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VIRTUAL PROGRAM GUIDE
SUMMER 2020
SESSION TWO JULY 13ndashAUG 9
Our mission continues
ONLINEWeve gone digital bringing you together with your SEASPAR friends and staff without even
leaving your home
3
Session 2Message from the Director
SEASPAR 6309607600 SEASPARorg
Welcome to the second session of SEASPARs 2020 summer virtual program season Thanks to the success of the first season we are excited to bring you more of your favorite social distancing-friendly activities with many new ones to help spice up your summer The contents of this guide will cover programming running from July 13 through August 9
As we transition into the next phase our goal is to introduce in-person programs safely Our staff is excited about the prospects of reintroducing in-person programming but we are well aware of the importance of proper planning and diligence Our plans will follow the
guidelines provided by local state and federal authorities Your safety and the safety of our staff is our utmost concern Unfortunately only time can tell how the rest of the year will play out Well continue to plan with everyones best interests in mind
In the meantime please explore the contents of this guide and participate where possible Our staff continues to work hard to overcome many challenges during these unprecedented times and Im confident youll enjoy the programs theyve created I look forward to the future and cannot wait to see your smiling faces again
Keep your chins up and together lets make this the best summer ever
Matthew CorsoSEASPAR Executive Director
Virtual programming is one of SEASPARs innovative solutions for hosting engaging programs with participants while maintaining social distancing Most virtual programming options are hosted on Zoom an online video chat platform Besides being trusted by millions of Americans Zoom is available free of charge to our participants
Joining a virtual program hosted on Zoom will require downloading the free Zoom app before your first session You will only need to download this once Zoom is available for any computer mobile phone or tablet with an internet connection Visit Zoomus for technical requirements
Once youve downloaded Zoom to your device you will be able to access SEASPAR virtual programming held on Zoom with a unique meeting code and password provided after registration Think of it as a secret password to your communitys grooviest special recreation party
With your code and password on hand participating in any virtual program is well virtually effortless Upon entering a virtual program our trained staff will be on deck ready to begin the program when scheduled
In the video below SEASPAR Superintendent of Recreation Dawn Krawiec shares tips and explains what you can expect when joining a SEASPAR virtual program hosted on Zoom
Still unsure about your technological knowhow Work out the kinks with a personalized Zoom Training This training program is free and available to any summer 2020 parentguardian or participant enrolling in summer 2020 virtual programming Classes will be held from July 6 to July 10 and are available by appointment
4
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
Zoom Practice Class Session 2 Nervous about your first Zoom class Sign up for a pre-session practice class This program is an opportunity to work out any kinks prior to your first class This class is available to any parent guardian or participant enrolling in summer virtual programming with SEASPAR
Audience Virtual Program ParticipantsFee Free
Code Day(s) Time Date(s) 1-704-01-2 M-F By appointment 76ndash710
Program Name Specifies the name of the program Clicking on the program name will link you to its registration page
Program Description Provides a brief description of the program May also specify requirements or special notes
Audience Specifies which age group this program is designed for
Fee Specifies the cost of participation or any fees associated with this program
Code Specifies this programs unique registration number You will need this number at the time of registration
Day(s) Specifies the day of the week this program meets
Time Specifies the time period this program meets
Date(s) Specifies the duration of this program
Weve made browsing this guide easy to do on any mobile device tablet or home computer by rearranging the way information is presented to you Take a look at the example below to learn how program information is presented
1
1
2
2
What it Means
5
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
OFFICE HOURSMondayndashFriday 830amndash430pmRecorded Message After Hours
Visitors are welcome from 900amndash400pm Masks are required and there is a limit of three people per visit
4500 Belmont RoadDowners Grove IL 605156309607600 bull 6309607605 TDD6309607601 Fax
Registration OptionsOnline SEASPARorg
By Fax 6309607601
In Person SEASPAR 4500 Belmont Road Downers Grove IL 60515
Registration procedures are located on pages 43ndash45
AIF and registration forms are located on pages 46ndash50
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm
6
Session 2Registration
SEASPAR 6309607600 SEASPARorg
7
Session 2Contact Us
SEASPAR 6309607600 SEASPARorg
William Cazares Marketing Coordinator
Matthew R Corso CTRS CPRPExecutive Director
Molly Downing CTRS Recreation Coordinator
Megan Frey CTRS Recreation Coordinator
Matt GoreckiRecreation Coordinator
Aaron Hirthe CPRP Inclusion Manager
Kimberly A Huggins CPRPRecreation Coordinator
Elizabeth KlimczakRegistration Specialist
Dawn Krawiec CPRP Superintendent of Recreation
Chris Lambiasi Human Resources Specialist
Karen Lesniak Superintendent of Administrative Services
Morgan Mason CPRP Administrative Services Manager
Catherine A Morava CPRP Day Program Manager
Shannon Tovey CTRSSupport Staff Manager
Were here to helpOur goal is to make participation in your favorite SEASPAR programming as effortless as possible While changes sometimes present new challenges we want you to know were here to help
Do not hesitate to contact SEASPAR with your questions
By Phone63096076006309607605 TDD
By EmailInfoseasparorg
Social MediafacebookcomSEASPARtwittercomSEASPARinstagramcomweareseaspar
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Our mission continues
ONLINEWeve gone digital bringing you together with your SEASPAR friends and staff without even
leaving your home
3
Session 2Message from the Director
SEASPAR 6309607600 SEASPARorg
Welcome to the second session of SEASPARs 2020 summer virtual program season Thanks to the success of the first season we are excited to bring you more of your favorite social distancing-friendly activities with many new ones to help spice up your summer The contents of this guide will cover programming running from July 13 through August 9
As we transition into the next phase our goal is to introduce in-person programs safely Our staff is excited about the prospects of reintroducing in-person programming but we are well aware of the importance of proper planning and diligence Our plans will follow the
guidelines provided by local state and federal authorities Your safety and the safety of our staff is our utmost concern Unfortunately only time can tell how the rest of the year will play out Well continue to plan with everyones best interests in mind
In the meantime please explore the contents of this guide and participate where possible Our staff continues to work hard to overcome many challenges during these unprecedented times and Im confident youll enjoy the programs theyve created I look forward to the future and cannot wait to see your smiling faces again
Keep your chins up and together lets make this the best summer ever
Matthew CorsoSEASPAR Executive Director
Virtual programming is one of SEASPARs innovative solutions for hosting engaging programs with participants while maintaining social distancing Most virtual programming options are hosted on Zoom an online video chat platform Besides being trusted by millions of Americans Zoom is available free of charge to our participants
Joining a virtual program hosted on Zoom will require downloading the free Zoom app before your first session You will only need to download this once Zoom is available for any computer mobile phone or tablet with an internet connection Visit Zoomus for technical requirements
Once youve downloaded Zoom to your device you will be able to access SEASPAR virtual programming held on Zoom with a unique meeting code and password provided after registration Think of it as a secret password to your communitys grooviest special recreation party
