WSSRAWSSRACHECK OUT OUR SPLISH SPLASH SUMMER BASH INFO ON PAGE 10. West Suburban Special Recreation Association & Foundation present. Join us for a special night of fun & fundraising

HABLAMOSESPAÑOL

SUM

MER

201

9

Enriching lives through recreation

WSSRAWSSRACHECK OUT OUR SPLISH SPLASH SUMMER BASH INFO ON PAGE 10

West Suburban Special Recreation Association & Foundation present

Join us for a special night of fun & fundraising to benefit the Stars of WSSRA

SAVE THE DATESTARLIT CASINO

NIGHT

7:00 - 11:00pmCheney MansionOak Park

10.18.19

S A T U R D A Y , SEPTEMBER 21

C O N C O R D I A U N I V E R S I T Y

U CAN SUPPORT WSSRA WHILE HAVING FUN

8:00amTo register visit www.signmeup.com/129560

@ THE 21st ANNUAL M A K I N ’ T R A C K S 5K WALK, WHEEL & RUN

Race proceeds benefit

Summer 2019 wssra.net3

Table of ContentsSUMMER CALENDAR ..................................................... 7SPECIAL EVENTS ....................................................2,9-12DAY CAMP ...................................................................... 8OVERNIGHT TRIPS ....................................................... 13CHILDREN & YOUTH ...............................................14-15SWIM LESSONS ............................................................ 16TEENS & YOUNG ADULTS ........................................... 17SOCIAL CLUBS ........................................................18-19ADULTS ....................................................................20-21SPORTS & FITNESS ....................................................... 22SPECIAL OLYMPICS .................................................23-25REGISTRATION FORMS ...........................................27-32REGISTRATION INFORMATION & POLICIES ..........33-34

Registration UpdateRegistration is taken on a first come, first served basis.

Summer 2019 deadline: .............................. May 31st, 2019

Key to AbbreviationsADD Attention Deficit DisorderADHD Attention Deficit Hyperactivity DisorderALZ Alzheimer’sAUT AutismDD Developmental DisabilityEC Early ChildhoodED Emotional DisturbanceHI Hearing ImpairmentLD Learning DisabilityMI Mental ImpairmentMH Multiple HandicapsMLH Mental HealthPI Physical ImpairmentSL Speech and Language DelaySO Special OlympicsSP Severe and Profound Mental ImpairmentVI Visual Impairment

For more program information please contact....

Carla Pakenas Children & Youth(pages 14-15)

Mia Leyba Teens & After School ProgramsInclusion Support (pages 17)

West Suburban Special Recreation Association2915 maple streetfranklin park, il 60131847.455.2100 - voice or tty

office hoursmonday through friday 8:30 am – 5:00 pm

Our Program GuideA great effort has been made to assure the accuracy of the information provided in our Program Guide. Due to the large amount of information, however, errors and changes may occur related to program schedules, locations, transportation and fees. WSSRA reserves the right to make adjustments as necessary. WSSRA will make every effort to notify participants of changes and corrections as quickly and efficiently as possible. We apologize for any inconvenience our errors may cause.

Kelly Baran Swim programs, Adults(pages 16, 20-21)

Christina FernandezSocial Clubs & Young Adults(pages 17-19)

Chris SturmSpecial Olympics(pages 23-25)

follow us on /wssra @wssra @w.s.s.r.af


Who We Are

The Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 4:00pm. Call the office for a meeting schedule and locations. The public is invited to attend.

WSSRA StaffMarianne Birko ................226 .......................executive director .................................................................... [email protected] Hart ........................230 .......................superintendent of recreation ....................................................... [email protected] A. Foster ...............238 .......................superintendent of safety & operations [email protected] Ryan .........................231 .......................staff manager .....................................................................................aprilr@wssra.netCarlos Marroquin ............232 .......................program manager ......................................................................... [email protected] Sturm ...........235 .......................inclusion manager ............................................................................ [email protected] Walsh ....................240 .......................public relations coordinator .......................................................nicolew@wssra.netKelly Baran .......................239 .......................recreation specialist .........................................................................kellyb@wssra.netMia Leyba .........................236 .......................recreation specialist ........................................................................... [email protected] Pakenas ...................219 .......................recreation specialist ........................................................................ [email protected] Fernandez ........234 .......................recreation specialist ................................................................... [email protected] Gershak .....................221 .......................finance manager .................................................................................. [email protected] Hernandez ............222 .......................registrar .............................................................................................. [email protected] Escalera ............................................receptionist .................................................................................... [email protected] Casas ................................................receptionist ......................................................................................... [email protected] Harmon Bell .............224 .......................fund development specialist ..............................................................juliab@wssra.netLuz Rocha-Serrano ...........224 .......................lekotek leader ........................................................................................ [email protected] Feldt ......................................................wssra driverMike Zych .......................................................wssra driverFrank Quaranta ..............................................wssra driver

The West Suburban Special Recreation Association is part of your local park district or village recreation department. We provide recreation programs for individuals who have any type of disability. Your park district or village governs the operation of the Association.

Board of Directors

Board Meetings

BERWYN PARK DISTRICT ..................... JEFF JANDACLYDE PARK DISTRICT ......................... LARRY BANKSVILLAGE OF ELMWOOD PARK ............... AL SCHMIDTPARK DISTRICT OF FOREST PARK ........... JACKIE IOVINELLIPARK DISTRICT OF FRANKLIN PARK ........ JOSEPH MODRICHVILLAGE OF HARWOOD HEIGHTS .......... ANNA WEGRECKIHAWTHORNE PARK DISTRICT ............... DENNIS RALEIGHNORRIDGE PARK DISTRICT ................... JUDY GUZALDONORTH BERWYN PARK DISTRICT ........... MARK SLADEKPARK DISTRICT OF OAK PARK ............... KASSIE PORRECARIVER FOREST PARK DISTRICT .............. MIKE SLETTENVILLAGE OF NORTH RIVERSIDE ............. TERESA MROZIKVILLAGE OF RIVERSIDE ....................... RON MALCHIODI

West Suburban Special Recreation FoundationThe West Suburban Special Recreation Foundation (WSSRF)

is an Illinois not-for-profit corporation that exists to raise funds for WSSRA. The funds raised by the WSSRF help expand programming and support additional needs of WSSRA when necessary. To learn more about WSSRF, call Marianne Birko at the WSSRA office. The WSSRF needs you!

