Teen Force Fall Activities 2013 by Portland Parks & Recreation

Fall 2013 Teen Services Program

Teen Force At East Portland, Charles Jordan, Matt Dishman,

Mt. Scott & Montavilla Community Centers

• Find friends, role-models/mentors & fun in drop-in activities.....Pg 8-9 • Volunteer opportunies to build leadership skills & enhance college applications! • Celebrate the harvest season with a Teen Only Dive In Movie!.....Pg 14

Like us on Facebook!

www.Faceboo k.com/TeenFo rce PortlandParks andRecreatio n

Comissioner Amanda Fritz Director Mike Abbaté

enForce-style

on Te Celebrate the harvest seas Sauvie’s rn Maze on o C d te n u e Ha t Mt Scott, Explore th re begins a tu n Road trip!! e v d a is y Centers. sk. Th Communit d n Island at du la rt o P or East Montavilla er person rest you. m $12 p the site nea p t a 0 r :3 0 te is -1 g 7 e R ctober 26 Saturday, O

Dive on In for a scary movie in h Come one, onor of Ha Come all llowe Teens ONL evening of Y, that is, fo en! Halloween r a special themed acti the scary (b vities cente ut funny) m re d around ovie, Scary Dishman C MoVie 5 at ommunity Matt Center. Friday, Oc tober 25 8-10:30pm $2 per pers on

Experience the carvnival atmosphere from a new perspective. Earn volunteer hours for school or just gain valuable skills for your college applications and future resumes. Check out the carnival’s put on by East Portland, Montavilla, & Charles Jordan Community Centers for a great opportunity apply your leadership skills and be a role-model for younger kids! Check the page numbers above or talk to the TeenForce site of your choice for specific information. Times & Days vary by site

INCLUSION SERVICES FOR PEOPLE WITH SPECIAL NEEDS Within the Americans with Disability Act (ADA) of 1990, Portland Parks & Recreation (PP&R) provides accommodations to individuals with disabilities/special needs, so that they may receive an equal opportunity to fully participate in programs offered citywide. How it Works First choose the activity you’d like to do & the PP&R site at which you’d like to do it. Next, register for the class. When registering, let the person know that you will need accommodations in order to participate in the activity. Once registered, contact Inclusion Services at (503) 823-4328. If this is your first accommodation through Inclusion Services, you will need to do a phone intake with a staff member at that number. At the end of the phone intake it will be determined whether an assistant will be needed on the first day of the activity to provide on-site support at the age-appropriate class. Future assistance will be provided based on need. The inclusion staff will work with the instructor on how to support you and your individual needs. A general program may be adapted using auxiliary aids & services, but the basic structure of the program remains the same. Accommodations are made as needed & can be flexible & creative, ensuring the participant engages as independently as possible. If you have questions about Inclusion Services, please call 503-823-4328 V/TTY. A minimum of 10 business days (MondayFriday) advance notice is required. The Inclusion Services staff will do their best to accommodate each participant.

2 Teen Services Program

Portland Parks & Recreation

Administrative Office: 1120 SW 5th Ave., Portland, OR 97204 Telephone: 503.823.PLAY

What Is Teen Force? Teen Force embodies the energy and excitement of the awesome trips, classes, drop-in activities, events and volunteer outings we program JUST FOR TEENS! In this brochure is our most current program! ENJOY!

East Portland CC

Teen Services Program

Charles Jordan CC

Teen Force portland parks & recreation Teen Programming Focus

Ryan Fitzpatrick Charles Jordan Community Center, 503.823.0226 Neal Brown Montavilla Community Center,

503.823.4101

Demetri Finch-Brown East Portland Community Center, 503.823.0208

503.953.9574

Karen Birt Recreation Supervisor,

503.823.0979

www.facebook.com/TeenForcePortlandParksandRecreation

Table of Contents Basketball League...............................................Pg 24 Charles Jordan Community Center................. Pg 5-7 Drop-In Activities............................................. Pg 8-9 East Portland Community Center............... Pg 10-12 TeenForce Trips....................................................Pg 4 Matt Dishman Community Center............. Pg 13-15 Montavilla Community Center.................... Pg 18-20 Mt. Scott Community Center...................... Pg 21-23 Teen Environmental Adventures................. .Pg 25-27 TeenNights................................................... Pg 16-17 Portland Parks & Recreation Map............... Pg 28-29 Registration Form..............................................Pg 31 Registeration Information..................................Pg 30

T.E.A.

Madalyn Bach Mt Scott Community Center,

Teen Force is located in five communities throughout Portland!

Mt. Scott CC

Robert Donaldson III Matt Dishman Community Center, 503.823.5200

• Activity / Fitness • Environmental Stewardship / Outdoor Experiences • Arts Experiences • Leadership / Employment / Education • Social Interaction / Fun

Montavilla CC

Meet the team, from left to right:

Matt Dishman CC

Teen Force engages and empowers teens through ongoing registration and drop-in programs, as well as one-time events and special activities specializing in:

Teen Force hikes operate under a special use permit from the USDA Forest Service.

TeenForce Info Date Destination Site on Pg Sept 21 Seaside, OR CJCC Pg 7

Additional out door trips are offered through Teen Environmental Adventures. Be sure to check out pages 25-27 for more adventurous excursions.

Play in the sand, explore the town

Sept 28

Kyaking

Oct 5

Portland Art Museum MOCC

MDCC/TEA

Pg 15

Day trip on the water - lesson included

Pg 20

Samurai exhibit

Oct 12 Portland Aquarium EPCC View jellyfish, otters & sharks...Oh, my!

Pg 12

Oct 19

Pumpkin Patch/Corn Maze CJCC

Pg 7

Rock Climbing

Oct 26

Haunted Corn Maze EPCC Explore the haunted maze MOCC on Sauvieâ&#x20AC;&#x2122;s Island at night & MSCC

Pg 12 Pg 20 Pg 23

Nov 2

OSU/UO College Tour MSCC

Pg 22

Smith & Bybee Lake MOCC

Nov 9

Ape Caves EPCC

Nov 16

Lunch & Aquatic Park CJCC

Nov 23

Horseback Riding

Dec 7

Multnomah Falls MOCC

Dec 14

Lava Canyon Loop EPCC

Dec 21

Lunch & Glowing Greens CJCC

Pick out the perfect pumpkin & explore the maize maze

MDCC/TEA

Pg 15

Lesson & adventure up a rock...equipment provided.

Are you a Duck or a Beaver?