With your code and password on hand participating in any virtual program is well virtually effortless Upon entering a virtual program our trained staff will be on deck ready to begin the program when scheduled
In the video below SEASPAR Superintendent of Recreation Dawn Krawiec shares tips and explains what you can expect when joining a SEASPAR virtual program hosted on Zoom
Still unsure about your technological knowhow Work out the kinks with a personalized Zoom Training This training program is free and available to any summer 2020 parentguardian or participant enrolling in summer 2020 virtual programming Classes will be held from July 6 to July 10 and are available by appointment
4
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
Zoom Practice Class Session 2 Nervous about your first Zoom class Sign up for a pre-session practice class This program is an opportunity to work out any kinks prior to your first class This class is available to any parent guardian or participant enrolling in summer virtual programming with SEASPAR
Audience Virtual Program ParticipantsFee Free
Code Day(s) Time Date(s) 1-704-01-2 M-F By appointment 76ndash710
Program Name Specifies the name of the program Clicking on the program name will link you to its registration page
Program Description Provides a brief description of the program May also specify requirements or special notes
Audience Specifies which age group this program is designed for
Fee Specifies the cost of participation or any fees associated with this program
Code Specifies this programs unique registration number You will need this number at the time of registration
Day(s) Specifies the day of the week this program meets
Time Specifies the time period this program meets
Date(s) Specifies the duration of this program
Weve made browsing this guide easy to do on any mobile device tablet or home computer by rearranging the way information is presented to you Take a look at the example below to learn how program information is presented
1
1
2
2
What it Means
5
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
OFFICE HOURSMondayndashFriday 830amndash430pmRecorded Message After Hours
Visitors are welcome from 900amndash400pm Masks are required and there is a limit of three people per visit
4500 Belmont RoadDowners Grove IL 605156309607600 bull 6309607605 TDD6309607601 Fax
Registration OptionsOnline SEASPARorg
By Fax 6309607601
In Person SEASPAR 4500 Belmont Road Downers Grove IL 60515
Registration procedures are located on pages 43ndash45
AIF and registration forms are located on pages 46ndash50
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm
6
Session 2Registration
SEASPAR 6309607600 SEASPARorg
7
Session 2Contact Us
SEASPAR 6309607600 SEASPARorg
William Cazares Marketing Coordinator
Matthew R Corso CTRS CPRPExecutive Director
Molly Downing CTRS Recreation Coordinator
Megan Frey CTRS Recreation Coordinator
Matt GoreckiRecreation Coordinator
Aaron Hirthe CPRP Inclusion Manager
Kimberly A Huggins CPRPRecreation Coordinator
Elizabeth KlimczakRegistration Specialist
Dawn Krawiec CPRP Superintendent of Recreation
Chris Lambiasi Human Resources Specialist
Karen Lesniak Superintendent of Administrative Services
Morgan Mason CPRP Administrative Services Manager
Catherine A Morava CPRP Day Program Manager
Shannon Tovey CTRSSupport Staff Manager
Were here to helpOur goal is to make participation in your favorite SEASPAR programming as effortless as possible While changes sometimes present new challenges we want you to know were here to help
Do not hesitate to contact SEASPAR with your questions
By Phone63096076006309607605 TDD
By EmailInfoseasparorg
Social MediafacebookcomSEASPARtwittercomSEASPARinstagramcomweareseaspar
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
3
Session 2Message from the Director
SEASPAR 6309607600 SEASPARorg
Welcome to the second session of SEASPARs 2020 summer virtual program season Thanks to the success of the first season we are excited to bring you more of your favorite social distancing-friendly activities with many new ones to help spice up your summer The contents of this guide will cover programming running from July 13 through August 9
As we transition into the next phase our goal is to introduce in-person programs safely Our staff is excited about the prospects of reintroducing in-person programming but we are well aware of the importance of proper planning and diligence Our plans will follow the
guidelines provided by local state and federal authorities Your safety and the safety of our staff is our utmost concern Unfortunately only time can tell how the rest of the year will play out Well continue to plan with everyones best interests in mind
In the meantime please explore the contents of this guide and participate where possible Our staff continues to work hard to overcome many challenges during these unprecedented times and Im confident youll enjoy the programs theyve created I look forward to the future and cannot wait to see your smiling faces again
Keep your chins up and together lets make this the best summer ever
Matthew CorsoSEASPAR Executive Director
Virtual programming is one of SEASPARs innovative solutions for hosting engaging programs with participants while maintaining social distancing Most virtual programming options are hosted on Zoom an online video chat platform Besides being trusted by millions of Americans Zoom is available free of charge to our participants
Joining a virtual program hosted on Zoom will require downloading the free Zoom app before your first session You will only need to download this once Zoom is available for any computer mobile phone or tablet with an internet connection Visit Zoomus for technical requirements
Once youve downloaded Zoom to your device you will be able to access SEASPAR virtual programming held on Zoom with a unique meeting code and password provided after registration Think of it as a secret password to your communitys grooviest special recreation party
With your code and password on hand participating in any virtual program is well virtually effortless Upon entering a virtual program our trained staff will be on deck ready to begin the program when scheduled
In the video below SEASPAR Superintendent of Recreation Dawn Krawiec shares tips and explains what you can expect when joining a SEASPAR virtual program hosted on Zoom
Still unsure about your technological knowhow Work out the kinks with a personalized Zoom Training This training program is free and available to any summer 2020 parentguardian or participant enrolling in summer 2020 virtual programming Classes will be held from July 6 to July 10 and are available by appointment
4
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
Zoom Practice Class Session 2 Nervous about your first Zoom class Sign up for a pre-session practice class This program is an opportunity to work out any kinks prior to your first class This class is available to any parent guardian or participant enrolling in summer virtual programming with SEASPAR
Audience Virtual Program ParticipantsFee Free
Code Day(s) Time Date(s) 1-704-01-2 M-F By appointment 76ndash710
Program Name Specifies the name of the program Clicking on the program name will link you to its registration page
Program Description Provides a brief description of the program May also specify requirements or special notes
Audience Specifies which age group this program is designed for
Fee Specifies the cost of participation or any fees associated with this program
Code Specifies this programs unique registration number You will need this number at the time of registration
Day(s) Specifies the day of the week this program meets
Time Specifies the time period this program meets
Date(s) Specifies the duration of this program
Weve made browsing this guide easy to do on any mobile device tablet or home computer by rearranging the way information is presented to you Take a look at the example below to learn how program information is presented
1
1
2
2
What it Means
5
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
OFFICE HOURSMondayndashFriday 830amndash430pmRecorded Message After Hours
Visitors are welcome from 900amndash400pm Masks are required and there is a limit of three people per visit
4500 Belmont RoadDowners Grove IL 605156309607600 bull 6309607605 TDD6309607601 Fax
Registration OptionsOnline SEASPARorg
By Fax 6309607601
In Person SEASPAR 4500 Belmont Road Downers Grove IL 60515
Registration procedures are located on pages 43ndash45
AIF and registration forms are located on pages 46ndash50
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm
6
Session 2Registration
SEASPAR 6309607600 SEASPARorg
7
Session 2Contact Us
SEASPAR 6309607600 SEASPARorg
William Cazares Marketing Coordinator