New MembersThe WSSRF welcomes new members. Please consider joining! No one on the Foundation is asked to do more than they can handle, yet by working together, WSSRF raises $40,000 each year to support WSSRA programs. At each meeting, Foundation members have the opportunity to give input and ideas about program offerings. So come join the fun and help WSSRF improve and expand programs for persons of all ages with disabilities.


Staff Spotlight

PERSONAL INTERESTS: Mia: Spending time with my family and friends. Especially with my two sisters. We are identical triplets.

Monica: Dogs - I love dogs and dog sitting and anything having to do with pups.

FAVORITE MOVIES: Mia: Mean Girls and Knight and DayMonica: Coco, Black Panther & Moonlight

FAVORITE SPORTS TEAMS: Mia: Chicago Cubs!Monica: The Chicago Cubs!!!

FAVORITE FOOD: Mia: Pizza!Monica: Cheesy Macaroni & Cheese

FAVORITE THING ABOUT WSSRA: Mia: Being able to pursue my passion in an agency that deeply cares for all the participants and families.

Monica: I love how nice everyone is! I feel so welcome here and it’s nice working with people who enjoy what they do!

Take a minute to get to know our new staff members!

Mia LeybaRecreation Specialist

Monica Escalera Receptionist


FacilitiesBENSENVILLEWhite Pines Golf Course500 W. Jefferson St. ............... 630.766.0304

BERWYNHavlicek School6401 15th St .......................... 708.795.2450Jefferson School7035 16th St .......................... 708.795.2454Liberty Recreation Center6445 W 27th Pl ...................... 708.795.2891Morton West High School 2400 Home Ave ..................... 708.222.5700North Berwyn Park District Community Center1619 Wesley Ave .................. 708.749.4900PAV Berwyn YMCA2947 S Oak Park Ave .............. 708.749.0606Proksa Park3001 Wisconsin Ave .............. 708.795.2892

CICEROCicero Community Center 2250 49th Ave ....................... 708.477.6308Cicero West School4937 W 23rd St ..................... 708.780.4487Clyde Park District Stadium1909 S Laramie Ave .............. 708.652.3545Columbus West School 5425 W 31St ......................... 708.780.4482Duck Pond Pool5105 31st StHawthorne Park District5200 W 29th Pl ...................... 708.863.6511Freshman Center1801 S 55th Ave ..................... 708.863.2200Morton East High School2423 S Austin Blvd ................. 708.222.5264Unity East Junior High School 2115 S 54th Ave ..................... 708.863.8229Woodbine School3003 S 50th Ct ...................... 708.652.8884

ELMWOOD PARKElmwood Park Recreation Center2 Conti Pkwy .......................... 708.452.3935Elmwood Park Family Aquatic Center2 Conti Pkwy .......................... 708.452.3935

Elmwood Park High School8201 W Fullerton Ave ............ 708.452.7272

FOREST PARKCircle Lanes7244 Circle Ave ..................... 708.366.2810Field Stevenson School925 Beloit Ave ....................... 708.366.5703Park District of Forest Park7501 Harrison St ................... 708.366.7500Forest Park Middle School925 Beloit Ave ....................... 708.366.5703Grant White School147 Circle Ave ....................... 708.366.5704

FRANKLIN PARKCentre at North Park10040 Addison St .................. 847.928.8478Franklin Park Community Center9560 Franklin Ave ................. 847.455.2852Franklin Park Ice Arena9711 Waveland Ave .............. 847.671.4268Pool on Pacific9715 Pacific Ave .................... 847.455.2858Karate for Kids9670 Franklin Ave. #5 ............ 847.349.5425O'Hare CrossFit9100 Belden Ave ................... 708.417.8502WSSRA Office2915 Maple St ....................... 847.455.2100

HARWOOD HEIGHTSHarwood Heights Village Hall7300 Wilson Ave ................... 708.867.7200

NORRIDGELeigh School8151 W. Lawrence Ave .......... 708.456.8848Norridge Park District4631 N Overhill Ave ............... 708.457.1244

NORTH RIVERSIDEKomarek School 8940 W 24th St ...................... 708.447.8030North Riverside Community Room 2359 S. DesPlaines Ave .......... 708.442.5515

OAK PARKAndersen Center820 Hayes Ave ......................708-725-2000Barrie Recreation Center1101 S Lombard Ave .............708-725-2000Carroll Recreation Center1125 S Kenilworth Ave...........708-725-2000Dole Center255 Augusta St ......................708-725-2000Field Recreation Center935 Woodbine Ave ...............708-725-2000Fox Recreation Center624 S Oak Park Ave ................708-725-2000Gymnastics & Recreation Center (GRC)21 Lake St ............................. 708.725.2200Irving School1125 S Cuyler Ave ................. 708.524.3090Longfellow Recreation Center610 S Ridgeland Ave .............708-725-2000Longfellow School715 S Highland Ave ................ 708.524.3060Oak Park Conservatory615 Garfield St ....................... 708.725.2400Oak Park Country Club2001 Thatcher Ave................. 708.453.5554Oak Park River Forest High School 201 N Scoville Ave ................ 708.383.0700Rehm Park515 Garfield St ....................... 708.848.9661Ridgeland Commons Rec Complex415 Lake St ............................ 708.725.2300Whittier School715 N Harvey Ave .................. 708.524.3080

RIVER FORESTKeystone Center7920 Central Avenue ............. 708.366.6660

RIVERSIDEHistoric Water Tower 10 Pine Avenue ......................708-442-7025

The purpose of this phone number is to allow access to WSSRA for emergencies only during non-office hours.