Pg 20

2.1 mile easy hike

Pg 12

2-3 mi moderate hike on uneven rock inside a cave

Pg 7

Eat & swim!

MSCC

Pg 23

Saddle up for a trail ride (with lesson)

Pg 20

2.6 mi moderate hike with steep incline

Pg 12

1.1 mile easy hike complete with suspension bridge Eat & golf...mini-golf, that is.

Pg 7

Portland Parks & Recreation

Charles Jordan CC

Charles Jordan Community Center 9009 N. Foss St. Telephone: 503.823.3631

East Portland CC

(503) 823-0226 ryan.fitzpatrick@portlandoregon.gov Mon - Fri Sat Sun

Matt Dishman CC

Facility Hours 6:30 am - 9:00 pm 9:00 am - 6:00 pm + 7:00 - 10:00pm (Teen Night) 9:00am-1:00pm

Montavilla MontavillaCC CC

Transit Bus Line #4 - W of Chautauqua on Alaska St Plan your trip at trimet.org. Facility Features Include: • Full service fitness center • 3 full basketball courts • Spectacular dance facility • Extensive game room

Mt. Scott CC T.E.A.

Young Entrepreneurs

ages: 11-18 $9

Want to create your own income? Discover grass roots strategies for starting a neighborhood business. Let us help you analyze skills, develop basic business plans, create simple ads & find out the best ways to manage money. Increase self-confidence while taking control. #411189 #411190

Th Th

3-5pm 3-5pm

9/19-10/24 11/7-12/19

Basketball Academy

ages: 11-18 12/23-12/27 $40

Do you have the basics down & want to take your game to the next level? Challenge & hone your edge in a competitive, high-energy environment. Develop life-long skills to prepare you for high school & beyond. #411169

M-F 10am-2pm

Girls Basketball Academy ages: 11-18 12/30-1/3 $40

Do you have the basics down & want to take your game to the next level? Challenge & hone your edge in a competitive, high-energy environment. Develop lifelong skills to prepare you for high school & beyond. #411170

M-F

10-2pm

Portland Parks & Recreation

Charles Jordan CC East Portland CC Matt Dishman CC

Third Saturday Trips ages: 11-18 $22

Road trip! Hereâ&#x20AC;&#x2122;s a chance to get away and explore new adventures with old & new friends! Staff supervised Montavilla MontavillaCC CC

trips promote positive activities that incorporate lifelong learning & just plain fun! Letâ&#x20AC;&#x2122;s get going!

#411167 Sa

Seaside, Oregon

10am-6pm

Pumpkin Patch & Corn Maze Sa

Mt. Scott CC

#411166

9/21

10/19 12-6pm

Lunch & The Aquatic Park

#411168

11/16 12-6pm

#411165

12/21 12-6pm

Lunch & Glowing Green T.E.A.

For outdoor & overnight trips, participants must bring a permission slip, which can be found at: www.portlandoregon.gov/parks/teenpermissionslip. Print it on-line and bring it with you or arrive 15 minutes early with parent/guardian to fill out this form. Refund deadline for all trips is 5 business days.

Drop-in

Did you know that the hours of 3-6pm on weekdays have the highest rate of unsafe & counter-productive behaviors by teens? Donâ&#x20AC;&#x2122;t worry! TeenForce has you covered with a wide range of POSITIVE recreation options for youth ages 12-17 years old aimed to

engage, entertain & inspire.

Computer Lab 2:30-5pm @ CJCC, FREE! The Function (Youth Lounge) 2:45-5pm @ EPCC, FREE! Game Room 3:30-8pm @ MDCC, FREE! 2:30-5pm @ CJCC, FREE! Open Gym 2:30-5pm @ CJCC, FREE! 2:45-5pm @ EPCC, $10/term - $5 if reg before 9/20, or $25/year 3:30-5pm @ MDCC, FREE! Soccer Scrimmage 4-6pm @ MOCC, $1/day or $10/term

Computer Lab 2:30-5pm @ CJCC, FREE! The Function (Youth Lounge) 3:30-5pm @ EPCC, FREE! Game Room 2:30-5pm @ CJCC, FREE! 3:30-8pm @ MDCC, FREE! Open Gym 2:30-5pm @ CJCC, FREE! 2:45-5pm @ EPCC, $10/term - $5 if reg before 9/20, or $25/year 2:30-5pm @ MOCC, FREE! 3:30-5pm @ MDCC, FREE!

Where?!?

Break Dancing 4-6pm @ MOCC, $1 drop-in or $5 for the term, 10/9-12/13 Computer Lab 2:30-5pm @ CJCC, FREE! The Function (Youth Lounge) 2:45-5pm @ EPCC, FREE! Game Room 2:30-5pm @ CJCC, FREE! 3:30-8pm @ MDCC, FREE! Open Gym 2:30-5pm @ CJCC, FREE! 2:45-5pm @ EPCC, $10/term - $5 if reg before 9/20, or $25/year 3:30-5pm @ MDCC, FREE!

CJCC - Charles Jordan Community Center, 9009 N Foss, 503-823-3631 EPCC - East Portland Community Center, 740 SE 106th, 503-823-3450 MDCC - Matt Dishman Community Center, 77 NE Knott St, 503-823-3673 MOCC - Montavilla Community Center, 8219 NE Glisan, 503-823-4101 MSCC - Mt Scott Community Center, 5530 SE 72nd Ave, 503-823-3183

Computer Lab 2:30-5pm @ CJCC, FREE! The Function (Youth Lounge) 2:45-5pm @ EPCC, FREE! Game Room 2:30-5:30pm @ CJCC, FREE! 3:30-8pm @ MDCC, FREE! Open Gym 2:30-5pm @ CJCC, FREE! 2:45-5pm @ EPCC, $10/term - $5 if reg before 9/20, or $25/year 2:30-5pm @ MOCC, FREE! 3:30-5pm @ MDCC, FREE!

Break Dancing 3:30-5pm @ EPCC, FREE! 4-6pm @ MOCC, $1/day or $5 for the term, 10/9-12/13 The Function (Youth Lounge) 3-5pm @ EPCC, FREE! Game Room 3:30-8pm @ MDCC, FREE! Open Gym 2:45-5pm @ EPCC, $10/term - $5 if reg before 9/20, or $25/year 2:30-4pm @ MOCC, FREE! 3:30-5pm & 7:45-9:45pm @ MDCC, FREE! TeenNights! Check out page 16 for a complete schedule of TeenNights.

