Lily Cache Special Recreation Association
2 017 F A L L G U I D E lilycachesra.org
REGISTRATION B E G I N S
AUGUST RESIDENT: NON-RESIDENT :
D I S C O V E R
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Recreational Programs and Opportunities for People With Disabilities 1
REGISTR ATION BEGINS L C S R A R E S I D E N T: N O N - R E S I D E N T: Serving Bolingbrook and Plainfield Park Districts 201 Recreation Drive, Bolingbrook P 630.739.1124 Relay 800.526.0844 lilycachesra.org Lily Cache Special Recreation Association is a cooperative extension of the Bolingbrook Park District and Plainfield Park District that provides year-round recreation programs for individuals with disabilities.
LC S R A S TA F F
AUGUST 9 AUGUST 23
FACIL IT Y DIREC TORY Lily Cache Special Recreation Assocation (LCSRA) 201 Recreation Drive, Bolingbrook P (630) 739-1124Â | Relay (800) 526-0844 ACC: Annerino Community Center 201 Recreation Drive, Bolingbrook BRAC: Bolingbrook Recreation & Aquatic Complex 200 S. Lindsey Lane, Bolingbrook
Jill Mukushina, Superintendent of Special Recreation jmukushina@lilycachesra.org | 630.783.6583
HPC: Heritage Professional Center 24023 West Lockport Street, Plainfield
Sherrie Izban, Therapeutic Recreation Supervisor sizban@lilycachesra.org | 630.783.6584
OAKS: Hidden Oaks Nature Center 475 Trout Farm Road, Bolingbrook
Carrie Gascoigne, Therapeutic Recreation Supervisor cgascoigne@lilycachesra.org | 630.783.6585
PREC: Plainfield Recreation/Administration Center, 23729 W. Ottawa Street, Plainfield
Gina Petkus, Therapeutic Recreation Supervisor gpetkus@lilycachesra.org | 630.783.6581
TS:
LC SR A A DV IS ORY BOA RD
INDE X
Mike Baiardo, Director of Recreation & Facilities Bolingbrook Park District
The Streams 24319 Cedar Creek Lane, Plainfield
Who We Are
3
Month at a Glance
4-7
Programs
8-17
Cheryl Crisman, Director of Recreation Plainfield Park District
Code of Conduct Form
18
Medication Dispensing Permission & Form
19
Ron Oestreich, Executive Director Bolingbrook Park District
Medication Dispensing Information
20
Annual Information Form
21-22
Kim Smith, Director of Marketing and Customer Care Bolingbrook Park District
Special Olympics Form
23-24
Registration Form/Information
25-26
Corinne Vargas, Senior Designer/Graphic Artist Plainfield Park District
Behavior/Code of Conduct & Wellness Guidelines
27
Carlo Capalbo, Executive Director Plainfield Park District
2
W HO W E A RE
MEET HEATHER My name is Heather Chika and I have been working with LCSRA for 11 years. I first started with LCSRA (then JBSRA) as a fitness and cooking class instructor, summer camp counselor, and junior basketball coach. Since then, I have continued as a camp counselor, coached swim team, gymnastics, softball and one of the adult basketball teams, as well as assisted with various special events. I graduated from Illinois State University in 2012 with my Bachelors in special education. Alongside my work with LCSRA, I have taught self-contained autism classrooms for both 3-5 grade as well as kindergarten in Indian Prairie 204, and am currently a special education teacher near Santa Barbara, California. Although my time at LCSRA has come to a close, I will always consider this organization as my second family. I cannot thank the participants, their families and my coworkers enough for helping me become the person and teacher I am today!
Lily Cache Special Recreation Association (LCSRA) represents the partnership between Bolingbrook and Plainfield Park Districts in their mission to serve the special needs population. Our goal is to provide recreational programs which build self-esteem and promote a lifetime of growth. LCSRA strives to go beyond the normal range of services and programs offered by schools or other agencies. Lily Cache Special Recreation Association fosters an environment which allows individuals to discover their own unique potential and abilities. LCSRA serves individuals with disabilities which can include but are not limited to physical disabilities, developmental disabilities, communication disorders, emotional/behavior disorders, and autism spectrum disorder. PARTICIPANTS AND PROGRAMS Our programs are as diverse and engaging as the participants they serve. From social events, seasonal camps and imaginative trips to competitive Special Olympic sports, LCSRA programs offer many benefits, including: • Improved self-confidence and self-esteem • Greater independence • Social interaction and relationship-building • Reinforce existing skills • Opportunities to explore new skills/talents • Build friendships and sense of community • Memories for life
JOIN OUR MAILING LIST!
Be sure you’re on the list to receive our seasonal brochure full of the latest programs and events. Simply email Jill Mukushina at jmukushina@ lilycachesra.org or call 630.783.6583.
LCSRA WOULD LIKE TO THANK ITS GENEROUS DONORS Bolingbrook Knights of Columbus Bolingbrook Lions Club Jacqueline and David Saylor Like LCSRA on Facebook for more program information, great photos and to share feedback with us.
Village of Bolingbrook
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CALENDAR AT A GLANCE
SEP TEMBER Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
3
4 NO CRUISERS
5
6 Bulldogs Stars Minions
7 Stars Minions
8 Bulldogs SO Outdoor Sports Festival
9 Back to Nature Lunch Bunch HangTime SO Outdoor Sports Festival
10 Sunday Funday SO Outdoor Sports Festival
11 Bocce Bulldogs Swim Lessons Artist Inspirations SO Equestrian SO Swim Team Sports Conditioning
12 Stars Minions Soccer Volleyball Team
13 Bulldogs Stars Minions Running Club Tennis Team
14 Stars Minions Leisure Bowling SO Bowling
15 Bulldogs Friday Friends Social Club
16 Dinner & Movie A Back to Nature Lunch Bunch HangTime SO District Volleyball
17
18 Bocce Bulldogs Swim Lessons Artist Inspirations SO Equestrian SO Swim Team Sports Conditioning
19 Stars Minions Soccer Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Volleyball Team
20 Bulldogs Stars Minions Running Club Tennis Team SO Gymnastics
21 Stars Minions Leisure Bowling SO Bowling
22 Bulldogs Friday Friends
23 Dinner & Movie B Back to Nature Lunch Bunch HangTime
24
25 Bocce Bulldogs Swim Lessons Artist Inspirations SO Equestrian SO Swim Team Sports Conditioning
26 Stars Minions Soccer Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Volleyball Team
27 NO CRUISERS Running Club Tennis Team SO Gymnastics
28 Stars Minions Leisure Bowling SO Bowling
29 Bulldogs Friday Friends Social Club SRA Homecoming Dance
30 Back to Nature Lunch Bunch HangTime
4
NO CRUISERS Aktion Club BOL Volleyball Team
1 Bulldogs
2
OC TOBER Sunday
1 Sunday Funday
2 Bocce Bulldogs Swim Lessons Artist Inspirations SO Equestrian SO Swim Team Sports Conditioning
Monday
3 Stars Minions Aktion Club BOL Soccer Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Special Needs Cheer Volleyball Team
Tuesday
Wednesday
4 Bulldogs Stars Minions Running Club LCSRA Ledger Kids in the Kitchen Tennis Team SO Gymnastics
5 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
Thursday
6 Bulldogs Friday Friends 80’s Flash Dance
Friday
Saturday
8 Octoberfest for Kids ITRS Volleyball Tournament
9 Bocce Bulldogs SO Equestrian Sports Conditioning
10 Stars Minions Soccer Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Special Needs Cheer Basketball Skills & Drills
11 Bulldogs Stars Minions Running Club LCSRA Ledger Kids in the Kitchen Tennis Team SO Gymnastics
12 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
13 Bulldogs Friday Friends Social Club
14 Running Club: Scarecrow 5K Escape Room SO Junior Basketball Area Bocce Tournament
15 Sweetest Day Dinner SO Section Bowling
16 Bocce Bulldogs Swim Lessons Artist Inspirations SO Equestrian SO Swim Team Sports Conditioning
17 Stars Minions Soccer Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Special Needs Cheer Basketball Skills & Drills
18 Bulldogs Stars Minions LCSRA Ledger Kids in the Kitchen Tennis Team SO Gymnastics
19 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
20 Bulldogs Friday Friends
21 Dinner & Movie B SO Junior Basketball
22
23 Bocce Bulldogs Swim Lessons Artist Inspirations SO Equestrian SO Swim Team SO Snowshoe
24 Stars Minions Christmas Carolers Musical Theatre Special Needs Cheer Basketball Skills & Drills
25 Bulldogs Stars Minions Fall Fitness Kids in the Kitchen SO Gymnastics
26 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
27 Bulldogs Social Club Halloween Hip Hop Dance
28 Creative Movement Lunch Bunch HangTime SO Junior Basketball SO FALL GAMES
29 SO FALL GAMES
30 Bocce Bulldogs Artist Inspirations SO Equestrian SO Swim Team SO Snowshoe
31 Stars Minions Basketball Skills & Drills
7 Dinner & Movie A Back to Nature Lunch Bunch HangTime SO Junior Basketball
5
NOV EMBER Sunday
Monday
Tuesday
5 Sunday Funday
6 Bulldogs Swim Lessons Artist Inspirations SO Equestrian SO Swim Team SO Snowshoe
12 Monsters of the Midway Bears Game
13 Bulldogs Swim Lessons SO Equestrian SO Swim Team SO Snowshoe SO Basketball Practice
19
20 Bulldogs Swim Lessons Rock Wall Adventure SO Equestrian SO Swim Team SO Snowshoe SO Basketball Practice
7 Stars Minions Aktion Club BOL Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Special Needs Cheer SO Basketball Team 14 Stars Minions Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Special Needs Cheer SO Basketball Team 21 Stars Minions Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Special Needs Cheer SO Basketball Team 28 Stars Minions Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre Special Needs Cheer SO Basketball Team
26
6 6
27 Bulldogs Swim Lessons Rock Wall Adventure SO Swim Team SO Snowshoe SO Basketball Practice
Wednesday
Thursday
Friday
Saturday
10 Bulldogs Friday Friends
11 Dinner & Movie A, Creative Movement Lunch Bunch HangTime Saturday Night Fever SO Junior Basketball
16 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
17 Bulldogs Friday Friends Social Club Pilgrim Rock Dance
22 NO CRUISERS
23 NO CRUISERS
24 NO CRUISERS
NO Fitness
NO POWERLIFTING