1. The phone may be called Monday through Friday, from 5:00pm to 11:00pm, Saturday, 7:00am to 11:00pm when programs are in session only.

2. Leave a message with your phone number at 708.491.3779 and a WSSRA staff will return your call if necessary.

3. The emergency phone should not be a substitute for calling the office for non-emergency questions, such as pick up times.

E M E R G E N C Y P H O N E

WWW.WSSRA.NETCheck out WSSRA on the web for

directions to program locations and up to date program information.

Email your comments to us: [email protected]

Special Events Sunday

Monday

TuesdayW

ednesdayThursday

FridaySaturday

Mem

orial Day Parade River Forest

Page 9

Sox Gam

e W

ednesday, May 29

Page 12

4th of July Parade O

ak ParkPage 9

4th of July ParadeN

orth RiversidePage 9

Splish Splash Summ

er Bash &

WQ

DS Thursday, July 18

Page 10

ISO Bow

ling Tournament

Saturday, July 14Page 25

Makin’ Tracks

Saturday, September 21

Page 2

Overnight Trips

Bradford Woods

5-Day Adventure Page 13

Bradford Woods

3 Day AdventurePage 13

In-tents Camping

Devil’s Lake State Park, WI

Page 13

Beach Bumm

in’ Sheboygan, W

IPage 13

Lake Geneva, W

IAdult Trip

Page 13

Healthy Start Page 22

Swim

LessonsPage16

Bobcat Volleyball, PracticePage 25

Walk &

Dine Page 20

Shop &-Dine

Page 20

Yoga Page 21

Weekly W

orkout Page 22

Bobcats Volleyball, G

ames

Page 25

Swim

Lessons Page 16

Aqua Exercise Page 22

Wild Card

Wednesdays Page 21

Swim

Lessons Page 16

Hip Hop Page 17

Healthy Start Page 22

Windy City Explorers

Page 20

Mini M

usic Makers

Page 14

Social Skills RockPage 14

Junior Golfers

Page 14

Intro to Golf

Page 22

Swim

Lessons Page 16

Bobcats Swim

Team

Page 25

Swim

Lessons Page 16

Food Critics Page 17

Friday Show tim

e Page 17

Sensory Explorers Page 15

Bike Bonanza Page 15

Outdoor Adventures

Page 17

Saturday Fun ClubPage 15

Sensory Saturdays Page 15

Saturday Bowling

League Page 22

Hot Shots Page 19

City Slickers Page 19

Moonlighters Page 18

Summ

er 2019

Please Note: there will be no program

s July 4-6

• Recreation Leaders• Inclusion Aides• Program Supervisors• Swim Instructors

• Lifeguards• Day Camp Staff• Special Olympics Coaches• Referees/Umpires

Employment Opportunities at WSSRAEmployment Opportunities at WSSRAWSSRA provides recreation programs for individuals with disabilities

who reside in Cicero, Berwyn, Elmwood Park, Forest Park, Franklin Park, Harwood Heights, Oak Park, Norridge, North Riverside, Riverside and River Forest.

WSSRA is always looking for energetic staff to fill the following seasonal positions:

Apply online at wssra.net(click on Recreation Leader when applying for any position)

*Must be at least 16 year or older to be eligible

For more information, please call WSSRA at847/455-2100

EXPRESS YOURSELFEXPRESS YOURSELFSUMMER DAY CAMP 2019SUMMER DAY CAMP 2019

WSSRA

CAMP DATES: June 17 -July 26, Monday-Friday

Session 1: 6/17 – 7/3

Session 2: 7/8 – 7/26

For more information, or to register online, visit wssra.net.Scholarships available.

Registrations are being accepted on a first come basis. Don’t miss out!

Registrations for Summer Day Camps ARE still being accepted!

CAMPSPreschool Camp (ages 3-6)

Full-day Camp (ages 7-22)

Half-day Camp (ages 7-22)

Community Cruisers (ages 23-40)

NorthRiverside

July4thOF

OakPark

ParadeT h u r s d ay, J u ly 4 t h

9:30-11:30AM

&

R i v e r Forest

WSSRA & OPPORTUNITY KNOCKSJoin

Call the WSSRA office at 847-455-2100 for more information or to register.Parents must accompany family members who need supervision.

for the

WEAR YOUR WSSRA OR OPPORTUNITY KNOCKS T-SHIRT

9:30-11:30AM

MemorialDay Parade

M o n d ay, M ay 2 7 t hM o n d ay, M ay 2 7 t hFriends, family, anyone who wants to walk,

wheel, carry banners & pass out candy!

LOCATION: PARK DISTRICT OF FOREST PARK AQUATICS CENTER 7501 HARRISON STREET • FOREST PARK, IL

Summer BashFeaturing the Wacky

Quacky Duck Splash

July 18, 2019 6:30 - 9:30pm

$5 PER PERSONUNDER 2 ADMITTED FREE

Visit wssra.net to register,

adopt your ducks and for sponsorship

information!

WACKY QUACKY DUCKSONLY $2 each

GRAND PRIZE $2502ND PRIZE $100

Rubber ducks will race down the water slides for

chances to win prizes throughout the night! After the

final heat a champion duck will be crowned. All funds

raised will support the WSSRA scholarship program.

