ACCESS
PROJECT
Hayley Ball
1897 Delaware Ave. Mendota Heights, MN 55118
Access Project Assistant Samantha Bravo Samantha.Bravo@isd197.org
WINTER 2018
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Access Project Coordinator 651-403-8312 hball@tridistrictce.org
Access Project Office
Register by phone 651-403-8313 or online at tridistrict.ce.eleyo.com
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Monthly Events Branch Out Hang Out
Join us at the Branch Out building for a fun night of hanging out! We’ll have a snack, listen to music, watch a movie and just hang out!! Grab your friends and be prepared to meet some new friends too! Feel free to bring a game to share. There is no cost for caregivers. Preregistration is not required but appreciated. Instructor: Access Project Staff 6-9 pm
1 Session - $6
Friday, Jan 12 #1070-W18A Friday, Feb 16 #1070-W18B Friday, March 16 #1070-W18C Friday, April 20 #1070-Wav18D Branch Out Building, 150 Marie Ave E, WSP
! s e m i Fun t
JANUARY & FEBRUARY EVENTS Card Making
Everyone enjoys receiving a card. Join us to make a variety of colorful cards to give to friends and family. Cost of materials is included in the fee. No cost for caregivers to assist. Instructor: Patty Krause Tuesday, January 23 4-5 pm #1002-W18 1 Session- $10 Branch Out Building, 150 Marie Ave E, WSP
Snack Attack
Snack attack is back and better than ever! We’re bringing you new tasty recipes for you to cook at home that are not only delicious but healthy. Learn how to make delectable apple crisp and/or individual pizzas. Instructor: Hayley Ball Monday, Jan. 29 4-5 pm #1006 -W18 1 session - $12 Branch Out Building, 150 Marie Ave E, WSP
JANUARY & FEBRUARY EVENTS
Bowling
Come have a fun night of bowling with your friends. Join us for 2 games of bowling and be ready for a strike! Automatic bumpers and bowling ramps are available by request. Bring money for snacks and drinks. There is no cost for caregiver to assist but if they'd like to play independently they will also need to register. Transportation is not provided; meet at Concord Lanes. Preregistration is required. Instructor: Access Project Staff Saturday, Feb. 3 2-4 pm #1056-W18 1 session - $12 Concord Lanes, 365 Concord Exchange N, SSP
A Night at the Movies
Enjoy pizza, pop, and a movie with friends on a big screen at Henry Sibley High School. We’ll vote on a newly released title! Bring a friend, kick back and enjoy a fun night at the movies. Preregistration is not required but appreciated. Instructor: Access Project Staff Friday, February 23 6-8 pm #1021 -W18 1 session - $8 Henry Sibley, 1897 Delaware Ave, MH
g n i n e v E d e t n a h c En Can Can Wonderland Mini Golf
You won’t want to miss out on this artsy mini-golf filled fun-house. Can Can Wonderland Mini Golf has 18 holes, each designed by local artists. The course begins with a State Fair themed hole number 1, moves into a natural disaster hole and ends with what was formerly known as the world's longest hole. You can even enjoy playing some vintage arcade games so bring your quarters if you plan to play or enjoy a free game of ping pong. Transportation is provided. Meet at the Branch Out Building. Preregistration is required. Instructor: Access Project Staff Thursday, Feb 8 6-8:30 pm #1045 -W18 1 Session - $25 participant $18 caregiver Pick up/Drop off at Branch Out Building, 150 Marie Ave E, WSP
m o r P t c e j o r P s s e Acc
Enchanted Evening - Spring Dance
Get all dressed up and be ready to dance the night away at the beautiful Dakota Lodge. Refreshments will be served for guests and we’ll also have a photo booth area where you can strike a pose. Bring that special someone or a friend and get ready to make lifelong memories. No cost for caregivers to attend. Preregistration is not required but appreciated. We’d like to thank Signal Garage Auto Care for their generous sponsorship of our event. Instructor: Access Project Staff Friday, March 9 6-9 pm #1055-W18 1 session - $6 Dakota Lodge, 1200 Stassen Lane, WSP 2
ACCESS PROJECT PROGRAM INFORMATION
• Photo Waiver: Photographs, videos and other documentation taken at school or Community Education activities may be submitted to newspapers, used on district website, social media sites or appear in publications. Check the box in the registration form if you do not want pictures published. • These activities have been customized for adults with disabilities. • Pre-registration is required for all classes unless otherwise noted. Please return the registration form or call 651-403-8313 to register. • Please indicate any accommodations needed to effectively participate when registering for an activity. • Participants who require one-on-one personal attention for physical and/or behavior issues or medication administration must be supervised by a caregiver. If a behavioral incident occurs, a caregiver may be required to accompany the participant to all future activities. • Classes will be held at the date, time and location listed unless you are notified that they are canceled, changed or full. • Transportation to and from activities is the responsibility of the participant or caregiver, unless otherwise noted in program description. • Participants must be accompanied to the classroom and should check in no earlier than 15 minutes prior to the listed start time and should be picked up promptly at the listed end time. If participants are not picked up promptly, a caregiver may be required to accompany the participant to all future activities. • All Access Project activities are sponsored by ISD 197 so there is no tobacco or alcohol allowed. • Refunds will only be given for cancellations received seven days before an activity.