18 Dinner & Movie B Creative Movement Lunch Bunch HangTime SEASPAR Swim Meet SO Junior Basketball SO STATE Floor Hockey 25 NO JUNIOR BASKETBALL
1 Bulldogs Stars Minions Fall Fitness Kids in the Kitchen SO Gymnastics 8 Bulldogs Stars Minions Fall Fitness Kids in the Kitchen SO Gymnastics
2 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team 9 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
15 Bulldogs Stars Minions Fall Fitness SO Gymnastics
NO GYMNASTICS
29 Bulldogs Stars Minions Fall Fitness SO Gymnastics
NO RHYTHMIC GYMNASTICS
30 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
3 Bulldogs Friday Friends
4 Creative Movement Lunch Bunch HangTime SO Junior Basketball
DECEMBER Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
3 Sunday Funday
4 Bulldogs Swim Lessons Rock Wall Adventure SO Swim Team SO Snowshoe SO Basketball Practice
6 Bulldogs Stars Minions Fall Fitness SO Gymnastics
7 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
8 Bulldogs Friday Friends Social Club Christmas Ball
9 Dinner & Movie A Knights X-Mas Party
10
11 Bulldogs Swim Lessons Rock Wall Adventure SO Swim Team SO Snowshoe SO Basketball Practice 18 Bulldogs SO Snowshoe SO Basketball Practice
5 Stars Minions Aktion Club BOL Individual Ukulele Group Ukulele Christmas Carolers Musical Theatre SO Basketball Team 12 Stars Minions Christmas Carolers Musical Theatre SO Basketball Team
13 Bulldogs Stars Minions Fall Fitness: Christmas lights at the Arboretum SO Gymnastics
14 Stars Minions Leisure Bowling SO Bowling Powerlifting Rhythmic Gymnastics Team
15 Bulldogs Friday Friends
16 Dinner & Movie B SO Junior Basketball
19 Stars Minions SO Basketball Team
20 Bulldogs Stars Minions
21 Stars Minions
22 Bulldogs
23 NO JUNIOR BASKETBALL
25 NO CRUISERS
26 NO CRUISERS
27 NO CRUISERS
28 NO CRUISERS
29 NO CRUISERS
NO SO BASKETBALL
NO SO BASKETBALL
Winter Break Camp
Winter Break Camp
Winter Break Camp
30 NO JUNIOR BASKETBALL
17
24
1 Bulldogs Friday Friends
2 Creative Movement Lunch Bunch HangTime FVSRA Swim Meet SO Junior Basketball SO STATE Bowling
31
7
PROGR A MS AKTION CLUB LCSRA has partnered up with the Kiwanis to offer Aktion Club to our participants. This is a service leadership program for adults with disabilities. Aktion Club Plainfield meets at 6:30 pm on the first Thursday of every month at the Plainfield United Methodist Church. If you are interested in learning more, contact Jill Mukushina at (630) 7836583 or jmukushina@lilycachesra.org. Aktion Club Bolingbrook meets at 3:15 pm on the first Tuesday of every month at the Annerino Community Center. If you are interested in learning more, contact Carrie Gascoigne at (630) 783-6585 or cgascoigne@lilycachesra.org. COMMUNITY CRUISERS Community Cruisers is a recreation based program developed to meet the needs of young adults with disabilities that are no longer eligible for school services. The program provides opportunities for individuals to reach their full potential through recreational activities that promote positive peer interactions, community integration, and basic life skills. All interested participants need to complete paperwork which includes an intake assessment to evaluate which of the programs is most appropriate for each individual. If you are interested in the program please contact Carrie Gascoigne at (630) 783-6585 or cgascoigne@lilycachesra. org for further information.
W EEK LY PROGR A MS SWIM LESSONS Ages 3 years & up Dive right into fun while learning swim skills, strengthening muscles and increasing coordination. Lessons are taught in small groups or one on one ratio and are conducted at the Pelican Harbor Indoor Pool. Dates
Sept 11-Oct 23 Sept 11-Oct 23 Sept 11-Oct 23 Sept 11-Oct 23 Nov 6-Dec 11 Nov 6-Dec 11 Nov 6-Dec 11 Nov 6-Dec 11
Time
5:00-5:30 pm 5:30-6:00 pm 6:00-6:30 pm 6:30-7:00 pm 5:00-5:30 pm 5:30-6:00 pm 6:00-6:30 pm 6:30-7:00 pm
Code
45400A 45400B 45400C 45400D 45400E 45400F 45400G 45400H
Deadline Aug 28 Aug 28 Aug 28 Aug 28 Oct 23 Oct 23 Oct 23 Oct 23
Day: Monday Location: Bolingbrook Recreation &Aquatic Complex, Pelican Harbor Indoor Pool LCSRA Resident Fee: $81 LCSRA Non-Resident Fee: $102 No Class: October 9 Key Contact: Gina Petkus
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ARTIST INSPIRATIONS Ages 8-17 years Calling all budding artists! Every week a different artist will be highlighted and techniques will be taught that represent that artist’s style. In this class, you will learn about 7 different artists and create 7 unique pieces of art. On the last day of class, LCSRA will host an art show to highlight the creations made in class. Light refreshments on the day of the art show will be served. Day: Monday Time: 7:00-8:30 pm Location: Annerino Community Center LCSRA Resident Fee: $57 45135A LCSRA Non-Resident Fee: $71 Date: September 11-November 6 No Class: November 25 Key Contact: Gina Petkus Registration Deadline: August 28 ROCK WALL ADVENTURE Ages 6-17 years Does your child love to climb? Let’s reinforce their natural talent by rock climbing. Participants will learn basic wall climbing and progress at their own pace. Each section of the wall increases in difficulty. While waiting, participants will engage in fitness and team build activities. This class requires a climbing wall waiver prior to participation. Day: Monday Time: 6:00-7:30 pm Location: Annerino Community Center LCSRA Resident Fee: $32 45145A LCSRA Non-Resident Fee: $40 Date: November 20-December 11 Key Contact: Gina Petkus SOCCER Ages 6-12 years Soccer is a fun-filled instructional program that introduces basic skills, rules and sportsmanship along with teaching necessary soccer fundamentals. Learn the basics such as dribbling, passing and kicking in this introductory class. Day: Tuesday Time: 5:30-6:15 pm Location: Field in Plainfield LCSRA Resident Fee: $45 45144A LCSRA Non-Resident Fee: $56 Date: September 12-October 17 Key Contact: Gina Petkus Registration Deadline: August 29
YEAR-ROUND PROGRAMS FOR INDIVIDUALS WITH DISABILITIES
INDIVIDUAL UKULELE LESSONS Ages 6 years & up The Ukulele is a stringed instrument that originated in Hawaii as a version of the Portuguese machete. Later it spread throughout the United States. The ukulele is a great starter instrument for children because of its size and portability. Skills learned here can easily be transferred to other instruments as your child improves. Cost of the class will include instruction by a music therapist. If this the first time enrolled in the class, a ukulele will also be provided for you to keep. Dates
Sept 19-Oct 17 Sept 19-Oct 17 Nov 7-Dec 5 Nov 7-Dec 5
Times
4:00-4:30 pm 5:00-5:30 pm 4:00-4:30 pm 5:00-5:30 pm
Day: Tuesday Location: Annerino Community Center LCSRA Resident Fee: $150 LCSRA Non-Resident Fee: $188 Key Contact: Gina Petkus Registration Deadline: September 5
Code 45138A 45138 B 45138C 45138 D
GROUP UKULELE LESSONS Ages 6 years & up The Ukulele is a stringed instrument that originated in Hawaii as a version of the Portuguese machete. Later it spread throughout the United States. The ukulele is a great starter instrument for children because of its size and portability. Skills learned here can easily be transferred to other instruments as your child improves. Cost of the class will include instruction by a music therapist. If this the first time enrolled in the class, a ukulele will also be provided for you to keep. Classes are held in small groups, no more than 3 participants per session. Dates
Sept 19-Oct 17 Nov 7-Dec 5
Code
45139A 45139B
Day: Tuesday Time: 4:30-5:00 pm Location: Annerino Community Center LCSRA Resident Fee: $69 LCSRA Non-Resident Fee: $87 Key Contact: Gina Petkus Registration Deadline: September 5
CHRISTMAS CAROLERS Ages 6-17 years Tis the season to be Jolly‌ Group voice lessons are always fun, but adding Christmas Carols to the mix just makes it that much more enjoyable. Together we will learn proper singing technique along with popular holiday songs to sing this holiday season. This class will be taught by a music therapist. The group will perform during the intermission of the Musical Theatre performance. In addition, at the end of the session, the group will travel to various nursing homes to spread joy to others. Day: Tuesday Time: 5:30-6:30 pm Location: Annerino Community Center LCSRA Resident Fee: $87 45140A LCSRA Non-Resident Fee: $105 Date: September 19-December 12 No Class: October 31 Key Contact: Gina Petkus Registration Deadline: August 29 MUSICAL THEATRE Ages 8-17 years Musical Theatre is a form of artistic expression and can be celebrated by all individuals. Over the course of 12 weeks, we will let our creative juices flow as we prepare to entertain family and friends in a small performance. The session would incorporate movement, improvisation, singing and acting and culminate with a final group performance on May 9th! Weather you prefer a small part or a large one, a singing part or a dancing part, come and join us for this new experience. This class will be led by a music therapist who will assist us in connecting through music as we prepare for the show. Day: Tuesday Time: 6:30-7:30 pm Location: Annerino Community Center LCSRA Resident Fee: $174 45308A LCSRA Non-Resident Fee: $218 Date: September 19-December 12 No Class: October 31 Key Contact: Gina Petkus Registration Deadline: August 29 LCSRA LEDGER Ages 8-17 years Do you like to take pictures? Are you interested in journalism? Would you like to interview staff and participants? Then join the LSCRA Ledger! We will be publishing a newspaper quarterly to relay the latest LCSRA happenings. No matter what your talent may be, LCSRA Ledger has a place for you on the team. Day: Wednesday Time: 6:15-7:15 pm Location: Annerino Community Center LCSRA Resident Fee: $57 45136A LCSRA Non-Resident Fee: $71 Date: September 6-October 18 Key Contact: Gina Petkus Registration Deadline: August 28