For over 40 years, WSSRA has provided opportunities

to residents with disabilities of the park districts of

Berwyn, Clyde, Forest Park, Franklin Park, Hawthorne,

Norridge, North Berwyn, Oak Park, River Forest,

and the villages of Elmwood Park, North Riverside,

Riverside and Harwood Heights.

WACKY quacky

d u c k s p l a s h

WSSRA2915 Maple StreetFranklin Park, IL 60131

Mailed adoption forms MUST be received

in the WSSRA office by July 12

Checks payable to WSSRA

Duck adoption will be available at the Splish-Splash Summer Bash.

DUCK ADOPT ION FORMName _________________________________________

Address _______________________________________

City/State/Zip __________________________________

Phone _________________________________________

Name of the person who told you about the Duck Splash _______________________

_______________________________________________

all WACKY quacky ducks

NOW ONLY $2 Type Cost Quantity Total

individual ducks $2.00each

$

two ducks $4.00 $

FIve ducks $10.00 $

ten ducks $20.00 $

twenty ducks $40.00 $

AMOUNT ENCLOSED:For more information call WSSRA at

847.455.2100

GRAND PRIZE $250

2ND PRIZE $100

WACKY QUACKY DUCKSONLY $2 each


Special Events

Summer is a time for soakin’ up the hot rays and coolin’ off in the water. Join your friends from various SRA’s in the Chicagoland area for a fun day at the pool and a chance to meet new friends. Please wear swim attire and bring a towel,

sunscreen and change of clothes. Pizza lunch including chips and a drink will be provided or bring money for concessions.

PoolPool PartyParty(Age: 6-15) All Abilities

July 21st

9:30am - 2:30pmat Pelican Harbor

(Bolingbrook Park District)

Fee: $28.75/personDeparture Location: Park District of Forest Park, Building #4

5:00pm-approximately 11:00pm (we will stay until the end of the game)

Fee: $21.75 (price includes ticket, t-shirt, $5 coupons for concessions)

Transportation: $6.35/person (please let WSSRA know if you plan taking transportation with us)

Departure Location: Maple Park, 1105 S. Maple Ave., Oak Park

• Chicago White Sox vs Kansas City Royals- 7:10pm game start• Meet by gate 2 by 5:45pm if you are interested in walking in the parade with WSSRA• Reserve tickets by calling the office! • This is a family event, participants need to be accompanied by a family member, WSSRA will not be providing Staff for this event.


Overnight Trips

Overnight Adventures: Bradford Woods

Bradford Woods fulfills a vital need for safe, reliable, and enrich-ing programming for individuals with special needs. The highly adaptable programs strive to increase self-esteem, promote interaction, improve social skills and encourage independence in a natural environment.

Activities include: • Alpine Tower • Pool • Zip Line • Art Activities • Nature based programs • Archery • Adaptive recreation • Team building activities • Lake actives (swimming, pontoon boat rides, fishing, canoeing)

Location: Bradford Woods Bloomington Indiana

3-Day Adventure (Age: 13 & older) SP, MH, AUT

This Camp is designed for our WSSRA participants who: • Require assistance with personal care and daily living skills • May require hand-over-hand assistance for participation in recreation activities • Require smaller staff to participant ratio for behavioral and emotional supportDays Dates Fee Mon-Wed 8/5-8/7 $332.00

5-Day Adventure (Age: 13 & older) DD, MI, AUT

This Camp is designed for our WSSRA participants who: • Are responsible for independent personal care including feeding, dressing and toileting; • Devoid of emotional outburst that require 1:1 staffing; • Successful socially within 1 staff person per 4 participant ratioDays Dates Fee Mon-Fri 8/5-8/9 $556.00

(Age: 10-15) LD, ED

WSSRA is headed to Devil’s Lake State Park in Wisconsin for our summer camping trip! Activities will include hiking, kayaking, swimming, cooking our meals over the fire, and exploring Wisconsin!

Location: Baraboo, WIDays Dates Fee Mon-Thurs 8/12-8/15 $265.00

Sightseeing in Sheboygan(Age: 18 & older) DD, MI, AUT

Located on the shores of Lake Michigan, Sheboygan, Wisconsin offers endless opportunities for outdoor fun! We will visit Blue Harbor Waterpark Resort, spend time at local beaches and various tourist spots, take a kayaking trip, attend a minor league baseball game (if tickets are available), and take a day trip to Milwaukee among other fun activities.

Participants attending the trip must be: • Successfully attended a previous overnight trip with WSSRA; • Responsible for independent personal care including feeding, dressing and toileting; • Independent in mobility, either walking or wheeling; • Devoid of emotional outburst that require 1:1 staffing; • Successful socially within 1 staff person per 4 participant ratio

Location: Sheboygan, WIDays Dates Fee Sun-Thurs 8/18-8/22 $550.00

NEW!! Explore Lake Geneva (Age: 30 & up) HI, VI, PI, MLH

Come take a ride with us just north of the Illinois border as we head to Lake Geneva, Wisconsin. On our way to Lake Geneva we will be transported back in time as we experience all the fun and faire at the famous Bristol Renaissance Faire. We will then head west to enjoy some relaxation and/or shopping in Lake Geneva. We will end our trip with a boat tour of Lake Geneva. Participants plan to bring spending money for meals and souvenirs.

Location: Lake Geneva, WIDays Dates Fee Sun-Mon 8/25-8/26 $184.00

WILDERNESS TRIP WILDERNESS TRIP

In-TentsIn-Tents

Due to the popularity of these trips, it will be offered as a lottery. All participants interested in attending must register by June 28th.

WSSRA will notify you by July 3rd.