Game Room 9am-5pm @ MDCC, FREE! Open Gym 1:30-5:45pm @ MDCC, FREE! TeenNights! Check out page 17 for a complete schedule of TeenNights.

Game Room 11am-5pm @ MDCC, FREE! Open Gym Noon-5:45pm @ MDCC, FREE!

East Portland Community Center

Facility Hours

740 SE 106th Ave. Telephone: 503.823.3450

Transit Bus Line #15, 20 or 71 - SE Washintong & 106th Ave Plan your trip at trimet.org.

Demetri FinchBrown Teen Service Coordinator (503) 823-0208 Desk Line demetri.finchbrown@portlandoregon.gov

Mon - Fri Sat Sun

Facility Features Include: • LEED Awarded aquatixc facility • Indoor pool & whirlpool spa • Exercise/Dance studio • Fitness center • Full size gymnasiium • Teen Lounge • Outdoor courtyard & playground

S.W.E.A.T (Weight Training & Squash) ages: 11-18 10/11-12/14 $15

Do you like fast-paced games? Then, indoor racquet sports are for you! Join us when we head to a local athletic club to work out with experienced coaches. We’ll hit the ball, lift weights & run some fun drills to develop new skills, increase fitness & improve strength in a friendly environment. #412678 #412679

F Sa

10 East Portland Community Center

Time TBD Time TBD

503-823-3450

6:30 am - 9:30 pm 7:00 am - 6:00 pm 8:00 am - 6:00 pm

Garden Hero’s

(The Power of Native Plants) ages 13-17 11/14-12/19 FREE!

If you could tap the secret powers of Northwest plant life, what would you find? Nearly all vegetation in our area has something to share with us. You will gain a powerful set of tools to identify native plants, make medicine, & eat ‘out’ in the woods. Experience both the wilderness & the urban jungle, unearthing the wonders of our flora. #415409 Th 3:45-5:15pm

Portland Parks & Recreation

ages 13-17 10/8-12/17 Free!

East Portland & Montavilla

Teen Leadership Group

Want to be in-charge of your own dance or be involved in community activities? Join a youth empowerment program that emphasizes teamwork, entrepreneurship & volunteerism. #412152

Ya don’t stop! Get on with the groove thing to the rhythm of the ‘boogety’ beat! Improve balance, coordination & endurance with a cool & energetic dance style. Learn all the fly moves!

ages 12 – 18 10/10-12/19 $15/Term

3:30-4:25pm 3:30-4:25pm

4-8pm

Break Dancing ages 12 – 18 10/10-12/19 $10/Term

Bust a move! Get funky & a little crazy! Build selfconfidence, express individuality & developing new steps as your moves become faster & more complex. #412671 Th #412672 Th

5-6:30pm 5-6:30pm

Drop-In Break Dance Friday 3:30-5pm $5/term-or- $1/day Register On-Line at www.PortlandParks.org 11

T.E.A.

Feel the heat! Catch the groove & capture the irresistible beat! Emphasize proper technique including isolations, turns, combinations & complete dances. Increase agility & coordination while experiencing a beat that has you moving your feet! Th Th

#413201 Sa 10/19

Mt. Scott CC

3:30-4:25pm 3:30-4:25pm

Intermediate Hip Hop

#412669 #412670

VOLUNTEER!

Montavilla CC

ages 12 – 18 10/8-12/10 $10/Term

Tu Tu

16th Annual Cosutme Carnival

4-5pm

Beginning Hip Hop

#412666 #412667

Community Centers

Matt Mat Dishman Dishman CC CC

ages 12-18 10/9-11/27 Free!

East EastPortland PortlandCC CC

Do you want to have fun & be fabulous? Join a girl’s empowerment program that emphasizes a creative environment, promotes structure, accountability, selfrespect & self-acceptance. This program is challenging, creative & life changing. Middle & high schoolers are encouraged to join. Be fierce & fabulous, join now! #412648 W 5-6pm

Charles Jordan CC

U Go Girl

Manga Comic Studio

ages 12 – 19 10/11-12/20 $25

All great stories begin with great ideas! Use your imagination to create original comic art and stories. Explore creating comic strips, books and similar cartoon art. Individual style & creativity are encouraged. #412673

4-6pm

Get Cookin’ ages 12 – 18 10/7-12/16 $25

Friends, food, nutrition & fun, this is a recipe for success. Plan healthy menus & practice safe food preparation as you share tasty dishes. #412676 #412677

M M

5:30-6:30pm 5:30-6:30pm

Photography Point & Shoot

ages 12 – 18 10/9-12/11 $15

Perfect techniques that improve the composition & effectiveness of your pictures. Master the principles of this art form to produce photos you’ll be proud to show friends & family! #412674 W 4-5pm #412675 W 4-5pm

Portland Aquarium Scavenger Hunt!

ages 12-18 10/12 $25

Explore a whole new world beneath the ocean’s surface! adventures with old & new friends! Staff supervised trips promote positive activities that incorporate life-long learning & just plain fun! Let’s get going! #415824

10am - 4pm

Haunted Corn Maze

ages 12 – 18 10/26 $12

Road trip! Here’s a chance to get away & explore new adventures with old & new friends! Staff supervised trips promote positive activities that incorporate life-long learning & just plain fun! Let’s get going! #412785

7-10:30pm

Teens On the Trail ages 12 – 18 $25/Trip

Day walks on breathtaking trails that challenge you! Surround yourself with natures beauty. Stunning canyons & caves of jagged cuts through ancient lava. Make new friends & be inspired. #412786 #412787

Sa Sa

9am - 5pm Ape Caves (11/9) 9am - 5pm Lava Canyon Loop (12/14)

503-823-3450

Portland Parks & Recreation

77 NE Knott St. Telephone: 503.823.3673

Spots are filling fast!

Sports in College

Charles Jordan CC

Matt Dishman Community Center

East Portland CC

Teen Service Coordinator (503) 823-5200 Office robert.donaldson@portlandoregon.gov Facility Hours 5:30 am - 9:00pm 9:00 am - 6:00 pm 10:30 am - 6:00 pm

Transit Bus Line #6 - at NE MLK BLVD and NE Knott St Bus Line #4 - at N Williams Ave and NE Knott St Plan your trip at trimet.org.

Charles Mt. Scott Jordan CCCC T.E.A.

