in 2015. 

• Fix it First: $25 million to reduce our 

major maintenance backlog and 

restore our urban forests. 

• Maintaining Parks and Facilities: Increased park 

maintenance and preventative maintenance. 

• Building for the Future: Planning and development 

for five of the 14 park sites acquired and 

“land-banked” with 2008 Levy funds. 

We appreciate your support of Seattle Parks and 

Recreation throughout the year. I look forward to 

seeing you exploring our parks this season and 

hope to do some exploring of my own. Follow 

me at @SPRSupt on Twitter to watch my summer 

unfold and share your adventures with me! 

Sincerely, 

Jesús Aguirre, Superintendent 

2 

*You may pay with CREDIT CARD or make CHECK payable to: CITY OF SEATTLE

TABLE OF CONTENTS 

Access and Safety Policy............................................................4 

Payment Options and Eligibility Levels................................5 

Adult Camp 2016..........................................................................6 

Camp Information and Map to Camp long.........................7 

Camp Procedure...........................................................................8 

What's Cooking.............................................................................9 

T.N.T (Try New Things) Club......................................................9 

Starlight Social............................................................................ 10 

Golf................................................................................................. 10 

Fun Fitness: On Wednesdays at Rainier!............................ 11 

Softball: Moved to Wednesdays in West Seattle............ 11 

Walking Groups.......................................................................... 12 

Southend Social......................................................................... 12 

Summer Sightseeing Trips..................................................... 13 

End of Summer Barbeque and Outdoor Movie.............. 14 

Specialized Programs Application for Scholarship....... 15 

REGISTRATION 

Registration begins at 8 a.m. on the dates listed below by calling 206-684-4950. Please note when you register if you 

come by Access and if you are using DDA Respite care or qualifier for a scholarship. 

Register upon receipt of brochure:......................................................................... Golf, Softball, Starlight Social, Southend Social 

Register Wednesday, June 1..................................................................................................................................................................Cooking 

Registration opens Thursday, June 2........................................................................................................................................... Fun Fitness 

Registration opens Tuesday, June 7........................................................................................................................................Camp Long #1 

Registration opens Tuesday, June 7..........................................................................................................................Try New Things (TNT) 

Registration opens Wednesday, June 8........................................................Summer Sightseeing–may select 2 of the 6 outings 

Registration opens Tuesday, June 28.....................................................................................................................................Camp Long #2 

Registration opens Tuesday, July 19.......................................................................................................................................Camp Long #3 

SEATTLE ADAPTIVE SPORTS 

Seattle Adaptive Sports (SAS) is a partner with Specialized Programs. SAS 

offers a variety of sports and recreation activities for youth and adults with 

physical disabilities, such as spinal cord injuries, amputation, dwarfism, and 

cerebral palsy. Come join a team and participate in local, regional, or national 

tournaments/meets. Programs offered include: wheelchair basketball, track 

and field, sled hockey, power soccer, the CREW youth socials, and annual sports clinics. 

Eligible: 

All ability levels 

Dates: 

Saturdays 

Time: 

Noon-5 p.m. 

Cost: $ Free 

Location: 

Miller Community Center 

330 19th Ave. E, Seattle, 98112 

Visit the SAS website at: www.seattleadaptivesports.org • Contact SAS by email info@seattleadaptivesports.org 

LIKE us on Facebook at Seattle Adaptive Sports • Presented by Specialized Programs and Specialized Programs 

Advisory Council 

Seattle Parks and Recreation Specialized Programs SUMMER 2016 3

ACCESS AND SAFETY POLICY 

CODE OF CONDUCT 

Any participants conduct that is disruptive or unsafe to participants or staff may result in being sent home early that 

day or unable to attend on a permanent basis for the quarter. 

This will be decided on a case-by-case basis and is at the discretion of the program leadership staff. Such conduct 

includes, but is not limited to: Destruction of property, harming oneself or another, or refusal to follow the minimum 

safety requirements to participate in activities. All incidents will be documented and reported to direct caregivers in a 

timely manner. 

Important Information Regarding Access Service 

The Americans with Disabilities Act (ADA) requires that transit agencies like Metro and Sound Transit make their bus and 

rail services user-friendly for people with disabilities. The ADA also requires transit systems to have a paratransit service 

when someone can’t take the bus or rail because of their disability. In King County, ADA paratransit services are provided 

by Metro’s Access Transportation Services. 