Participants eligible for the In-Tents camping trip are NOT eligible for the 5-day Overnight Adventure. Please contact Carlos Marroquin

with questions about the overnight trips.


Children & YouthLekotek(Age: birth – 6 years) All Abilities

Borrow toys from WSSRA’s toy lending library—we have over 2,000 toys!! Our certified Lekotek leaders will guide you through a monthly play session and introduce you to a variety of adaptive toys, making play possible for ALL children.

Lekotek offers:• Relaxing, guided play sessions• Home loan of up to six toys monthly• Opportunities to focus on the abilities of children• Positive parent/child interactions• Self-esteem building• Sibling play and fun! Day/Time: Call WSSRA to schedule your individual sessionsRegistration: Registration will resume for our FALL2019 session. Call the office for more info at 847-455-2100.

Jr. Golfers(Age: 6-12) MI, AUT, DD, MLH

Join this parent & child program to learn the basics of golf under the instruction of a professional. Participants will be introduced to the following: • Proper stance; • Swing and stroke technique; • Basic principles of clubs; • Proper golf rules & etiquette.

This program is made possible through the sponsorship of the Chicago District Golf Foundation.

Location: White Pines Golf CourseDay Time Dates Fee Thurs 7:00pm-8:00pm 6/13 –7/ 18* $13.00*No program 7/4

Mini Music Makers(Age: 3 – 7) All Abilities

This music therapy class incorporates instrument playing, sing -a - longs, dancing and sensory exploration to promote communication, socialization and sensory regulation. Class will be led by a certified music therapist from Dynamic Lynks.

Location: Dynamic Lynks (1100 Lake St. 100C, Oak Park) Day Time Dates Fee Thurs 5:30pm – 6:15pm 6/13 –7/ 18* $31.00*No program 7/4 Round Trip Trans Fee: $31.75

Social Skills Rock! (Age: 8-14) All Abilities

This music class will help improve social and emotional skills through rock and roll music. Activities will include drumming, song writing and lyric analysis. Class will be led by a certified music therapist from Dynamic Lynks.

Location: Dynamic Lynks (1100 Lake St. 100C, Oak Park) Day Time Dates Fee Thurs 6:20pm-7:20pm 6/13 –7/ 18* $36.25*No program 7/4 Round Trip Trans Fee: $31.75


Children & Youth

Sensory Explorers (Age: 3 – 7) All Abilities

This is a perfect program for the little ones to experience exploration and sensory stimulation! We will keep our hands busy with sensory bins, toys, and multiple crafts and movement activities.

Location: Longfellow Center, Oak Park Day Time Dates Fee Sat 9:00 – 10:15am 6/15 – 7/27* $43.15*No program 7/6

Bike Bonanza(Age: 3 – 7) All AbilitiesThe wheels on the bikes go round and round! We’ll help your little one learn to ride a bike using the Strider ®curriculum. This program is built on the foundations of balancing, leaning, and steering while self-propelling. WSSRA will provide the Strider ® No-Pedal Balance Bikes, please bring a helmet. WSSRA will have some helmets on site if needed.

Location: Longfellow Center, Oak Park Day Time Dates Fee Sat 10:15 – 11:30am 6/15 – 7/27* $43.15*No program 7/6

Saturday Fun Club (Age: 8 - 11) All Abilities

Fill your afternoon with active fun and games! We will play sports-themed games as well as team building games and other movement activities. Program benefits: • Socializing and fun with friends. • Expanding our teamwork skills. • Refining sport and movement. Location: Longfellow Center, Oak Park Day Time Dates Fee Sat 12:15 – 1:30pm 6/15 – 7/27* $43.15*No program 7/6

Sensory Saturdays (Age: 8 - 11) All Abilities

This is the perfect program for children to explore all 5 senses through sensory play, games, movements and crafts.

Location: Longfellow Center, Oak ParkDay Time Dates Fee Sat 1:30 – 2:45pm 6/15 – 7/27* $43.15*No program 7/6


Swim Lessons

WSSRA conducts swim lessons to allow all individuals to progress from beginner to advanced swimming abilities. Our swim lessons cover fundamental body positions, breath control, stroke drills, and age appropriate safety skills. If you are looking to learn more advanced, competitive, and technical strokes to improve your swimming check out or Bobcats Swim Team page! WSSRA uses the Michael Phelps im swim program. The im program is a multifaceted curriculum of water safety lessons, health & wellness education, and goal setting instruction. Parents are responsible for locker room supervision and assistance.

Please note WSSRA will follow the locker room changing policies for each aquatics facility. Most pools have family restrooms or alternate changing areas if privacy is needed. Please contact Kelly Baran with any questions or concerns.

Public health code requires that anyone with possible incontinence must wear protective, rubber pants in addition to a swim diaper.

(Age: 3 years & up) All Abilities

Duck Pond Pool, CiceroDay Time Dates Age Fee Mon 4:15-4:45pm 6/10 – 7/15 3 &up $27.75

Ridgeland Pool, Oak Park Day Time Dates Age Fee T & TH 6:50 – 7:20pm 6/11 – 7/18* 3 & up $38.40T & TH 7:25 – 7:55pm 6/11 – 7/18* 3 & up $38.40* no program on 7/4

Elmwood Park Aquatics Center Day Time Dates Age Fee Wed 5:00-5:30pm 6/12 – 7/17 3-8 $27.75Wed 5:30-6:00pm 6/12 – 7/17 3-8 $27.75

PAV YMCA, Berwyn Day Time Dates Age Fee Fri 3:45-4:15pm 6/14 – 7/19* 3 – 8 $25.65Fri 4:20-4:50pm 6/14 – 7/19* 6 & up $25.65Fri 4:55-5:25pm 6/14 – 7/19* 6 & up $25.65Fri 5:30-6:00pm 6/14 – 7/19* ADVANCED** $25.65* no program on 7/5**ADVANCED SWIMMERS must be able to swim 1 length of the pool independently.

