HABLAMOS ESPAﾃ前L
FAMILY SWIM & WSSRA GOLF PART-TEE
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NEED SOMETHING TO DO IN JANUARY?
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AGED OUT OF DAY CAMP?
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Program Guide Winter/Spring 2013
winter/spring 2013
West Suburban Special Recreation Association 2915 Maple Street, Franklin Park, IL 60131 847.455.2100 (voice or TTY) Office Hours: 8:30 AM - 5:00 PM (Monday through Friday)
The West Suburban Special Recreation Association is a part of your local park district or village recreation department. We provide recreation programs for individuals who have any type of disability. Your park district or village governs the operation of the Association.
Board of Directors
Berwyn Park District ............................................................ Jeff Janda Clyde Park District ............................................................. Alex Rueda Village of Elmwood Park .......................................... John Lannefeld Park District of Forest Park .............................................. Larry Piekarz Park District of Franklin Park ............................... Joseph D. Modrich Village of Harwood Heights .................................Michael Gadzinski Hawthorne Park District ............................................. Dennis Raleigh Norridge Park District ................................................... Mark DeSalvo North Berwyn Park District ...................................... Joseph C. Vallez Park District of Oak Park ...............................................Marty Bracco River Forest Park District .................................................. Mike Sletten
Board Meetings
The Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 5:00pm. Call the office for a meeting schedule and locations. The public is invited to attend.
Registration Update
ALL WINTER/SPRING 2013 REGISTRATION IS TAKEN ON A FIRST-COME, FIRST SERVED BASIS WINTER REGISTRATION DEADLINE...................................February 1, 2013 DAY CAMP REGISTRATION DEADLINE............................February 8, 2013 SPRING REGISTRATION DEADLINE.....................................March 28, 2013
WSSRA would like to welcome two new full-time staff! Brittany Evelyn is the proud parent
of two children with special needs and wishes they had someplace like WSSRA when they were growing up. Evelyn recently came on board as our Administrative Assistant. She’s the first person you’ll see when you walk in our office and there’s a good chance she’ll be the person on the other end of the phone with program updates. When Evelyn isn’t rooting for the Cubs she like making jewelry for her friends, family, and herself!
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is a recent graduate of Eastern Illinois University and our newest Recreation Specialist. She loves running, adventure sports, doing crafts, and being with friends. Brittany’s favorite things about WSSRA so far are the connections between everyone and that people come first. An interesting fact about Brittany is that she has a pet hedgehog named Ringo Sonic.
WELCOME, BRITTANY & EVELYN!
wssra staff
Marianne Birko.....................226 ..................................................Executive Director......................................................... marianneb@wssra.net Gretchen Dennis..................219 ....................................... Superintendent of Recreation................................................ gretchend@wssra.net Robert A. Foster....................238 ............................... Superintendent of Safety & Operations...................................................bobf@wssra.net Maryellen Bilek.....................228 ................................................ Outreach Specialist........................................................ maryellenb@wssra.net Sherry Scouffas.....................225 ................................................ Outreach Specialist.................................................................sherrys@wssra.net Annie Hart.............................230.................................................. Inclusion Manager...................................................................anniel@wssra.net Matt Barber...........................235 ..................................................... Staff Manager...................................................................... mattb@wssra.net Dawn Krawiec......................231 ................................................. Program Manager.................................................................dawnk@wssra.net Amy Mepham......................232 .............................................Recreation Coordinator.............................................................amym@wssra.net April Ryan..............................240 .............................................Recreation Coordinator................................................................aprilr@wssra.net Elizabeth Pliego....................236................................................ Recreation Specialist........................................................ elizabethp@wssra.net Carlos Marroquin.................233................................................ Recreation Specialist............................................................. carlosm@wssra.net Brittany Prysock....................234................................................ Recreation Specialist........................................................... brittanyp@wssra.net Evelyn Rodriguez.................220......................................................Office Assistant....................................................................evelynr@wssra.net Laurie Kibler..........................224..................................................... Lekotek Leader.....................................................................lauriek@wssra.net Lisa Gershak.........................221 ..................................................Finance Manager......................................................................lisag@wssra.net Noelia Hernandez................222 ...........................................................Registrar.............................................................................nolyh@wssra.net Luz Rocha-Serrano..............245 ...................................................... WSSRA Driver Larry Feldt..............................245 ...................................................... WSSRA Driver Joe Wolfe...............................245 ...................................................... WSSRA Driver Mike Zych..............................245 ...................................................... WSSRA Driver
FOLLOW US ON:
Key to Abbreviations: ADD: Attention Deficit Disorder ADHD: Attention Deficit Hyperactivity Disorder ALZ: Alzheimer’s AUT: Autism BD: Behavior Disorder DD: Developmental Disability EC: Early Childhood HI: Hearing Impairment LD: Learning Disability MI: Mental Impairment MH: Multiple Handicaps MLH: Mental Health PI: Physical Impairment SL: Speech & Language Delay SP: Severe and Profound Mental Impairment VI: Visual Impairment
WWW.WSSRA.NET
Table of Contents:
Check out the WSSRA web site for up to date program information. E-Mail your comments to us: wssra@wssra.net
On The Cover: John C. at Saturday Bowling celebrating a strike!
WINTER/SPRING CALENDAR CHILDREN & YOUTH SWIM LESSONS SPORTS AND FITNESS TEENS & YOUNG ADULTS DAY CAMP OLDER ADULTS SPECIAL EVENTS
6 8-12 13 14-16 17-27 19-22 28 35-36
WSSRA Transportation T Transportation by Pick Up Point PP Bring Extra Money to Program $ District 99 Transportation 99
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program locations EMERGENCY PHONE The purpose of this phone number is to allow access to WSSRA for emergencies only during non-office hours.
1. The phone may be called Monday through Friday, from 5:00 PM to 11:00 PM, Saturday, 7:00 AM to 11:00 PM when programs are in session only. 2. Leave a message with your phone number at 847.833.9611 and a WSSRA staff will return your call if neccessary. 3. The emergency phone should not be a substitute for calling the office for non-emergency questions, such as pick up times.
NEW MEMBERS
The WSSRF welcomes new members. Please consider joining! No one on the Foundation is asked to do more than they can handle, yet by working together, WSSRF raises $20,000 each year to support WSSRA programs. At each meeting, Foundation members have the opportunity to give input and ideas about program offerings. So come join the fun and help WSSRF improve and expand programs for persons of all ages with disabiltiies. Call Sherry Scouffas at 847.455.2100 ext. 225 to learn more. The WSSRF needs you!
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Berwyn
Havlicek School 6401 15th St.................................708.795.2450 Jefferson School 7035 16th St. ...............................708.795.2454 Liberty Recreation Center 6445 W. 27th Pl............................708.795.2891 Morton West High School 2400 Home..................................708.222.5700 North Berwyn Park District 16th & Wesley.............................708.749.4900 PAV Berwyn YMCA 2947 S. Oak Park Ave................708.749.0606 Proksa Park 3001 Wisconsin...........................708.795.2892
Cicero
Cicero Community Center 2250 49th Ave.............................708.477.6308 Cicero West School 4937 W. 23rd St...........................708.780.4487 Clyde Park District Stadium 1909 S. Laramie..........................708.652.3545 Columbus West School 5425 W. 31st................................708.780.4482 Hawthorne Park District 5200 W. 29th Pl............................708.863.6511 Morton East High School 2423 S. Austin Blvd......................708.222.5264 Unity East School 2115 S. 54th Ave.........................708.863.8229 Town Hall Bowl 5025 25th St.................................708.863.0300 Warren Park 1225 S 60th Ct.............................708.863.2220 Woodbine School 3003 S. 50th Ct............................708.652.8884
Elmwood Park
Elmwood Park Recreation Center 2 Conti Parkway.........................708.452.3935 Elmwood Park Family Aquatic Center 2 Conti Pkwy...............................708.452.3935
Forest Park
Circle Lanes 7244 Circle...................................708.366.2810 Field Stevenson School 925 Beloit.....................................708.366.5703 Park District of Forest Park 7501 Harrison...............................708.366.7500 Forest Park Middle School 925 Beloit.....................................708.366.5703
See www.wssra.net for directions.
Franklin Park
Centre at North Park Banquet Hall 10040 Addison St........................847.928.8478 Enger School 10401 W Grand .........................847.455.5299 Franklin Park Community Center 9560 Franklin ...............................847.455.2852 Franklin Park Ice Arena 9711 Waveland .........................847.671.4268 Karate for Kids 10125 W. Grand ........................847.349.5425 WSSRA Office 2915 Maple St. ...........................847.455.2100
Harwood Heights
Harwood Heights Village Hall 7300 Wilson .................................708.867.7200
Melrose Park
Mannheim Middle School 2600 Hyde Park Avenue...........847.455.5020
Norridge
Norridge Park District 4631 N. Overhill ..........................708.457.1244
Oak Park
Ascension Church 601 Van Buren............................708.848.2703 Barrie Recreation Center 1101 S. Lombard........................708.383.6905 Carroll Recreation Center 1125 S. Kenilworth......................708.383.6906 Dole Center 255 Augusta................................708.848.7050 Field Recreation Center 935 Woodbine Ave...................708.383.6907 Fox Recreation Center Oak Park & Jackson..................708.383.6908 Irving School 1125 S. Cuyler Ave.....................708.524.3090 Longfellow Recreation Center Ridgeland & Adams..................708.383.6909 Longfellow School 610 Highland...............................708.524.3060 Mann School 921 N. Kenilworth........................708.524.3084 Oak Park River Forest High School Lake & Scoville...........................708.383.0700 Rehm Pool 515 Garfield St............................708.848.9661 Whittier School 715 N. Harvey ............................708.524.3080
wssra program policies REGISTRATION
Any cancellations for FALL programs will be accepted through FEBRUARY 1, 2013 and credit will be issued. Any cancellations after FEBRUARY 1, 2013 participants will be charged full program fee. Any unpaid balance will restrict participation in future programs.
CLOSED PROGRAMS
If a program closes because we have reached maximum enrollment, you will be put on a waiting list once we receive your signed registration form. You will be contacted if additional space is available.
CANCELLED PROGRAMS
A. If there is low enrollment, a program may be cancelled. A program reimbursement or credit will be issued. B. If a program is cancelled because of unforeseen circumstances you will be contacted at the soonest possible time. C. A program credit will not be issued for weather related cancellations. Programs will be made up at the end of season whenever possible. D. No program credits issued for sports tournament cancellations.
REFUNDS
Refunds will only be issued when the registrant cannot participate for extended medical reasons and/or hospitalization verified by a physician. Call for more information. 847.455.2100.
PAYMENT POLICY
Payment of program fees is due upon registration unless other arrangements are made. Statements are mailed out once a month. Call the Finance Manager to arrange a payment plan, Monday through Thursday, 8:30 AM to noon. A participant cannot register for the next season until balance from previous season is paid.
PARTICIPANT ILLNESS
For the protection of all the participants in programs, you/your child must be kept at home or will be sent home if he/she shows any of the following symptoms: • A temperature of over 100.3. • Stomach ache accompanied by diarrhea or vomiting. • Any undiagnosed rash. • Sore or discharging eyes or ears. • Profuse nasal discharge (green or yellow). Please keep children with active colds home. • Have a highly contagious condition such as chicken pox, measles, lice, etc.
MEDICATION
It is the parent/guardian and participant’s responsibility to inform WSSRA of any medication a participant is taking. This information is very important in case of an emergency. Medication information should be noted on the registration forms, as well as the Annual Information Form. Any changes in medication should be communicated to WSSRA.
SEIZURES
Participants who have had a seizure must complete a Seizure Information form prior to beginning programs. Please see page 33 for the Seizure Information Form. Forms can also be mailed or found on the WSSRA website. Supervisors will keep these forms with them at all programs. Forms need to be updated as changes with the seizures or medication occur.
SAFETY PRECAUTIONS
RETURNED CHECK POLICY
Some participants in WSSRA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service training concerning proper hygienic procedures. WSSRA seeks to provide a safe environment for all of our participants, staff volunteers and the public. If you have any specific questions, please call the WSSRA Executive Director or Superintendent of Safety & Operations at 847.455.2100.