Subscription Service 

This service is great when a participant wants to set 

up a ride to the same destination, at the same time, 

every week. Please state that you are going to a 

Seattle Parks and Recreation Program, and it can be 

set up for you immediately. 

Door-to-Door 

The driver will walk the participant to the doorway of 

the destination. 

Services Offered by ACCESS 

Hand-to-Hand 

The driver must deliver the participant to the appropriate 

person at the destination. If you use this service, please 

have participants locate “Specialized Programs Staff”. 

To apply for these services, please contact Access 

Customer Service: 

206-205-5000 TTY: 206-749-4286 

Using Access for Specialized Programs Activities: 

We have had increasing numbers of participants coming to and from programs via Access Service. Due to this 

increase, issues have been raised that we would like you to be aware of when making arrangements for Access rides. 

1. Each program in our brochure has a stated Access “drop-off appointment time” and a “pick-up window”. When you 

schedule your rides, please request only these stated times! Please note Access has “drop-off windows” and they 

have “drop-off appointment times”. Please use only the “drop-off appointment times” for our programs. 

2. Please remember, if a participant arrives too early, the facility may not be open or Specialized Programs staff 

may not have arrived yet. If a participant’s pick up window is scheduled late, it will affect other programs that are 

following theirs. 

3. When you register for programs, please state if the participant is going to be using Access to and/or from program. 

4. If there is a consistent problem with early drop-off appointments or late pick-ups, we will call you to discuss the 

situation. 

5. If you have any questions about our specific Access appointment times or pick-up windows, please call Specialized 

Programs at 206-684-4950. 

6. If you have problems with the Access Service, please call Access at 206-205-5000 (TTY 206-749-4286) and talk with 

their Customer Service staff. 

4 


Payment OPTIONS 

‣ Payments for classes can be made by credit card-OR-by check. 

‣ If paying by check, please make it payable to: City of Seattle within two weeks 

of registering. 

‣ Mail check to: Specialized Programs, Attn: Linda 

4554 NE 41st Street, Seattle, WA 98105 

‣ Note: For Field Trips, please bring cash on the day of the outings as fees are paid 

directly to the vendor/site, unless otherwise noted. 

DDA RESPITE FUNDING-If you have DDA Respite Care we will apply it toward summer camp registration 

fees, and/or class fees. 

Please include the name of your Case Manager, their phone number, and email address with your 

registration forms. Please note that DDA funds do not apply toward field trips where participants 

bring cash with them to pay for services while on the field trip. 

SCHOLARSHIP APPLICATIONS-We have included an application on page 15 in this brochure. 

This year Specialized Programs has a significantly increased scholarship fund and there is now more 

funds available than in previous years. For the first time we are offering scholarships to year round 

classes for Adults and Youth. Therefore, we are encouraging everyone to apply to receive reduced 

registration fees. Scholarships can reduce the amount to be paid on registration fees starting from 

50% up to 90% based on total annual income and number of people supported on that income. 

For more information or questions regarding making payments, DDA, or scholarships 

please contact Tim Pretare at 206-615-0140 or email tim.pretare@seattle.gov. 

ELIGIBILITY LEVELS 

L 

M 

N 

.Low Functioning: Significant support required with following directions/transitioning, may 

require assistance completing tasks, including activities of daily living. 

.Moderate to High Functioning: Directions/transition followed with few prompts, can tolerate 

large groups in outdoor and indoor spaces. 

.No 1:1 Supervision: Staff is not available to provide one-on-one supervision. 


Call 206-684-4950 for Program Information 

ADULT 

Ages 18 and Up 

ADULT CAMP 2016 

Camp Long is a beautiful, scenic get-away in the middle of West Seattle 

complete with a rustic lodge and cabins. Each cabin is equipped with 

bunk beds and electricity. Picnic table, stone fireplace, and running water 

available outside each cabin. Registration is limited to 50 campers. Due 

to staffing limitations we can take two wheelchair participants per session 

who don't have an assistant. We can take additional wheelchair campers if 

the individual has an aide. 