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KIDS IN THE KITCHEN Ages 6-17 years Food always tastes better when you share it with others! In this hands on class, we will be making a main course and dessert or appetizer for each class. Pictorial recipes will be provided for all participants to follow and create a scrumptious meal. After working hard in the kitchen, we will sit back with our friends and enjoy the fruits of our labor. Day: Wednesday Time: 6:00-7:30pm Location: Heritage Professional Center LCSRA Resident Fee: $ 68 45137A LCSRA Non-Resident Fee: $85 Dates: October 4-November 8 Key Contact: Gina Petkus Registration Deadline: September 20 RUNNING CLUB One of our favorite fall runs is just around the corner and we can’t wait to start training. This training will prepare you for the Scarecrow Scramble Night Run on October 14. This 3.2 mile fun run is one you don’t want to miss. The cost of the race and a goody bag is included in the fee for the program. Participants must wear running shoes and complete a waiver in order to participate. Ages
Code
13-17 years 18 years & up
45406A 45406B
Day: Wednesdays Time: 5:00-5:45 pm Location: Annerino Community Center LCSRA Resident Fee: $74 LCSRA Non-Resident Fee: $93 Dates: September 13-October 11; October 14-Scarecrow Scramble 5K Key Contact: Carrie Gascoigne Registration Deadline: September 7 FALL FITNESS Being active is important for your overall health and helps you feel better. Join LCSRA for a weekly sweat session to burn off energy and calories. This class will focus on simple fitness techniques and exercises that can be continued at home throughout the week with minimal equipment. Please bring a water bottle and wear breathable clothing and tennis shoes. Ages
10-17 years 18 years & up
Time
5:15-6:00 pm 6:15-7:00 pm
Day: Wednesdays Location: Annerino Community Center LCSRA Resident Fee: $64 LCSRA Non-Resident Fee: $80 Dates: October 25-December 13 No Class: November 22 Key Contact: Carrie Gascoigne Registration Deadline: October 18 10
Code 45406C 45406D
LCSRA LEISURE BOWLING LEAGUE LCSRA’s leisure bowling league is designed for anyone looking to meet new friends and try their hand at a noncompetitive sport. Staff will provide basic instruction for beginner bowlers, while working with the return bowlers on different strategies to improve their game. Scores will be recorded each week. The cost includes use of the lanes, shoes, and two games of bowling. Ages
5-17 years 18 years & up
Code
45410A 45410B
Day: Thursday Time: 4:00–5:00 pm Location: Brunswick Zone, Romeoville LCSRA Resident Fee: $114 Non Resident Fee: $143 Date: September 14- December 14 No Class: November 23 Key Contact: Sherrie Izban Registration Deadline: September 1
FRIDAY FRIENDS Ages 8-17 years Does your child have trouble making and maintaining friends? Do they have a difficult time relating to their peers? Do they struggle with understanding the perceptions of others? Then this is a group for your child. The focus of this group will be how to develop social skills and then how to implement them in recreational activities. Participants must be able to role play scenarios, discuss feelings and use symbolic thinking. LCSRA reserves the right to determine if this program is appropriate for an individual. Dates
Sept 15-Oct 20 Nov 3-Dec 15
Code
45115A 45115B
Day: Friday Time: 6:00-8:30 pm Location: Annerino Community Center LCSRA Resident Fee: $88 LCSRA Non-Resident Fee: $110 Transportation PREC: Pick up: 5:30pm/ Drop Off: 9:00pm ACC: Pick up: 6:00pm/ Drop Off: 8:30pm Key Contact: Gina Petkus Registration Deadline: September 1
YEAR-ROUND PROGRAMS FOR INDIVIDUALS WITH DISABILITIES
SOCIAL CLUB Ages 21 years & up Looking for something to do on Friday nights? Meet new friends and socialize at some of the hottest spots in the south suburbs. Program dates and times vary depending on the evening’s events. Don’t miss an exciting evening of this Friday fun club. A schedule will be sent out the week prior to the start of the program. Date
September 15 September 29 October 13 October 27 November 17 December 8
Theme
Fall Fun Homecoming Dance - “Tale as Old as Time” It’s Friday the 13th Halloween Hip Hop Pilgrim Rock Dance Christmas Ball
Day: Friday Time: Varies Location: Varies LCSRA Resident Fee: $205 45102A LCSRA Non-Resident Fee: $256 Transportation: provided from Plainfield and Annerino Key Contact: Sherrie Izban Deadline: September 1
Age
Dates
Sept 16, Oct 7, Nov 11, Dec 9 Sept 23, Oct 21, Nov 18, Dec 16
S PECI A L E V EN T S SRA “HOMECOMING” DANCE - A TALE AS OLD AS TIME Grab your friends and join us for an all SRA Homecoming dance. This is a chance to meet friends from other Special Recreation Associations and enjoy an evening of dancing, food and fun! A live band will be in attendance to perform all your favorite tunes. Snacks and refreshments will be available throughout the evening. Since this is a formal affair, it is suggested that the gentlemen wear dress slacks and collared shirts, and that the ladies wear shirts or party dresses. The highlight of the evening will be the King and Queen Court and the crowning of the King and Queen. Ages
DINNER AND MOVIE We can’t wait to see what new releases and restaurants are in store for us this season. Requests for movies or dinner locations will be considered. The fee includes admission to the movie, staff supervision, and transportation. Participants are responsible for the cost of their dinner, including a tip and any concessions at the theater. Details for the program will be communicated to participants no later than 2:00pm the Friday prior to the program. 16-24 years 25 years & up
SUNDAY FUNDAY Ages 8-17 years Are you ready for some fun? Let’s hang out with our friends and enjoy a variety of recreational experiences. This season we will be celebrating fun fall activities with our friends. The following are our fun filled activities: Apple Picking, Pumpkin Farm, Starved Rock and Holiday Shopping Day: Sunday Time: Varies, Mornings and Afternoons Location: Varies LCSRA Resident Fee: $103 45142A LCSRA Non-Resident Fee: $129 Date: September 10, October 1, November 5, December 3 Transportation: ACC: Varies PREC: Varies Key Contact: Gina Petkus Registration Deadline: August 27
Code
45109A 45109B
13-17 years 18 years & up
Code
45310A 45310B
Day: Friday Time: 7:00-9:30 pm Location: York Township, Lombard Fee: $29 Date: September 29 Transportation: PREC: 6:00 pm / 10:15 pm ACC: 6:30 pm / 10:45 pm Key Contact: Sherrie Izban Registration Deadline: September 6
Day: Saturday Times: varies Location: Various restaurants and movie theaters in the community LCSRA Resident Fee: $103 LCSRA Non-Resident Fee: $129 Transportation: provided from Bolingbrook & Plainfield Key Contact: Carrie Gascoigne Registration Deadline: September 6
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80’S FLASH DANCE Ages 13 years & up Tonight we turn back the clock to the 80’s with our friends SWSRA. “It’s going to be like, totally awesome!” Come dressed in the era….ladies that means BIG hair, leggings and long tops. Guys, come casual in your totally rad baggy parachute pants and polos. We will boogie to the hits of the 80’s including Madonna and New Kids on the Block. Fee includes a light snack, DJ, contests and prizes. Age
13-17 years 18 years & up
Code
45105A 45105B
Day: Friday Time: 7:00-9:00 pm Location: Midlothian Park District Fee: $23 Date: October 6 Transportation: ACC: 5:00 pm / 10:15 pm PREC: 5:30 pm / 9:45 pm Key Contact: Sherrie Izban Registration Deadline: September 15
OCTOBERFEST FOR KIDS Ages 6-15 years Let’s celebrate fall the way they do in Germany with Octoberfest. We will have root beer floats, hot dogs, pretzels and more. Games for all ages will be available. This is a joint event with other SRA’s in the Chicagoland area. Come out and meet some new friends! Day: Sunday Time: 3:00-5:00 pm Location: Hidden Oaks Nature Center Fee: $15 45141A Date: October 8 Transportation PREC: 2:30 pm / 5:30 pm Key Contact: Gina Petkus Registration Deadline: September 17 SWEETEST DAY DINNER Ages 18 years & up Sweetest Day is October 17 and we are celebrating with a special dinner. Tonight’s menu and dinner will be prepared for you by LCSRA staff. The evening will include sweetest day themed activities, dinner and a sweet treat. Invite your friends and join us for an evening in. Day: Tuesday Time: 6:00-9:00 pm LCSRA Resident Fee: $49 45133A Date: October 17 Transportation: ACC: 5:30 pm / 9:30 pm PREC: 6:00 pm / 9:00 pm Key Contact: Carrie Gascoigne Registration Deadline: October 2
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HALLOWEEN HIP HOP DANCE A costume contest and special treats are in store for us tonight. In addition to the frightening festivities, music, dancing and snacks will be provided. Dress in your favorite costume or come as you are for this spooktacular event. Age
13-17 years 18 years & up
Code
45314A 45314B
Day: Friday Time: 7:00-9:00 pm Location: Oak Lawn Park District Pavilion Fee: $21 Date: October 27 Transportation: PREC: 5:30 pm / 9:45 pm ACC: 6:00 pm / 10:15 pm Key Contact: Sherrie Izban Registration Deadline: October 13 SATURDAY NIGHT FEVER Here is your chance to show off your “moves” as you dance the night away to the latest tunes spun by Orland Park’s resident DJ. The evening includes dinner, dance contest and prizes. Age
13-17 years 18 years & up
Code
45134A 45134B
Day: Saturday Time: 6:30-9:00 pm Location: Civic Center, Orland Park Fee: $41 Date: November 11 Transportation: ACC: 5:15 pm / 10:15 pm PREC: 5:45 pm / 9:45 pm Key Contact: Sherrie Izban Registration Deadline: October 21
PILGRIM ROCK DANCE Tonight we will gather like the Pilgrims did hundreds of years ago to hold their annual Thanksgiving dinner. We will join several of our friends from across the seas (SRAs) and celebrate Thanksgiving – complete with a traditional feast. After dinner there will be plenty of time to dance or just socialize with those friends we haven’t seen lately. Age
13-17 years 18 years & up
Code
45313A 45313B
Day: Friday Time: 6:30-9:00 pm Location: Romeoville Recreation Department Fee: $29 Date: November 17 Transportation: PREC: 5:30 pm / 9:30 pm ACC: 6:00 pm / 10:00 pm Key Contact: Sherrie Izban Registration Deadline: October 20