SCHOLARSHIP REQUEST
REVISED LATE PICK-UP/ DROP-OFF POLICY
A $20.00 fee will be charged for any checks returned to WSSRA. The $20.00 fee, as well as the balance, will need to be paid before registering for future programs. WSSRA is in a position to offer scholarships to WSSRA residents for a percentage of fees for two programs each season. Persons requesting a scholarship must complete a scholarship application, which will be mailed to you upon request. Scholarship applications need to be filled out once a year. If you are interested in a scholarship, check the box on the registration form: Request Scholarship. All scholarship applications must be completed and submitted to the WSSRA office.
NON-RESIDENT POLICY
WSSRA programs are limited to people who live in the WSSRA partner districts and villages. If you live outside the WSSRA communities and are interested in participating in a special recreation program, call your park district or village recreation department. Call the WSSRA Outreach Specialists for more information.
PARTICIPANT ABSENCE
If you or your child are not going to attend a recreation program that you are registered for, please notify WSSRA office 847.455.2100 AS SOON AS POSSIBLE! Please leave a message on Voice Mail after hours.
In order to be fair to our participants, program staff and drivers, WSSRA has enacted a Late Pick-up/Drop-off Policy. Many of our program staff and drivers need to get to a program immediately after the program your child is in. We ask that you make sure you are on time picking up your child from program, as well as, home to greet your child when the WSSRA van drops them off. A $10.00 fee will be charged for every 15 minutes or portion thereof, a participant is picked up late, or a van is delayed, after a 10 minute grace period. A notice will be sent to you indicating the fee being charged to your account. Also, participants must be dropped off on time for programs that are travelling, including over night trips. Vans will not wait more than 5 minutes for participants who are late for the program. Saturday morning programs - Parents must drop off their child by 9:30 AM or call the emergency phone. If the program is travelling, the van will not wait longer than 5 minutes past the program start time.
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MONDAY
Healthy Start
10:00 – 11:30am Franklin Park Community Center
Wild and Wiggly Art
2:45 – 4:00pm Columbus West School, Cicero
¡Salta Jump!
TUESDAY
Walk-N-Dine
9:30am – 12:30pm Weekly location varies
Yoga
10:00 – 11:30am Village of Harwood Heights
Autism Movement Therapy
3:30 – 4:10pm Dole Center
WEDNESDAY
Wild Card Wednesdays
9:30am – 12:30pm PDFRP
Soccer
2:10 – 4:00pm Unity School East, Door #14
Berwyn Sports Galore
3:00 – 4:30pm Havlicek School, Berwyn
Yoga For All
4:15 – 5:00pm Dole Center
3:15 – 4:30pm Jefferson School, Berwyn
7:00 – 8:15pm Cicero Community Center Spring: MWHS Track
So Track & Field Clinic
Swim Lessons
Tumbling Into Fun
2:45 – 4:00pm Woodbine School, Cicero
Bobcats Softball
¡Mi Deporte!
6:00 – 7:30pm
7:30 – 8:15pm (1/30–3/6) Mannheim Middle School 6:30 – 7:15pm (4/3–5/1)
Weekly Workout
7:00 – 8:15pm Park District of Franklin Park
Tae Kwon Do
7:15 – 8:00pm Karate for Kids, Franklin Park
Winter Special Events 7:00 – 8:45pm
THURSDAY
Wssra’s Mix It Up
Special Olympic Training & Sports
FRIDAY
Towers Social 12:30 – 2:30pm Franklin Towers
SATURDAY
Sensational Saturdays
9:00 – 11:30am Norridge Park District
Saturday Fun Club
9:00 – 11:30am Carroll Center, Oak Park
Outdoor Adventures
9:30am – 12:30pm Park District of Forest Park Bldg #4
Super Saturdays
12:15 – 2:45pm Carroll Recreation Center, Oak Park
Swim Lessons 3:10 – 3:40pm 3:45 – 4:15pm 4:20 – 4:50pm 4:55 – 5:25pm 5:30 – 6:00pm PAV YMCA, Berwyn
1:00 – 3:00pm Circle Bowling Lanes, Forest Park
6:00 – 9:00pm
Socialites_ Carroll Moonlighters Carroll
6:00 – 9:00pm
Hot Shots Forest Park Builing #4 City Slickers Forest Park Builing #4
Saturday Bowling League
Move To The Music
2:45 – 4:00pm Elmwood Park Civic Center
6:30 – 9:15pm Fox Field, Oak Park
Food Critics 7:00 – 8:30pm Forest Park, 2nd floor
6:00 – 7:30pm Mannheim Middle School
Splashtastic Family Swim
Friday Show Time Fox Field, Oak Park
Swim Lessons 6:00 – 8:30pm WSSRA office
Winner Takes All
6:30 – 7:00pm 7:00 – 7:30pm MEHS
Zumba/Fitness 7:00 – 8:30pm Forest Park, 2nd floor
Adult Art Program
3:45 – 5:15pm PAV YMCA
3:15 – 4:30pm Enger School
winter/spring 2013 SPECIAL EVENTS
WSSRA GOLF PARTEE PAGE 35
FLAP JACK BUNNY HOP PAGE 36
SNOWGLOBE SOIRES PAGE 18
DERBY GALA PAGE 35
WSSRF BOWL-A-THON PAGE 35
SPLASHTASTIC FAMILY SWIM PAGE 35 2:50 – 4:00pm Warren Park School, Cicero
Teen Scene
3:00 – 5:00pm West Leyden High School
Explore The Arts
3:45 – 5:15pm Fox Field Center
Swim Lessons
6:00 – 6:30pm 6:30 – 7:00pm OPRFHS-Girl’s Pool
Advanced Swimmers 7:15 – 7:55pm OPRFHS-Girl’s Pool
Stingray Swim Team 7:00 – 8:10pm OPRFHS-Girls Pool
Aqua Athletics 8:15 – 9:00pm OPRFHS – Girls pool
Advanced Golf
Oak Park Country Club
Spring Getaway: White Pines Ranch SP, MH, AUT
Pack your bags for a fun weekend of horsin’ around. This camp is designed for our WSSRA participants who • require assistance with personal care and daily living skills • may require hand-over-hand assistance for participation in recreation activities • require a smaller staff to participant ratio for behavioral and emotional support.
Our activities may include: • Horseback rides • Groom/feed horses • Hike • Campfire • Arts & Crafts • Line Dancing • Hay rides • BINGO
Space is limited for this trip. If necessary, a lottery will be drawn by Friday, February 15. Participants will be notified no later than Tuesday, February 19. age: 15 and older day: Friday - Sunday dates: April 19 –April 21 location: White Pines Ranch, Oregon, IL Depart from & return to WSSRA office registration #: 270 fee: $225
Staff of the Year and New Staff of the Year
Matt
is a recent graduate of the School of the Art Institute of Chicago where he received a degree in fine arts. His hobbies are making custom guitar cases and hanging out with his friends. Matt is a certified life guard and a black belt in Tae Kwon Do. His favorite thing about working for WSSRA is hanging out and having fun with the participants.
Tania
is a senior at Dominican University pursuing a double major in psychology and Italian. After graduation she hopes to work in the clinical field. In her free time she enjoys going out to new places, attending concerts, and reading. Tania has always felt that the participants at WSSRA have taught her more than she could ever teach them. Every participants she’s worked with and continues to work with allows her to find new ways to approach situations which she knows benefits her growth in better understanding people
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get involved
WSSRA is looking for energetic & caring staff to assist in recreation programs for individuals with disabilities. You will: • Meet new people while participating in fun recreation activities. • Enjoy personal growth. • Have a flexible schedule (morning, afternoon, evening & weekend hours available). • Gain leadership skills. • Enhance self-esteem by being part of a team that brings out the best in everyone.
FOR MORE INFORMATION CALL 847.455.2100 OR VISIT WWW.WSSRA.NET
ALL ABILITIES
LEKOTEK
Borrow toys from WSSRA’s toy lending library – we have over 2,000 toys! Our certified Lekotek leaders will guide you through a monthly play session and introduce you to a variety of adaptive toys, making play possible for ALL children. Lekotek offers: • Relaxing, guided play sessions; • Home loan of up to six toys monthly; • Opportunities to focus on the abilities of children; • Positive parent/child interactions; • Self-esteem building; • Sibling play and fun!
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age: birth to 6 years day/time: call WSSRA to schedule your individual sessions location: North Berwyn Park District, Irving School in Berwyn, or WSSRA office registration #: 100 fee: $60 - $175 dependent on family size & income (fee includes monthly toy loans and up to 9 play sessions)
children and youth ¡Mi Deporte!
Tumbling into Fun Move to the Music
Stay after school for all kinds of games and sports with WSSRA at Mi Deporte!
Run, jump, spin, and roll—just part of the fun we’ll Tumble Into! Participants will also enjoy a snack and craft at program.
WOODBINE SCHOOL STUDENTS ONLY
ALL ABILITIES
day: Tuesday time: 2:45-4:00pm location: Woodbine School, Cicero
Winter
dates: February 12 – March 26 (no program 2/26) registration #: 119 fee: $15.50 trans: School District 99 will transport students home after program
Spring
99
dates: April 23 – May 21 registration #: 219 fee: $13.00 trans: School District 99 will transport students home after program
!Salta!
WARREN PARK STUDENTS ONLY
!Saltamos! Everybody jump! We are going to jump, dance, run, and play along to music and games to get out our energy after school in the gym. The kids will enjoy a snack at program and active games while meeting new friends. day: Monday time: 2:50 – 4:00pm location: Warren Park School, Cicero
Winter
dates: February 11 – March 25 (no program 2/18, 3/4) registration #: 126 fee: $12.50 trans: School District 99 will transport students home after program
Spring
dates: April 8 – May 20 registration #: 226 fee: $17.50 trans: School District 99 will transport students home after program
99
ALL ABILITIES
Hop, skip, jump, & wiggle! We’ll wrap up the school week with an hour of music and movement to help kids develop balance, coordination, sequencing and much more! This program will incorporate elements from the innovative program of Autism Movement Therapy ©, but all are welcome!
age: 3 - 6 day: Wednesday time: 3:15 – 4:30pm location: Jefferson School, Berwyn
age: 3 - 7 day: Friday time: 2:45-4:00pm location: Elmwood Park Civic Center
Winter
dates: January 16 – February 27 (no program 2/13) registration #: 114 fee $17.00
: Spring
Winter
dates: March 6 – April 24 (no program April 3) registration #: 214 fee: $19.75
Wild and Wiggly Art ATTENTION COLUMBUS WEST AND LINCOLN SCHOOL STUDENTS!