Facility Features Include: • Indoor pool • Whirlpool spa • Men, Women & Family Change Rooms • Fitness center with cardio equipment • Boxing Room with heavy & speed bag mounts • Game Room with pool & ping-pong tables • Gymnasium • Auditorium with hardwood floors & Kitchen • Arts & Crafts Room

Montavilla CC

Mon - Fri Sat Sun

Ages 14 – 17 Interested in playing college sports? Join the Portland State Universities men’s & women’s players basketball team for a night of information & drills and games. Learn what you need to do if you want to play sports in College.

Matt Dishman CC

Robert Donaldson III

Portland Parks & Recreation

Boxing Personal Power

College Prep

Want to float like a butterfly? Sting like a bee?Meet with an experienced trainer & improve footwork skills, hand speed & body movements using equipment such as speed bags, heavy bags & jump ropes. Increase fitness, agility & self-defense skills.

Are you interested in higher education? Learn from a college guidance counselor how choose the correct school for you, college admission requirements, finding the proper funding to help pay for college, and tips on what you need to do now to be prepared. Get a jump on your future and take advantage of this great opportunity! Parents are welcomed too and lunch will be provided!

ages 11 – 17 10/15-12/5 $30

#410916 Tue & Th 4-5pm Instructor: Wade Boxing Gym

ages 14 – 17 10/19 Free

Drop-In Sa 12-2pm Instructor: TBA Room A

Sports in College

ages 14 – 17 TBA Free

$2 Teen Sw

Friday, October 25, 2013, 8-10:30pm

im!

@ the Matt Dishman CC Pool

In the spirit of the season, join the TeenForce crew for a $2 Dive-In Movie complete with a few chills, a scare or two, and a whole lot of laughs! Bring an inner tube or air mattress to lounge on & enjoy the show from the water. Games, snacks & Halloween themed fun included.

Interested in playing college sports? Join the Portland State Universities men’s & women’s players basketball team for a night of information & drills and games. Learn what you need to do if you want to play sports in College. Drop-In TBA TBA Instructor: TBA Room A

GirlStrength

Empower yourself! Develop strong skills while building self-confidence & increase awareness of your surrounding environment. Explore a variety of strategies & self-defense techniques to help defend against sexual assault. This program is sponsored by the Portland Police Bureau.

This is a girls’s only program! Mother & Daughter 11-14

# 411642 Sat 9/14 12-2pm Instructor: TBA Craft Room Free

Mother & Daughter # 411643 Sat Instructor: TBA

Dive-In for Scary MoVie! 14

12/7 Craft Room

12-2pm Free

Portland Parks & Recreation

Cooking - Kitchen Lab

Art - Express Yourself!

ages 11 – 17 10/18-12/6 $20

Unleash your inner rebel! Take the challenge to expand your artistic talents as you experiment with a variety of art mediums. Develop your own style as you explore the impact of your masterpiece on popular culture.

#410918 Wed Instructor:

6:30-8:30pm Sheriff Kitchen

Photography -Beginning

Experience the basics in a thorough & creative manner. Explore shutters, apertures, automatic & mechanical settings & how to use them to create the images you want. Acquire skills in framing the world with compositional & textural imagination. #410919 Fri 6-7:30pm Instructor: Toth Rm. A

Clay Creations

ages 11 – 17 10/17-12/5 $20

Can you construct a world with your fingers? Invent new shapes, from nature or imagination, while exploring hand building & sculpting. Exchange ideas & inspiration from artists around you while giving form to your dreams. #411647 Th 6-7:30pm Instructor: Sheriff Rm. A

Montavilla CC

Outdoor Trips ages 11 – 17

Bored at home? Want to explore your adventurous side in the great Northwest? Enjoy great activities like canoeing, hiking, rock climbing & camping. Discover some of Oregon’s beautiful nature areas, animals, while making new friends & getting exercise

Charles Mt. Scott Jordan CCCC

Kayaking at Rock Island on the Willamette River #410921 Sat 9/28 9am-5pm Instructor: EE Staff Lobby $40 Rock Climbing at Broughton Bluff #410922 Sat 10/19 9am-5pm Instructor: EE Staff Lobby

Matt Dishman CC

ages 11 – 17 10/18-12/6 $20

#410920 Fri 5-7pm Instructor: Sheriff Craft Room

East Portland CC

Boost your confidence! Develop basic culinary skills while creating new & classic foods, working individually & in small groups. What does chemistry have to do with food? Discover new tools & techniques & how foods work together to create a tasty dish that you & friends will enjoy! Anyone can cook!

Charles Jordan CC

ages 11 – 17 10/16-11/20 $30

$40

T.E.A.

For outdoor trips, participants must bring a permission slip, which can be found at: www.portlandoregon.gov/parks/teenpermissionslip. Print it on-line and bring it with you or arrive 15 minutes early with parent/guardian to fill out this form. Refund deadline for all trips is 5 business days.

FRIDAYS Date

Time & Location

Theme

Sept 6

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Sept 13

7:45-9:45pm @ MDCC

Open Gym - Basketball

Sept 20

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Sept 27

6:30-9pm @ EPCC, $1 7:45-9:45pm @ MDCC

Squash Demo Open Gym - Basketball

Oct 4

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Oct 11

6:30-9pm @ EPCC, $1-$2 7:45-9:45pm @ MDCC

Tie Dye + $2 Swim! Open Gym - Basketball

Oct 18

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Oct 25

8-10:30pm @ MDCC, $2

Teen Swim - Dive in Movie!

Nov 1

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Nov 8

6:30-9pm @ EPCC, $1-$2 7:45-9:45pm @ MDCC

Basketball + $2 Swim! Open Gym - Basketball

Nov 15

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Nov 22

6:30-9pm @ EPCC, $1 7:45-9:45pm @ MDCC

Game Night Open Gym - Basketball

Nov 29

7:45-9:45pm @ MDCC

Open Gym - Basketball

Dec 6

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Dec 13

6:30-9pm @ EPCC, $1-$2 7:45-9:45pm @ MDCC

Basketball + $2 Swim Open Gym - Basketball

Dec 20

6-9pm @ MOCC, $1 7:45-9:45pm @ MDCC

Basketball, B-boys, & Be U! Open Gym - Basketball

Dec 27

7:45-9:45pm @ MDCC

Open Gym - Basketball

16 Teen Services Program

SATURDAYS Date

Time & Location

Theme

Sept 7

7-10pm @ CJCC, $1

Games, Basketball & Dance

Sept 14

7-10pm @ CJCC, $1

Games, Basketball & Dance

Sept 21

7-10pm @ CJCC, $1

Games, Basketball & Dance

Sept 28

7-10pm @ CJCC, $1

Games, Basketball & Dance

Oct 5

7-10pm @ CJCC, $1

Games, Basketball & Dance

Oct 12 Oct 19 Oct 26 Nov 2

7-10pm @ CJCC, $1 7-10pm @ CJCC, $1 7-10pm @ CJCC, $1 7-10pm @ CJCC, $1

Games, Basketball & Dance Games, Basketball & Dance Games, Basketball & Dance Games, Basketball & Dance