Pool on Pacific, Franklin Park Day Time Dates Age Fee Fri 10:00-10:30am 6/14 – 7/19* 3 & up $25.65* no program on 7/5

Please note day and time for all swim lessons

when filling out the registration form


Quacky Duck Splash

July 18, 2019 6:30 - 9:30pm

Turn to page 10 for more

information!


Teens & Young Adults

Activity Date Day Time Description FeeStop and Smell the Roses 6/15 Sat 9:00a-12:00p The Chicago Botanic Garden has over 9,694 types of plants. Visit a

portion of those with WSSRA. $15.25

Fun in the Sun 6/22 Sat 9:00a-12:00p Enjoy fishing, canoeing or kayaking at Busse Lake. PFD’s will be worn at all time on or around water. A waiver will be required to participate. $15.25

Picnic in the Park 6/29 Sat 9:00a-12:00p Build a picnic and play yard games at Forest Park. Notify WSSRA of any dietary restrictions. $15.25

Splish Splash 7/13 Sat 9:00a-12:00p Cannonball into the pool at Forest Park with your friends at WSSRA. Arrive wearing your swimsuit and bring a change of clothes and towel. $15.25

Shop til you Drop 7/20 Sat 9:00a-12:00p Stroll the streets and snag a sale at the Oak Park Outdoor Sale in downtown Oak Park. Bring money for shopping. $15.25

Donut Worry! 7/27 Sat 9:00a-12:00pJoin us as we visit Sugar Beet Schoolhouse in River Forest where an instructor will lead us in making homemade donuts. Notify WSSRA of any dietary restrictions.

$15.25

Activity Date Day Time FeeMovie at Lake Theater 6/21 Fri 6:30-

9:15pm$13.25*

Movie at Lake Theater 7/19 Fri 6:30-9:15pm

$13.25*

*Participants need to bring $20 for ticket and snacks.

Showtime (Age: 15 & older) MI, DD, AUT, MLH

Enjoy a night with popcorn your friends and the big screen. WSSRA will notify participants of the show and program time on Wednesday, the week of the movie. In order to minimize disturbance to other movie patrons, participants must be able to focus on a movie for two hours with minimal breaks.

Location: Barrie Center, Oak ParkTrans Fee: $2.85/week Pick-Up Points: WSSRA Office & Cicero McDonalds

Food Critics (Age: 15 & older) MI, DD, AUT, MLH

With grills fully fired up for summer, WSSRA is making their way to all the best BBQ spots around! Come and socialize and participate in a lively discussion about what we liked best each week. Participants must be able to sit for a meal with minimal interruptions to others.

Location: Barrie Center, Oak ParkTrans Fee: $2.85/week Pick-Up Points: WSSRA Office & Cicero McDonalds

Activity Date Day Time FeeRussel’s BBQ, Elmwood Park

6/14 Fri 6:30-9:15pm $13.25*

Sweet Baby Ray’s, Elk Grove

6/28 Fri 6:30-9:15pm $13.25*

Q-BBQ & Cold Stone, Oak Park

7/12 Fri 6:30-9:15pm $13.25*

*Participants need to bring at least $30 to cover your food and share of the tip.

Outdoor Adventures (Age: 12 - 22) All Abilities We fill our Saturday mornings with fun and thrills as we explore our communities. The vans will depart promptly at 9:10am! We’re doing a lot of fun and adventurous activities this summer, please make sure you’re prepared with good walking shoes, sunscreen and a bottle of water. Location: Forest Park, Building 4

Dance your way to a healthier you! Come bust out your best moves to today’s hottest hip hop jams and beats! You’ll break a sweat and learn some new steps!

Location: Liberty Center, Berwyn

Day Time Dates Fee Wed 6:15pm – 7:15pm 6/12 – 7/17 $40.50

Round Trip Trans Fee: $38.10

(Age: 13 & older) All Abilities

HIP HOP DANCE


Social Clubs

Activity Date Day Time Description FeePeace, Love, & Tie Dye 6/15 Sat 6:00-9:00pm We will be taking a trip back to the 60s and tie dying! Please come

dressed to tie dye. $13.40

Casino Royal 6/22 Sat 6:00-9:00pm Test your luck with Moonlighters at the Rivers Casino. Dinner will be provided, we will be having dinner at Flipt. Please Remember your ID and money for Casino games. Must be 21 or over to participate.

$21.75

Batter Up 6/29 Sat 6:00-10:00pm Help us cheer on the Chicago Dogs all the way to victory. We will be meeting at the Park District of Forest Park, Building 4. Please bring money if you would like a snack or souvenir.

$21.75

Backyard BBQ 7/13 Sat 6:00-9:00pm We’ll be making the most of the beautiful weather by enjoying BBQ food and playing yard games. $13.40

Just Keep Swimmin’ 7/20 Sat 6:00-9:00pm Swim the night away with WSSRA at the Forest Park Pool! Please meet

at the Park District of Forest Park, Building #4. $13.40

Navy Pier 7/27 Sat 6:00-9:00pm We’re headed down to Nay Pier to enjoy live music and beautiful summer weather! $13.40

Join a club for some Saturday evening fun! We’ll visit some of your favorite attractions with friends while focusing on enhancement of social skills. Activities

planned are intended for adults who want to venture out while having fun! If you’re new to Saturday nights, call the office and we’ll help you find the right group!

When Social Clubs are scheduled to attend sporting events, plays, concerts, etc, our return to the meeting locations is approximate. WSSRA will remain at these events until they end. If the group is going to be more than 15 minutes late, staff will attempt to contact families

with updated information. For all out trips, the vans will depart the meeting location 5 minutes after the scheduled start time.