We’ll spend the afternoon creating cool art projects and dancing the time away! day: Monday time: 2:45 – 4:00pm location: Columbus West School, Cicero
Winter
dates: January 28 – March 25 (no program 2/18 & 3/4) registration #: 120 fee: $23.25 trans: School District 99 will transport students home after program
Spring
dates: April 8 – May 20 registration #: 220 fee: $18.00 trans: School District 99 will transport students home after program
99
dates: February 15 – April 5 (no program 3/29) registration #: 111 fee: $25.25 trans: $19.25/$2.75/week (home only)
Spring
T
dates: April 12 – May 17 registration #: 211 fee: $21.75 trans: $16.50/$2.75/week (home only)
Explore the Arts ALL ABILITIES
Grab your brush, sponge, or use your fingers to paint. Build a pot with clay or create a collage. Add some music and we’ll be dancing. There’s no limit to the elements we’ll explore! age: 3-11 day: Monday time: 3:45-5:15pm location: Field Center, Oak Park
Winter
dates: February 11 – April 1 registration #: 107 fee: $43.25 trans: $48.50
Spring
dates: April 8 – May 13 registration #: 207 fee: $32.50 trans: $48.50
T
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Saturday Fun Club Sensational Saturdays Super Saturdays location: Carroll Recreation Center age: 3 – 6 time: 9:00 – 11:30am
location: Elmwood Park Civic Center age: 3 – 11 time: 9:00 – 11:30am
location: Carroll Recreation Center age: 7 – 11 time: 12:15 – 2:45pm
ALL ABILITIES day: Saturday fee: $10.40/week or $83.20/12 weeks Winter date:
Sensational Saturdays:
Super Saturdays:
Saturday Fun Club:
...................................................................... 105-01 ...................................................................... 105-02 ...................................................................... 105-03 ..................JOIN US AT FLAP JACK BUNNY HOP ..................................................................... 105-04 ...................................................................... 105-05 .................................................................................. ...................................................................... 105-06
................................................................. 106-01 ................................................................. 106-02 ................................................................. 106-03 ......................................................SEE PAGE 36. ................................................................. 106-04 ................................................................. 106-05 ............................................................................. ................................................................. 106-06
April 13.......................................................204-01 April 20.......................................................204-02 April 27.......................................................204-03 May 4.........................................................204-04 May 11.......................................................204-05 May 18.......................................................204-06
...................................................................... 205-01 ...................................................................... 205-02 ...................................................................... 205-03 ...................................................................... 205-04 ...................................................................... 205-05 ...................................................................... 205-06
................................................................. 206-01 ................................................................. 206-02 ................................................................. 206-03 ................................................................. 206-04 ................................................................. 206-05 ................................................................. 206-06
February 16...............................................104-01 February 23.............................................. 104-02 March 2.....................................................104-03 March 9.................................... NO PROGRAM! March 16...................................................104-04 March 23...................................................104-05 March 30..................................NO PROGRAM! April 6.........................................................104-06
Spring
DATE
ACTIVITY
WINTER 2/16
UP,UP, AND AWAY! Let’s blast off into space!
2/23
DISNEY PRESENTS! Favorite Disney movie & characters!
3/2
UNDER THE SEA! Let’s dig up some gold in our treasure hunt, mateys!
3/9
NO PROGRAM! JOIN US AT THE FLAP JACK BUNNY HOP. SEE PAGE 36
3/16
LUCK OF THE IRISH! St. Pattys Day Fun!
3/23
SADDLE UP PARTNER! Hey, cowboys and cowgirls! Let’s head out to the old wild wild west!
3/30
NO PROGRAM
4/6
SPRING INTO FUN! Spring is in the air, lets plant some trees and flowers everywhere!
4/13
SCIENCE, SCIENCE, SCIENCE! Create your own science experiments!
4/20
BOW CHIKA WOW WOW WOW! 80’s day! Let’s go back in time!
4/27
LET’S GET SILLY! Wacky hair, backwards clothing, a silly dance contest and more!
5/4
LIONS AND TIGERS AND BEARS! We’ll make animal masks and have some fun in the jungle!
5/11
SHAKE, BABY SHAKE! We’re dancing and singing all day, so be ready to rock out!
5/18
LET’S MAKE A SPLASH! Water fun and more!
SPRING
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Outdoor Adventures MI, DD, LD, VI
We fill our Saturday mornings with fun and thrills as we explore our communities. Sign up for any or all of the events. The van will depart promptly 5 minutes after scheduled start time! age: 12-22 day: Saturday time: 9:30am-12:30pm location: Park District of Forest Park, Building #4 fee: $13.70 per week. UIC Flames game is $16.00 REG #
DATE
ACTIVITY
DESTINATION
WINTER 131-01
2/16
MARDI GRAS! We’ll spend the day styling, decorating, and creating our own Masquerade costumes.
Park District of Forest Park, Building #4
131-02
2/23
BROOKFIELD ZOO Warm or cold, it’s never too early to visit our animal friends at the zoo! Dress for the weather.
Brookfield Zoo
131-03
3/2
UIC FLAMES GAME: SPECIAL TIME! 11:30–4:00pm. Meet at Barrie Center, Oak Park.
UIC Pavilion
3/9
NO PROGRAM! JOIN US AT THE FLAP JACK BUNNY HOP. SEE PAGE 36
131-04
3/16
ST PATRICKS DAY Get your green on with an afternoon of fun activities. In celebration of St. Patrick’s Day we will think green and drink green as we make our own lucky shakes! Dress for a mess.
Park District of Forest Park, Building #4
131-05
3/23
AN EGG-STRA BIG MESS Join us for a fun filled afternoon of eggstreme egg hunting and egg painting! Dress for a mess.
Park District of Forest Park, Building #4
0
3/30
NO PROGRAM!
0
131-06
4/6
KEEP ON TRACKING Explore nature, wildlife animals, and bird watching at the North Park Village Nature Center. Dress for the weather.
North Park Village Nature Centre
SPRING 231-01
4/13
ENCHANTED CASTLE Enjoy an afternoon of fun with games, rides, and prizes! Bring a light lunch or a snack.
Enchanted Castle, Lombard
231-02
4/20
KITE PARTY Learn to build and fly your very own kite in celebration of kite season! Dress for the weather.
Park District of Forest Park, Building #4
231-03
4/27
STEP UP TO THE PIER Enjoy a relaxing afternoon of walking and talking on the board walk of Navy Pier. Dress for the weather.
Navy Pier
231-04
5/4
CINCO DE MAYO Wear your sombreros, we’re having a fiesta with fun themed fiesta treats, music, and dancing.
Park District of Forest Park, Building #4
231-05
5/11
NATURE MUSEUM Celebrate earth day with WSSRA friends as we explore the beauties of nature.Dress for the weather.
Peggy Notebaert Nature Museum
231-06
5/18
TOUR OF THE WORLD Join us for an afternoon of ethnic folk music, live performances, games, and much more while we learn about international cultures! Dress for the weather.
Skokie
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Autism Movement Therapy ®
Berwyn Tae Kwon Do Sports Galore ALL ABILITIES LD, BD, VI, PI
ALL ABILITIES
Experience this innovative and creative program under the guidance of WSSRA’s certified Autism Movement therapist, April Ryan. We use movement and music to help develop balance, coordination, sequencing and much more! Visit www.autismmovementtherapy.com for more insight on this program. age: 7-15 day: Tuesday time: 3:30-4:10pm location: Dole Center, Oak Park
Winter
dates: February 12 – April 2 registration #: 112 fee: $20.25 trans: $48.50
age: 7-14 day: Wednesday time: 3:00-4:30pm location: Havlicek School, Berwyn
Winter
dates: February 13 – March 27 registration #: 115 fee: $23.75 trans: $21.00
Spring
dates: April 10 – May 15 registration #: 215 fee: $20.25 trans: $18.00
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Spring
dates: April 9 – May 14 registration #: 212 fee: $15.25 trans: $36.50
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Yoga for All ALL ABILITIES
Participants will be introduced to beginner yoga positions, meditative practice and stretching exercises in a fun, playful environment. The program’s focus will be on: • Body control • Increased strength and flexibility • Relaxation techniques age: 7-15 day: Tuesday time: 4:15-5:00pm location: Dole Center
age: 9-14 day: Tuesday time: 7:15-8:00pm location: Karate for Kids, 10125 W. Grand Ave., Franklin Park uniform fee: $40.00/one-time fee for new participants in addition to program fee below
Winter
dates: Feb 12 – April 2 registration #: 113 fee: $60.00
Spring
dates: April 9 – May 14 registration #: 213 fee: $60.00
SAVE THE DATE! TAE KWON DO REGIONAL TOURNAMENT Date: MARCH 9, 2013 Location: INDIAN LAKES RESORT, BLOOMINGDALE MORE INFO TO COME!
Soccer ATTENTION UNITY MIDDLE SCHOOL STUDENTS!
Kick, pass, shoot your way to the top! With great experienced coaches we will hit the field, play games that work on agility, speed and skill. We’ll help you reach your prime, one GOAL at a time! day: Wednesday time: 2:10 – 4: 00pm location: Unity School, Cicero
Winter
Winter
dates: February 12 – April 2 registration #: 109 fee: $13.50 trans: $48.50
dates: February 13 – March 27 registration #: 124 Fee: $25.25 Trans: School District 99 will transport students home after program
Spring
dates: April 9 – May 14 registration #: 209 fee: $10.25 trans: $36.50
It’s all sports, fun, and games at this after school program!
This class is designed to captivate the interest of our youngest student. Karate for Kids teaches the American Tae Kwon Do Association curriculum. It is based on the concepts of positive mental attitude and high goal setting. The building blocks for this system include: • Self-control • Courtesy • Integrity • Friendship • Confidence • Self-awareness • Self-esteem • Perseverance • Self-improvement • Respect • Dedication
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Spring
dates: April 10 – May 15 registration #: 224 fee: $21.75 trans: School District 99 will transport students home after program
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swim lessons ALL ABILITIES
WSSRA teaches progressive skill development using the American Red Cross swim program. Parents are responsible for locker room supervision and assistance. *Public health code requires that anyone with possible incontinence must wear protective, rubber pants in addition to a swim diaper.
REGISTRATION NUMBER
DAY
TIME
DATES
AGE
FEE
OAK PARK RIVER FOREST HIGH SCHOOL 151-01
Mondays
6:00-6:30pm
Feb 11 – Apr 1 *No program Feb 18, Mar 4, Mar 25
3 and up
$24.50
251-01
Mondays
6:00-6:30pm
Apr 8 – May 13
3 and up
$26.50
151-02
Mondays
7:15–7:55pm
Feb 11 – Apr 1 *No program Feb 18, Mar 4, Mar 25
advanced swimmers – must swim 1 length of pool
$32.00
251-02
Mondays
7:15–7:55pm
Apr 8 – May 13
advanced swimmers – must swim 1 length of pool
$32.25
151-03
Mondays
6:30-7:00pm
Feb 11 – Apr 1 *No program Feb 18, Mar 4, Mar 25
3 and up
$24.50
251-03
Mondays
6:30-7:00pm
Apr 8 – May 13
3 and up
$26.50
MANNHEIM MIDDLE SCHOOL, MELROSE PARK 151-04
Wednesdays
7:30-8:15pm
Jan 30 – Mar 6
3 and up
$34.75
251-04
Wednesdays
6:30-7:15pm
Apr 3 – May 1 *No program Apr 10
3 and up
$32.00
MORTON EAST HIGH SCHOOL, CICERO 151-05
Thursdays
6:30-7:00pm
Feb 14 – Mar 28
3 and up
$28.25
251-05
Thursdays
6:30-7:00pm
Apr 11 – May 16
3 and up
$26.25
151-06
Thursdays
7:00-7:30pm
Feb 14 – Mar 28
3 and up
$28.25
251-06
Thursdays
7:00-7:30pm
Apr 11 – May 16
3 and up
$26.25
.... PAV YMCA, BERWYN 151-07
Fridays
3:10-3:40pm
Feb 15 – Apr 5 *No program Mar 29
2 – 4 years
$30.00
251-07
Fridays
3:10-3:40pm
Apr 12 – May 17
2 – 4 years
$30.00
151-08
Fridays
3:45-4:15pm
Feb 15 – Apr 5 *No program Mar 29
3 – 6 years
$30.00
251-08
Fridays
3:45-4:15pm
Apr 12 – May 17
3 – 6 years
$30.00
151-09
Fridays
4:20-4:50pm
Feb 15 – Apr 5 *No program Mar 29
3 – 6 years
$30.00
251-09
Fridays
4:20-4:50pm
Apr 12 – May 17
3 – 6 years
$30.00
151-10
Fridays
4:55-5:25pm
Feb 15 – Apr 5 *No program Mar 29
7 years & up
$30.00
251-10
Fridays
4:55-5:25pm
Apr 12 – May 17
7 years & up
$30.00
151-11
Fridays
5:30-6:00pm
Feb 15 – Apr 5 *No program Mar 29
7 years & up
$30.00
251-11
Fridays
5:30-6:00pm
Apr 12 – May 17
7 years & up
$30.00
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sports and fitness SPECIAL OLYMPICS
Illinois Special Olympics provides year round sports training in a variety of Olympic-type sports for individuals who are 8 years and older and who have mental impairments or closely related developmental disabilities. The program gives athletes opportunities to develop physical fitness, demonstrate courage, experience joy and participate in the sharing of skills and friendship with their families and other athletes. WSSRA supports the mission of Special Olympics through the participation in the following sports: Aquatics, Basketball, Boccia, Bowling, Golf, Softball, Track & Field, and Volleyball.