Matthew R Corso CTRS CPRPExecutive Director
Molly Downing CTRS Recreation Coordinator
Megan Frey CTRS Recreation Coordinator
Matt GoreckiRecreation Coordinator
Aaron Hirthe CPRP Inclusion Manager
Kimberly A Huggins CPRPRecreation Coordinator
Elizabeth KlimczakRegistration Specialist
Dawn Krawiec CPRP Superintendent of Recreation
Chris Lambiasi Human Resources Specialist
Karen Lesniak Superintendent of Administrative Services
Morgan Mason CPRP Administrative Services Manager
Catherine A Morava CPRP Day Program Manager
Shannon Tovey CTRSSupport Staff Manager
Were here to helpOur goal is to make participation in your favorite SEASPAR programming as effortless as possible While changes sometimes present new challenges we want you to know were here to help
Do not hesitate to contact SEASPAR with your questions
By Phone63096076006309607605 TDD
By EmailInfoseasparorg
Social MediafacebookcomSEASPARtwittercomSEASPARinstagramcomweareseaspar
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Virtual programming is one of SEASPARs innovative solutions for hosting engaging programs with participants while maintaining social distancing Most virtual programming options are hosted on Zoom an online video chat platform Besides being trusted by millions of Americans Zoom is available free of charge to our participants
Joining a virtual program hosted on Zoom will require downloading the free Zoom app before your first session You will only need to download this once Zoom is available for any computer mobile phone or tablet with an internet connection Visit Zoomus for technical requirements
Once youve downloaded Zoom to your device you will be able to access SEASPAR virtual programming held on Zoom with a unique meeting code and password provided after registration Think of it as a secret password to your communitys grooviest special recreation party
With your code and password on hand participating in any virtual program is well virtually effortless Upon entering a virtual program our trained staff will be on deck ready to begin the program when scheduled
In the video below SEASPAR Superintendent of Recreation Dawn Krawiec shares tips and explains what you can expect when joining a SEASPAR virtual program hosted on Zoom
Still unsure about your technological knowhow Work out the kinks with a personalized Zoom Training This training program is free and available to any summer 2020 parentguardian or participant enrolling in summer 2020 virtual programming Classes will be held from July 6 to July 10 and are available by appointment
4
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
Zoom Practice Class Session 2 Nervous about your first Zoom class Sign up for a pre-session practice class This program is an opportunity to work out any kinks prior to your first class This class is available to any parent guardian or participant enrolling in summer virtual programming with SEASPAR
Audience Virtual Program ParticipantsFee Free
Code Day(s) Time Date(s) 1-704-01-2 M-F By appointment 76ndash710
Program Name Specifies the name of the program Clicking on the program name will link you to its registration page
Program Description Provides a brief description of the program May also specify requirements or special notes
Audience Specifies which age group this program is designed for
Fee Specifies the cost of participation or any fees associated with this program
Code Specifies this programs unique registration number You will need this number at the time of registration
Day(s) Specifies the day of the week this program meets
Time Specifies the time period this program meets
Date(s) Specifies the duration of this program
Weve made browsing this guide easy to do on any mobile device tablet or home computer by rearranging the way information is presented to you Take a look at the example below to learn how program information is presented
1
1
2
2
What it Means
5
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
OFFICE HOURSMondayndashFriday 830amndash430pmRecorded Message After Hours
Visitors are welcome from 900amndash400pm Masks are required and there is a limit of three people per visit
4500 Belmont RoadDowners Grove IL 605156309607600 bull 6309607605 TDD6309607601 Fax
Registration OptionsOnline SEASPARorg
By Fax 6309607601
In Person SEASPAR 4500 Belmont Road Downers Grove IL 60515
Registration procedures are located on pages 43ndash45
AIF and registration forms are located on pages 46ndash50
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm
6
Session 2Registration
SEASPAR 6309607600 SEASPARorg
7
Session 2Contact Us
SEASPAR 6309607600 SEASPARorg
William Cazares Marketing Coordinator
Matthew R Corso CTRS CPRPExecutive Director
Molly Downing CTRS Recreation Coordinator
Megan Frey CTRS Recreation Coordinator
Matt GoreckiRecreation Coordinator
Aaron Hirthe CPRP Inclusion Manager
Kimberly A Huggins CPRPRecreation Coordinator
Elizabeth KlimczakRegistration Specialist
Dawn Krawiec CPRP Superintendent of Recreation
Chris Lambiasi Human Resources Specialist
Karen Lesniak Superintendent of Administrative Services
Morgan Mason CPRP Administrative Services Manager
Catherine A Morava CPRP Day Program Manager
Shannon Tovey CTRSSupport Staff Manager
Were here to helpOur goal is to make participation in your favorite SEASPAR programming as effortless as possible While changes sometimes present new challenges we want you to know were here to help
Do not hesitate to contact SEASPAR with your questions
By Phone63096076006309607605 TDD
By EmailInfoseasparorg
Social MediafacebookcomSEASPARtwittercomSEASPARinstagramcomweareseaspar
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Zoom Practice Class Session 2 Nervous about your first Zoom class Sign up for a pre-session practice class This program is an opportunity to work out any kinks prior to your first class This class is available to any parent guardian or participant enrolling in summer virtual programming with SEASPAR
Audience Virtual Program ParticipantsFee Free
Code Day(s) Time Date(s) 1-704-01-2 M-F By appointment 76ndash710
Program Name Specifies the name of the program Clicking on the program name will link you to its registration page
Program Description Provides a brief description of the program May also specify requirements or special notes
Audience Specifies which age group this program is designed for
Fee Specifies the cost of participation or any fees associated with this program
Code Specifies this programs unique registration number You will need this number at the time of registration
Day(s) Specifies the day of the week this program meets
Time Specifies the time period this program meets
Date(s) Specifies the duration of this program
Weve made browsing this guide easy to do on any mobile device tablet or home computer by rearranging the way information is presented to you Take a look at the example below to learn how program information is presented
1
1
2
2
What it Means
5
Session 2About Virtual Programming
SEASPAR 6309607600 SEASPARorg
OFFICE HOURSMondayndashFriday 830amndash430pmRecorded Message After Hours
Visitors are welcome from 900amndash400pm Masks are required and there is a limit of three people per visit
4500 Belmont RoadDowners Grove IL 605156309607600 bull 6309607605 TDD6309607601 Fax
Registration OptionsOnline SEASPARorg
By Fax 6309607601
In Person SEASPAR 4500 Belmont Road Downers Grove IL 60515
Registration procedures are located on pages 43ndash45
AIF and registration forms are located on pages 46ndash50
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm
6
Session 2Registration
SEASPAR 6309607600 SEASPARorg
7
Session 2Contact Us
SEASPAR 6309607600 SEASPARorg
William Cazares Marketing Coordinator
Matthew R Corso CTRS CPRPExecutive Director
Molly Downing CTRS Recreation Coordinator
Megan Frey CTRS Recreation Coordinator
Matt GoreckiRecreation Coordinator
Aaron Hirthe CPRP Inclusion Manager
Kimberly A Huggins CPRPRecreation Coordinator
Elizabeth KlimczakRegistration Specialist
Dawn Krawiec CPRP Superintendent of Recreation
Chris Lambiasi Human Resources Specialist
Karen Lesniak Superintendent of Administrative Services
Morgan Mason CPRP Administrative Services Manager
Catherine A Morava CPRP Day Program Manager
Shannon Tovey CTRSSupport Staff Manager
Were here to helpOur goal is to make participation in your favorite SEASPAR programming as effortless as possible While changes sometimes present new challenges we want you to know were here to help
Do not hesitate to contact SEASPAR with your questions
By Phone63096076006309607605 TDD
By EmailInfoseasparorg
Social MediafacebookcomSEASPARtwittercomSEASPARinstagramcomweareseaspar
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