Nov 9 Nov 16 Nov 23

7-10pm @ CJCC, $1 7-10pm @ CJCC, $1 7-10pm @ CJCC, $1

Games, Basketball & Dance Games, Basketball & Dance Games, Basketball & Dance

Nov 30 Dec 7

6-9pm @ MOCC, $1 7-10pm @ CJCC, $1

Basketball & Movie Games, Basketball & Dance

Dec 14

7-10pm @ CJCC, $1

Games, Basketball & Dance

Dec 21

7-10pm @ CJCC, $1

Games, Basketball & Dance

Dec 28

7-10pm @ CJCC, $1

Games, Basketball & Dance

CJCC = Charles Jorday Communiity Center; 9009 N Foss; 503-823-3631 EPCC = East Portland Community Center; 740 SE 106th Ave; 503-823-3450 MDCC = Matt Dishman Community Center; 77 NE Knott St; 503-823-3673 MOCC = Montavilla Community Center; 8219 NE Glisan; 503-823-4101 MSCC = Mt Scott Community Center; 5530 SE 72nd Ave; 503-823-3183

SJCC also offers regular Teen Nights. Check them out on Facebook or call for more info; 503-823-3192

Montavilla Community Center

Winter Break Tournaments Table Tennis

8219 NE Glisan Telephone: 503.823.4101

#412733

ages 12-18

12/23

Indoor Soccer #412725

Neal Brown

Basketball #412156

Th/F

2-4pm

ages 12-18 12/24

2-4pm

ages 12-18 12/26 & 12/27

3-7pm

$10

Teen Service Coordinator (503) 823-4101 garland.brown@portlandoregon.gov Facility Hours Mon - Fri Sat

9:00 am - 6:00 pm 9:00 am - 3:00 pm

Transit Bus Line #72 & #19 - NE 82nd Ave & Glisan. Plan your trip at trimet.org. Facility Features Include: • Peaceful Park • Trampoline • Excellent early childhood education program • Gymnasium

S.W.E.A.T (Weight Training & Squash) ages: 11-18 10/11-12/14 $15

18 Montavilla Community Center

503-823-4101

F Sa

TBD TBD

Portland Parks & Recreation

Serve dinner at St. Francis Dining Hall #411927

ages: 12-18 10/7-12/12 FREE

4-6:15pm

#412119

6-7pm

Cooking SE Asian Fusion

3:30pm-6:15pm

ages: 12-18 10/8-11/26 $60

Special Volunteer Project

Be passionate about making your community a better place! Interact with others while helping at the 16th Annual East Portland/Montavilla Costume Carnival. #413303

4-8pm

6:30-8:30pm

Soccer

ages: 12-18 10/7-12/9 $10

Break Dance ages: 12-18 10/9-12/13 $5

Try out new moves & learn from peers. Dance session with minimal informal instruction. All levels encouraged to attend. Pay the term fee of $5 or dropin for $1/day. #412081

W/F

4-6pm

Mt. Scott CC

5:30-6:30pm 5:30-6:30pm

ages: 12-18 9/23-12/16 $20/session

Montavilla MontavillaCC CC

Limber up & learn the basics M M

10/19

Gymnastics

#411819 #411820

#412120

Matt Dishman CC

Friends, food, nutrition & fun make this a recipe for success. Plan healthy menus & practice safe food preparation as you share tasty dishes from around the world. Donâ&#x20AC;&#x2122;t wait to add these delectable treats to your collection!

East Portland CC

ages: 12-18 10/7-12/2 $40

Learn to make flavorful, simple & affordable dishes. Cook, eat, love.

Earn a free computer at Free Geek! #411931

Bakersâ&#x20AC;&#x2122; De-lite

Charles CharlesJordan JordanCC CC

Volunteering

A great aerobic workout, which results in, added strength & stamina. Make new friends & stay in shape.

4-6pm

T.E.A.

#412096

Guitar Lessons

ages: 12-18 10/7-12/5 $34

Looking for a way to express your creativity? One-onone with a pro. Eight 30-minute lessons, once/week. We will contact you to set up the time slot. #412742

M/Th

ages 12-18 10/5 $25

Road trip! Here’s a chance to learn some history & explore the Samurai exibit! This staff supervised trip promotes positive activities that incorporate life-long learning & just plain fun! Let’s get going! Sa

ages 12-18 10/26 $12

Road trip! Here’s a chance to get away & explore new adventures with old & new friends! Staff supervised trips promote positive activities that incorporate lifelong learning & just plain fun! Let’s get going! Sa

Stimulate the imagination, excite creativity & inspire self-confidence. At Cleveland High School. 3:30-5pm

Smith & Bybee Wetlands ages 12-18 11/2 $25

Put on your comfortable shoes and lets take a hike. Hang out with friends and make new ones. #412784

10am-4pm

12-5pm

Haunted Corn Maze

#412783

ages: 14-18 10/8-12/3 FREE

#412154 Tu

5:30-7pm

Portland Art Museum-Samurai Exibit

#415833

Improvisation

Multnomah Falls ages 12-18 12/7 $25

Put on your comfortable shoes and lets take a hike. Hang out with friends and make new ones. #412810 Sa

10am-4pm

7-10:30pm

503-823-4101

Portland Parks & Recreation

Charles Jordan CC

Mt. Scott Community Center 5530 SE 72nd Ave. Telephone: 503.823.3183

East East Portland Portland CC CC

Madalyn Bach Teen Service Coordinator

Matt Dishman CC

(503) 953-9574 cell madalyn.bach@portlandoregon.gov Facility Hours Mon - Fri Sat Sun

5:30 am - 9:30 pm 7:00 am - 7:00 pm 12 noon - 6:00 pm

Montavilla CC

Transit Bus Line #10 - at SE 72nd and Harold Bus Line #14 - at SE 72nd and Foster Plan your trip at trimet.org.

Mt. Mt Scott CC

Facility Features Include: • Indoor pool • Whirlpool spa • Poolside party/meeting rooms • Fitness center with cardio equipment • Gymnasium • Roller skating rink

T.E.A.