CRITIERIA FOR PARTICIPATION
All Special Olympic athletes must have a current, completed Application for Participation in Illinois Special Olympics on file with the Special Olympic coordinator at WSSRA. This form contains 4 sections: 1. Ahtlete information 2. Parent and/or Guardian Authorization & Medical Authorization 3. Health Insurance and Emergency Information 4. Medical Clearance (this MUST be completed by a physician) Applications for Participation in Illinois Special Olympics are valid for 2 years based on the earliest signed date on the medical application form. See page 19 for the Application. Anyone interested in participating, starting a new sport, or volunteering please contact the WSSRA Special Olympic Coordinator.
GOOD SPORTSMANSHIP
WSSRA encourages parents and families to attend games and tournaments and cheer our athletes on! We expect coaches, players and parents to demonstrate good sportsmanship during these events. This includes the respect and support of coaching staff and officials who are working on behalf of your player. Any person not demonstrating good sportsmanship including behavior outbursts towards a player, coaching staff, or official, that is deemed threatening, will not be tolerated. You may be asked to leave and your future participation and attendance at events will be in jeopardy. By registering your son/daughter/ dependent for these programs you are agreeing to follow these guidelines as written. Please refer any concerns or questions to the Superintendent of Recreation. We look forward to a safe and successful season!
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Bobcat Softball MI, AUT, DD
Practices and games will be held on Tuesday evenings. During the Spring session participants will practice and prepare for the game season. In order to play in the game season, participants MUST register for the spring practice session. Bobcat Softball Philosophy: In establishing the Bobcat’s softball program, WSSRA has set criteria. WSSRA will emphasize teamwork, good sportsmanship, and giving one’s best in a safe and healthy environment. Competitiveness will come from the game itself and not from emphasis on the score. Each player will: • Learn the fundamentals of softball • Learn and play different positions • Be a part of a team and learn the importance of teamwork Up to 3 teams and 3 practice locations may be announced at the beginning of the season. Game schedules and information will be available after registration. New players must purchase a uniform before being able to compete on the Bobcats Softball team. day: Tuesday practice time: 6:00-7:30pm game times: 6:45-8:00pm practice locations: TBD fee: $121.00 (includes practice and game season) registration #: 299/399 Start date April 16.
Healthy Start
Aqua Athletics
Weekly Workout
ALL ABILITIES
MLH, MI, AUT, DD
MI, AUT, DD, MLH
Start your week with a healthy dose of exercise! We’ll emphasize: • Stretching & flexibility • Moderate aerobics • Use of exercise equipment Exercise routines will be monitored by staff to meet your individual needs. age: 21 and older day: Monday time: 10:00-11:30am location: Franklin Park Community Center
Winter
age: 15 and older day: Monday time: 8:15-9:00pm location: Oak Park River Forest High School Girls Pool
Winter
dates: February 11 – April 1 (no program February 18) registration #: 145 fee: $43.25 trans: $48.50
dates: February 11 – April 1 (no program February 18, March 4 &March 25) registration #: 148 fee: $29.25 trans: $30.25
Spring
dates: April 8 – May 13 registration #: 245 fee: $32.50 trans: $36.50
Enjoy one of the greatest modes of exercise. While having fun in the pool with your friends, you may also improve your: • Strength • Flexibility • Mobility • Range of motion
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Stingray Swim Team
Spring
day: Monday time: 7:00-8:10 location: Oak Park River Forest High School, Girls Pool
Spring
dates: April 8 – May 13 registration #: 241 fee: $42.00 trans: $36.50
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Winter
dates: February 12 – April 2 registration #: 147 fee: $36.00 trans: $48.50
Spring
dates: April 9 – May 14 registration #: 247 fee: $27.00 trans: $36.50
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Don’t forget to sign up for swim meets below!
dates: February 11 – April 1 (no program Feb. 18; Mar. 4; Mar. 25) registration #: 141 fee: $37.50 trans: $30.25
age: 13 and older day: Tuesday time: 7:00-8:15pm location: Franklin Park Community Center
dates: April 8– May 13 registration #: 248 fee: $32.00 trans: $36.50
Stingray Swim Team is a training program for those athletes who have excelled in WSSRA swim lessons and can now swim at least one length of the pool independently. Training consists of consecutive lap-swimming throughout most of the program. Stingray members are eligible, but not obligated for Special Olympic aquatic competition. Swim team members are not eligible to register for WSSRA swim lessons.
Winter
Finish your day with a great workout! Improve your physical condition through: • Exercise stations • Weight lifting • Low impact aerobics
WDSRA Swim Meet day: TBD date: TBD, February, 2013 location: TBD registration #: 133-01 fee: $15.00 trans: $2.75
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ISO District Aquatics Meet day: Wednesday date: March 6 time: Tentative 8:00 – 3:00pm location: Nequa Valley High School, Naperville registration #: 133-02 trans: $2.75
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Special Olympic ISO Track & Training & Sports Field Clinic
Wheelchair Basketball
MI, AUT, MH, DD
PI
Special Olympic Track & Field training gets underway. Practices will include: • Stretch & warm-up exercises • Practice for softball throw, short running & long jump events • Healthy snacks **Participants who register for both Winter & Spring sessions will automatically be registered for the SO Spring Games on April 29, 2013. All participants must have a current Special Olympic medical form on file by March1, 2013. See page 31 for the Special Olympic Medical Form. Registration in both sessions is required for competition. Please see page 14 for information regarding participation in Special Olympics activities with WSSRA. age: 7 and older day: Thursday time: 3:45-5:15pm location: PAV YMCA, Berwyn
Winter
dates: February 14 – April 4 registration #: 132 fee: $43.25 trans: $48.50
Spring
dates: April 11 – May 16 registration #: 232 fee: $32.50 trans: $36.50
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MI, AUT, DD, MH
Special Olympic Track & Field training gets underway. Practices will include: • Stretch & warm-up exercises • Practice for softball throw, short running, & long jump events **Participants who register for both Winter & Spring sessions will automatically be registered for the SO Spring Games on April 21, 2013. All participants must have a current Special Olympic medical form on file by March1, 2013. Registration in both sessions is required for competition. We’ll pass the detailed tournament information on as soon as we have it! age: 13 and older day: Wednesday time: 7:00-8:15pm
Winter
dates: February 13 – April 3 location: Cicero Community Center, Cicero registration #: 142 fee: $36.00 trans: $48.50
Spring
dates: April 10 – May 15 location: Morton West High School Outdoor Track, Berwyn registration #: 242 fee: $27.00 trans: $36.50
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SEASPAR Bowling Tournament MI, AUT, DD, SP, MH
If you’re registered for Saturday Bowling League, compete in SEASPAR’s annual tournament! We’ll pass on the detailed information as soon as we have it! day: Saturday date: April 13 time: Tentative, 9:30am- 1:00pm location: Willowbrook Lanes, Willowbrook registration #: 238 fee: $23.00 trans: $2.75
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This program is open to anyone with a physical disability and is ambulatory or uses a wheelchair. All players must play from a sports chair for games and practices. Don’t worry! NEDSRA has plenty of sports chairs available for use. New players are always welcome—call today for more information. contact: Adam Kramer 630-576-4037 location: NEDSRA 1770 W. Centennial Place, Addison
Saturday Bowling League MI, AUT, DD, SP, MH
Sharpen your bowling skills while spending time with friends. An adaptive ball and bowling ramp will be available. Don’t forget to sign up for the SEASPAR Bowling Tournament! age: 13 and older day: Saturday time: 1:00-3:00pm location: Circle Lanes, Forest Park
Winter
dates: February 16 – April 6 (no program March 30) registration #: 110 fee: $62.50 trans: $2.75/week or $19.25/7 weeks pick-up points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonalds
Spring
dates: April 13 – May 18 registration #: 210 fee: $55.00 trans: $2.75/week or $16.50/6 weeks pick-up points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonalds
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PP
teens & adults Show Time MI, AUT, DD
Enjoy a night with popcorn and the big screen! WSSRA will notify participants of the show & time on Wednesday, the week of the movie. In order to minimize disturbance of other movie patrons, participants must be able to focus on a movie for two hours in length with minimal breaks. Participants need to bring $20 to pay for ticket & snacks. age: 15 and older day: Friday time: TBA, WSSRA will notify on Wednesday, the week of show location: Field Center, Oak Park fee: $12.00/week pick-up points: WSSRA Office, Cicero McDonalds date:
registration #:
3/1 3/22
160-01 160-02
Winter Spring 4/19 5/3
260-01 260-02
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Now We’re Cookin’
Artrageously Creative
MLH, MI, DD
MLH, MI, DD
We are getting back in the kitchen with instructor Kathy Burke of Twisted Dish! Participants will enjoy making their own healthy creations. Check out Kathy’s food blog at twisteddish.wordpress.com age: 15 and up day: Thursday time: 7:00-8:30pm dates: April 4 – May 16 location: Park District of Forest Park, 2nd Floor registration #: 234 fee: $38.00 trans: $42.50
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Design, paint, create, and sculpt your way into your artistic senses using all kinds of mediums. Will add some music and get lost in the world of art! age: 15 and up day: Thursday time: 7:00-8:30pm dates: February 14 – March 28 location: Park District of Forest Park, 2nd Floor registration #: 123 fee: $38.00 trans: $42.50
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Snowglobe Soirees MI, AUT, DD
Come in out of the cold and join us for a series of wintry programs in January. Sign up for one, two, or all three! age: 15 and up day: Wednesday time: 7:00–8:30 date: January 9, January 16 & January 23 fee: $5.50/week, $16.50 for all 3 trans: $6.05 per week/ $18.25 for all 3 location: Barrie Recreation Center, Oak Park 1/9
TICK, TOCK, CHICAGO BALL DROP Now is the time to celebrate the New Year with old and new friends! Enjoy music, games, and crafts celebrating 2013! registration #: 129-01 1/16
ANTARCTIC ADVENTURES
Come join your friends in a snow filled adventure! Today we will be sledding, playing snow games, and enjoying a warm snack! registration #: 129-02 1/23
SNOW CHEFS
Show off your skills in the kitchen while making some delicious meals with our special guest! Don’t forget: the best part is tasting your creations! registration #: 129-03
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Food Critics MLH, MI, AUT, DD
Our tasty travels continue! Lively discussion about what we liked best each week is all part of the fun. Bring $25 to cover your food and share of the tip. Participants must be able to sit for a meal with general interruptions to others. age: 15 and older day: Friday time: 6:30-9:15pm location: Field Center, Oak Park fee: $ 12.00/week trans: $2.75/week pick-up points: WSSRA Office, Cicero McDonalds
Winter:
date registration # 2/15 161-01 2/22 161-02 3/8 161-03 3/15 161-04 4/5 161-05 *No program March 29
Spring: date 4/12 4/26 5/10 5/17
registration # 261-01 261-02 261-03 261-04
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Broadway Tour
PP HI, VI, PI, MLH, DD
restaurant location Baker’s Square Steak and Shake Culvers Cheescake Factory (please bring $30) Ihop
restaurant location Cracker Barrel Mother’s Day Denny’s Omega
Peter Pan is filled with timeless magical moments and a captivating hook. The legend you thought you know, is now the adventures you never dreamed possible. Tony Award nominee Cathy Rigby takes flight in an all new production of Peter Pan! Discover the magic all over again of this two time Emmy award winning production. age: 15 and older registration #: 181 day: Sunday date: February 10 time: 2:00pm show: Peter Pen destination: Cadillac Palace Theatre; Chicago fee: $50.00
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LOTTERY DEADLINE: FEBRUARY 8, 2013
SUMMER DAY CAMP 2013
WSSRA’s 2013 Summer Day Camp is designed for participants ages 3-22, who have a disability and/or receive special education services. Your child must be 3 -22 years of age on the first day of camp to participate. Day camp registration is conducted by a lottery. All persons who meet the age & registration requirements will be entered into the lottery. If you are not selected in the lottery for day camp placement you will be placed on a waiting list according to the order you were drawn in the lottery. WSSRA offers different day camps according to age and ability groups. Camp provides age-appropriate recreational activities while achieving these goals: • To involve your child in fun recreational opportunities. • To improve your child’s motor skills and overall fitness. • To encourage an environment where your child can succeed and build self-esteem. • To help your child maintain & increase language and self-expression skills.