Eligible: N All ability levels (no 1:1 supervision provided) 

Bring: Sleeping bag, pillow, clothes, and toiletries for 2 

days plus extras. 

Dates: 

See Below 

Times: 

Friday at 6 p.m.-Sunday at 1 p.m. 

Please no early check-in and eat dinner before 

you come on Friday. 

Cost: $ $65/camp session (DDA respite and limited 

scholarships available). 

Location: Camp Long, 5200 35th Ave. SW, 98126 

Access: 

Drop-Off Appointment: Friday, 6:30 p.m. 

Pick-Up Window: Sunday, 12:30-1 p.m. 

Registration: Registration dates are listed below under each camp session. On these dates, call 206-684- 

4950 at 8 a.m. Names are taken on a first call first serve basis, after that time names will be 

put on the wait list. After registering, mail in your completed Participant Information Form 

and payment by the due date. You only have to complete one form per summer. 

Camp Dates, Themes and Important Dates: 

#1) June 24-26 Theme: Western Weekend 

Dust off your cowgirl boots, find those cowboy hats, yeehaw! 

Registration Begins: Tuesday, June 7 at 8 a.m. 

Forms and Fees due in our office by Friday, June 3 

#2) July 15-17 Theme: Seattle Sports Team Weekend 

Wear your fan gear to represent your favorite Seattle Teams! 

Registration Begins: Tuesday, June 28 at 8 a.m. 

Forms and Fees due in our office by Tuesday, July 14 

#3) Aug. 5-7 Theme: Talent Show Weekend 

Roll out the Red Carpet, it’s Talent Show Weekend! 

Registration Begins: Tuesday, July 19 at 8 a.m. 

Forms and Fees Due in our office by Tuesday, July 26 

6 



ADULT 


CAMP FEES AND PARTICIPANT 

INFORMATION FORMS 

Camp forms require the signature of a doctor if 

you take medications at camp. Each participant 

must have a completed form turned in BEFORE 

camp or they will not be able to attend. If forms 

and fees are not turned in by the date listed, you 

will be placed on the wait list. 

Please make check/money order payable to: 

City of Seattle 

Mail check with completed forms to: 

Specialized Programs 

Attn: Linda, 4554 NE 41st St., 98105 

Directions to Camp Long from I-5 via West Seattle Freeway: 

• Take the West Seattle Freeway exit 

• Go WEST on the West Seattle Freeway staying in the left lane, do not take any exits 

• Continue up the hill and take the first LEFT on to 35th Ave. SW at the stop light 

• Follow 35th Ave. SW up some rolling hills; passing West Seattle Stadium and Golf Course on your left 

• After cresting the hill go about 2 more blocks and the entrance in to Camp Long will be on your left at Dawson St. 

I-5 

99 

520 

99 

I-90 

I-5 

599 


CAMP PROCEDURE 

Medication authorization 

• A doctor’s signature is mandatory on the Camper Information Form 

• Our nurses are legally required to administer medication from the ORIGINAL 

prescription bottle 

• Do not pre-package camper's medication(s) 

• ALL medications will be administered from the original pill/liquid medication bottle 

NOTE: We will not be able to store medication between sessions 

It will be important for you and your camper to: 

1. Check in with the nurse on the first day of camp in order to update the medical 

information and drop off any medication 

2. You will also need to check out with the nurse at the end of camp and pick up any 

unused medication 

SUPERVISION: As our camper-to-staff ratio is 4 to 1, we are unable to provide one-on-one supervision. 

Please provide an aide to accompany your camper if they require one-on-one supervision. 

SUGGESTED CLOTHING LIST FOR OVERNIGHT CAMPERS 

• Camp is a busy and fun time for all of us. Many of the activities get the camper dirty. 

• Please send clothes that will not be damaged by a lot of activity. 

• Please do not have campers bring valuable items/clothes because they might get lost 

or broken. NOTE: We are not responsible for items lost or broken at camp. 

Please Label Everything! Please keep in mind that there is limited space available. 