YEAR-ROUND PROGRAMS FOR INDIVIDUALS WITH DISABILITIES
MONSTERS OF THE MIDWAY AT MONGO’S Ages 16 years & up BEAR DOWN CHICAGO BEARS! Watching the Chicago Bears on Sunday is always a good time, but watching them at Mongo McMichael’s, Romeoville’s premium sports bar (named after the 1985 Super Bowl Champion Steve McMichael) is the ultimate BEARS experience. Mongo’s menu has something for everyone! From Wings, Stadium sandwiches and “DaBurgers” to Wraps and Salads, you are sure to find something to please your taste buds. Come with LCSRA and cheer the Monsters of the Midway as they take on their division rivals, the Green Bay Packers. Day: Sunday Time: Noon-3:00 pm Location: Mongo McMichael’s, Romeoville Fee: $31 45103A Date: November 12 Transportation: PREC: 10:45 am / 3:30 pm ACC: 11:15 am/ 4:00 pm Key Contact: Sherrie Izban Registration Deadline: November 4 CHRISTMAS BALL Tonight we will gather with other Special Recreation Agencies to celebrate the holiday season. The evening will include a family style full dinner, a live band and visit from Santa. Age
Code
13-17 years 18 years & up
WINTER LIGHTS Ages 18 years & up Join LCSRA as we experience trees in a different light at the Morton Arboretum Illumination. This interactive experience is filled with dazzling projections, trees that respond to your touch and voice, and vivid, electric colors throughout the display. Please dress warmly as this is an outside event. There is a lot of walking involved. LCSRA will purchase hot chocolate, but please bring additional money for snacks. Day: Wednesday Time: 5:30-7:30 pm Location: Morton Arboretum, Lisle LCSRA Resident Fee: $33 45101A Date: December 13 Transportation PREC: pick up 4:30 pm / 8:30 pm ACC: pick up 5:00 pm / 8:00 pm Key Contact: Carrie Gascoigne Registration Deadline: November 7 ESCAPE ROOM Ages 14 years & up Will you escape or won’t you? The team of players will band together to solve a number of puzzles to complete the adventure that has been laid out before them. This event is not for participants who are claustrophobic. Age
45311A 45311B
14-17 years 18 years & up
Day: Friday Time: 6:30-10:00 pm Location: Riviera Country Club, Orland Park Fee: $67 Date: December 8 Transportation: PREC: 5:15 pm / 10:30 pm ACC: 5:45 pm / 11:00 pm Key Contact: Sherrie Izban Registration Deadline: November 17
Code
45143A 45143B
Details coming September 1. Key Contact: Gina Petkus Registration Deadline: September 30
WINTER BREAK CAMP Ages 5-17 years Winter break has finally arrived! LCSRA has several fun filled days that will keep those winter blues at bay while you get to hang out with friends! Sign up for just one day or all six! A detailed schedule of the activities will be sent the week prior to the first event. Day
Wednesday Thursday Friday Tuesday Wednesday Thursday Friday
Dates
Dec 27 Dec 28 Dec 29 Jan 2 Jan 3 Jan 4 Jan 5
Code
45112A 45112B 45112C 45112D 45112E 45112F 45112G
Time: 10:00 am-3:00 pm Location: Varies LCSRA Resident Fee: $55 LCSRA Non-Resident Fee: $69 Transportation PREC: Pick up: 9:30am/ Drop Off: 3:30pm ACC: Pick up: 10:00am/ Drop Off: 3:00pm Key Contact: Gina Petkus Registration Deadline: December 6
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SPECI A L OLY MPIC SP OR T S SO EQUESTRIAN Ages 8 years & up The Equestrian Program offers Special Olympics athletes the experience of horseback riding as sport. Athletes must have already participated in therapeutic riding with a certified instructor. Equestrian is a challenging program, requiring athletes to both keep their focus and balance and to communicate well with their horse. Athletes will be train either the Western track or the English track in preparation for the STATE competition in October to display their abilities. Instructed by Kris Mondrella each rider will work towards his/her individual goals. Doctor’s consent is required in order to participate in this program. The required paperwork will be given to you upon registration. Dates
Aug 28-Oct 9 Aug 28-Oct 9 Oct 16-Nov 20 Oct 16- Nov 20
Time
5:00-5:45 pm 5:45-6:15 pm 5:00-5:45 pm 5:45-6:15 pm
Code
45131A 45131B 45131C 45131D
Deadline Aug 14 Aug14 Oct 2 Oct 2
No Class Sept 4 Sept 4
Day: Monday Location: Ellis House & Equestrian Center in Minooka LCSRA Resident Fee: $325 LCSRA Non-Resident Fee: $375 Key Contact: Sherrie Izban SPORTS CONDITIONING CLASS Ages 8 years & up The LCSRA basketball season is just around the corner. Are you ready? This strength conditioning program is recommended for all participants who currently have played as an LCSRA Lion or plan to register to be a member of one of our basketball teams this year. The purpose of this training program is to decrease the occurrence of injury while increasing overall performance. Our personal trainer, Gail Hickman, will help us to run faster, jump higher, and box out stronger! Therefore, being able to perform basketball skills at a higher level, with more efficiency, and perform them for longer (without the onset of fatigue). Bring a water bottle and wear gym shoes. Athletic apparel is required. No jeans please. This class is not limited to basketball players only; all LCSRA athletes are welcome. Day: Monday Time: 6:00-7:00 pm Location: Annerino Community Center LCSRA Resident Fee: $31 35111B LCSRA Non-Resident Fee: $39 Date: August 21-October 16 No Class: September 4 Key Contact: Sherrie Izban Registration Deadline: August 7
LCSRA SWIM TEAM Ages 8 years & up Dive into the deep blue with the LCSRA Swim Team. Swim team is designated for swimmers who want to compete. Practices focus on swim endurance and stroke mechanics. The team will compete in the FVSRA meet on December 2. Cost for the swim meet is included in the fee. *Participants of this program must be able to swim the entire length of the pool in the lap lane without stopping. Day: Monday Time: 7:00-8:00 pm Location: Bolingbrook Recreation & Aquatic Complex LCSRA Resident Fee: $101 45401A LCSRA Non-Resident Fee: $126 Date: September 11-December 11 No Class: October 9 Key Contact: Sherrie Izban Registration Deadline: September 4 FALL SWIM MEETS SEASPAR Meet on November 18 FVSRA Meet on December 2 BOCCE Ages 8 years & up Bocce, a favorite family game, is one of the Special Olympics’ most relaxing competitive sports. Learn to toss, roll, hit and score points while learning the rules of the game. We will practive indoors, going outside when the weather permits. Participants will have the opportunity to compete in the Area tournament now being held in October. Day: Monday Time: 6:00-7:00 pm Location: Annerino Community Center LCSRA Resident Fee: $84 45128A LCSRA Non-Resident Fee: $105 Date: August 21-October 30 Transportation: PREC: 5:30 pm / 7:30 pm No Class: September 4 Key Contact: Sherrie Izban Registration Deadline: August 16 BOCCE TOURNAMENTS SO Tournament on October 14
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YEAR-ROUND PROGRAMS FOR INDIVIDUALS WITH DISABILITIES
SPECIAL OLYMPICS SNOWSHOE Ages 8 years & up Snow shoeing is a great alternative to a walking club for winter. The group focuses on coordination and fitness while good sportsmanship and team spirit are encouraged. LCSRA has all the equipment. Practice will be held snow or no snow. Area competition is held in January and gold medal winners advance to the Special Olympics Winter State Games in February. Day: Monday Time: 4:00-5:00 pm Location: Annerino Center LCSRA Resident Fee: $49 45404A LCSRA Non-Resident Fee: $61 Date: October 23-January 8 No Class: December 25 and January 1 Key Contact: Sherrie Izban Registration Deadline: October 2 SNOWSHOE TOURNAMENTS SO AREA Competition in January 2018 Date TBA SO Winter Games in January/February of 2018 Dates TBA LCSRA SPECIAL NEEDS CHEER CLINIC Ages 8 years & up This action packed 8 week clinic will provide you with the true experience of all-star cheerleading. Conducted by coaches from STORM Competitive Cheer, participants will learn tumbling, dance, hand motions, jumps, cheers, and stunting, as well as the importance of teamwork. Gym shoes must be worn and hair tied back neatly out of face. No jewelry allowed for safety reasons. Our hope is that if this clinic is successful LCSRA can offer a formal competitive team program starting in 2018 which will incorporate the thrill of performing in front of a crowd. Day: Tuesday Time: 5:15-6:15 pm Location: LCSRA Community Room – Annerino Center LCSRA Resident Fee: $39 45120A LCSRA Non-Resident Fee: $48 Date: October 3- November 28 No Class: October 31 Key Contact: Sherrie Izban Registration Deadline: September 19
BASKETBALL SKILLS AND DRILLS Ages 8 years & up The LCSRA Basketball season is just around the corner. Are you ready? This program is recommended for all participants who are registered to be a member of one of our basketball teams. Come develop your basketball skills with this great skills and drills program (conducted by our LCSRA coaches for the 2017/2018 season). Learn the latest techniques in ball handing, passing, shooting, rebounding, footwork as well as offensive and defensive team play. Bring a water bottle and wear gym shoes. Athletic apparel is required. No jeans please. Day: Tuesday Time: 6:30-8:00 pm Location: Bolingbrook Recreation & Aquatic Complex LCSRA Resident Fee: $28 45437A LCSRA Non-Resident Fee: $35 Date: October 10-31 Transportation: PREC: 6:00 pm /8:30 pm Key Contact: Sherrie Izban Registration Deadline: September 26 LCSRA BASKETBALL TEAM Ages 16 years & up It’s time for the excitement of jumping for the hoop. If you like basketball; join our team and become a “Lion.” Our teams are looking for new members to help us create another winning 2017/2018 season. Uniforms and equipment included. Team schedules are given out at the first practice. Transportation to all away games is provided. Extra practices will be on Mondays at the Annerino Center and BRAC from 11/13/2017 until 2/12/2018. Day: Tuesday Time: 6:30-8:00 pm Location: Bolingbrook Recreation & Aquatic Complex LCSRA Resident Fee: $206 55402A LCSRA Non-Resident Fee: $258 Date: November 7-February 13 Transportation: PREC: 6:00 pm / 8:30 pm No Class: December 25 & 26, January 1 Key Contact: Sherrie Izban Registration Deadline: October 18
