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VIRTUAL PROGRAM GUIDE SUMMER 2020 SESSION TWO JULY 13–AUG 9

VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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Page 1: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 2: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 3: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 4: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 5: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 6: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 7: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 8: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 9: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 10: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 11: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 12: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 13: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 14: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 15: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 16: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 17: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 18: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 19: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 20: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 21: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 22: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 23: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 24: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 25: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 26: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 27: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 28: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 29: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 30: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 31: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 32: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 33: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 34: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 35: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 36: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 37: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 38: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 39: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 40: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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 $

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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

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Page 41: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 42: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 43: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 44: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 45: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 46: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 47: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 48: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

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Page 49: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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 $

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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

  1. SEASPAR Button
  2. Instagram Button 3
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  4. Flicker Page Button 4
  5. Twitter Button 3
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  7. Facebook 3
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Page 50: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

  1. SEASPAR Button
  2. Instagram Button 3
  3. Flickr Page Button 3
  4. Flicker Page Button 4
  5. Twitter Button 3
  6. YouTube Button 3
  7. Facebook 3
  8. Promo Video Page 2
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  11. Zoom Video Tutorial
  12. Drum Circle Promo vid
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Page 51: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

  1. SEASPAR Button
  2. Instagram Button 3
  3. Flickr Page Button 3
  4. Flicker Page Button 4
  5. Twitter Button 3
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  11. Zoom Video Tutorial
  12. Drum Circle Promo vid
  13. Button 103
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  15. EAGLES Photo Album Page 13
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Page 52: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

  1. SEASPAR Button
  2. Instagram Button 3
  3. Flickr Page Button 3
  4. Flicker Page Button 4
  5. Twitter Button 3
  6. YouTube Button 3
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  11. Zoom Video Tutorial
  12. Drum Circle Promo vid
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Page 53: VIRTUAL PROGRAM GUIDE · 2020-07-01 · SEASPAR's 2020 summer virtual program season. Thanks to the success of the first season, we are excited to bring you more of your favorite

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

  1. SEASPAR Button
  2. Instagram Button 3
  3. Flickr Page Button 3
  4. Flicker Page Button 4
  5. Twitter Button 3
  6. YouTube Button 3
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  10. Button 44
  11. Zoom Video Tutorial
  12. Drum Circle Promo vid
  13. Button 103
  14. Button 104
  15. EAGLES Photo Album Page 13
  16. Button 105
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  22. Right Fit Video Promo
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  46. Button 125
  47. Button 126
  48. VP Promo Video Button Page 24
  49. Button 127
  50. Button 128
  51. EAGLES Photo Album Page 24
  52. VP Promor Video Page 25
  53. Button 129
  54. VP promo video button page 26
  55. Button 130
  56. Button 131
  57. EAGLES Photo Album Page 26
  58. Button 132
  59. Button 133
  60. Button 134
  61. Button 135
  62. Button 136
  63. Button 137
  64. Escape Room Video Button
  65. Button 138
  66. Button 139
  67. Button 140
  68. Button 141
  69. Button 142
  70. Button 143
  71. EAGLES Photo Album Page 32
  72. Button 144
  73. Button 145
  74. VP Promo Video Button Page 36
  75. Button 146
  76. Button 147
  77. VP Promo Video Button Page 37
  78. Button 148
  79. Button 149
  80. Button 150
  81. VP Promo Video Button Page 39
  82. Button 151
  83. Button 152
  84. Amazon Smile SEASPAR Link Button
  85. Forms Page Button Page 39
  86. Forms Page Button Page 39_2
  87. Button 39
  88. Sumemr Registration Form Btuoon Page 39
  89. AIF Online Button Page 40
  90. AIF Online Button Page 41
  91. AIF Online Button Page 42
  92. Registration form DL Button Page 42
  93. Registration form DL Button Page 43
  94. Button 154
  95. Button 153
  96. VP Promo Video Page 52
  97. Instagram Button
  98. Flickr Page Button
  99. Flicker Page Button 2
  100. Twitter Button
  101. YouTube Button
  102. Facebook
  103. Website Button