OFFICE HOURSMondayndashFriday 830amndash430pmRecorded Message After Hours
Visitors are welcome from 900amndash400pm Masks are required and there is a limit of three people per visit
4500 Belmont RoadDowners Grove IL 605156309607600 bull 6309607605 TDD6309607601 Fax
Registration OptionsOnline SEASPARorg
By Fax 6309607601
In Person SEASPAR 4500 Belmont Road Downers Grove IL 60515
Registration procedures are located on pages 43ndash45
AIF and registration forms are located on pages 46ndash50
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm
6
Session 2Registration
SEASPAR 6309607600 SEASPARorg
7
Session 2Contact Us
SEASPAR 6309607600 SEASPARorg
William Cazares Marketing Coordinator
Matthew R Corso CTRS CPRPExecutive Director
Molly Downing CTRS Recreation Coordinator
Megan Frey CTRS Recreation Coordinator
Matt GoreckiRecreation Coordinator
Aaron Hirthe CPRP Inclusion Manager
Kimberly A Huggins CPRPRecreation Coordinator
Elizabeth KlimczakRegistration Specialist
Dawn Krawiec CPRP Superintendent of Recreation
Chris Lambiasi Human Resources Specialist
Karen Lesniak Superintendent of Administrative Services
Morgan Mason CPRP Administrative Services Manager
Catherine A Morava CPRP Day Program Manager
Shannon Tovey CTRSSupport Staff Manager
Were here to helpOur goal is to make participation in your favorite SEASPAR programming as effortless as possible While changes sometimes present new challenges we want you to know were here to help
Do not hesitate to contact SEASPAR with your questions
By Phone63096076006309607605 TDD
By EmailInfoseasparorg
Social MediafacebookcomSEASPARtwittercomSEASPARinstagramcomweareseaspar
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
7
Session 2Contact Us
SEASPAR 6309607600 SEASPARorg
William Cazares Marketing Coordinator
Matthew R Corso CTRS CPRPExecutive Director
Molly Downing CTRS Recreation Coordinator
Megan Frey CTRS Recreation Coordinator
Matt GoreckiRecreation Coordinator
Aaron Hirthe CPRP Inclusion Manager
Kimberly A Huggins CPRPRecreation Coordinator
Elizabeth KlimczakRegistration Specialist
Dawn Krawiec CPRP Superintendent of Recreation
Chris Lambiasi Human Resources Specialist
Karen Lesniak Superintendent of Administrative Services
Morgan Mason CPRP Administrative Services Manager
Catherine A Morava CPRP Day Program Manager
Shannon Tovey CTRSSupport Staff Manager
Were here to helpOur goal is to make participation in your favorite SEASPAR programming as effortless as possible While changes sometimes present new challenges we want you to know were here to help
Do not hesitate to contact SEASPAR with your questions
By Phone63096076006309607605 TDD
By EmailInfoseasparorg
Social MediafacebookcomSEASPARtwittercomSEASPARinstagramcomweareseaspar
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
8
Session 2Contents
SEASPAR 6309607600 SEASPARorg
General InformationAbout Virtual Programming 4ndash5Annual Information Form 46ndash48Association Members and Representatives 51Contact List 7Code of Conduct 40Program Policies 41ndash42Registration Form 49ndash50Registration Information 6Registration Procedures 43ndash45
ProgrammingMonday 10ndash12Tuesday 13ndash15Wednesday 16ndash18Thursday 19ndash21Friday 22ndash24Saturday 25ndash26Sunday 27ndash28By Appointment 29Special Events 31ndash39
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
ProgramEvent Age DaysDate Page
Lets Talk About It with Christina All Ages MondayndashFriday 29
Christmas in July Dance Party All Ages Wednesday July 22 17 32
Sports Dance Party All Ages Wednesday Aug 5 17 32
Sensational Sensory All Ages Thursdays 19
Coloring Club All Ages Thursdays 19
Ice Cream Social All Ages Thursday Aug 6 21 33
SEASPAR Van Parade East All Ages Friday July 31 22 34
SEASPAR Van Parade West All Ages Friday Aug 7 22 34
Destination Disney All Ages Friday July 17 23 35
SEASPAR Highlight Reel All Ages Friday July 24 24 35
Disney Ball All Ages Saturday July 25 25 36
Magic Show All Ages Saturday Aug 1 26 36
Zoom Awards Night All Ages Saturday Aug 8 26 37
Party In The USA Dance All Ages Sunday July 19 27 39
Family Game Night All Ages Sunday Aug 9 28 39
Music Lessons with Nancy 5+ MondayndashFriday 29
Drum Circle 5+ Mondays 10
Right Fit 5+ Tuesdays 14
Campfire Tunes 5+ Wednesdays 18
Yoga with Jen 5+ Thursdays 20
Special Olympics Workout 8+ Mondays 10
Karaoke 8+ Mondays 11
Pawsitive Pet Therapy 8+ Mondays 12
Sock Sports 8+ Wednesdays 16
Spartan Sports Talk 8+ Fridays 23
Bingo 12+ Thursdays 21
SEASPAR Escape Room 16+ Monday Aug 3 12 31
Feast with Friends 16+ Tuesdays 13
Movie Club 16+ Tuesdays 13
Sing and Jam with Alyssa 16+ Tuesdays 15
Game Night 16+ Tuesdays 15
Work-In with SEASPAR 16+ Wednesdays 16
Social Club 16+ Fridays 24
Girls Just Wanna Have Fun 16+ Sunday July 26 27 38
Guys Night In 16+ Sunday July 26 28 38
SEASPAR 6309607600 SEASPARorg
9
Session 2Program Directory
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Drum circleJoin drumming instructor Chris Lavidas for a class that will get you moving in your seat Focused on making music through drumming this virtual program will get help you to learn a bit about rhythm and tempo as you drum along No instruments needed just a household item that you can bang on like a pot pan or bowl
Audience 5 years and upFee $25
Code Day(s) Time Date(s) 1-705-01-1 M 1030ndash1115am 713ndash83
Special Olympics WorkoutCome stretch and workout with Coach Matt Each week we will go over some workout routines that target Special Olympic sports and keep hydrated while doing it
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-02-1 M 300ndash345pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
10
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
KaraokeSing your heart out and enjoy karaoke virtually with your friends A list of songs will be emailed to you weekly Please pick one song and email the staff back the Friday before the program starts
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-03-1 M 400ndash500pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
11
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
Pawsitive Pet TherapyCalling all pet lovers Join your favorite SEASPAR staff with their furry feathered and fishy friends We will be hanging out with our pets and showing off their skills and cool tricks
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-04-1 M 515ndash545 pm 713ndash83
Session 2Monday
SEASPAR 6309607600 SEASPARorg
12
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
FEast with FriendsWhat better way to spend lunch than with SEASPAR Well have great conversation catch up with all of our SEASPAR friends and share our favorite lunches Make your lunch ahead of time and join in We look forward to seeing you
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-05-1 TU 1215ndash1245pm 714ndash84
Movie ClubLights camera action Get together with friends to see a G PG or PG-13 movie from the comfort of your sofa Dont forget to bring your favorite snack and drink Program length will vary based on movieAudience 16 years and upFee $5
Code Day(s) Time Date(s) 1-705-06-1 TU 100ndash330pm 714ndash84
Week 1 AladdinWeek 2 Spider-Man Far from Home
Week 3 OnwardWeek 4 Group Choice
13
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Right FitAre you ready for a non-stop energized total body workout Train with Right Fit virtually Weekly programs are based off body weight exercises using at-home items Each week the Right Fit Raise the Bar team will send you the workout plan and supply list No workout equipment is needed
Audience 5 years and upFee $20
Code Day(s) Time Date(s) 1-705-07-1 TU 400ndash445pm 714ndash84
14
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Sing and Jam with Alyssa
Join Alyssa Wilkins a Board-Certified Music Therapist from Dynamic Lynks for a virtual music group to socialize with peers through active music making Learn songs for regulation make original songs with fun interactive computer apps and get up on your feet to groove with these awesome beats
Audience 16 years and upFee $25
Code Day(s) Time Date(s) 1-705-08-1 TU 400ndash445pm 714ndash84
Game NightLet the games begin Each week we will play a game with our friends
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-09-1 TU 600ndash645pm 714ndash84
15
Session 2Tuesday
SEASPAR 6309607600 SEASPARorg
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Sock SportsLets play some sports in our homes without any balls or pucks All you have to do is grab a couple pairs of socks and ball them up We will throw them shoot them pitch them and keep score along the way Just make sure your socks are clean and you have enough room to play
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-10-1 W 300ndash330pm 715ndash85