Moonlighters (Age: 15 & older) MI, DD, AUT Location: Barrie Center, Oak ParkTrans Fee: $2.85/week Pick-Up Points: WSSRA Office & Cicero McDonalds


Social Clubs

Activity Date Day Time Description Fee

Navy Pier 6/15 Sat 6:00-9:00pm We’re headed down to Nay Pier to enjoy live music and beautiful summer weather! $13.40


Batter Up 6/29 Sat 6:00-10:00pm Help us cheer on the Chicago Dogs all the way to victory. Please bring money if you would like a snack or souvenir. $21.75

Brown Cow 7/13 Sat 6:00-9:00pm Tonight, we’ll be heading over to The Brown Cow Ice Cream Parlor for some sundaes. $15.60



Peace, Love, & Tie Dye 7/27 Sat 6:00-9:00pm We will be taking a trip back to the 60s and tie dying! Please come


City Slickers (Age: 15 & older) MI, DD, AUT Location: Forest Park Building #4Trans Fee: $2.85/week Pick-Up Points: WSSRA Office & Cicero McDonalds

Hot Shots(Age: 15 & older) MI, DD, AUT Location: Forest Park Building #4Trans Fee: $2.85/week Pick-Up Points: WSSRA Office & Cicero McDonalds

Activity Date Day Time Description Fee

Navy Pier 6/15 Sat 6:00-9:00pm We’re headed down to Navy Pier to enjoy live music and beautiful summer weather! $13.40


Batter Up 6/29 Sat 6:00-10:00pm Help us cheer on the Chicago Dogs all the way to victory. Please bring money if you would like a snack or souvenir. $21.75

Peace, Love, & Tie Dye 7/13 Sat 6:00-9:00pm We will be taking a trip back to the 60s and tie dying! Please come




Brown Cow 7/27 Sat 6:00-9:00pm Tonight, we’ll be heading over to The Brown Cow Ice Cream Parlor for some sundaes. $15.60


Adults

Destination Date Day Time FeeSpring Creek Reservoir Lunch: Chipotle Mexican Grill

6/11 Tues 9:30am-12:15pm $12.30

Common’s Park Lunch: Chick-fil-A 6/18 Tues 9:30am-

12:15pm $12.30

Lindberg Park Lunch: Burger Moovement 6/25 Tues 9:30am-

12:15pm $12.30

Norridge Park Lunch: Cozy Corner Diner 7/2 Tues 9:30am-

12:15pm $12.30

Proska Park Lunch: Paisan’s Pizzeria 7/9 Tues 9:30am-

12:15pm $12.30

Walk & Dine(Age: Adults) HI, VI, PI, MLH

Walk or wheel your way to a healthier heart with your friends at WSSRA! We’ll end each week with lunch at a local restaurant. Participants must be independent in mobility. Participants are responsible for purchasing their own lunch ($15/week).

Round Trip Transportation Fee: $6.35/week

Destination Date Day Time FeeForest Park Walmart Lunch: Portillos 7/16 Tues 9:30am-

12:15pm $12.30

Shop & Dine(Age: Adults) HI, VI, PI, MLH

We will hit the stores to stock up on your necessities and then head to lunch at a local restaurant. Participants must be independent in mobility. Participants will be responsible forpurchasing their own lunch ($15/week).

Round Trip Transportation Fee: $6.35/week

Destination Date Day Time Description Fee

Naper Settlement 6/27 Thurs 9:30am - 2:00pm

Join us as we head to Naper Settlement to tour the 19th century living outdoor museum. Costumed interpreters in over twenty buildings will give us the real time feel of living in the past. We will grab a bite to eat for lunch on our way back to Longfellow Park. Bring money for lunch

$15.95

Thursday Matinee- Yesterday

7/11 Thurs 10:30am-3:30pm

Join us as we head to the suburbs for lunch and the movie, Yesterday. Yesterday is an adorable comedy with a strong music influence. It is a story of a musician who wakes up to a world that has never heard of the Beatles. The plot thickens as he begins to sing their songs. Come join us as we laugh and sing along. Bring money for lunch and snacks.

$15.95

White Fence Farm Restaurant 7/23 Tues 4:15pm -

9:30pm

Join us for an evening of dining and entertainment. We will head to White Fence Farm for dinner and a show featuring Motown performer Paula Williams and a young and talented Elvis impersonator. Participants must be able to focus on a two-hour performance with minimal interruptions. This is to minimize disturbance to other audience members. Please note this is a Tuesday evening event.

$15.95

(Adults) HI, VI, PI, MLHJoin us as we get out and about to enjoy the wonderful sights, sounds, and tastes of the Chicagoland. Participants are responsible for purchasing their own lunch ($15/week). Location: variesPick up/drop off point: Longfellow Park, Oak Park Round Trip Transportation Fee: $6.35/week

WindyWindyCityCity

ExplorersExplorers


Adults

WSSRA wants your feedback!

We want your feedback and suggestions regarding the programs

for which you have registered. Please take 3-4 minutes to help us

improve the services we offer. All answers are

anonymous, confidential, and will be used only by

WSSRA.

Just visit wssra.net and click on “tell us what you think!”

Thanks for your

assistance!

Yoga for Wellness(Age: Adults) PI, VI, HI, Chronic Illness

Did you know that yoga can help improve flexibility, balance, breathing and concentration? Plus, it can help decrease stress and improve your mood! Join WSSRA as we start the day with breathing exercises and gentle stretching and yoga. Yoga poses will be taught in a seated position in chairs.