Homework Help

ages 12 – 18 10/28-12/9 $5

Are you frustrated with your homework assignments? Do you need help learning to prioritize projects? Pick up that homework, grab those text books and bring them to Mt. Scott Community Center. Let our tutors help give you the tools you need for success! #412702 M Instructor: Spencer

4:30-6pm Poolside

OSU & UO College Tour ages 16 – 18 11/2 $15

Are you torn between ducks and beavers? Are you curious what college life would look like. Join us as we tour the campuses and get your college questions answered. #414192 Sa Teen Staff

8am-7:30pm Lobby

Book Club

Cooking - Top Chef

ages 12 – 18 10/29-12/10 $38

Create delicious and healthy meals that you can share with friends and family. Learn how to dine well on a dime and have a great time in the kitchen with friends! 412703 Tu 5:30-7:30pm Instructor: Spencer Kitchen

ages 12 – 18 10/17, 11/21 & 12/19 FREE

There’s nothing as satisfying as a good book! Read & discuss stories of your choosing, offering opinions & insights with your peers. Practice expressive communication, cooperation & listening skills while analyzing a variety of literature. #414195 Th 5-6pm Instructor: Juliet Lobby

TVC: Teen Volunteer Corps ages 12 – 18 10/30-12/11 FREE

Are you passionate about making your community a better place? Design and participate in service projects with other teens. Be the change that you wish to see! #412692 W 6:30-7:30pm Poolside Rm

Hiking Club

ages 12-18 11/9, 11/23, 12/7 & 12/21 $35

Get outside and enjoy day walks on breathtaking trails that challenge you! Surround yourself with Oregon’s beauty, appreciate nature, make new friends & get in shape! Be inspired & awed. #414193 Sa Teen Staff

10am-4:30pm Lobby

Gymnastics

ages 12-18 10/17-11/14 & 11/18-12/26 $48

Movin’ on up! Progressive methods allow you to develop tumbling expertise at your own rate while building confidence, strength, agility & grace. Fun, fundamentals & fitness are the primary goals while increasing skill on the mat & equipment. #414592 Th #414593 M

6-7pm 6-7pm

Portland Parks & Recreation

ages 15-18 11/1-12/20 $32

Art Studio

ages 12 – 18 10/28-12/9 $32

UInleash your inner artist! Challenge yourself to expand your artistic talents as you experiment with a variety of art mediums. Paint, draw, sculpt, & create! Please wear comfortable clothing that you do not mind getting messy.

#412705 F Instructor: Spencer

#412704 M 5-6:30pm Instructor: Lise Craft Rm

4:30-6:30 Poolside

ages 12 – 18 10/26 $12

#414176 Sa 7-10:30pm Teen Staff Lobby

Montavilla CC

Get into the halloween spirit and join your friends for a spooky evening at Sauvie Island. Tirck or treat!

Matt Dishman CC

Haunted Corn Maze

East East Portland Portland CC CC

Films move us to think, feek and talk. Gather with friends to watch & discuss artistic & earth-shaking motion pictures. Develop critical thinking & listening skills while becoming engaged with the world about you. Bring maturity & anopen mind.

Charles Jordan CC

AV Club

Horseback Riding

Saddle up with the teen force team for a trail ride adventure. We will be traveling to Flying M Ranch in Yamhill County for a 30 minute lesson and 1 hour trail ride. Please make sure to fill out a permission slip and Flying M waiver for this trip.

T.E.A.

#414191 Sa 8:45am-4:30pm Teen Staff Lobby

Mt. Mt Scott CC

ages 12 – 18 11/23 $65

Team Captains, register your team at the TeenForce location nearest you by paying $10 per team of up

to 6 players.

Play 4-on-4 basketball at your home site. Local tournaments are scheduled individually sometime during the week of December 23-28 - check with your Teen Services Coordinator for specific days & times. The winning team from each site will participate in the city wide tournament on January 2 and 3 in the hopes of bringing the honor of TeenForce Champions home to their site! Reigning champs, Montavilla Community Center, are looking for some good competition this year. Do you have what it takes?

24 Teen Services Program

Tournaments for both 6-8 & 9-12 grades

Portland Parks & Recreation

2909 SW 2nd Ave

portlandonline.com/parks/eeteens

East Portland CC

Teen Environmental Adventures

Cole Robinson

Charles Jordan CC

nit the commu Give back to

City Nature Teen Programs

Exhilaration

Kelly Rosteck

Environmental Education

Make new friends!

Kelly: (503) 823-6378 kelly.rosteck@portlandoregon.gov

Matt Dishman CC

Cole: (503) 823-8840 cole.robinson@portlandoregon.gov

Programs Include:

Montavilla CC

• Transportation from locations citywide • Equipment • Scholarships for those in need • Pathways to environmental employment • Highly trained staff who are: - knowledgeable about plants & animals - experienced educators & guides - Wilderness First Responders - FUN!

Get outside!

Mt. Scott CC

Learn job skills!

facebook.com/teenenvironmentaladventures

T.E.A. T.E.A.

Get the photos from your trip!

Kayak Rock Island

Sept 28th ...... Matt Dishman CC......9am - 5pm The Rock Islands, along the Willamette River in West Linn, offers spectacular scenery and wildlife viewing. Frequently spotted are ospreys, blue herons, and bald eagles. Kayaking is a fun and accesible activity enjoyed by teens of varying physical abilities. Course #410921 $40

Rock Climbing at Frenchâ&#x20AC;&#x2122;s Dome Oct 19th...... Matt Dishman CC......9am - 5pm

Rock Climbing/Fun 101. Climb higher than you thought you could at one of Portlandlandia's most loved local climbing sites. In the event of rain 2-3 days before the trip, we will climb at Broughton Bluff instead. Course #410922 $40

Winter Adventure Camp

December 30th - Jan 3rd Mt. Scott CC......9am - 5pm Enjoy the best of winter outdoor adventure activities! Experience nature, unique games & more fun than you can handle. $260 Call (503) 823-8840 for more info.

26 Teen Environmental Adventures

503-823-8840

Portland Parks & Recreation

Charles Jordan CC East Portland CC

Learn to shred on a snowboard. We partner with SOS Outreach to teach life-skills through snowboarding. For more information: sosoutreach.org. Fee includes lift tickets, transportation, equipment & small group instruction. Mt. Scott CC Contact Cole Robinson for more information at (503) 823-8840.

with PP&R City Nature

8th Graders....