W0rk-In with SEASPARWe will use a combination of cardio and strength training for a total body workout This program will be excellent for burning fat building lean muscle and becoming overall more physically healthy No equipment is required
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-705-11-1 W 430ndash515pm 715ndash85
16
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
17
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
CampFire tunesLets all take a little time to sit and sing Join in the fun to sing with us Song requests will be sent before the program
Audience 5 years and upFee FREE
Code Day(s) Time Date(s) 1-705-12-1 W 600ndash645pm 715 729
18
Session 2Wednesday
SEASPAR 6309607600 SEASPARorg
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Sensational Sensory Are you missing your time in Wonders In this program well spend time going through the sensory room and using all of the equipment Get ready for some bubble tube fun
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-705-13-1 TH 300ndash330pm 716ndash86
Coloring ClubHavent you heard Coloring is the most relaxing stress-relieving and fun way to spend your day Join SEASPAR for our new Coloring Club where we will be coloring different pages each week
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-705-14-1 TH 400ndash430pm 716ndash86
19
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
20
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
BingoWe cant be together to play this game like we are used to but lets try a virtual version of bingo We will send you the bingo card so you can play from home
Audience 12 years and upFee FREE
Code Day(s) Time Date(s) 1-705-16-1 TH 600ndash640pm 716ndash86
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
21
Session 2Thursday
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
22
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Spartan Sports TalkCalling all Spartan athletes Join us and talk sports with some of the SEASPAR staff We will talk about current news stats and anything related to the great world of sports Just because we are stuck at home doesnt mean we cant hang out and talk about our favorite teams or players
Audience 8 years and upFee FREE
Code Day(s) Time Date(s) 1-705-17-1 F 100ndash130pm 717-87
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
23
Session 2Friday
SEASPAR 6309607600 SEASPARorg
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
Social ClubLets get social with our friends ndash virtually We will enjoy an at-home scavenger hunt luau dance party bingo and trivia night
Audience 16 years and upFee $10
Code Day(s) Time Date(s) 1-705-18-1 F 500ndash540pm 717ndash87
24
Session 2Friday
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
25
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and enjoying reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
26
Session 2Saturday
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
27
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
28
Session 2Sunday
SEASPAR 6309607600 SEASPARorg
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Music Lessons with Nancy
Schedule an individual music lesson with Nancy Urban Music lessons are 30 minutes each and are available Monday through Friday by appointment only Time slots are flexible and based on availability Our team will contact you to schedule your appointment after your registration
Audience 5 years and upFee $10 (4 lessons)
Code Day(s) Time Date(s) 1-705-19-1 MndashF By Appointment 713ndash87
Lets Talk About It with Christina
Book an appointment with Christina Conenna SEASPARs Behavior Specialist for an one-on-one resource session Christina will work with parentsguardians to provide advice and guidance to help you better enjoy the summer while living through turbulent times
Resources we are looking to provide arebull Printable resources (picture schedules first rarr then cards etc)bull Problem solving with families on why this behavior is taking placebull Help determining the best way to appropriately handle their childrsquos
behaviors Discussing internal and external changes that can help with behavior modification (home routines food textures light sensitivity etc)
Audience All AgesFee $20
Code Day(s) Time Date(s) 1-705-20-1 MndashF By Appointment 713ndash87
29
Session 2By Appointment
SEASPAR 6309607600 SEASPARorg
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
For your convenience we gathered all our special one-day events offered throughout this guide into the following
section
SPECIAL EVENTS
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
SEASPAR Escape RoomThe Mystery of the Buried Treasure
What mysteries lie beneath in the SEASPARs second Escape Room Come help us find buried treasure and solve clues and riddles along the way
Audience 16 years and upFee FREE
Code Day(s) Time Date(s) 1-706-11-1 M 600ndash645pm 83
31
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Christmas in July Dance PartyDust off your jingle bells find your santa hats and get ready to rock around the Christmas tree with us for our Christmas in July dance party
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-05-1 W 600ndash645pm 722
Sports Dance PartyHey sports fans show off your team spirit by wearing your favorite sports jersey or t-shirt and dancing the night away with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-12-1 W 600ndash645pm 85
32
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Ice Cream SocialI scream you scream we all scream for ice cream Bring your favorite flavor of ice cream with toppings and enjoy a sweet treat with your friends
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-13-1 TH 700ndash730 pm 86
33
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
SEASPAR Van Parade EastSign up to have the SEASPAR parade drive past your house Register for this parade if you live in La Grange La Grange Park Western Springs Indian Head Park Brookfield or Clarendon Hills The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-01-1 F 1000am 731
SEASPAR Van Parade WestSign up to have the SEASPAR parade drive past your house Register for this parade if you live in Lisle Woodridge Darien Lemont Downers Grove or Westmont The route and time will be determined based on registration
Audience All AgesFee $5
Code Day(s) Start Time Date(s) 1-706-02-1 F 1000am 87
34
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Destination DisneyShow off your favorite Disney wear and travel virtually to Disney theme parks all around the world Enjoy the experience of your favorite rides at your favorite Disney park all from the comfort of your home That means you have VIP access and wont have to wait in a single line Come check out Disney rides with us virtually and see what Disney is all about
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-03-1 F 300ndash340pm 717
SEASPAR Highlight ReelWant to see what SEASPAR was like back in the day Well be looking at old pictures and videos from the SEASPAR archives to see all the fun from the past
Audience All AgesFee Free
Code Day(s) Time Date(s) 1-706-06-1 F 300ndash340pm 724
35
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Disney BallYou are cordially invited to join us for a royal summer Disney Ball We humbly request the pleasure of your company at this magical event
Audience All Ages Fee FREE
Code Day(s) Time Date(s) 1-706-07-1 SA 530ndash615pm 725
Magic ShowYoull think your eyes are playing tricks on you during this program Be amazed by the magicians slight of hand Come join us for a SEASPAR magic show
Audience All AgesFee $5
Code Day(s) Time Date(s) 1-706-10-1 SA 530ndash615pm 81
36
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
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All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Zoom Awards NightJoin us in celebrating the end of our summer programs with the first Zoom Awards Night We will be dressing in our finest awards ceremony attire giving out awards and reminicing on our virtual summer together
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-14-1 SA 530ndash615pm 88
37
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Girls Just wanna have funWho doesnt love a ladies night in Lets wear our coziest PJs eat some snacks and watch Clueless Lets go girls
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-08-1 SU 500ndash650pm 726
Guys Night InRelive the old days of summer baseball and hanging with the neighborhood crew Join us for a guys night in while we watch The Sandlot and hang out virtually with our friends
Audience 16 years and upFee $5
Code Day(s) Time Date(s) 1-706-09-1 SU 500ndash700pm 726
38