Any Special Adaptive Equipment 

Diapers/Wipes (Bring extra) 

Flashlight 

Glasses/Case 

Hair Brush/Comb 

Jacket/Raincoat 

Long Pants 

Pajamas 

Pillow 

Shirts 

Shoes 

Short Pants 

Sleeping Bag 

Socks (Bring extra) 

Sweatshirts 

Toilet Kit 

Toothbrush/Paste 

Towel 

Underpants ( Bring extra) 

Wash Cloth 

Electronic Devices: Please do not send your camper to camp with electronic devices such as iPods, cell phones, MP3 

players, video game devices, or portable DVD players, etc. They will hinder your camper's experience. 

Inappropriate items will be taken away from your camper for the duration of the camp session. 

Please call the Camp Director to discuss your camper's use of an electronic communication device at camp. 

8 



ADULT 


WHAT’S COOKING? 

In this class you will learn the basic skills for preparing and cooking a healthy meal. 

We will work on menu planning, basic cooking and knife skills, and kitchen safety. 

At the end of each class we will have made a complete meal, and will enjoy eating it 

together. 


Dates: 

Mondays 

Time: 

6:30-8 p.m. 

Cost: $ $25 per session-due Friday, June 10 

Access: 

Drop-Off Appointment Time: 6:45 p.m. 

Pick-Up: 8-8:30 p.m. 

Registration: 

Call Specialized Programs at 206-684-4950 to register 

starting at 8 a.m. on Wednesday, June 1. 

Note: .You may register for one session and be placed on the wait list for the other sessions. 

Sessions: Session #1: 

June 20, 27, July 11 and 18 

Delridge Community Center 

4501 Delridge Way SW, 98106 

T.N.T. (TRY NEW THINGS) CLUB 

Session #2: 

July 25, August 1, 8 and 15 

Northgate Community Center 

10510 5th Ave. NE, 98125 

This program is provided in a safe and welcoming environment that encourages participants to try new things. We 

explore new and familiar activities such as volunteer projects, arts & crafts, fitness, music, and of course, Bingo. Due 

to the popularity of this program, we offer 2 locations on different days. Both locations will be offering the same 

programs, so please register for just 1. Registration for each location will be limited to 40 participants, after which 

participants will be put on the wait list. 


Bring: 

Sack lunch and drink 

Dates: Tuesdays, June 21-August 23 OR Thursdays, June 23-August 25 (No Program July 28) 

Time: 

10:30 a.m.-1 p.m. 

Cost: $ $15 (due Friday, June 10) 

Locations: Tuesday Location: Thursday Location: 

Meadowbrook Community Center Bitter Lake Community Center 

10515 NE 35th Ave., 98125 13035 Linden Ave. N, 98133 

Access: 

Drop-off Appointment: 10:45 a.m. 

Pick-Up Window: 12:45-1:15 p.m. 

Registration: Call Specialized Programs at 206-684-4950 to register starting at 8 a.m. on Tuesday, June 7. 



ADULT 


STARLIGHT SOCIAL: ON TUESDAYS IN THE SUMMER 

This weekly program offers structured group activities that build social skills, independence, and friendships! Join us 

for themed celebrations, dances, games, crafts, and more! 


Dates: Tuesdays, June 21-August 23 

Time: 

6:30-8 p.m. 

Cost: $ Free 

Location: Miller Community Center, 330 19th Ave. E, 98112 

Access: 

Drop-Off Appointment: 6:45 p.m. 

Pick up Window: 7:45-8:15 p.m. 

Registration: 

You must register upon receipt of brochure by calling Specialized Programs at 

206-684-4950. Please indicate at this time if you will be riding Access. 

Activities: June 21: World Music Night 

June 28: Luau Dance 

July 5: Fourth of July Activities 

July 12: Games and Puzzles 

July 19: Summer Craft Night 

GOLF 

July 26: 

August 2: 

August 9: 

August 16: 

August 23: 

Team Spirit Night 

Bingo and Prizes 

Make a Healthy Snack 

Karaoke Night 

End of Summer Party 

Learn to golf from the pros at Jackson Park Golf Course! Everyone can learn to golf whether you are a beginner or 

experience, we encourage all levels to join us at this fun program. Professional golf instructors will work with our 

group and all equipment will be provided. Athletes will be given the choice to compete in a 

Special Olympics Tournment, but you do not have to compete to participate in this program. 


Bring: 

Tennis shoes and weather appropriate clothing; 

golf equipment will be provided. 