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LCSRA JUNIOR BASKETBALL TEAM Ages 8-15 years Join our team and become a “Little Lion.” Our team is looking for new members to help us create another winning 2017/2018 season. Uniforms and equipment included. Team schedules are given out at the first practice. Transportation to all away games is provided. Extra practices will be on Mondays at the Annerino Center from 11/13/2017 until 2/12/2018. Day: Saturday Time: 9:00-10:00 am Location: Annerino Center LCSRA Resident Fee: $206 55402B LCSRA Non-Resident Fee: $258 Date: October 7 – February 10 No Class: November 25, December 9, 23 and 30 Key Contact: Sherrie Izban Registration Deadline: September 22 BASKETBALL TOURNAMENTS SO Tournament will be in January of 2018……dates TBA ITRS Junior Basketball Tournament on February 17 ITRS Senior Basketball Tournaments on February 18 LCSRA TENNIS TEAM Ages 8 years & up Rally your way into one of the world’s most widely played sports. This program is designed to work on individual tennis skills including forehand, backhand, volleying, serving and positioning on the court while increasing physical fitness and hand-eye coordination. All participants must have their own tennis racket. Please dress for the weather as this program will be conducted outdoors. Day: Wednesday Time: 4:30-5:30 pm Location: Annerino Center LCSRA Resident Fee: $24 45132A LCSRA Non-Resident Fee: $30 Date: September 13-October 18 Key Contact: Sherrie Izban Registration Deadline: September 1 GYMNASTICS TEAM Ages 8 years & up Gymnasts work on strength and coordination while training in tumbling, acrobatic skills, and limited apparatus work. This program is for participants who can sequence six or more skills to compose a routine for Special Olympics competition. The competition is in spring of 2018. Wear a leotard or fitted clothing. No jeans may be worn. Day: Wednesday Time: 8:15–9:15 pm Location: Annerino Center LCSRA Resident Fee: $96 45405A LCSRA Non-Resident Fee: $120 Date: September 20 – December 13 No Class: November 22 Key Contact: Sherrie Izban Registration Deadline: September 6
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POWERLIFTING Ages 16 years & up Sign up for the LCSRA powerlifting team. We will pump (clap!) you up. Through participation in this program, you will gain strength, build muscles and increaser your overall endurance. Besides focusing on overall weight training, we will concentrate on the bench press, dead lift and squat for the Special Olympics qualifying meet in 2018. Please Note: LCSRA reserves the right to determine if this program is appropriate for an individual. Day: Thursday Time: 5:00-6:15 pm Location: Lifestyles Fitness Center -BRAC LCSRA Resident Fee: $89 45127A LCSRA Non-Resident Fee: $111 Date: October 5 – December 14 No Class: November 23 Key Contact: Sherrie Izban Registration Deadline: September 21 RHYTHMIC GYMNASTICS TEAM Ages 8 years and up This sport combines the beauty and grace of dance and the agility of gymnastics. Gymnasts learn combination of ballet and dance, incorporating basic gymnastics skills and hand apparatus – such as rope, hoop, ball and ribbon. This program is for participants who can sequence six or more skills to compose a routine for Special Olympics competition. Competition is in spring of 2018. Wear a leotard or fitted clothing. No jeans may be worn. Level 1 2
Time
6:00–7:00 pm 7:15–8:15 pm
Date
Oct 5–Dec 14 Oct 5–Dec 14
Code
45405B 45405C
Day: Thursday Location: LCSRA Community Room, Annerino Center LCSRA Resident Fee: $96 LCSRA Non-Resident Fee: $120 No Class: November 23 Key Contact: Sherrie Izban Registration Deadline: September 21
SPECIAL OLYMPICS BOWLING LEAGUE Ages 8 years & up Calling all Special Olympic athletes! This is the opportunity for you to get involved in bowling on the competitive level. Coaches will give instruction on how to improve your game and prepare you for the competition in 2018. Bumpers will not be used for this program. The fee includes shoe rental, an hour on the lane. Day: Thursday Time: 5:00–6:00 pm Location: Brunswick Zone, Romeoville LCSRA Resident Fee: $129 45410C LCSRA Non-Resident Fee: $161 Date: September 14-December 14 No Class: November 23 Deadline: September 1 Key Contact: Sherrie Izban
YEAR-ROUND PROGRAMS FOR INDIVIDUALS WITH DISABILITIES
W EEK LY PRO GR A M S FOR PA R T ICIPA N T S WIT H AU TIS M BACK TO NATURE Ages 6 years & up This program is specifically designed for youth on the autism spectrum. Many youth with autism are in very structured environments throughout their day. This class will take the participants outdoors to explore the world around them and/or bring the outdoors inside for them to explore. Hands on, multisensory learning will be the focus of this class. By providing positive outdoor experiences, many benefits arise including: restoring a sense of calmness, increasing communication skills and enhancing focus and attention. Age
6-17 years 18 years & up
Code
45302A 45302B
Day: Saturday Time: 10:00-11:00 am Location: Annerino Community Center LCSRA Resident Fee: $41 LCSRA Non-Resident Fee: $52 Date: September 9-October 7 Key Contact: Gina Petkus Registration Deadline: August 26
CREATIVE MOVEMENT Ages 6 years & up This program is specifically designed for youth on the autism spectrum. Communication occurs both verbally and nonverbally, with our voice and with our bodies. Moving to music in whatever way possible is a non-verbal exchange between people. In this class, we will encourage independent movement to music, moving to music with a partner (adult or peer), and continue social interactions between partner. This class will provide a variety of musical selections to listen to and to creatively move our bodies in rhythm to the selections. Age
6-17 years 18 years & up
Code
45303A 45303B
Day: Saturday Time: 10:00-11:00am Location: Annerino Community Center LCSRA Resident Fee: $41 LCSRA Non-Resident Fee: $52 Date: October 28-December 2 No Class: November 25 Key Contact: Gina Petkus Registration Deadline: October 14
LUNCH BUNCH Ages 6 years & up This program is specifically designed for youth on the autism spectrum. Come and bring your lunch, eat with friends and enjoy an afternoon of conversation. The focus of this group will be conversational skills, social skills and playing games. Please bring a sack lunch each class. Date
Sep 9-Oct 7 Sep 9-Oct 7 Oct 28-Dec 2 Oct 28-Dec 2
Ages
6-17 years 18 years & up 6-17 years 18 years & up
Deadline Aug 26 Aug 26 Oct 14 Oct 14
Day: Saturday Time: 11:00am-Noon Location: Annerino Community Center LCSRA Resident Fee: $13 LCSRA Non-Resident Fee: $16 No Class: November 25 Key Contact: Gina Petkus
Code
45117A 45117B 45117C 45117D
HANG TIME Ages 6 years & up This program is specifically designed as a social club for youth and teens that are on the autism spectrum. It is very important to enjoy a variety of recreational opportunities with our friends no matter what challenges we may have. This class is designed to teach the social skills that are needed for youth with autism to participate in social events. Each session will consist of in house skill building and one community outing. Field trip times will vary depending on availability. You will receive a schedule on the first day of the session. Date
Sep 9-Oct 7 Sep 9-Oct 7 Oct 28-Dec 2 Oct 28-Dec 2
Ages
6-17 years 18 years & up 6-17 years 18 years & up
Deadline Aug 26 Aug 26 Oct 14 Oct 14
Day: Saturday Time: Noon-1:00pm Location: Annerino Community Center LCSRA Resident Fee: $61 LCSRA Non-Resident Fee: $63 No Class: November 25 Key Contact: Gina Petkus
Code
45312A 45312B 45312C 45312D
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LCSRA CODE OF CONDUCT FORM To ensure that all LCSRA participants enjoy programs and events to their fullest, and in the interest of safety, we use the following guidelines: BEHAVIOR LCSRA will attempt reasonable accommodations to enable participants to meet behavior expectations. Show respect to all participants, staff, and public. Listen to and comply with staff direction and program rules. Allow others in the program and others at public facilities to enjoy an activity without disruption (within reason). Refrain from using foul language, discussing inappropriate topics or other offensive behavior. Refrain from threatening or causing bodily harm or offensive physical contact to self, other participants, staff or public. Show respect to equipment, supplies, and facilities. Remain with the group at program. Additional rules are developed for specific programs as deemed necessary by the staff. If inappropriate behaviors occur, a prompt resolution will be sought specific to each individual. LCSRA reserves the right to dismiss participants whose behavior endangers the safety of themselves or others. DISCIPLINE PROCEDURE Under ordinary and usual circumstances, if a participant exhibits inappropriate actions, the following general guidelines will be followed: 1. Warning 2. Time out or removal from the situation 3. Report to supervisor 4. Discussion with parent and implementation of a behavior plan Ordinarily, if a participant’s behavior does not improve depending on the severity of the act, the participant will be dismissed from the program. However, LCSRA reserves the right to dismiss a participant whose behavior endangers the safety of him/her self, others, or property, at any time. The Therapeutic Recreation Supervisor or Manager of Special Recreation will make final determination on dismissals. If a dismissal is made, refunds for unused sessions will be determined on an individual basis. I have read and agree to abide by this code of conduct.