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Party in the USA DanceEveryone put your hands up and party in the USA ndash virtually with your friends Show off your awesome dance moves and get in the groove as we have an amazing time
Audience All AgesFee FREE
Code Day(s) Time Date(s) 1-706-04-1 SU 500ndash545pm 719
Family Game NightJoin SEASPAR for an awesome night of fun games for the whole family Family members are encouraged to participate
Audience All AgesFee $10
Code Day(s) Time Date(s) 1-706-15-1 SU 500ndash545pm 89
39
Session 2Special Events
SEASPAR 6309607600 SEASPARorg
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Participants staff volunteers and parents are expected to exhibit appropriate behavior at all times The following guidelines have been developed to make SEASPARs programs safe and enjoyable for everyone Additional rules may be developed for particular programs and events as deemed necessary by the staff Staff participants volunteers and parents shall show respect to all participants staff volunteers and parents refrain from using foul or inappropriate language and represent SEASPAR in a manner that is consistent with the goals objectives and ethics of the association
The following guidelines have been added to ensure virtual security and collective well-being while participating in virtual programs
bull Refrain from sharing program information (Zoom meeting code and password) with others Virtual registrations are not exchangeable
bull Avoid joining programs in which you are not enrolledbull Avoid background images that are inappropriatebull Comply with staff members technical directions (eg
mute your microphone alter your name etc)
Discipline
A caring and positive discipline approach will be used SEASPAR reserves the right to dismiss a participant staff volunteer or parents if it is in the best interest of the association Each situation will be evaluated on its own merit Participants who cannot be identified andor whose enrollment status cannot be confirmed may be removed from a virtual program
40
Session 2Code of Conduct
SEASPAR 6309607600 SEASPARorg
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
ADA Statement
SEASPAR is committed to accessibility for all individuals with disabilities and strives to comply with the 1990 Americans with Disabilities Act by providing reasonable accommodations for all individuals Please advise SEASPAR of any special assistance or accommodation required to participate in programs To request this program guide in an alternative format please contact Morgan Mason at mmasonseasparorg
Annual Information Forms
SEASPAR requires that all participants complete an Annual Information Form (AIF) each calendar year Individuals without a current AIF on file will not be permitted to participate You do NOT need to submit an AIF each season only once per year
The Annual Information Form is available on pages 46ndash48 or may be submitted online at SEASPARorg
Parents guardians or caregivers are responsible for informing SEASPAR of any changes to this information but do NOT need to submit a new Annual Information Form if one was previously submitted for 2020
Check In
Participants should sign into virtual programming in a timely manner When signing in participants will be placed on hold until the programs scheduled start time
Virtual Programming Access and Passwords
You will receive an email before programs begin with links and passwords for your programs These are exclusive to you and cannot be shared Please retain this email as it will only be sent once If you do misplace your link or password please call us at 6309607600 or email adminstaffseasparorg
41
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Fee Assistance Program
SEASPAR is in a position to offer scholarships for a percentage of fees to our families with financial restrictions because we believe all residents regardless of financial limitations should have access to SEASPAR programs Participants in need of financial assistance may obtain a Fee Assistance Program Application by visiting our website at SEASPARorg or calling 6309607600
Late Registration
The registration deadline is Friday July 10 at 430 pm Many programs fill quickly and registering by the deadline is the best way to avoid being put on a waiting list
Additional Information
For a full list of program policies and additional information please visit our website at SEASPARorg
YOU SHOP AMAZON GIVESDid you know your next Amazoncom order can support
SEASPARs programs and activities Simply shop at smileamazoncom select SEASPAR as your charity of choice and AmazonSmile will donate a portion of your purchase to
SEASPAR at no cost to you
42
Session 2Program Policies
SEASPAR 6309607600 SEASPARorg
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Registration opens on Wednesday July 1 and closes on Friday July 10 at 430pm Registration for virtual programming is first-come first-served Virtual program confirmations will be emailed to registrants within two business days of registration
Online Registration
To register online visit SEASPARorg First-time online registrants must call SEASPAR at 6309607600 or email adminstaffseasparorg for a user name password and instructions The online registration requirements are
bull Must be a SEASPAR residentbull Must have no outstanding balancebull Must have 2020 Annual Information Form on filebull Full credit card payment is required at the time of
registration
In-PersonFaxEmail Registration
bull Complete both sides of the registration form and sign itbull Drop off your registration form and payment at the
SEASPAR office 4500 Belmont Road in Downers Grove (for after-hours convenience there is a mail slot at the office enterance) OR
bull Fax registration form with credit card information completed to 6309607601 OR
bull Email registration form with credit card information completed to adminstaffseasparorg
bull All participants must have a 2020 Annual Information Form on file
bull Full payment must be received with the registration unless other arrangements have been made Payment may be made by check money order cash or credit card
bull Registrations received after the registration deadline are accepted if space is available
43
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Program Cancellations
bull A program may be canceled if the program minimum enrollment is not met
bull If a participant cannot attend a program heshe cannot send a substitute in hisher place
CreditRefund Procedures
bull Credits from previously cancelledwaitlisted programs are held on the participants account unless SEASPAR is otherwise directed
bull Credits are automatically applied to future registrations To check the balance of your credit call SEASPAR at 6309607600 or email adminstaffseasparorg
bull A full account credit is issued if a program is canceled by SEASPARbull In order for a participant to drop from a program SEASPAR must
be notified five business days prior to the start of the program to qualify for a credit At that time the participant will be credited the cost of the program less a $5 processing fee the cost of a ticket (if applicable unless a participant on the waiting list registers) contracted services or specialized non-refundable supplies
bull A prorated credit is issued if a written medical excuse accompanies the credit request
bull No credit is given if a program is postponed due to low enrollment If the program is subsequently canceled a full credit is given
bull If a participant chooses to cancel from a program after the season has begun a prorated credit is issued less a $5 processing fee and ticket price if applicable
bull To request the refund of a credit call 6309607600 or email adminstaffseasparorg All refunds are issued monthly
PhotographVideo Policy
By registering yourself or your childward in a SEASPAR program or event you consent that SEASPAR has the right to photograph or film you or your childward and use the photosvideos for any purpose in any medium of communication without compensation If there is a specific reason you or your childward cannot be photographed please contact us
44
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
En Espantildeol
La Aplicacioacuten de Informacioacuten Anual Aplicacioacuten del Programa de Asistencia de Tarifas y el Formulario de Inscripcioacuten son disponible en espantildeol Para obtener ayuda en espantildeol enviacuteenos un correo electroacutenico a infoseasparorg
All the Forms Online
You can fill out many of our participant forms on our website
Annual Information FormClick here to access
2020 Summer Registration FormClick here to access
Visit SEASPARorgForms to access all online forms
45
Session 2Registration Procedures
SEASPAR 6309607600 SEASPARorg