Date: Tuesdays, June 14-August 16 

Time: 

6-7:30 p.m. 

Cost: $ Free 

Location: Jackson Park Golf Course, meet outside of the Pro Shop, 1000 NE 135th St., 98125 

Access: 

Drop-Off Appointment 6 p.m., Pick-Up Window 7:15-7:45 p.m. 

Registration: 

You must register in advance by calling Specialized Programs at 206-684-4950 when you 

receive your brochure. 

Weather Advisory: If there is rain or threat of lightening-we will cancel program. 

Important Dates: June 14 Must pre-register and have your current Special Olympics paperwork 

turned in to Specialized Programs. 

July (TBA) Special Olympics Regional Golf Tournament. 

August 13 or 14 Special Olympics State Golf Tournament. 

10 



ADULT 


FUN FITNESS: ON WEDNESDAYS AT RAINIER! 

This program is aimed to promote active lifestyles thru movement and games. We will play games and work on skills, 

take walks if the weather permits and enjoy other fun athletic activities. 


Dates: Wednesdays, June 22 through August 24 

Time: 

1-3 p.m. 

Cost: $ Free 

Location: Rainier Community Center, 4600 38th Ave. S, 98118 

Access: 

Drop-off Appointment: 1:15 p.m. 


Registration: 

Call the Specialized Programs Office at 206-684-4950 to register starting at 8:00 a.m. on 

Thursday, June 2. 

SOFTBALL 

Join us at our new home fields in West Seattle for a night of softball! No matter what your ability, a pro, new to the 

sport, t-ball or individual skills, we have a team for you! It’s a great way to see your friends and get some exercise 

during the summer. 

Eligible: N All ability levels (no 1:1 supervision 

provided) 

Bring: 

Wear tennis shoes and bring a 

baseball mitt if you have one. 

Date: Wednesdays, June 15-August 17 

Time: 

6:30-8 p.m. 

Cost: $ Free 

Location: 

Riverview Playfield, 

7226 12th Ave. SW, 98106 

Access: 

Drop-Off Appointment 6:45 p.m. 

Pick-Up Window 7:45-8:15 p.m. 

Registration: 

You must register in advance by 

calling Specialized Programs at 

206-684-4950 when you receive your brochure. 

Weather Advisory: If there is rain or threat of lightening-we will cancel program. Please do not call before 4:30 

p.m. as cancellations will not be determined until then. 

Important Dates: June 15: Must pre-register and have your current Special Olympics paperwork 

turned in to Specialized Programs. 

July (TBA) Special Olympics Regional Tournament. 

August 13-14: Special Olympics State Tournament. 



ADULT 


WALKING GROUP 

Enjoy the summer weather and join us on weekly walks around the Bitter Lake neighborhood. Step your way into 

better health while spending time with friends. Please note these walks take place at the same time as TNT at Bitter 

Lake CC, so please only register if you are not signed up for TNT on that same day. Participants must be able to travel a 

minimum of 2 miles. Limit 10 people. 


Bring: 


Dates: Thursdays, June 23-August 25 (No Program July 28) 

Time: 

10:30 a.m.-1 p.m. 

Cost: $ Free 

Locations: Bitter Lake Community Center, 13035 Linden Ave. N, 98133 

Access: 

Drop-Off Appointment: 10:45 a.m. 


Registration: Call Specialized Programs at 206-684-4950 to register starting at 8 a.m. on Thursday, June 9. 

SOUTHEND SOCIAL 

This weekly program offers structured group activities that build 

social skills, independence, and friendships! Join us for themed 

celebrations, dances, games, crafts, and more! 

Eligible: N All ability levels (no 1:1 supervision 

provided) 

Dates: Thursdays, June 23-August 25 

Time: 

6:30-8 p.m. 

Cost: $ Free 

Location: 

Southwest Teen Life Center, 

2801 SW Thistle St., 98126 

Access: 

Drop-Off Appointment: 6:45 p.m. 

Pick up window: 7:45-8:15 p.m. 

Registration: 

You must register upon receipt of brochure by calling Specialized Programs at 

206-684-4950. Please indicate at this time if you will be riding Access. 