_____________________________________________________________________________________________ Print Participant Name _____________________________________________________________________________________________ Signature of Participant Date _____________________________________________________________________________________________ Signature of Parent/ Guardian Date
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MEDICATION DISPENSING PROCEDURES PARENTAL PROCEDURES AND RESPONSIBILITIES The parent / guardian must: 1. Complete the Permission to Dispense Medication/Waiver and Release of All Claims form (below). 2. Complete and sign the Medication Dispensing Information form. 3. Deliver all medications to the program supervisor in the original prescription bottle (you can request an extra bottle from your pharmacy). The bottle must contain the participants name, medication, dosage, and time of day medication is to be given. 4. Verbally communicate with program supervisor any specific instructions regarding the medication. 5. Medication will not be administered if the above procedures are not completed. STAFF PROCEDURES AND RESPONSIBILITIES FOR DISPENSING MEDICATIONS Program supervisor / staff must: 1. Ensure that the Permission and Waiver to Dispense Medication Form and the Medication and Dispensing Information Form are fully completed and signed by the parent/guardian prior to the dispensing of any medication; all forms will be included in the program information given to staff. 2. Ensure that only authorized staff accept medication which may include: program manager or supervisor or program lead staff. 3. Verbally communicate with the parent/guardian regarding any specific instructions regarding the dispensing or storage of the medication. It is also the responsibility of the authorized staff who receive medication to properly store it in a locked cabinet or refrigerator as needed. It is extremely important that stored medication is out of reach of other patrons and participants in the program. 4. Obtain copies of all waivers, internal procedures, medication information forms, and medication logs when obtaining the prescription medication to be transported to the program site. All medication stored at a program site must be secured and only available to authorized staff. 5. Program coordinators / leaders responsible for dispensing medication must strictly follow all written instructions on the medical information form and information on the original prescription container. In the event that conflicting dispensing information exists, medication cannot be administered until the parent/guardian is reached in order to obtain specific instructions. 6. Unless otherwise arranged, only paid and trained park district staff will be allowed to dispense medication. 7. Staff responsible for dispensing medication will fully complete the medication log sheet. These logs will be turned into the program supervisor and will be kept and stored for at least three years upon the conclusion of the program.
PERMISSION TO DISPENSE MEDICATIONS WAIVER AND RELEASE OF ALL CLAIMS The Bolingbrook Park District and LCSRA will not dispense medication to a minor child or other participant until the Permission and Waiver to Dispense Medication and Medication Information Forms have been fully completed by a parent/guardian. Please review the Park Districts and LCSRA’s internal procedures on dispensing medication. I ________________________________________________the parent /guardian of ___________________________________ give permission to the staff of Bolingbrook Park District /LCSRA to administer the medications listed below to my child. I understand it is my responsibility to give the medication directly to the program staff in the original prescription containers. PARTICIPANTS NAME ______________________________________________________________________________________ NAME OF MEDICINE AND COMPLETE DOSAGE INSTRUCTIONS: ___________________________________ ___________________________________ ______________________________ ___________________________________ ___________________________________ ______________________________ ___________________________________ ___________________________________ ______________________________ In all cases the recommended dosage of any medication will not be exceeded. If after administering medication there is an adverse reaction, I give permission to the Bolingbrook Park District /LCSRA staff to secure from any licensed hospital physician and/or medical personnel any treatment deemed necessary for immediate care. I agree to be responsible for payment for any and all medical services rendered. WAIVER AND RELEASE OF ALL CLAIMS I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to my minor child. Such risks include , but are not limited to , failing to properly administer the medication, failing to observe side effects, failing to assess and / or recognize an adverse reaction, failing to assess and/or recognize a medical emergency, and failing to recognize the need to summon emergency medical services. In consideration of the Bolingbrook Park District /LCSRA administering medication to my minor child , I do hereby fully release or discharge Bolingbrook Park District/LCSRA, and its officer, agents, volunteers and employees from any and all claims from injuries, damages, and losses I or my minor child may have (or accrue to me or my minor child), and arising out of, connected with, incidental to, or in any way associated with the administering of medication. ______________________________________________________________________________________________________________________________ Signature of Parent/ Guardian Date
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MEDICATION DISPENSING INFORMATION THIS FORM MUST BE COMPLETED ANNUALLY OR IF THERE ARE CHANGES IN MEDICATIONS
DATE COMPLETED: ___________________________________________________________________________ BACKGROUND INFORMATION Participant’s Name _____________________________________________________ Age ___________________ Address _____________________________________________________________________________________ Parent/Guardian’s Name _______________________________________________________________________ Daytime Phone __________________________________Other Phone __________________________________ Doctor’s Name___________________________________________Phone _______________________________
MEDICATION INFORMATION Name _________________________________________Dose _____________________Time________________ Dispensing & Storage lnstructions _________________________________________________________________________________________ _______________________________________________________________________________________________________________________ Possible Side Effects ____________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Name _________________________________________Dose _____________________Time________________ Dispensing & Storage lnstructions _________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Possible Side Effects ____________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Name _________________________________________Dose _____________________Time________________ Dispensing & Storage lnstructions _________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Possible Side Effects ____________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ OTHER INFORMATION __________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ I understand that it is my responsibility to give the medication directly to program staff with full instructions and in original prescription bottles. In all cases, medication dispensing can only be changed or modified by completing another Permissioin and Waiver to Dispense Medication Form and Medication Information Form. I hereby acknowledge that the above information provided for the dispensing of medication for my minor child is accurate. I also understand that it is my responsibility to inform the Park District if there are any changes in the dispensing of medication. Signature of Parent or Guardian ___________________________________________________________Date: _________________
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ANNUAL INFORMATION FORM Please complete both sides of this form and return to LCSRA. This form must be completed on a yearly basis in order to continue participation in LCSRA programs and events. Please provide thorough answers. The information gathered from this form helps LCSRA to plan events and establish goals for programs. Please notify LCSRA of any changes to this form as the need arises. Participant Name ____________________________________________ Age _____ Birthdate _____/_____/_______ Male ____ Female ____ Address _________________________________________________ City _________________________State _______Zip ___________ Home Phone (_____)_____________________Work Phone (_____)_____________________Cell ( _____)_________________________ Parent/Guardian Name(s)______________________________________ __________________________________________________ Park District____________________________________________ Emergency Contact Name_______________________________Emergency Contact Number (_____ )___________ Email___________________ Emergency Contact Address__________________________________________________Relationship_____________________________ Participants School/Work_________________________________________________School/Work Phone (_____ )_____________________ Disability/Diagnosis__________________________________Description of Diagnosis___________________________________________ Teacher or Case Manager_____________________________________________________Are you a new participant?___________________ Doctor’s Name____________________________Address___________________________________Phone (_____ )________________ Will participant be responsible for self-medication during any programs? Will staff need to administer medication during any programs?