West Suburban Special Recreation Association CAMP ACTIVITIES MAY INCLUDE:
• Sports • Music • Field Trips • Swimming • Drama • Games • Arts & Crafts
WSSRA RESIDENTS
Serving residents of the Villages of Harwood Heights and Elmwood Park and the Park Districts of Berwyn, Clyde, Forest Park,Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park and River Forest.
TRANSPORTATION
Door to door transportation for camp is available. You must sign up for transportation when you are completing your registration form. Limited transportation slots are available. Transportation fees will be added to your day camp registration. Transportation for camp is not provided for participants without a physical disability living within 5 blocks of the assigned camp site. Buses are not air-conditioned.
SCHOLARSHIPS
9:00AM – 3:00pm, Monday through Friday Full Day is not an option if your child attends summer school.
If you are unable to afford the fee for day camp, you may request a scholarship application from the WSSRA office or download the scholarship form from the WSSRA web site, www. wssra.net. All applications must be completed and returned by February 8, 2013 with your day camp registration form. You will be notified by mail if you will receive a scholarship and the amount of assistance granted. You must attend 20 days of camp in 2013 to be eligible to receive a scholarship in 2014. Any medical leave must be documented by a doctor.
HALF-DAY CAMP (AGES 7-22) LIMITED SPOTS AVAILABLE!
REGISTRATION PROCEDURES
CAMP DATES
June 17 – July 26 Monday through Friday. There is NO CAMP on Thursday, July 4 & Friday, July 5
FULL-DAY CAMP (AGES 7-22)
12:15pm – 3:00pm, Monday through Friday • You must indicate on your registration form if you will be registering for the half-day option. • A limited number of half day spots are available and will be filled according to the February lottery. • No adjusted registrations can be made for participants attending summer school.
PRESCHOOL CAMP (AGES 3-6)
Choose one: Morning Session: No swimming offered. .............. 9:00–11:45am Afternoon Session: No swimming offered. ........... 12:15–3:00pm
CAMP LOCATIONS
Camps may be held in Berwyn, Cicero, Forest Park or Oak Park. Camps will be assigned a location based on space needed and facilities available. You will be notified by mail as to your child’s camp location.
DAY CAMP FEES
Full-Day Option:…………… ............................................. $468.00 Half-Day/Preschool Option: ............................................. $234.00
TRANSPORTATION FEES
One-Way Transportation: ................................................. $211.50 Round-Trip Transportation: ............................................... $423.00
1. Walk-in, mail-in, or fax (847.455.2157) your Day Camp registration to WSSRA. You must call to confirm FAX was received. 2. You must return the Day Camp Registration fully completed, signed, and dated by February 8, 2013 at 5:00pm to be eligible for the lottery. Additionally, Scholarship Application forms must be in the office by this time as well. 3. The lottery will be drawn and scholarships will be awarded February 11–22, 2013. 4. Letter of acceptance into WSSRA Day Camp, information regarding scholarships awarded, and a payment schedule will be mailed out beginning February 27, 2013.
DAY CAMP PAYMENT SCHEDULE:
1. First 1/3 of your total due March 22, 2013 2. Second 1/3 of total due April 19, 2013 3. Final payment due May 24, 2013. Anyone not completing their payment by May 24 will risk losing their camp placement. 4. Cancellations prior to May 24, 2013 will receive a refund less a $25.00 processing fee. NO Refunds after May 24, 2013.
Questions, call WSSRA 847.455.2100
For information on our 22+ over camp see page 23.
PLAZO DE LOTERÍA: 8 DE FEBRERO DE 2013
CAMPAMENTO DE VERANO DE DÍA 2013
El Campamento de Verano de Día 2011 de WSSRA es diseñado para los participantes edades 3-22, quien tiene una descapacidad y/o recibe servicios de educación especial. Su niño debe tener de 3 -22 años de edad en el primer día de participación del campamento. Inscripción del Campamento de Día es conducido por medio de una lotería. Todas las personas que tienen la edad y requerimientos de inscripción entrarán en la lotería. Si usted no esta seleccionado en la lotería para participar en campamento de día, usted será puesto en una lista de espera de acuerdo a la orden en que quedó en el sorteo. WSSRA ofrece diferentes campamentos de día de acuerdo a la edad y los grupos de habilidad. El campamento provee actividades de recreación apropiada a la edad y al mismo tiempo logra estas metas: • Involucrar a su niño en oportunidades divertidas recreacionales. • Mejorar las habilidades motrices de su niño y aptitud en general. • Fomentar el ambiente en donde su niño pueda lograr y edificar su propia-estima. • Ayudar a mantener o ayudar a que su niño mantenga el incremente de su lenguaje y habilidades de expresión-propia.
Asociación West Suburban de Recreación Especial
COSTO DE CAMPAMENTO DE DÍA
ACTIVIDADES DEL CAMPAMENTO
Opción de Día-Completo ............................................ $468.00 Opción de Medio-Día/Preescolar ............................... $234.00
RESIDENTES WSSRA
Transportación de Ida ................................................. $211.50 Transportación de Ida y Vuelta .................................... $423.00
Las actividades del Campamento pueden incluir: • Natación • Deportes • Drama • Música Sirviendo a los residentes de los Municipios de Harwood Heights y Elmwood Park y Distritos de Parques de Berwyn, Clyde, Forest Park, Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park y River Forest.
FECHAS DE CAMPAMENTO
Junio 17 – Julio 26, 2012 Lunes a Viernes. NO hay CAMPAMENTO el Lunes, 4 de Julio y Viernes, 5 de Julio
CAMPAMENTO DE DÍA-COMPLETO (EDADES 7-22)
9:00AM – 3:00pm, Lunes a Viernes Día Completo es una opción si su niño no asiste a la escuela de verano.
CAMPAMENTO DE MEDIO-DÍA (EDADES 7-22)
12:15pm – 3:00pm, Lunes a Viernes • Usted debe indicar en su forma de inscripción si usted esta inscribiendo para la opción de medio-día. • Hay un número limitado de lugares para campamento de medio día, y se llenarán de acuerdo de la lotería del Febrero. • No se puede hacer ajustes de inscripción para los participantes que asistan escuela de verano.
CAMPAMENTO PREESCOLAR (EDADES 3-6)
Escoja uno: Sesión de la Manana: No se ofrece natación...... 9:00–11:45am Sesión de la Tarde: No se ofrece natación. ....... 12:15–3:00pm
LOCALIDADES DE LOS CAMPAMENTOS
Los campamentos pueden estar localizado en Berwyn, Cícero, Forest Park o Oak Park. Los participantes seran asignado una localizacion basada en edad y descapacidad. Se le notificarán por correo acerca de la localidad del campamento de su niño.
TRANSPORTACIÓN
Transportación de puerta-a-puerta para el campamento es disponible. Usted debe inscribirse para la transportación cuando complete su forma de inscripción. Lugares limitados de transportación están disponibles. El costo de transportación sera cargada junto con el inscripción de campamento de día. La transportación para el campamento no es proveída para participantes sin discapacidades físicas viviendo dentro de 5 cuadras del sitio del campamento asignado. Los autobuses no tienen aire-condicionado.
COSTO DE TRANSPORTACIÓN BECAS
Si no puede pagar el costo de campamento de día, usted puede solicitar ayuda por beca de la oficina WSSRA o descargar la forma de beca de la pagina de internet de WSSRA, www. wssra.net. Es necesario completar y regresar la forma de beca antes de el 8 de febrero de 2013 con su forma de inscripción para el campamento de día. Usted será notificado por correo si usted recibirá una beca y el cantidad de ayuda que recibira. Es necesario asistir 20 días al campamento en 2013 para ser elegible para recibir una beca en el año 2014. Cualquier problema médica debe ser documentado por un médico.
PROCEDIMIENTOS DE INSCRIPCIÓN
1. Pase en persona, envíe, o mande por fax (847.455.2157) su inscripción de Campamento de Día de WSSRA. 2. Usted debe regresar la Registración de Campamento de Día totalmente completa, firmada, y fechada antes de el 8 de Febrero de 2013 a la 5:00pm para ser elegible para la lotería. Adicionalmente, la forma de Aplicación de Becas necesita estar en la oficina junto con la forma de inscripcion de Campamento 3. La lotería sera procesado durante el tiempo de el 11 al 22 de Febrero de 2013. 4. Una carta de aceptación al Campamento de Día de WSSRA, información referente a becas recibidas, y un calendario de pagos sera enviado por correo, comenzando el 27 de Febrero de 2013.
HORARIO DE PAGOS DEL CAMPAMENTO DE DÍA:
1. La primera parte de su balance total es debido antes que el 22 de Marzo de 2013. 2. La segunda parte de su balance total es debido antes que el 19 de Abril de 2013. 3. El pago final se debe antes que el 24 de Mayo de 2013. Cualquier persona que no termine de hacer sus pagos para el 24 de Mayo puede perder su lugar en el campamento 4. Cancelaciones antes de el 24 de Mayo de 2013 recibirán un reembolso menos $10.00 por costo de proceso. NO HAY REEMBOLSO después del 24 de Mayo de 2013.
Para Preguntas, llame a WSSRA al 847.455.2100
LOTTERY DEADLINE: February 8, 2013 2012 DAY CAMP REGISTRATION FAX TO: 847.455.2157 MAIL TO: WSSRA, 2915 Maple Street, Franklin Park, IL 60131 DISABILITY
□ Learning Disability □ Behavior Disability □ Hearing Impairment □ Developmental Disability □ Visual Impairment □ Physical Impairment □ Autism □ Other___________________
SCHOLARSHIP REQUEST
□ Request Scholarship □ Participates in free lunch program at school
CAMPER’S T-SHIRT SIZE
Child Size: □ 6-8 □ 10-12 □ 14-16 Adult Size: □ S □ M □ L □ XL □ XX □ XXX
CAMP OPTIONS
□ 1/2 Day Option 7 & Up □ Full Day Option 7 & Up □ AM Preschool age 3 to 6 □ PM Preschool age 3 to 6
TRANSPORTATION OPTIONS check ONE □ Transport Self □ WSSRA Round Trip □ WSSRA Home Only □ WSSRA To Camp Only
participant’s name: _________________________________________ □male □female participant’s birthdate: ________ / ____/ ________ parent/guardian 1: __________________________________________ parent/guardian 2: __________________________________________ address: __________________________________________________ city: _______________________________ zipcode: ______________ home phone: ________________________________ park district/village:_______________________________________________________ e-mail address: work phone 1 (whose): ______________________________________ work phone 2 (whose): ______________________________________ cell phone 1 (whose):________________________________________ cell phone 2 (whose): _______________________________________ emergency contact person (other than parent): __________________________________ emergency phone: ___________________________ current school:______________________________________ current teacher: ___________________________________________________ doctor’s name: ____________________________________________________ doctor’s phone: _____________________________________ does participant use wheelchair/walker/other? □yes □no specify: ________________________________________________________ can participant transfer from wheelchair? □yes □no is participant subject to seizures? □yes □no Please attach seizure treatment plan. does participant have a communicable disease? □yes □no if yes, please explain: _________________________________________________________________________________________________ photo permission: □yes □no I authorize school personnel to communicate with WSSRA about the participant’s needs as they relate to WSSRA’s provision of recreation services. □yes □no will medication be taken at camp? □yes □no Please attach instructions for medical procedures. list any medication: ___________________________________________________________________________________________________ West Suburban Special Recreation Association WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT (READ CAREFULLY)
Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in programs. In registering for these programs, you are agreeing as follows: As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury. I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants, and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs. I do hereby fully release and discharge the West Suburban Special Recreation Association and the other related parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participating in these programs. I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with or in any way associated with my conduct and the activities of these programs. I further understand and agree that the terms such as “participation, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision of, or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events. I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement. In case of emergency, I give my permission for the participant to receive any first-aid, transportation or medical attention that may be required. You must return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple Street, Franklin Park, IL 60131 or send by fax to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.