Greenspaces Restoration & Urban Naturalist Team

Life Skills & Leadership Through Outdoor Adventure College Scholarship & Paid Work Opportunities

For parks on the east side, contact Susan Hawes at susan.hawes@portlandoregon.gov or (503) 823-6131

www.portlandonline.com/parks/eeteens

Environmental Education Office

Call to Apply: (503) 823-6378

For parks on the west side, contact Mary Verrilli at mary.verrilli@portlandoregon.gov or (503) 823-9423

T.E.A. T.E.A.

For parks near the Willamette River, contact Marissa Dorais at marissa.dorais@portlandoregon.gov or (503) 823-7016

Mt. Scott CC

Check out www.portlandoregon.gov/parks/stewardship for a full list of volunteer opportunities.

Montavilla CC

Jr. GRUNT

Did you know that you can help build a trail or plant trees that youâ&#x20AC;&#x2122;ll be able to watch grow for decades to come in your local natural areas? Yes, you can contribute to the beauty and health of greenspaces throughout Portland! Volunteer activities help make Portlandâ&#x20AC;&#x2122;s parks better for people and wildlife while giving you great experience for your resume and community service hours that can help you complete school requirements.

Matt Dishman CC

Work to protect nature...

Get active – we have a facility in your neighborhood! 14 10 16 15

17 2

Can’t find what you’re looking for in this catalog?

1 7

34 32

11/13 19

12 8

38 20 21 22 29

36 31 43

PP&R offers more than 4,000 classes and activities each term throughout the Portland area.

28 27

35 33

18 23

Search and register for PP&R classes at PortlandParks.org Or, call a PP&R facility listed here to receive their catalog through the mail.

Recreation Programs and Facilities – referenced to the map NORTH & NORTHEAST PORTLAND 1. Beaumont SUN Community School 4043 NE Fremont • 503-916-5615 2. Columbia Swim Pool 7701 N. Chautauqua • 503-823-3669 3. Delta Park Sports Complex Delta Park • 503-823-1656 4. Faubion SUN Community School 3039 NE Rosa Parks Way • 503-916-5694 5. Grant Swim Pool (summer only) 2300 NE 33rd • 503-823-3674

9. Peninsula Park Community Center & Swim Pool (summer only) 700 N. Rosa Parks Way 503-823-3620 • Pool: 503-823-3677 10. Pier Park Swim Pool (summer only) N. Seneca & St Johns • 503-823-3678 11. Portland Tennis Center 324 NE 12th • 503-823-3189 12. Roseway Heights SUN Community School 7334 NE Siskiyou • 503-916-5865 13. Senior Recreation 426 NE 12th • 503-823-4328 V/TDD

6. IFCC - Interstate Firehouse Cultural Center 5340 N. Interstate • 503-823-4322

14. Sitton SUN Community School 9930 N. Smith • 503-916-5654

7. Matt Dishman Community Center & Swim Pool, 77 NE Knott • 503-823-3673

15. St Johns Community Center 8427 N. Central • 503-823-3192

8. Montavilla Community Center & Swim Pool (summer only) 8219 NE Glisan 503-823-4101 • Pool: 503-823-3675

16. St Johns Racquet Center 7519 N. Burlington • 503-823-3629

28 Teen Services Program

17. Charles Jordan Community Center 9009 N. Foss • 503-823-3631

Portland Parks & Recreation

Get active – we have a facility in your neighborhood! EAST PORTLAND

18. Arleta SUN Community School 5109 SE 66th • 503-916-6332

37. Alice Ott SUN Community School 12500 SE Ramona • 503-823-2279

19. Buckman Swim Pool 320 SE 16th • 503-823-3668

38. Centennial SUN Community School 17650 SE Brooklyn • 503-762-3463 39. East Portland Community Center & Pool 740 SE 106th • 503-823-3450

20. Community Music Center 3350 SE Francis • 503-823-3177

22. Grout SUN Community School 3119 SE Holgate • 503-916-6421

GOLF COURSES

23. Lane SUN Community School 7200 SE 60th • 503-916-2910

41. Eastmoreland Golf Course 2425 SE Bybee Blvd • 503-775-2900

24. Laurelhurst Studio 3756 SE Oak • 503-823-4101

42. Heron Lakes Golf Course – Great Blue and Greenback 3500 N. Victory Blvd • 503-289-1818

25. Mt Scott Community Center & Swim Pool 5530 SE 72nd • 503-823-3183 26. Mt Tabor SUN Community School 5800 SE Ash • 503-916-2915 27 Sellwood Community Center 1436 SE Spokane • 503-823-3195 28. Sellwood Swim Pool (summer only) SE 7th & Miller • 503-823-3679

WEST PORTLAND 30. Children’s Museum Washington Park • 503-223-6500

32. Hillside Community Center 653 NW Culpepper Terr • 503-823-3181 33. Multnomah Arts Center 7688 SW Capitol Hwy • 503-823-2787 34. Pittock Mansion 3229 NW Pittock Drive • 503-823-3624

36. Wilson Swim Pool 1151 SW Vermont • 503-823-3680

Information Hotline – in Spanish, too! 503-823-PLAY Adaptive and Inclusive Recreation 503-823-4328 V/TDD Chinese Classical Garden 503-228-8131 Crystal Springs Rhododendron Garden 503-771-8386 Customer Service & Permit Center 503-823-2525 Environmental Education 503-823-3601 Hoyt Arboretum 503-865-8733 Japanese Gardens 503-223-1321 Leach Botanical Garden 503-823-9503 Outdoor Recreation 503-823-5132 Portland Community Gardens 503-823-1612 Portland International Raceway (PIR) 503-823-RACE Portland Parks Foundation 503-802-5757 Rose Garden Store – Washington Park 503-227-7033 Sports Office 503-823-5126 Urban Forestry (tree care) 503-823-4489 Volunteer Program 503-823-5121

For complete information on Portland Parks & Recreation, go to www.PortlandParks.org

T.E.A.