OPTIONAL DEMOGRAPHIC INFORMATION
Información demográfica opcional
Collecting this information helps us provide programs/services that meet the needs of our entire community. La recopilación de esta información nos ayuda a proveer programas/servicios que suplan las necesidades de toda la comunidad.
Date of Birth (mm/dd/yy): __________________________ Fecha de nacimiento (mes/día/año)
Gender: _______________________ Sexo
Race: Raza
Femenino
Masculino
Asian
Asiático
Black/African American Negro/Afroamericano
American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander Nativo de Hawái/Otras islas del Pacífico
ACCESS PROJECT REGISTRATION FORM
Amerindio americano/Nativo de Alaska
White Blanco
Two or more races Dos o más razas
Latino/Hispanic Latino/Hispano
Other Otra
Participant First and Last Name______________________________________________________________________________ Nombre y apellido del participante
Address________________________________________________ City_______________________State/Zip_______________ Dirección
Ciudad
Estado/Código postal
Home Phone ______________________________________________ E-Mail Address__________________________________ Correo electrónico
Teléfono
Is one-on-one assistance required? *Yes _____ No _____*If yes, a caregiver must accompany participant!
¿Requiere ayuda individual?
*Sí`
No
Si marcó "Sí" un cuidador debe acompañar al participante.
Staff Name_____________________________________________________________ Staff Fee (please enclose)____________ Group Home Name & Address_______________________________________________________________________________ Nombre del grupo del hogar & dirección
I do not want my name & picture in press releases, promotions, publications. Accommodations required: Se requieren estas acomodaciones Activity Name Date Location Fee Wheelchair/Mobility Access ASL Interpreter Other (please list)_________________________ Any condition the instructor needs to be aware of: __________________________________________ __________________________________________ Emergency Contact: (required) ¿Alguna condición que el instructor necesita saber? _____________________________________________ Total _____________________________________________ Make checks payable to Community Education, mail registration/payment to 1897 Delaware Ave., Mendota Heights, MN 55118 Los cheques debe hacerlos a Community Education, envíe la inscripción y pago a 1897 Delaware Ave., Mendota Heights, MN 55118
Complete if paying by Credit Card: Visa MasterCard Discover Complete si el pago es con tarjeta de crédito:
Card Number: ___________-____________-____________-____________ Expiration Date: ________/________ titular de la tarjeta
Fecha de expiración
Name on Card: _________________________________________________Amount $:_________________________________ titular de la tarjeta
Cantidad
Signature: _____________________________________________________Date:_____________________________________ Firma
Fecha
Para una lista completa de clases e información de inscripción en español, visite el sitio http://tridistrictce.org/page/2537 3
MARCH & APRIL EVENTS Karaoke Night
Come join your friends for some fun and share your talents at our Karaoke Night. We will have some of your favorite songs to choose from. Don’t want to sing? Then come and dance while your friends provide the music. Refreshments provided. No cost for caregiver. Instructor: Access Project Staff Wednesday, March 21 6-8 pm #1014-W18 1 Session - $6 Branch Out Building, 150 Marie Ave E, WSP
Paint Chip Art
Join us in making a decorative bookmark and set of earrings using recycled paint chip samples. Bring your creativity in designing these two items that you can keep for yourself or give as a Mother’s Day gift. No cost for caregivers. Instructor: Access Project Staff Tuesday, April 24 5-6pm #1003 -W18 1 Session - $12 Branch Out Building, 150 Marie Ave E, WSP
Spring Cake Pops
Make your spring sweeter with these Spring Cake Pops! Moist bites of cake and frosting are made into lollipops. As the artist, you’ll be decorating 5 cake pops that you can enjoy or share with a friend. Instructor: Access Project Staff Monday, April 9 5-6 pm #1023-W18 1 Session - $12 Branch Out Building, 150 Marie Ave E, WSP
Wabasha Street Cave Tour
Come hear and see the history of these sandstone caves as seen on the History Channel “Secret Passages”. You will explore the original mined caves and see the finished caves. Hear the legends of the massacres and ghostly lore in the most unique setting from Chicago to San Francisco. This is an approximate 45 minute walking tour and is wheelchair accessible. Transportation is not provided. Meet at The Wabasha Street Caves. Instructor: Access Project Staff Thursday, April 26 4:45-6 pm #1026-W18 1 Session - $13 participant $10 caregiver Wabasha Street Caves, 215 Wabasha St S, St. Paul 4
Independent School District 197 Community Education 1897 Delaware Ave. Mendota Heights, MN 55118
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