PARENT/PARTICIPANT/GUARDIAN SIGNATURE ________________________________________________________________ For office use only: SC_____ BF____
LG____
SA requested: Y N
SA returned: Y
N
Date Received:____________________
Date___________________
Previous Year Camp Location:____________________
PLAZO DE LOTERÍA: 8 de Febrero de 2013 a las 5:00pm INSCRIPCIÓN DE CAMPAMENTO DE DÍA 2012 DE WSSRA FAX A: 847.455.2157 ENVÍE A: WSSRA, 2915 Maple Street, Franklin Park, IL 60131 DISCAPACIDAD
□ Discapacidad de Aprendizaje □ Discapacidad de Comportamiento □ Impedimento de Audición □ Autismo □ Discapacidad de Desarrollob □ Impedimento de Visión □ Impedimento Físico □ Otro___________________
SOLICITUD DE BECA
OPCIONES DE CAMPAMENTO
□ Pida una Beca □ Participantes de almuerzo gratis programa escolar
□ Opcion de 1/2 Dia 7 y mayor □ Opcion de Dia completo 7 y mayor □ AM Preescolar edad 3 a 6 □ PM Preescolar edad 3 a 6
MEDIDA DE CAMISETA DEL CAMPISTA
OPCIONES DE TRANPORTACIONES marque UNO □ Transportacion Propia □ WSSRA Viaje Redondo □ WSSRA A La Casa Solamente □ WSSRA Al Campamento
Medida Niños: □ 6-8 □ 10-12 □ 14-16 Medida Adultos: □ S □ M □ L □ XL □ XX □ XXX
nombre del participante: _____________________________________ □masc. □fem. fecha de nacimiento del participante: ___/ ___ / _____ padre/guarda legal 1: _______________________________________ padre/guarda legal 2: ________________________________________ dirección: _________________________________________________ ciudad: _____________________________ código postal: __________ tel de casa: _________________________________ distrito de parque/municipalidad _____________________________________________ correo electrónico: tel del trabajo 1 (de quien?): __________________________________ tel del trabajo 2 (de quien?): __________________________________ tel cel 1 (de quien?): ________________________________________ tel cel 2 (de quien?): ________________________________________ persona contacto de emergencia(otra persona que no sea el padre): _______________________ teléfono de emergencia: __________________ escuela: ___________________________________________ maestro(a): _______________________________________________________ nombre de doctor: _________________________________________________ teléfono de doctor: ___________________________________ ¿el participante usa silla de ruedas/andador/otros? □si □no especifico: ____________________________________________________ ¿puede el participante transferirse de la silla de ruedas? □si □no ¿es el participante sujeto asimientos/attaques? □si □no Por favor adjunte su plan de tratamiento para attaques. ¿tiene el participante alguna enfermedad contagiosa? □si □no si la tiene, por favor explique: ___________________________________________________________________________________________ permiso para fotos: □si □no yo autorizo a los empleados escolares a communicarse con WSSRA acerca de los necesidades del participante que sean relacionado a los programas de WSSRA. □si □no el participante toma medicacion durante el campamento?: □yes □no Por favor adjunte instrucciones para procedimientos médicos. ¿qué medicamento se estará tomando en el campamento? ____________________________________________________________________ Asociación West Suburban de Recreación Especial LIBERACION DE RENUNCIA DE TODO RECLAMO Y CONTIENE ACUERDO INOCUO (LEA CUIDADOSAMENTE)
Lea con cuidado por favor esta forma y esté enterado que al inscribirse y tomar parte en programas de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciando de todo reclamo surgiendo de alguna lesión fuera de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en los programas. Al registrarse para estos programas, usted concuerda de la siguiente manera: Cuando un participante en estos programas, yo reconozco y admito que hay ciertos riesgos de lesiones física, y yo concuerdo en asumir el riesgo total de cualquier lesión, daños o la pérdida que puedo sostener a consecuencia de tomar parte de cualquier manera, en cualquier y toda actividad conectada con o asociado con tales actividades que implica riesgos substanciales de lesiones. Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener consecuencia por tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial, de cualquier y toda unidad gubernamental participante, cualquier y todo contratista independiente, oficiales, agentes, sirvientes, y empleados de los cuerpos gubernamentales y contratistas independientes, y cualquier y toda persona y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquiera lesión, que yo quizás sostenga al tomar parte en estos programas. Yo por la presente libero completamente y descargo la Asociación West Suburban de Recreación Especial, y otros partidarios relacionados de cualquier y todo reclamo por lesiones, daños o pérdidas, que pueda tener o que pueda acumulárseme por motivo de que yo tomé parte en estos programas. Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West Suburban de Recreación Especial y cualquier y todos los otros partidarios de cualquier y todo reclamo que resulte de un lesión, daño y pérdida sostenidos por cualquiera, y surgiendo fuera de, conectado con o en cualquier manera asociada con mi conducta y las actividades de estos programas. Comprendo aún más y concuerdo que los términos como “participación, y” actividades”, se refirieren a este acuerdo, incluye todos los ejercicios y movimientos físicos de cualquier naturaleza mientras tome parte en estos programas e incluye aún más la provisión de, o el fracaso para proporcionar instrucciones o supervisión apropiadas, el uso y el ajuste de cualquier y toda maquinaria, equipo, y aparato, y algo relacionado a mi uso de los servicios, las facilidades, o local, implicado en estos programas, y en el transporte a y de acontecimientos. Comprendo la naturaleza de estos programas para los cuales me registro, y he leído y he comprendido completamente esta Renuncia, Liberación y Tengo Acuerdo Inocuo. Comprendo aún más que cualquier deliberación o las advertencias de riesgos particulares de estos programas que recibo subsiguientemente serán integradas por referencia en y llegan a ser una parte de este Acuerdo. En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueden ser requeridos. Yo debo regresar esta liberación y renuncia de todo reclamo por correo o fax. Yo puedo enviar esta liberación al 2915 Maple Street, Franklin Park, IL 60131 o enviar por transmisión facsímil al 847.455.2157. Cuando enviando por fax, es de mutuo entendimiento que el documento facsímil substituirá por y tendrá el mismo efecto legal que la forma original.
FIRMA DEL PADRE/PARTICIPANTE/TUTOR ________________________________________________________________
Fecha___________________
For office use only: For office use only: SC_____ BF____
LG____
SA requested: Y N
SA returned: Y
N
Date Received:____________________
Previous Year Camp Location:____________________
TGIF
Community Cruisers
ALL ABILITIES
ALL ABILITIES
Attention Leyden area! Thank goodness it’s Friday! Sign up for one or all of these Friday social events. Grab your friends and let’s hit the town. age: 15 and up day: Fridays time: 6:00-9:00pm pick-up point: Franklin Park Community Center & Norridge Park District pick-up point trans: $2.75
Ice Skating
Skating, Cocoa & Friends.. It’s the COOL place to be. Wear socks. Bring your ice skates if you have them! registration #: 135-01 date: 2/22/13 destination: fee: $16.00
St. Patty’s Day Dance
Dance the night away with other WSSRA Social Clubs at this awesome Patty’s Day Dance. Great tunes provided, please bring your moves and swagger. registration #: 135-02 SATURDAY: parent drop off/pick up @ Forest Park pick-up point: WSSRA office only date: 3/15/13 destination: Park District of Forest Park, main buiding, 2nd floor fee: $12.00
Enchanted Castle
It’s going to be a night loaded with exciting games, fun & prizes registration #: 135-03 date: 4/5/13 destination: 1103 S. Main St, Lombard fee: $20.00
Extreme Trampolines
This extreme jumping experience ROCKS! Wear socks. Any participant with Atlantoaxial Instability may join Food Critics/Showtime tonight. Bring waiver & I.D! registration #: 235-01 date: 4/26/13 destination: fee: $20.00
WSSRA is excited to offer a new program for our participants who have aged out of day camp called Community Cruisers! While enjoying fun recreational activities and events, participants will have the opportunity to: • Increase their independence in use of public transportation, cooking and money management. • Make a positive impact on our communities through fun volunteer opportunities. • Strengthen social skills, make friends and explore new leisure activities. We cannot wait to explore all that Chicagoland has to offer! Participants must be 23 – 30 years of age on the first day of camp to participate. Registration is done by a lottery. You must return your registration form fully completed, signed, and dated by February 8, 2013 at 5:00pm to be eligible for the lottery. All persons who meet the age & registration requirements will be entered into the lottery. Payment plans are available. age: 23 – 30 years old location: TBA day: Tuesdays, Wednesdays and Fridays time: 9:00am – 3:00pm fee: $150 per session. optional home only transportation available: $3.00 per day
Session 1
fee: $134 dates: June 18, 19, 21 June 25, 26, 28 July 2 & 3 registration #: 323-01 transportation home only: $24.00
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Session 2
fee: $150 dates: July 9, 10, 12 July 16, 17, 19 July 23, 24, 26 registration #: 323-02 transportation home only: $27.00
Movie in the Park
Sit under the stars and watch a movie in the park. Bring $$ for snacks. Movie TBD. registration #: 235-02 SATURDAY: parent drop off/pick up @ Forest Park pick-up point: WSSRA office only date: 5/10/13 destination: Park District of Forest Park fee: $12.00
Taste of Glen Ellyn
Celebrate all that Glen Ellen has to offer! Great food, live entertainment and crafts! registration #: 235-03 date: 5/17/13 destination: 400 N. Main St, Glen Ellyn fee: $16.00
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hot shots/city slickers
CITY SLICKERS – PICK UP & DROP OFF @ FOREST PARK, BUILDING #4 TIME: 6:00-9:00pm HOT SHOTS – PICK UP & DROP OFF @ FOREST PARK, BUILDING #4 TIME: 6:00-9:00pm
WINTER Dance With Me Join our friends for a night of dancing at this Answer Inc. sponsored event! Nothing says Happy Valentine’s Day like dancing and music! Meet at Barrie. hot shots: 173-01 city slickers: 174-01 fee: $10.00 date: 2/2/13 destination: Forest Park Community Center, Forest Park, 2nd floor
Winter Wonderland
Let it snow, Let it snow, Let it snow! Enjoy a night of sledding and fondue making! DRESS FOR WEATHER! hot shots: 173-02 city slickers: 174-02 date: 2/16/13 fee: $12.00
Ice to See You!