35. Southwest Community Center & Swim Pool 6820 SW 45th • 503-823-2840

OTHER PP&R PROGRAMS AND FACILITIES:

Mt. Scott CC

31. Fulton Park Community Center 68 SW Miles • 503-823-3180

44. Rose City Golf Course 2200 NE 71st • 503-253-4744

Montavilla CC

29. Woodstock Community Center 5905 SE 43rd • 503-823-3633

43. RedTail Golf Course 8200 SW Scholls Ferry Rd • 503-646-5166

Matt Dishman CC

40. Parkrose SUN Community School 12003 NE Shaver • 503-408-2640

East Portland CC

21. Creston Swim Pool (summer only) SE 44th & Powell • 503-823-3672

Charles Jordan CC

SOUTHEAST PORTLAND

Portland Parks & Recreation

Registration information RegistRation: Receipt of full payment is required for

registration, unless otherwise arranged. Returned checks & declined bank cards void registration. If you have a nonresident pass, please let us know.

customeR satisfaction: Your Satisfaction is Our Goal. Portland Parks & Recreation strives for 100% customer satisfaction. If you are not satisfied with a recreation program or service let us know.

Resident / non-Residents / definitions:

notice of non-discRimination: PP&R programs

A resident is: • anyone who occupies a permanent residence inside the city limits of Portland, which includes the Portland Public, Parkrose, and David Douglas School Districts. • any child living within the school boundaries of the Reynolds and Centennial School Districts who is attending a SUN Community School. Through a partnership between the City and County, a child attending a SUN Community School is eligible to register for programs at any SUN Community School location without paying a non-resident fee. Anyone else is considered a non-resident (NR) and will be assessed a NR fee. NR fees do not apply to drop-in activities. Non-residents who wish to register for PP&R activities may choose one of these options: • pay the additional 30% non-resident fee. • purchase resident status as either an individual or family for a period of three, six, nine, or twelve months from the date of purchase. Inquire about this option at time of registration. Non-resident passes are not refundable. Passes are activated at the date of purchase. Non-resident Pass prices: 3 Month Pass: Individual - $25 Family - $50 6 Month Pass: Individual - $45 Family - $90 9 Month Pass: Individual - $65 Family - $130 One Year Pass: Individual - $85 Family - $170 A family denotes a couple (married or domestic) or a single parent and their legal dependants living in the same residence. Note: As part of the FY 2013-14 budget PP&R will be updating its non-resident fee policy to better ensure that non-residents are paying fees equivalent to what City of Portland residents are paying through fees and taxes. The specific changes are not known at the time of this printing. Any changes to non-resident fees are expected to become effective for customers that register after June 30, 2013.

and services reflect the cultural diversity of our community. We do not discriminate on the basis of religion, race, color, gender, national origin, sexual orientation, age or ability.

special needs: Within the American with Disability Act (ADA), a person with a disability or special need who desires assistance with registration and/or participation in general PP&R programs can contact Inclusion Services at 503-823-4328 V/TTY. If you request assistance through Inclusion Services, a minimum of 10 business days (Monday- Friday) advance notice is required. If you need a sign language interpreter or FM loop amplifier, please contact 503-823-4328 V/TTY, at least five business days in advance of the activity or class. Information about programs & services is available on the internet for those needing a voice synthesis. Visit our website at www.PortlandParks.org. For additional ADA information call 503-823-2223 V/TTY. infoRmation hotline: For information on other

PP&R services & programs, call the Parks Information Hotline at 503-823-PLAY(7529), Monday-Friday, 8:30am5pm. You will receive a message with the following options: •Press 1 for information on sports programming or to reserve a sports facility. •Press 2 to register for a class or activity. •Press 3 to reserve a picnic or wedding site, or book an event. •Press 6 for Spanish •Press 0 to reach an operator for information If you require V/TTY services, call 503-823-2223.

scholaRships: City of Portland residents, regardless of age, who require financial assistance may apply for partial scholarships. Contact individual centers for information.

inclement WeatheR: If the City of Portland public school districts (Portland Public, Parkrose, David Douglas, Reynolds, and Centennial) are closed because of weather conditions, PP&R classes and youth basketball in those school districts are cancelled. However, some sites may be open for drop-in activities. Call the specific PP&R facility for information and opening/closing times. If inclement weather is forecast on weekends or holidays, call the PP&R facility or program for operating hours and activity cancellations.

class enRollment: Our classes must meet minimum

photo policy: Portland Parks & Recreation (PP&R)

& maximum enrollment standards. Classes may fill quickly or classes may be canceled due to low enrollment.

WithdRaWal & Refunds: Please notify us at least three business (Monday-Friday) days, unless otherwise specified, before the start of your program so that we can refund or credit your account for the registration fee. Prepaid materials & admission tickets cannot be refunded. Participants needing to withdraw after the program has begun are offered a prorated credit or refund based upon when the request is made.

30 Teen Services Program

reserves the right, and may give permission to the media, to photograph classes, programs, and participants at all our facilities and properties. Please be aware that these photos are for promotional purposes and may be used in future publications and media communications in any format. By participating in PP&R classes and programs, you consent to the taking and publication of your photograph for these purposes. If you see us with our camera, and you wish to not be photographed, please let us know. We will honor your request.

Portland Parks & Recreation

New Customer Taken class with PP&R before My Account information has changed

Home Address___________________________________________________ City/ST/Zip____________________________ Home Phone (_____)_________________________________ Work Phone (_____)_________________________________ Cell Phone (_____)_____________________________ Email Address: ____________________________________________ Emergency Contact Name & Phone Number ________________________________________________________________

Charles Jordan CC

Main Contact Name___________________________________________ Birthdate_______________ Male___ Female___

Portland Parks & Recreation welcomes individuals with disabilities and special needs into programs. Please describe any

PARTICIPANT INFORMATION Name (last, first)

birthdate M/F Class Title

Course # Class Location

Start Date Cost

East Portland CC

accommodations needed for successful inclusion: _____________________________________________________________

Matt Dishman CC

Passholder name ____________________________________________________________

Name of person(s) needing pass________________________________________________

30% non-resident surcharge or Pass

 I need a pass. Circle one: 3 mo. / 6 mo. / 9 mo. / 1 yr. Circle one: Individual / Family

Total

 I do not want a pass. I choose to pay the 30% surcharge.

 CHECK

Check number___________________ Make checks payable to the City of Portland.

 CREDIT CARD Information:

Account # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Expires __________________

Cardholder’s Name________________________________________

Signature__________________________________________________

Please print

T.E.A.

PAYMENT INFORMATION

Mt. Scott CC

NON-RESIDENTS of the City of Portland pay a 30% surcharge. Or you may purchase a non-resident pass at the amounts listed below. List pass price or 30% surcharge in column at right and add to your total.  I already have a NR pass. Kind of pass___________________ Purchase date ___/___/___

Montavilla CC

Subtotal

Teen Services 1120 SW 5th Ave, Suite 1302 Portland, OR 97204 Address Service Requested