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Page 1
2020 Annual Information Form
For office use only PDF ____________ Date ________
RecTrac _________ Date ________
DetailsStatus _____ Date ________
Participant Name _____________________________________________________ Age ___________ Birth Date _____________ Gender ________
Address _____________________________________________________________ City __________________________________ Zip __________
Home Phone __________________________________ Park District _________________________________________________________________
Parent 1 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Parent 2 Name _________________________ Cell _____________________ Work __________________ Email __________________________
Guardian Name _________________________ Cell _____________________ Work __________________ Email __________________________
School ________________________ District _______ Teacher __________________________ Permission to Consult with Teacher Yes No
Group HomeResidential Facility ________________________________________________ Permission to Consult with Case Worker Yes No
ManagerCaseworker _______________________________________ ManagerCaseworker ____________________________________________
Weekend andor Emergency ___________________________________________
Emergency ContactTransportation Permission (other than parentsguardian)
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Name ______________________________ Relationship ___________________ City _____________________ Transportation Yes No
Home _________________________________ Cell _________________________________ Work _________________________________
Transportation Permission in SEASPAR Vehicle Yes No
Transportation Locations (PickupDrop Off) Denning Park Lemont SEASPAR Varies
Independent Departure (18 years or older) Is able to wait independently Yes No Is able to go home on hisher own Yes No
This permission applies to all programs Yes No If no please specify ________________________________________________________
BehaviorCommunication
Attention seeking
Biting
Defiancerefusal
Difficult transitions
Easily distracted
Fear
Hair pulling
Hittingkicking
Hyperactivity
Inappropriate touching
Manipulative
Pinching
Removal of clothing
Runswanders
Self-abusive
Spitting
Steals
Tantrumsmeltdowns
Throwing objects
Verbal outburst
Other _________________________________________________________________________________________________________________ Complies with verbal requests and directions Responds to specific verbalnon-verbal directions Responds to positive reinforcement
Does participant have a specific behavior plan Yes No (If yes please attach)
Method of communication Communication board Facilitated communication
Alternative communication Sign language Other _______________________
Please indicate any sensory needs the participant may have ________________________________________________________________________
________________________________________________________________________________________________________________________
Additional Information _______________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Complete only if you have not submitted a 2020 AIF
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Page 2
Medical Information Medical Conditions DisabilityDiagnosis _________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Allergies Yes No (include food allergies and reactions) ___________________________________________________________ _________________________________________________________________________________________________________________________
Dietary restrictions Yes No (not allergies) _____________________________________________________________________________
Blood disorder Yes No _________________________________________________________________________________________
Diabetes Yes No (If YES a Diabetes Plan is required)
Down Syndrome Yes No ASC testing result Positive Negative Not tested
G-Tube Yes No (If YES please attach instructions)
Hearing Impaired Yes No _________________________________________________________________________________________
Heart Condition Yes No _________________________________________________________________________________________
Seizures Yes No (If YES a Seizure Plan is required)
Visually Impaired Yes No
Other (asthma chronic illness etc) ____________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Medications (list all prescription medications taken even if not taken at program) Drug Name (BrandGeneric) Dose Time Reason Side Effects
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
_____________________________ ______ ______ __________________________ ________________________________________
Please attach sheet with additional medications if needed Is participant responsible for self medication at programs Yes No
Does staff need to remind participant to take medication Yes No I understand that it is my responsibility to give the medication directly to the SEASPAR staff with instructions in individual clearly labeled envelopes In all cases medication dispensing can only be changed or modified by amending this form I hereby acknowledge that the above information provided for the dispensing of medication for the participant is accurate I also understand that it is my responsibility to inform SEASPAR if any changes in the dispensing of medication occur In all cases the recommended dosage of any medication will not be exceeded If after administering medication there is an adverse reaction I give my permission to SEASPAR to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care I agree to be responsible for payment of any and all medical services rendered I recognize and acknowledge that there are certain risks of physical injury in connection with the administering of medication to the participant In consideration of SEASPAR administering medication I hereby fully release or discharge SEASPAR and its officers agents employees and volunteers from any and all claims from injuries damages and losses the participant may have arising out of connected with incidental to or in any way associated with the administering of medication I further agree to indemnify hold harmless and defend SEASPAR its officers agents employees and volunteers from any and all claims resulting from injuries damages and losses sustained by the participant and arising out of connected with incidental to or in any way associated with the administering of medication
ParentGuardian Signature ___________________________________________________________________ Date ___________________________
Participant Signature (over 21) ________________________________________________________________ Date ___________________________
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Page 3
PersonalPhysical Requirements
Assistive Devices
Wheelchair Yes No Type Manual Electric Transport only in wheelchair Yes No Does participant need assistance with transfers Yes No (If YES a Transfer Plan is required)
Transfer to chair or floor Yes No Transfer to seat in theater or restaurant Yes No
Please indicate if used Stroller Walker CaneCrutches Prosthetic Device AFOs Other _______________________
Service Animal (please describe) ________________________________________________________________________
What level of assistance does participant need Full Moderate Independent Details
EatingDrinking (cuts food uses straw etc) _________________________________
Toileting (diapers catheter wiping etc) _________________________________
DressingUndressing (tying shoes pulling up swimsuit etc) _________________________________
Money Handling (monitor for correct change no concept etc) _________________________________
Reading (comprehension level etc) _________________________________
Responsibility (keeping track of belongings etc) _________________________________
Safety (crossing street water safety etc) _________________________________ Please select swimming ability Cannot swim Needs personal flotation device
Can swim one length of pool without flotation device Competitivemulti-lap independent swimmer Please indicate bowling need Ramp Bumpers
Sports ProgramsDay Camp
Height ______________ Weight ________________ Shoe Size _________________
T-Shirt Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Shorts Size Child Adult
Small Medium Large XL 2XL 3XL 4XL
Please list any information concerning the participant that would aid staff in ensuring a safe and enjoyable program for himher Remember the more you tell SEASPAR the better we can meet each participants needs