We’re going skating at Rosemont’s newly-built ice rink! Bring your own skates or $8 for skate rental. hot shots: 173-03 city slickers: 174-03 date: 2/23/13 destination: Rosemont Ice Rink, Rosemont fee: $16.00
UIC Flames Game
WSSRA is heating up as we cheer on the UIC Flames in a game against Detroit. ALL PARTICIPANTS WILL MEET AT BARRIE CENTER AT 11:30AM hot shots: 173-04 city slickers: 174-04 date: 3/2/13 destination: UIC Pavilion, Chicago fee: $16.00
Curtains Up
Put your acting skills to the test! Wow the crowd with your best. hot shots: 173-05 city slickers: 174-05 date: 3/9/13 fee: $14.00
Luck o’ the Irish
Join us for our St. Patrick’s Day dance! There will be tons of music, games and fun. ALL PARTICIPANTS WILL MEET AT THE PARK DISTRICT OF FOREST PARK. hot shots: 173-06 city slickers: 174-06 fee: $12.00 date: 3/16/13 destination: Park District of Forest Park, Forest Park, 2nd floor
Sky High Trampoline
The sky is the limit! Jump around with your friends in a night of trampoline shenanigans! WAIVERS MUST BE SIGNED IN ADVANCE TO PARTICIPATE. hot shots: 173-07 city slickers: 174-07 date: 3/23/13 destination: Sky High Sports, Niles fee: $20.00
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SPRING
Cucina Italiano
Tonight we’re making homemade pizza from scratch! Better practice your dough tossing skills! hot shots: 273-01 city slickers: 274-01 date: 4/6/13 fee: $14.00
Chicago Wolves
Come wish the Wolves “Good Puck” in their game against Charlotte! TIME CHANGE: 6:00-10:00PM hot shots: 273-02 city slickers: 274-02 date: 4/13/13 destination: Allstate Arena, Rosemont fee: $20.00
Chicago Highlights Tour
Enjoy a trolley tour of Chicago’s hottest attractions! Seats are limited so sign up soon! hot shots: 273-03 city slickers: 274-03 date: 4/20/13 destination: Chicago fee: $20.00
Stick Together
Welcome to WSSRA’s second annual Duct Tape Olympics! hot shots: 273-04 city slickers: 274-04 date: 4/27/13 fee: $13.00
Gamer’s Paradise
Lose yourself in a night of classic board games with friends. hot shots: 273-05 city slickers: 274-05 date: 5/4/13 destination: TBD, Chicago fee: $16.00
Movie in the Park
Come out and join your friends for a movie in the park! Use your “chevro-legs” for this “drive-in” theatre experience! hot shots: 273-06 city slickers: 274-06 fee: $12.00 date: 5/11/13 destination: Park District of Forest Park, Forest Park, 2nd floor
Backyard BBQ Blowout
Burgers, dogs and bags…what more could you ask for? hot shots: 273-07 city slickers: 274-07 date: 5/18/13 fee: $12.00
Pick Up Point: WSSRA Office, 2915 Maple Street, Franklin Park or McDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI Age: 15 years and older
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moonlighters/socialites
MOONLIGHTERS – PICK UP & DROP OFF @ CARROLL CENTER TIME: 6:00-9:00pm SOCIALITES – PICK UP & DROP OFF @ CARROLL CENTER TIME: 6:00-9:00pm
WINTER Dance With Me Join our friends for a night of dancing at this Answer Inc. sponsored event! Nothing says Happy Valentine’s Day like dancing and music! Meet at Carroll. moonlighters: 175-01 socialites: 176-01 fee: $10.00 date: 2/2/13 destination: Forest Park Community Center, Forest Park, 2nd floor
Let’s Kick Some Ice!
We’re going skating at Rosemont’s newly-built ice rink! Bring your own skates or $8 for skate rental. moonlighters: 175-02 socialites: 176-02 date: 2/16/13 destination: Rosemont Ice Rink, Rosemont fee: $12.00
X’s and O’s
Only fools fall in love…and miss out on this year’s sweets and treats event! Come join friends in making and baking Valentine themed foods! moonlighters: 175-03 socialites: 176-03 date: 2/23/13 destination: Carroll Center, Oak Park fee: $16.00
UIC Flames Game
WSSRA is heating up as we cheer on the UIC Flames in a game against Detroit. ALL PARTICIPANTS WILL MEET AT BARRIE CENTER AT 11:30AM moonlighters: 175-04 socialites: 176-04 date: 3/2/13 destination: UIC Pavilion, Chicago fee: $16.00
Chicago Wolves
Come wish the Wolves “Good Puck” in their game against Milwaukee! TIME CHANGE 6:00–10:00pm. moonlighters: 175-05 socialites: 176-05 date: 3/9/13 destination: Allstate Arena, Rosemont fee: $14.00
Luck o’ the Irish
Join us for our St. Patrick’s Day dance! There will be tons of music, games and fun. ALL PARTICIPANTS WILL MEET AT THE PARK DISTRICT OF FOREST PARK. moonlighters: 175-06 socialites: 176-06 fee: $12.00 date: 3/16/13 destination: Park District of Forest Park, Forest Park, 2nd floor
Theatre Works
Put your acting skills to the test! Wow the crowd with your best. moonlighters: 175-07 socialites: 176-07 date: 3/23/13 destination: Carroll Center, Oak Park fee: $20.00
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SPRINGGame Works Olympics Compete against each other while having fun in this interactive Olympics competition! The winning team gets 1/2 hour game card prizes! moonlighters: 275-01 socialites: 276-01 date: 4/6/13 destination: Game Works, Schaumburg fee: $14.00
Mangia
Mama Mia, here we go again! Tonight we’re cooking Italian style. moonlighters: 275-02 socialites: 276-02 date: 4/13/13 destination: Carroll Center, Oak Park fee: $20.00
Chicago Highlights Tour
Enjoy a trolley tour of Chicago’s hottest attractions! Seats are limited so sign up soon! MEET AT BARRIE. moonlighters: 275-03 socialites: 276-03 date: 4/20/13 destination: Chicago fee: $20.00
Gamer’s Paradise
Lose yourself in a night of classic board games with friends. moonlighters: 275-04 socialites: 276-04 date: 4/27/13 destination: TBD, Chicago fee: $16.00
Stick Together
Welcome to WSSRA’s second annual Duct Tape Olympics! moonlighters: 275-05 socialites: 276-05 date: 5/4/13 destination: Carroll Center, Oak Park fee: $13.00
Movie in the Park
Come out and join your friends for a movie in the park! Use your “chevro-legs” for this “drive-in” theatre experience! moonlighters: 275-06 socialites: 276-06 fee: $12.00 date: 5/11/13 destination: Park District of Forest Park, Forest Park, 2nd floor
Taste of Glen Ellyn
Celebrate all that Glen Ellyn has to offer! This event will feature live entertainment, food, crafts and rides. Please bring spending money for rides and food. moonlighters: 275-07 socialites: 276-07 date: 5/18/13 destination: Glen Ellyn fee: $12.00
Pick Up Point: WSSRA Office, 2915 Maple Street, Franklin Park or McDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI Age: 15 years and older
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older adults Walk & Dine
Yoga for Wellness
Wildcard Wednesdays Start your day with some card shuffling fun! Light & healthy refreshments will be served. Sign up for the weeks that fit your schedule!
date registration # destination
Did you know that yoga can help improve flexibility, balance, breathing and concentration? Plus, it can help decrease stress and improve your mood! Join WSSRA as we start the day with breathing exercises and gentle stretching and yoga. Yoga poses will be taught in a seated position in chairs.
February 12 February 19 February 26 March 5 March 12 March 19 March 26
day: Tuesday time: 10:00-11:30am location: Village of Harwood Heights session 1: Jan. 8 - Feb. 12 fee: $18.50 registration #: 169-01
HI,VI,PI, MLH
Walk or wheel your way to a healthier heart with your friends at WSSRA! We’ll end each week with lunch at a local restaurant. Participants must be independent in mobility. Participants will be responsible for buying their own lunch. Sign up for the weeks that fit your schedule! day: Tuesday time: 9:30am-12:15pm fee: $11.00/week or $154/14 weeks trans: $6.05/week or $84.70/14 weeks
Winter
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167-01 167-02 167-03 167-04 167-05 167-06 167-07
North Riverside Mall Harlem Irving Plaza Yorktown Center North Riverside Mall Golf Mill Walmart, Forest Park Yorktown Center
Spring
April 2 267-01 Center at North Park April 9 267-02 Commons Park April 16 267-03 Lindberg Park April 23 267-04 Proska Park April 30 267-05 Center at North Park May 7 267-06 Portage Park May 14 267-07 Commons Park
PI, VI, HI, Chronic Illness
session 2: Feb. 19 - April 12 *no program March 26 fee: $21.75 registration #: 169-02
HI, VI, PI, MLH
day: Wednesday time: 9:30am-12:30pm location: Franklin Park Community Center fee: $10.40/week or $145.60/14 weeks trans: $6.05/week or $84.70/14 weeks date
registration #
February 13 February 20 February 27 March 6 March 13 March 20 March 27 April 3
165-01 165-02 165-03 165-04 165-05 165-06 165-07 165-08
Winter
Spring
April 10 April 17 April 24 May 1 May 8 May 15
Winner Takes All
Towers Social
Join us for a night of socializing, laughter, and games. We’ll play some old favorites and learn new games as well. Each week we will order “take-out” dinner from a local restaurant. Bring $10 for dinner.
Join us one Friday a month for socializing, games and trivia. We’ll enjoy coffee and a light snack while we play cards, “Garbage” style.
PI, VI, MLH
HI, VI, PI, MLH
day: Thursday time: 6:00-8:30pm location: Elmwood Park Rec Center
Winter
dates: February 14 – April 4 registration #: 162 – 01, 02, 03, 04, 05, 06, 07, 08 fee: $7.50/week or $60.00/8 weeks trans: $6.05/week or $48.50/8 weeks
date
Winter
registration #
2/22 179-01 3/22 179-02
Spring
dates: April 11 – May 16 registration #: 262 – 01, 02, 03, 04, 05, 06 fee: $45.00 trans: $6.05/week or $35.50/6 weeks
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day: Friday time: 12:30-2:30pm fee: FREE trans: $6.05/week
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Spring
4/19 279-01 5/17 279-02
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265-01 265-02 265-03 265-04 265-05 265-06
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WINTER/SPRING 2013 REGISTRATION FORM
MAIL TO: WSSRA, 2915 Maple Street, Franklin Park, IL 60131 FAX TO: 847.455.2157 SIGNED REGISTRATION MUST BE RECEIVED BY FEB. 1, 2013
Participant’s Name:___________________________________________ Birth Date:___________________ Address:___________________________________________ City/State:_______________________ /________ Zip:________________________ Park District/Village:_________________________________________ Home Phone:________________________________________________ Parent Or Guardian Name:_______________________________________________________________________________________________ e-mail address: Parent/Guardian Work Phone:___________________________________ Parent/Guardian Cell Phone:__________________________________ Who Should We Contact If Parent/Guardian Is Unavailable? Name:___________________________________ Phone:_______________________ Doctor’s Name: ____________________________________________ Doctor’s Phone:_______________________________________________ Present School/ Workshop/Other:_________________________________________________________________________________________ Teacher/Supervisor Name:______________________________________ Dismissal Time:____________________________________________ Participant’s Disability:_________________________________________________________________________________________________ Does Participant Use Wheelchair/Walker? Yes No Can Participant Transfer? Specify:_____________________________________________ Is Participant Subject To Seizures: Yes No List Any Medication:______________________________________________________________ Is Medication Taken At Program? Yes No List Any Allergies:_________________________________________________________________ Does Participant Have A Communicable Disease? Yes No If Yes, Please Explain__________________________________________________ ___________________________________________________________________________________________________________________ Program #
Program Name
Day
Fee
Transp
Subtotal Program & Transport FEES
TOTAL DUE:
FEE PAYMENT OPTION - CHECK ONE (payment is expected at registration unless other arrangements are made) Total Payment Enclosed Total Payment to Follow (if FAXED) Request Scholarship Payment Plan – Arranged with Finance Manager Credit Card Visa Master Card Discover Exp. Date: __________________________________________________________ Card Number:
I have read the Waiver Release of All Claims and Hold Harmless Agreement on the reverse and unless I have checked NO under the three authorizations, I approve them. ___________________________________________________
Parent/Participant/Guardian Signature
____________________________
Date
HOLD HARMLESS RELEASE ON REVERSE SIDE
West Suburban Special Recreation Association
WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT (Read Carefully)
Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in the programs. In registering for these programs, you are agreeing as follows: As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury. I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs. I do hereby fully release and discharge the West Suburban Special Recreation Association and the other released parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participation in these programs.
I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of these programs. I further understand and agree that the terms such as “participation”, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision, of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events. I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement. In case of emergency, I give my permission for the participant to receive any first aid, transportation or medical attention that may be required. You may return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile transmission to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.
To Communicate with School/Health Care Personnel*
I authorize counsellors, teachers, case workers, therapists, or physicians to communicate with WSSRA about the participant’s needs as they relate to WSSRA’s provision of recreation services to the participant. WSSRA will keep confidential all information obtained through such communications.
□ yes □ no
To Disclose Information to WSSRA Member Partners*
WSSRA may disclose to my home park district or municipality information about the participant’s and my involvement in WSSRA programs or activities, including our names, telephone number, address, program registrations, and the participant’s age and disability, provided that my home park district or municipality shall not redisclose that information without my express written consent.
□ yes □ no
To Release Information for Publicity Purposes*
I authorize the use of photographs or descriptions of the participant or of me in publicity materials about WSSRA programs and services, which may appear in newspapers, member partner brochures, video presentations, web sites and other similar mediums or displays.