o YES
o NO
o YES
o NO
MEDICAL INFORMATION PLEASE CHECK THE APPROPRIATE BOX. IF “YES,” PLEASE PROVIDE ADDITIONAL INFORMATION. Has participant had any injuries or surgeries in the past year that might affect participation? o YES
o NO
_____________________________________________________________________________ If participant has Down Syndrome, have x-rays of the C-1 and C-2 vertebrae been taken and examined? o YES Is participant clear of Atlanto Axial Subluxation? o YES
o NO
o NO
Is participant subject to seizures? o YES o NO If yes, please note date of last seizure, type and frequency_______________________ Does participant have allergies? o YES
o NO If yes, please list__________________________________________________________
Does participant use any of the following: (Answer each item and provide additional comments in the space provided) Hearing Aid(s) o YES
o NO ____________________________________________________________________________________
Corrective Eyewear o YES
o NO _________________________________________________________________________________
Orthopedic or Prosthetic Devices o YES
o NO ___________________________________________________________________
Manual Wheelchair o YES
o NO _________________________________________________________________________________
Electric Wheelchair o YES
o NO _________________________________________________________________________________
Stroller o YES Walker o YES Cane o YES
o NO ________________________________________________________________________________________ o NO ________________________________________________________________________________________ o NO _________________________________________________________________________________________
CONSENT INFORMATION Transportation Permission
o YES
o NO
Publicity Photo Permission
o YES
o NO
Transport in Wheelchair o YES
Permission to Consult With Teacher
o YES
o NO
Permission to Consult With Caseworker
o YES
o NO
o NO
Parent’s Signature_____________________________________________________Date___________________________________ Participant’s Signature (over 21) ________________________________________Date____________________________________
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DAILY LIVING SKILLS/COMMUNICATION AND BEHAVIOR PLEASE CHECK THE APPROPRIATE BOX. IF
YES, PLEASE PROVIDE ADDITIONAL INFORMATION. Does participant require assistance with any of the following? Eating/drinking o YES o NO ____________________________________ Toileting o YES o NO ____________________________________ Dressing/undressing o YES o NO ____________________________________ Money Handling o YES o NO ____________________________________ Following Directions o YES o NO ____________________________________ Orientation to People, Place, Time o YES o NO ____________________________________ Anticipation of Safety Needs o YES o NO ____________________________________ Reading o YES o NO ____________________________________ Writing o YES o NO ____________________________________ Communication o YES o NO ____________________________________ Check any special toileting supplies that the participant uses: oDiaper oLeg bag oCatheter oOther (please list)______________________________ Check any communication tools that the participant uses: oAmerican Sign Language oCommunication Board/Book oPersonal Signs/Gestures Explain use:_____________________________________________________________________________________ Does the participant respond to specific behavioral techniques?o YES o NO ______________________________________ Does the participant respond to specific reinforcement devices? (i.e. food, toys, privileges)o YES o NO _______________________ Does the participant display unusual fears or concerns? o YES o NO ___________________________________________ Please indicate below any other information in regard to daily living skills, communication and behavior that might assist LCSRA staff: ____________________________________________________________________________________________ ____________________________________________________________________________________________
RECREATION PLEASE CHECK THE APPROPRIATE BOX. IF YES, PLEASE PROVIDE ADDITIONAL INFORMATION. SWIMMING Does participant require assistance with any of the following? Pool Entry o YES o NO ____________________________________ Submerging Body Parts o YES o NO ____________________________________ Strokes o YES o NO ____________________________________ Water Safety Awareness o YES o NO ____________________________________ Floating o YES o NO ____________________________________ Indicate what type, if any, of floatation device participant owns or will use: __________________________________________ Does participant require any of the following swim equipment? Ear Plugs o YES o NO ____________________________________ Nose Plugs o YES o NO ____________________________________ Other adapted swim equipment o YES o NO ____________________________________ Does participant require any adapted recreation equipment (i.e. bowling ramp)? o YES o NO If Yes, please describe____________________________________________________ Please note in the space below if participant requires a close staff ratio and why:__________________________________________ MEDICATION Drug Name
LIST ALL MEDICATIONS TAKEN-EVEN IF NOT TAKEN AT PROGRAM Dose
Time
Reason
Side Effects
I understand that it is my responsibility to give the medication directly to the LCSRA staff with full instructions in individual dosage containers, clearly labeled envelopes or in original prescription bottles. In all cases, medication dispensing can only be changed or modified by amending this form. I hereby acknowledge that the above information regarding medication dispensing is accurate. I also understand that it is my responsibility to inform LCSRA if any changes in the dispensing of medication occurs. In all cases, the recommended dosage of any medication will not be exceeded. If after administering medication there is an adverse reaction, I give my permission to LCSRA to secure from any licensed hospital physician and/or medical personnel any treatment deemed necessary for immediate care. I agree to be responsible for payment of any and all medical services rendered. I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to any participant. In consideration of LCSRA administering medication, I hereby fully release or discharge LCSRA and its officers, agents, employees and volunteers from any and all claims of injury, damages and losses that the participant may have, arising out of, connected with, incidental to, or in any way associated with the administering of medication. I further agree to indemnify, hold harmless and defend LCSRA, its officers, agents, employees and volunteers from any and all claims resulting from injuries, damages and losses sustained by the participant and arising out of, connected with, incidental to or in any way associated with the administering of medication.
Parent’s Signature__________________________________________________________Date_________________________ Participant’s Signature (over 21)______________________________________________Date_________________________ 22
SPECIAL OLYMPICS APPLICATION
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ATHLETE INFORMATION
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White Hispanic/Latino
Black/African American Other Asian
Zip Code
Parent’s/Guardian’s Home Telephone
State
Policy Number
Medical Insurance Company
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Birthdate M M D Y
SO ILL Rev. 8-1-10
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Parent’s Email Address
Signature of Parent and/or Legal Guardian (Check appropriate box) Print Name
Date
Dosage
No No No No No No
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Doctor’s Signature
Examination Date
State
Zip
I have examined the above-named Entrant and, in my opinion, there is no mental or physical reason why he or she should not participate in the Special Olympics sports training and competition program. Further information will be forwarded if required. Current medication, if any, is specified with dosage on this application.
Date of last Tetanus shot:
Allergies to medication, if any:
Current Medication
Does the athlete have or is the athlete: Heart Problems Yes Diabetic Yes Epileptic/Seizures Yes Blind Yes Deaf Yes Hepatitis Yes Other
Does athlete have Down Syndrome? Yes No If yes, have x-rays of the C1-C2 vertebrae been taken and examined? Yes No Date of x-ray Is the athlete clear of Atlantoaxial Instability? Yes No
PLEASE CHECK MEDICAL INFORMATION
MEDICAL CLEARANCE
SO ILL OFFICE ONLY
Original parent/guardian and doctor signatures are required by the office of Special Olympics Illinois. Faxed signatures will not be accepted.
Athlete’s Email Address
Witness
Entrant
I, 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 the Entrant 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 and Violent 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 Registries or, 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 that if 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 upper spine 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 required are 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 indemnify Special 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 Special Olympics 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 Athletes Program that provides individual screening assessments of health status and health care needs. The Entrant has no obligation to participate and I understand the Entrant should seek 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 at my 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 the I, THE UNDERSIGNED PARENT AND/OR GUARDIAN of the above specified provisions of the above release and/or have had them explained. I hereby agree that I Entrant, have read and fully understand the provisions of the above release and have will be bound thereby and I shall defend Special Olympics Illinois and hold it harmless explained them to said Entrant. I hereby agree that I and said minor will be bound from disaffirmation thereof. thereby, and I shall defend Special Olympics Illinois and hold it harmless from any disaffirmation thereof by said minor.
PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE
Emergency Contact Phone (
Person to be contacted in case of emergency
HEALTH INSURANCE & EMERGENCY INFORMATION (Required for Processing)
Ethnicity
Zip Code
Parent’s/Guardian’s City
Athlete’s City
State
Parent’s/Guardian’s (Please Circle One) Home Address
Athlete’s Mailing Address
Agency Name
Athlete Name (last name, space, first name)
Valid Application for Participation is mandatory for all competitors 605 E. Willow St. Normal, IL 61761-2682 309-888-2551
APPLICATION FOR PARTICIPATION IN SPECIAL OLYMPICS ILLINOIS
PROGRAM REGISTRATION FORM
A N U P D AT E D A N N U A L I N F O R M AT I O N F O R M ( A I F ) I S D U E AT T H E B E G I N N I N G O F E A C H Y E A R .
Adult/Guardian______________________________________________________________Date ______/______/_______ (Please Print) First Last Address___________________________________________________City_______________________Zip____________ Phone PRIMARY: (________) _________-_____________
SECONDARY: (________) _________-_____________
Email Address Mail or bring to:
Annerino Community Center. 201 Recreation Drive, Bolingbrook, IL 60440 or Bolingbrook Recreation & Aquatic Complex. 200 S. Lindsey Lane, Bolingbrook, IL 60440
We invite registrations by people with disabilities. If you need assistance to participate, please mark an “x” in YES box. q YES CODE
PARTICIPANT’S/ PASS HOLDERS NAME
BIRTHDATE
GENDER
FEE
PROGRAM NAME
$1
$5
TIME
TOTAL
Would you like to make a donation to LCSRA’s Scholarship Fund? q NO q YES please select which amount:
q NO DAY
$10
Other ($
)
$
PHOTO: I understand that my child/ward or I may be photographed or videotaped while participating in an LCSRA program or facility. I give permission for photos and videotapes of my child/ward or me to be used to promote LCSRA. Such photos and videotape will remain the property of the LCSRA.
WAIVER AND RELEASE FOR PARTICIPANTS OR/BY PARENT Must be signed by parent if under 18. Please read this form carefully and be aware that in signing up and participating in this program/activity, you will expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity (including transportation services/vehicle operation, when provided). I recognize and acknowledge that there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against the Lily Cache Special Recreation Association (LCSRA), including its officials, agents, volunteers and employees (hereinafter collectively referred as “LCSRA”). I do hereby fully release and forever discharge the LCSRA from any and all claims for injuries, damages, or loss that my minor child/ ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program/activity. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering online, your online signature shall substitute for and have the same legal effect as an original form signature. Signature Date (18 years or older or Parent/Guardian) Note: LCSRA does not carry medical or accident insurance for its participants. The cost of such insurance would make programs cost prohibitive. We suggest that you look at your own insurance policy to be sure you are adequately covered. LCSRA assumes no responsibility for personal injuries or loss of personal property. 25
REGISTRATION INFORMATION REGISTR ATION BEGINS L C S R A R E S I D E N T: N O N - R E S I D E N T:
AUGUST 9 AUGUST 23
The following registration procedures have been developed to provide equal registration preference to all resident ID card holders. 1. Phone registration will not be accepted unless otherwise noted. 2. Registration for programs will end 48 hours prior to the starting date unless otherwise noted. 3. There will be a $35 service charge for returned checks. NOTE: Fees are subject to change
REGISTRATION PROCEDURES
1. Choose the program you want. 2. Complete the registration form. Include the code numbers indicated. 3. Make checks payable to LCSRA. Program fees may be combined for each family. 4. Sign the form. All adult participants must sign. Parent or guardian signature required for participants under 18 years of age. 5. You must complete an Annual Information Form and LCSRA Code of Conduct Form yearly. In addition, if you are participating in a Special Olympics sport you must have a valid medical ap. on file. 6. Drop-off or mail your registration to any of the following locations: • Annerino Community Center: 201 Recreation Drive, Bolingbrook, IL 60440 • Bolingbrook Recreation & Aquatic Complex: 200 S. Lindsey Lane, Bolingbrook, IL 60440
SATISFACTION GUARANTEE At LCSRA, we strive to provide you with quality recreation activities, events and programs. We are confident that you will like these programs. So confident that we will ensure our promise to provide that high quality. The LCSRA guarantees that you will be satisfied with recreation classes, programs and services in which you participate. If after completing two classes you are not completely satisfied, tell us and we will arrange for you to do one of the following: 1. Repeat the class at no charge 2. Receive full credit that can be applied to any other class, program or service 3. Receive a full refund If you are not satisfied we kindly request input on how we can improve. To receive a Request Form, please visit or call one of the following locations: Annerino Community Center, 201 Recreation Dr. at 630.739.0272 or Bolingbrook Recreation & Aquatic Complex, 200 S. Lindsey Ln. at 630.739.1700, or visit us online at b ol i ngb rookp a rks.org. Your receipt, cancelled check or proof of ID may be required. Once approved, refund checks will be mailed within fifteen (15) business days. The completed Satisfaction Guarantee Request Form must be completed and returned to one of our customer service desks before the third class meeting. Satisfaction Guarantee does not apply to golf course green fees, pro shop merchandise, adult sport leagues, food or meals, beverages, facility memberships, daily admissions or tickets to entertainment or sporting events, as well as a few select programs.
LCSRA is not responsible for lost or misdirected mail. REFUND POLICY A full refund will be provided up to two (2) days before the registration deadline or in the event of no registration deadline, two (2) days before the start of an activity, event, or program. After that point, the refund will be pro-rated. To receive a Request Form, please visit or call one of the following locations: Annerino Community Center, 201 Recreation Dr. at 630.739.0272 or Bolingbrook Recreation & Aquatic Complex, 200 S. Lindsey Ln. at (630) 739-1700, or visit us online at b o l i ng bro o k par k s . org . Your receipt, cancelled check or proof of ID may be required. Once approved, refund checks will be mailed within fifteen (15) business days. The completed Refund Request Form must be returned to one of our customer service desks two (2) days before activity, event, or program start date or registration deadline.
Online Registration Resident ID card holders automatically receive their login and password to register online. If you are a Resident ID card holder and have not received your login information, please call our Application Support Specialist at (630) 783-6517. Nonresidents may register online by becoming Parkie’s E-club members. Parkie’s E-Club forms are available at all facilities or downloadable on the registration page at bolingbrookparks.org. Nonresidents simply have to fill the form out and drop it off at a Park District facility. Your login information will be emailed to you.
IN ORDER TO PROTECT YOUR PRIVACY, FAX ORDERS PAID BY CREDIT CARD WILL NO LONGER BE ACCEPTED. CREDIT CARDS WILL STILL BE ACCEPTED IN PERSON OR ONLINE.
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BEHAVIOR/CODE OF CONDUCT & WELLNESS GUIDELINES TO ENSURE THAT ALL LCSRA PARTICIPANTS ENJOY PROGRAMS AND EVENTS TO THEIR FULLEST, AND IN THE INTEREST OF SAFETY, WE USE THE FOLLOWING GUIDELINES : BEHAVIOR/CODE OF CONDUCT LCSRA will attempt reasonable accommodations to enable participants to meet behavior expectations. • Show respect to all participants, staff, and public. • Listen to and comply with staff direction and program rules. • Allow others in the program and others at public facilities to enjoy the activity without disruption (within reason). • Refrain from using foul language, discussing inappropriate topics or other offensive behavior. • Refrain from threatening or causing bodily harm or offensive physical contact to self, other participants, staff or public. • Show respect to equipment, supplies, and facilities. Additional rules are developed for specific programs as deemed necessary by the staff. If inappropriate behaviors occur, a prompt resolution will be sought specific to each individual. LCSRA reserves the right to dismiss participants whose behavior endangers the safety of themselves or others. WELLNESS GUIDELINES In consideration of other participants and staff, and to prevent the spread of contagious illnesses, it is recommended that participants refrain for programs when any of the following conditions exist: • Fever of 100° or higher • Vomiting within the last 24 hours • Persistent diarrhea in conjunction with other symptoms • Contagious rash or a rash of unknown origin • Persistent cough and/or cold symptoms • Eye infections or discharge from the eye • Symptoms of mumps, measles, chicken pox, strep throat, flu, impetigo, or Coxsackie’s virus • Runny nose with yellow or green discharge • Lice or mites • Fatigue due to illness that hinders participation in a program Please notify LCSRA if the participant contracts any contagious illness that will affect their attendance at a program. Participants should return to programs at the doctor’s recommendation, or, if not under a doctor’s care, when the symptoms have clearly passed. LCSRA reserve the right to dismiss participants who show signs of illness.
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201 Recreation Drive Bolingbrook, IL 60440 l i l ycach e sra .org
L OOK F OR TH E LCSR A WINTER/ SPR I N G G UI D E TH E W EEK O F N O VEMBE R 2 7
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