Indicate friends attending SEASPAR _________________________________________________________________________________________
ParentGuardian Signature ___________________________________________________________________ Date _________________________
Participant Signature (over 21) ________________________________________________________________ Date _________________________
SEASPAR middot 4500 Belmont Road Downers Grove IL 60515 middot 6309607600 middot SEASPARorg
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Office Use Only
Date Recd Cash Amt
Recd By Check Amt
AIF Given AIF Recd
Participants Name_______________________________________________________Age____________Birth Date__________
Please print your program selection(s) in the table below Attach additional sheets if necessary
Program Name Program Number Time Selection(If Applicable) Fee
Example Family Game Night 1 ndash 7 0 6 ndash 1 5 ndash 1 NA $ 1000ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
ndash ndash ndash $
Would you like to include a donation to SEASPAR If so please indicate the amount to the right Thank you $
Total Fees $
Full payment must be received with the registration unless other arrangements have been madePayment may be made by check money order cash or credit card
Payment Type O Check O Cash O Money Order O Credit Card
Credit Card O MasterCard O Visa O Discover
Cardholder Name
Account Number Exp Date CVC
Authorized Signature
Please complete both sides of this registration form Submit form and payment to SEASPAR 4500 Belmont Road Downers Grove IL 60515
The registration deadline is July 10 at 430pm
Only submit an Annual Information Form if you havent done so yet for 2020 Contact the SEASPAR office to update information if necessary
Summer 2020 Registration Form Session 2
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Participant Name Age Birth Date Gender
Address City Zip
Are you a new participant Yes O No O Is this a new address Yes O No O Is this a new phone number Yes O No O
If you are new to SEASPAR how did you learn about us
Home Participant Cell Participant Email
Parent 1 Name Work Cell Email
Parent 2 Name Work Cell Email
Guardian Name Work Cell Email
Participant School Teacher
Disabilities or Diagnoses
Are there any changes in allergic conditions Yes O No O Dietary restrictions Yes O No O Medication Yes O No O
Other health issues Yes O No O Please list
Do you have an updated emergency contact Yes O No O Name____________________________________________________
Address Phone Number
Indicate friends andor carpool accommodations
WAIVER AND RELEASEIMPORTANT INFORMATIONSEASPAR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard SEASPAR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants safety However participants and parentsguardians of minors registering for activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities You are solely responsible for determining if you or your minor childward are physically fit andor adequately skilled for the activities contemplated by this agreement It is always advisable especially if the participant is pregnant disabled in any way or has recently suffered an illness injury or impairment to consult a physician before undertaking any physical activity
WARNING OF RISKRecreational activities are intended to challenge and engage the physical mental and emotional resources of each participant Despite careful and proper preparation instruction medical advice conditioning and equipment there is still a risk of serious injury when participating in any recreational activity All hazards and dangers cannot be foreseen Depending on the particular activity certain risks dangers and injuries may exist due to inclement weather slips and falls poor skill level or conditioning carelessness horseplay unsportsmanlike conduct premises defects inadequate or defective equipment inadequate supervision instruction or officiating and other risks inherent to the particular activity In this regard it is impossible for SEASPAR to guarantee absolute safety In virtual program activities you need to have adequate space to follow the activity instructions and to move safely without exposure to any obstacles obstructions steps or anything that could cause possible trips or falls As a participant you are solely responsible for assessing whether you can participate safely in the activity in the space you have chosen without accidents
WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this activity you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries damages or loss which you or your minor childward might sustain as a result of participating in any and all activities connected with and associated with this activity (including transportation services and vehicle operations when provided) I recognize and acknowledge that there are certain risks of physical injury to participants in this activity and I voluntarily agree to assume the full risk of any and all injuries damages or loss regardless of severity that my minor childward or I may sustain as a result of said participation I further agree to waive and relinquish all claims I or my minor childward may have (or accrue to me or my childward) as a result of participating in this activity against SEASPAR including its officials agents volunteers and employees I understand that SEASPAR carries no medical insurance and the participants family must cover any medical costs incurred In the event of an emergency I understand and authorize SEASPAR staff and officials to secure from any licensed hospital physician andor medical personnel any treatment deemed necessary for immediate care for myself or minor child and agree that I will be responsible for payment of any and all medical services rendered I have been made aware of the inherent dangers and risks of virtual program activities and I can participate safely in the space I have chosen I have read and fully understand the above important information warning of risk assumption of risk and waiver and release of all claims If registering online or via fax my online acceptance or facsimile signature shall substitute for and have the same legal effect as an original form signature
ParentGuardian Signature Date
Participant Signature (if 18 or older) Date
PARTICIPATION WILL BE DENIED if the waiver is not signed and dated by parentguardianPARTICIPATION WILL BE DENIED if a 2020 Annual Information Form is not on file
Summer 2020 Registration Form Session 2
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
Lisle Park DistrictDan Garvy President
Woodridge Park DistrictMike Adams Vice President
Park District of La GrangeDean Bissias Secretary
Darien Park DistrictStephanie Gurgone Treasurer
Village of BrookfieldStevie Ferrari
Clarendon Hills Park DistrictValerie Louthan
Downers Grove Park DistrictBill McAdam
Village of Indian Head ParkRita Farrell Mayer
Community Park District of La Grange ParkJessica Cannaday
Lemont Park DistrictLouise Egofske
Village of Western SpringsAleks Briedis
Westmont Park DistrictBob Fleck
The SEASPAR Board meets the third Tuesday of every month at 300pm For more information call 6309607600 The public is welcome Board meeting agendas and minutes
are available online at SEASPARorgBoard
51
Session 2Association Members and Representatives
SEASPAR 6309607600 SEASPARorg
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
SEASPAR is excited to announce that in conjunction with ongoing virtual programs will re-introduce in-person programs beginning Monday July 20 In-person programs this summer will run for four weeks and be limited to fifteen individuals per program including staff in accordance with CDC guidelines For full details regarding our new safety and wellness guidelines participant eligibility and our registration process visit SEASPARorg Be sure to complete the initial Participant Assessment to determine eligibility for in-person program opportunities SEASPAR staff will follow up to discuss your assessment and outcome We look forward to seeing you again
For more information regarding SEASPAR program offerings please contact Dawn Krawiec atdkrawiecseasparorg
Be on the lookout for the next issue of CONNECTIONS which will be dedicated solely to in-person programming available July 1
52
Summer 2020In-Person Programming
SEASPAR 6309607600 SEASPARorg
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District
4500 Belmont RoadDowners Grove IL 60515
Serving the Communities ofVillage of Brookfield
Clarendon Hills Park DistrictDarien Park District
Downers Grove Park DistrictVillage of Indian Head ParkPark District of La Grange
Community Park District of La Grange ParkLemont Park District
Lisle Park DistrictVillage of Western Springs
Westmont Park DistrictWoodridge Park District