Activities: June 23: Karaoke Night 

July 28: Luau Dance 

June 30: Make a Healthy Snack August 4: Team Spirit Night 

July 7: 

Bingo and Prizes 

August 11: Games and Puzzles 

July 14: World Music Night 

August 18: Astronomy Night 

July 21: Summer Craft Project 

August 25: End of Summer Party 

12 



ADULT 


SUMMER SIGHTSEEING TRIPS 

Let’s explore the sights around Seattle and enjoy the summer weather and fresh air. Join us as we go to local 

museums, tours and parks. 


Bring: 


Date: 

Fridays 

Time: 

10 a.m.-3:30 p.m. 

Cost: $ Depends on activity; please 

bring cash day of event. 

Location: Densmore Building, 8061 

Densmore Ave. N, 98103 

Access: 

Drop-Off Appointment: 

10 a.m. 

Pick-Up Window: 3:30-4 p.m. 

Registration: 

Call Specialized Programs 

at 206-684-4950 to register 

starting at 8 a.m. on 

Wednesday, June 8. You may 

register for 2 of the 6 trips and 

request to be on the wait list for the others. 

Activities & Dates: July 1: Green Lake Neighborhood Exploring, Free: We’re leaving the vans and 

heading out on foot to explore the Green Lake neighborhood and park. 

We will have lunch near the lake. 

July 8: 

Woodland Park Zoo, Free: Lions and Tigers and Bears… oh my! Today we 

will head to the zoo to see all our favorite animals. 

July 29: 

Green Lake Neighborhood Exploring Round 2, Free: We’re leaving the vans 

and heading out on foot to explore the Green Lake neighborhood and 

park. We will have lunch near the lake. 

August 12: Out to Lunch and Kubota Gardens, $15: Leave your lunch at home today 

and enjoy a yummy meal together in the International District. We will 

also take a stroll through the Kubota Gardens. 

August 19: Arboretum Walk and Beach Day, $2: Bring your swim suit and towel and 

head to the beach! Our first stop will be a walk in the Arboretum. 

August 26: Out to the Movies and Nature Walk, $10: Let’s take a short nature walk 

outside, then head inside to cool off and watch a recent release. 


END OF SUMMER BARBEQUE 

AND OUTDOOR MOVIE 

Participants of all ages, families, and friends are all invited as we shift from Summer into Fall 

with an End of Summer Barbeque and Outdoor Movie. Please register in advance to attend 

this special event being held at Lower Woodland Picnic Shelter #6 (our youth day camp 

location). Hot dogs, hamburgers, beverages, plus sides, and all the fixin’s will be provided. 

Stay and watch a family friendly movie on an outdoor movie screen as the sun goes down. 

Eligible: All, plus friends and family 

Date: September 10 

Time: 

6 p.m.-8:30 p.m. 

Cost: 

$12 for adults; $8 for youth ages 5 to 12; and free for 

children 4 and under 

Location: Lower Woodland, Picnic Shelter #6, 5900 Aurora Ave. N 

(see map on page 10) 

Access: Drop-Off Appointment 6 p.m. 

Pick up Window 8:15-8:45 p.m. 

Registration: You must register in advance by calling Specialized 

Programs at 206-684-4950 

Any questions? Please call 

Specialized Programs at 206-684-4950. 

14 


SEATTLE PARKS AND RECREATION 

SPECIALIZED PROGRAMS APPLICATION FOR SCHOLARSHIP 

JUNE 18, 18, 2016 -- JUNE 14, 14, 2017 

Please submit to: to: to: Specialized Programs 4554 NE NE 41 41 41 St. St. St. Seattle, WA WA 98105 

Seattle Parks and and Recreation provides a limited number of of of scholarships for for for those who qualify. The The information requested below is is is 

confidential and and necessary to to to help determine the the degree of of of need for for for each family. ALL information must be be be filled in in in or or or the the 

application will will be be be returned for for for completion. Proof of of of household income is is is required with ALL scholarship/ reduced fee fee 

applications. Please see see information below for for for valid forms of of of income verification. 