□ yes □ no
*I understand that I can change my decisions regarding the statements above at any time for any reason by delivering a written notice to WSSRA, prohibiting further disclosure information.
COMMENT SHEET – WE WELCOME YOUR INPUT!
We invite you to share with us your program ideas and comments about our services: _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ You can also send us an email at wssra@wssra.net
Support WSSRA by following us on
Valid Application for Participation is mandatory for all competitors 605 E. Willow St. Normal, IL 61761-2682 309-888-2551
Zip Code
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Y
Y
SO ILL Rev. 8-1-10 D
Sex (M or F)
Birthdate M M D
APPLICATION FOR PARTICIPATION IN SPECIAL OLYMPICS ILLINOIS ATHLETE INFORMATION
Athlete Name (last name, space, first name)
Agency Name
State
-
Parent’s/Guardian’s (Please Circle One) Home Address
Zip Code
Parent’s/Guardian’s Home Telephone
-
Athlete’s Mailing Address
Asian
Parent’s/Guardian’s City
Black/African American Other
Emergency Contact Phone (
)
Athlete’s City
State
Ethnicity
White Hispanic/Latino
Person to be contacted in case of emergency
Policy Number
HEALTH INSURANCE & EMERGENCY INFORMATION (Required for Processing) Medical Insurance Company
PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE
Date
Parent’s Email Address
Signature of Parent and/or Legal Guardian (Check appropriate box) Print Name
Date
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. Entrant Witness
Athlete’s Email Address
SO ILL OFFICE ONLY
MEDICAL CLEARANCE
PLEASE CHECK MEDICAL INFORMATION
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
No No No No No No
Dosage
Does the athlete have or is the athlete: Heart Problems Yes Diabetic Yes Epileptic/Seizures Yes Blind Yes Deaf Yes Hepatitis Yes Other
Current Medication
Allergies to medication, if any:
Date of last Tetanus shot:
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.
Examination Date
)
Doctor’s Signature
Print Name
Address
City
Phone (
Original parent/guardian and doctor signatures are required by the office of Special Olympics Illinois. Faxed signatures will not be accepted.
rules/regulations WSSRA TRANSPORTATION
1. Door to door transportation is available for all programs noted with the transportation symbol. This extra service is available if you pay a $6.05 per round trip fee, for each day the program meets. 2. Transportation to programs from designated pick up points is available for a fee of $2.75 per round trip, for each day the program meets. You must pay at time of registration. 3. All participants being transported in WSSRA vehicles must abide by WSSRA guidelines. Failure to do so will result in suspension from transportation. Repeat offenders will not be transported by WSSRA. 4. Parents or participants must notify the Association in regard to any change in transportation. 5. If an Association vehicle cannot complete a route and family members must pick up riders, a credit will be issued for the participant’s later use. 6. Any registration received after February 1, 2013 may result in a late program start or no transportation. 7. Parents are requested to notify their child’s school on days students are being picked up by a WSSRA van. 8. A participant under the age of 16 must be taken off the van by a responsible person over 12 years old.
PLAYING IT SAFE
Due to new state legislation, car seats or booster seats must be provided for all children ages seven and under. For more information contact the Superintendent of Safety & Operations.
INSURANCE
The Association takes every reasonable precaution to prevent injuries and accidents from occurring. However, if an accident does occur or if you or your child is injured, you are solely responsible for any costs incurred or caused by an injury that happens in an Association program.
WAIVER OF LIABILITY
WSSRA is insured through a self insurance pool with other Special Recreation Associations and Park Districts. Our pool is known as the Park District Risk Management Agency (PDRMA). As a loss prevention measure, PDRMA is requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the WSSRA waiver release form. This must be signed and returned to the WSSRA office before participants can be in programs. Since we do not carry medical or accident insurance for program participants, the release of liability is necessary. The cost of such coverage would make our program fees too high for most to afford. Please review your personal health plan to be certain that you and your family have coverage in instances like these. Our objective is to offer a high quality program at a reasonable cost. The use of a release of liability when appropriate is but one way we are trying to meet that objective. If you have any questions, call Marianne Birko at 847.455.2100. We appreciate your continued involvement and support.
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WALK-IN OR MAIL-IN OR FAXED REGISTRATION PROCEDURES
1. Complete the enclosed registration form with correct program selection, day, program fee, transportation and payment option. 2. Contact your local park district or village for use of their fax machine to fax your registration. 3. All signed registration forms received by February 1, 2013 will be processed by the WSSRA Registrar and approved for program and transportation information. 4. All registrations will be accepted on a first-come, first served basis until we reach our maximum enrolment for each program. 5. Mail-in or walk-in registrations received AFTER 5:00 PM February 1, 2013 may result in a late program start and transportation may not be available. 6. If a program is closed you will be added to a wait list once we have received a signed registration form. We will contact you when an opening is available. 7. Recreation Specialists MAY NOT accept program payment or registration forms at programs. This must be done by mail or at the office only. 8. Anyone registering MUST have a working phone number. 9. A participant cannot register for the next season until balance from previous season is paid.
PHONE-IN REGISTRATION PROCEDURES ONLY
1. Phone-in registration begins once you receive your brochure and will be accepted until February 1, 2013. 2. Calls will be accepted Monday through Friday from 9:00 until 4:30 PM. 3. The WSSRA Registrar will assist you in completing the registration form. She will be sure the programs selected are age and ability appropriate. 4. A confirmation letter will be sent to you. Sign the attached waiver form and return to WSSRA by February 1, 2013. 5. The registration will be on hold until we receive the signed registration form. No participation can take place without this signature. 6. Phone-in registration WILL NOT BE ACCEPTED after February 1, 2013. 7. Faxed, mail-in or walk-in registrations will be accepted after February 1, 2013 but may result in a late program start and transportation may not be available. 8. All registrations will be accepted on a first-come, first-served basis until we reach our maximum enrolment for each program. 9. If a program is closed you will be added to a wait list once we have received a signed registration form. We will contact you when an opening is available. 10. Recreation Specialists MAY NOT accept program payment or registration forms at programs. This must be done by mail or at the office only. We can accept credit card payments over the phone during business hours. 11. Anyone registering MUST have a working phone number. 12. A participant cannot register for the next season until balance from previous season is paid.
SEIZURE INFORMATION
Please complete this form if the participant experiences seizures, or return a copy of your child’s seizure plan from his/her school. Please update this form whenever there is a change in the seizure plan and submit it with your registration. You will be asked to review this once a year and provide any necessary updates.
Date:________________________ CONTACT INFORMATION Participant’s Name: ____________________________________________________________________________________________________ Person Completing Form:________________________________________________________________________________________________ Parent/Guardian:______________________________ ________________________________________________________________________ phone: (h)___________________________________(w)_________________________ (c)_____________________ Emergency Contact:____________________________________________________________________________________________________ phone: (h)___________________________________(w)_________________________ (c)_____________________ Emergency Contact Relationship:_________________________________________________________________________________________ email: What is the best way to communicate with you about the participant’s seizure?_____________________________________________________ ___________________________________________________________________________________________________________________ CURRENT SEIZURE RELATED MEDICATION: Name
Dosage
Time of Intake
1. Seizure Type (Please Check): Generalized tonic clonic seizures (grand mal seizures) are the most common and best known type of generalized seizure. They begin with stiffening of the limbs (the tonic phase), followed by jerking of the limbs and face (the clonic phase).
Myoclonic seizures are rapid, brief contractions of bodily muscles, which usually occur at the same time on both sides of the body. Occasionally, they involve one arm or a foot. People usually think of them as sudden jerks or clumsiness. Atonic seizures produce an abrupt loss of muscle tone. They produce head drops, loss of posture, or sudden collapse. Because they are so abrupt, without any warning, and because the people who experience them fall with force, atonic seizures can result in injuries to the head and face. Protective headgear is sometimes used by children and adults. Absence seizures (petit mal seizures) are lapses of awareness, sometimes with staring, that begin and end abruptly, lasting only a few seconds. There is no warning and no after-effect. Simple Partial No Loss of consciousness. Sudden Jerking, sensory phenomena. Lasts about 90 seconds. Complex Partial Lasting 1-2 minutes. in which consciousness is impaired or lost. May have an aura. Symptoms include: Automatisms such as lip smacking, picking at clothes, fumbling. They may be unaware of the environment and may wander. Following the seizure they are often unaware of the seizure event and can be confused and sleepy.
2. When was your/the participant’s last seizure?______/_____/_______ How long does the seizure last?________________________________ How long was the longest seizure?________________________________________________________________________________________ 3. Describe what a typical seizure looks like (be specific) :_____________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ 4. Are you/the participant aware that they are about to have or have just had a seizure? Yes No
5. Are there any symptoms or triggers prior to the onset of your /the participant’s seizure? ( I.e. smells, stomach pain, fear, sounds, lights) Explain: _____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ 6. Has there been any recent change in your/the participant’s seizure pattern? Yes No Explain: _____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ 7. Have you/the participant ever been hospitalized for continuous seizures? Yes No Explain: _____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Status Epilepticus If seizures are prolonged, or occur in a series, there is an increased risk of status epilepticus. The term literally means a continuous state of seizure.
8. Please list below the necessary steps you would like WSSRA to take in the event of a seizure: 1. Call 911 for a seizure over ______ minutes. (WSSRA will call 911 if a seizure lasts 5 minutes) 2.__________________________________________________________________________________________________________________ 3.__________________________________________________________________________________________________________________ 9. Please describe what constitutes an emergency for you/ the participant:________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ 10. Do you/the participant have a Vagal Nerve Stimulator? Yes No If YES, contact WSSRA at 847-455-2100 to discuss further. 11. Is there any other information that WSSRA should know?___________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________
special events WSSRF Bowl-a-Thon
WSSRA Golf Par-Tee
day: Sunday time: 2:00–4:00pm date: February 24 location: Circle Lanes, Forest Park more info: check our website or call the office
The Golf Par-Tee is 3 hours of golf fun: driving range, swing evaluation, longest drive contest, virtual golf, drinks, refreshments, and tips from a pro.
Bring your family & friends for an afternoon of kid-friendly bowling, snacks, a raffle, and camaraderie! We’ll have fun while raising funds for WSSRA! Information will be sent home through programs.
What’s the best thing to do on a cold, winter Saturday night? Yep! Hit the greens and daydream of warm, summer days on the golf course.
day: Saturday, February 2 time: 7:00-9:30pm location: White Pines Golf Dome 500 W. Jefferson St., Bensenville more info: check our website for updates RSVP: call WSSRA registration #: 197 fee: $45 in advance/$50 at the door **all funds raised with this event support WSSRA programs
Splashtastic Family Swim
day: Friday date: 2/22, 3/1, 4/5, 5/3 time: 6:00–7:30pm location: Mannheim Pool, Melrose Park registration #: 193 fee: $5 per family of 4($2 additional/person) each swim session *WSSRA does not staff this program. Parents and guardians must accompany their children in the pool at all times.
We’re off to the races to raise funds for WSSRA! Our annual Gala includes simulcasts of thoroughbred racing and the Kentucky Derby, food and beverage, a silent auction, and much more! Check our website for event updates or call WSSRA for more information.
day: Saturday date: May 4 location: Hawthorne Race Course 3501 S. Laramie, Cicero
Save the date! March with WSSRA in the River Forest Memorial Day Parade on Monday, May 27! Check Facebook in the coming months for details.
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West Suburban Special Recreation Association 2915 Maple Street | Franklin Park, Il 60131 P 847.455.2100 | F 847.455.2157 www.wssra.net
POSTMASTER Dated Material Please DO NOT HOLD
Flap Jack Bunny Hop ALL ABILITIES BRING YOUR FRIENDS AND FAMILY!!
Celebrate spring with WSSRA and your friends at our annual pancake breakfast. We’ll cook up the ‘cakes and bring some crafts and games. All you have to do is bring your friends and family and get ready for some fun!! day: Saturday date: March 9 time: 8:30–10:30am location: Ascension Church, Pine Room 601 Van Buren, Oak Park registration #: 195 fee: $1.00/kids 12 and under $5.00/people 13 and up
PRSRT STD U.S. POSTAGE PAID COMPLETE MAILING SVC, IL