Family Account ID ID # :: 

(Please inquire with with staff if if if you you do do do not not have or or or know your ID#) 

Applicant Name or or Parent/Guardian: 

Address: City: State: Zip Zip Code: 

Primary Phone Number: 

Secondary Phone Number: 

Email: 

Emergency Contact (Name): 

Phone Number: 

Signature: 

Date: 

VERIFICATION OF OF HOUSEHOLD INCOME 

Attach a copy of of of the the 2015 1040 Income Tax Tax Form (if (if (if filing separately, both 1040’s must be be be submitted). If If If you you you are are are applying for for for scholarship 

but but but have have not not not filed filed filed your your taxes for for for the the the current year year (must provide a a copy copy once once filed) filed) or or or If If If you you you are are are not not not legally required to to to file file file federal taxes you you you may may provide 

alternate income verification from from the the the list list list below. Failure to to to provide appropriate financial documentation will will will cause a a delay in in in processing your your 

application and/or affect your your eligibility. Please list list list all all all household income. Applicants who who who are are are unemployed or or or students MUST submit updated 

information quarterly. “Proof of of of dependency” is is is required for for for all all all dependents applying for for for scholarship. 

How many people financially provide income for for for this this individual? ________ 

How many people live live in in in the the household? ________ 

Monthly/Yearly Income Verification Amount Monthly/Yearly 

***2015 1040 Tax Tax Form(s) 

$ 

(Document must must be be be signed or or or have have federal pin pin pin number) (Please no no no handwritten tax tax tax documents) 

/ Current TANF / Welfare award letter $ 

or or and Aid Full-time student verification or current class schedule and Financial Aid paperwork $ 

of of or or or or Proof of current Social Security benefits (SSI or SSA benefit statement or SSA-1099) $ 

of of pay Proof of Disability pay (Long Term Disability statement) $ 

Gross paycheck stubs before taxes (1 (1 (1 month of of of 32+ 32+ hours or or or 2 months if if if 31 31 31 hours or or or 

$ 

less less for for for all all all household income) 

Unemployment statement $ 

of of Proof of Retirement statement $ 

(not as as for for Child support payments (not used as main verification, only for additional income) $ 

TOTAL INCOME $ 

Specialized Programs – Summer Camp 2016 

Youth Day Camp: Youth Overnight Camp Adult Overnight Camp 

Week 1: 1: 

Week 3: 3: 

Week 1: 1: 

Week 3: 3: 

Week 1: 1: 

Week 3: 3: 

Week 2: 2: 

Week 4: 4: 

Week 2: 2: 

Week 4: 4: 

Week 2: 2: 

Youth general scholarship: 

Adult general scholarship: 

Participant Information Youth Adult Senior Adult (50+) 

Name: ___________________________________ Birth Date: ________________ Male: Female: 

Ethnicity: Ethnic origin information is is is used for for statistical purposes only. 

Asian: Black: Hispanic: White: 

Two-or-more Races: Native America/Alaskan Native: Native Hawaiian/Pacific Islander: 

Please describe who or or where the the participant lives: 

With Parent(s): Other Family: Group Home: Foster Family: Other (specify): ___________ 

Address: (if (if (if different than than applicant) City: State: Zip Zip Code: 

Email: Primary Phone # Secondary Phone # 

SEATTLE PARKS AND RECREATION USE ONLY 

Site Staff Signature :: Site: Date: 

SCHOLARSHIP OFFICE USE USE ONLY 

Approved By: By: 

Date: 

Childcare % General Recreation % Pool Fee Reduction Pool Scholarship %

Change Service Requested 


4554 NE 41st Street 

Seattle, WA 98105 

Presorted Standard 

U.S. POSTAGE 

PAID 

SEATTLE, WA. 

PERMIT NO. 152 

SPECIALIZED pROGRAMS 

SCHOLARSHIP APPLICATIONS 

AVAILABLE 

This year Specialized Programs has a significantly 

increased scholarship fund. For the first time we are 

offering scholarships to year round programs for 

Adults and Youth. We are encouraging everyone 

to apply to receive 

reduced registration fees. 

Scholarships can reduce 

the amount to be paid on 

registration fees starting 

from 50% up to 90% based 

on total annual income 

and number of people 

supported on that income. 

To request a scholarship 

form, or if you need assistance completing one, 

call Tim Pretare at 206-615-0140 or go to 

www.seattle.gov/parks/specialpops/. 


206-684-4950 

4554 NE 41st St. 

Seattle, WA 98105

SPECIALIZED pROGRAMS

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