Location: Village of Harwood HeightsDay Time Dates Fee Tues 10:00-11:15am 6/11 – 7/16 $19.50

Wildcard Wednesdays(Age: Adults) HI, VI, PI, MLHStart your day with some card shuffling fun! Light & healthy refreshments will be served. Sign up for the weeks that fit your schedule!

Location: Village of Elmwood ParkDay Time Dates Fee Wed 9:30am-12:00pm 6/12 –7/17 $70.00 Round Trip Transportation Fee: $38.10


Sports & Fitness

Healthy Start(Age: 21 & Older) All Abilities

Start your week with a healthy dose of exercise! We offer Healthy Start TWO days each week—Mondays and Thursdays too, pick one day or both days! Set a fitness goal and let’s accomplish it! We’ll emphasize: • Stretching & flexibility • Moderate aerobics • Use of exercise equipment (Cardio and Weights)Exercise routines will be monitored by staff to meet your individual needs.MondaysLocation: Franklin Park Community CenterDay Dates Time Fee Mon 6/10 - 7/15 10:00-11:30am $37.35Round Trip Trans Fee: $38.10

ThursdaysLocation: ROOS Building, Forest ParkDay Dates Time Fee Thurs 6/13 – 7/18 10:00-11:30am $31.15 *NO PROGRAM on 7/4Round Trip Trans Fee: $31.75

Weekly Workout(Age: 13 and older) MI, AUT, DD, MLH

Finish your day with a great workout! Improve your physical condition through: • Exercise stations; • Weight lifting; • Low impact aerobics

Location: Franklin Park Community CenterDay Dates Time Fee Tues 6/11 – 7/16 7:00-8:15pm $31.15Round Trip Trans Fee: $38.10

Aqua Exercise(Age: 15 & Older) MLH, MI, AUT, DD

Aqua exercise is one of the best exercises for the body with minimal gravitational pull, all muscle groups are worked out. Workouts cover cardio and strength. While having fun in the pool with your friends to various-upbeat music, you will also improve your: • Strength • Flexibility; • Mobility • Resting Heart Rate; • Range of motion

Location: Ridgeland Commons, Oak ParkDay Dates Time Fee Tues 6/11 – 7/16 7:15pm-8:00pm $34.15Round Trip Trans Fee: $38.10

Intro to Golf(Age: 12 and older) MI, AUT, DD, MLH

Woods, Irons, Driving, and more, OH MY! Come learn the basics of golf under the direction of a professional so you don’t have to yell “fore” on every swing! Focus on the following while enjoying the nice evening summer breeze: • Proper stance • Swing and stroke technique • Basic principles of clubs • Proper golf rules & etiquetteThis program is made possible through the sponsorship of the Chicago District Golfing Foundation.

Location: White Pines Golf Course, BensenvilleDay Dates Time Fee Thurs 6/13 – 7/18* 7:00pm-8:00pm $16.80*NO PROGRAM on 7/4Round Trip Trans Fee: $38.10

Saturday Bowling League(Age: 13 and older) MI, AUT, DD, SP, MH

Sharpen your bowling skills while spending time with friends. Bumpers and ramps are available.

Location: Circle Lanes, Forest ParkDay Dates Time Fee Sat 6/15 – 7/27 * 1:00-3:00pm $61.00*NO PROGRAM on 7/6Transportation Pick Up Point Fee: $17.10

Transportation Pick Up Points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonalds

See page 25 for Special Olympics Bowling Tournament Information

Illinois Special Olympics provides year round sports training in a variety of Olympic-type sports for individuals who are 8 years and older and who have mental impairments or

closely related developmental disabilities. The program gives athletes opportunities to develop physical fitness, demonstrate courage, experience joy and participate in the

sharing of skills and friendship with their families and other athletes. WSSRA supports the mission of Special Olympics through the participation in the following sports:

Aquatics, Basketball, Bowling, Softball, Track & Field, Volleyball, & Gymnastics.

Criteria for ParticipationAll Special Olympic athletes must have a current, completed Application for Participation in Illinois Special Olympics on file with the Special Olympic coordinator at WSSRA. This form contains 4 sections: 1. Athlete information 2. Parent and/or Guardian Authorization & Medical Authorization 3. Health Insurance and Emergency Information 4. Medical Clearance (this MUST be completed by a physician)

Applications for Participation in Illinois Special Olympics are valid for 2 years based on the earliest signed date on the medical application form. See page 24 for the Application.

Anyone interested in participating or volunteering please contact the WSSRA Special Olympic Coordinator.

ExpectationsWe all share a responsibility in making the Special Olympics training and competition program a positive experience that promotes the growth & development of our athletes. It is in this belief that we have identified the below expectations for our WSSRA Athletes, Parents, & Spectators:

WSSRA’s Expectations of Athletes 1. Demonstrate respect for the rules of the sport. 2. Demonstrate respect for coaches, teammates, opponents, opposing coaches and officials. Failure to do so may result in loss of playing time. 3. Come to practices and games ready to play with a positive attitude.

WSSRA’s Expectations of Parents & Spectators WSSRA spectators are asked to provide positive support during practice and competition. Negative comments are incredibly detrimental to team morale. Spectators are expected to: 1. Show respect & positive support for ALL WSSRA athletes and our opponents. 2. Show respect & positive support for ALL WSSRA coaches, opposing coaches, officials, and other spectators 3. Be a role model for proper behavior and demonstrate good sportsmanship, and self-discipline.


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Bobcats Swim Team – Skills & Drills Summer Swim Team is an exercise and training program for current swim team members as well as those who have excelled in WSSRA swim lessons and can now swim at least one length of the pool independently. Training consists of consecutive lap-swimming throughout the program along with technique refinement. Swim team members are not eligible to register for WSSRA swim lessons.

Location: Ridgeland Commons, Oak ParkDay Dates Time Fee Thurs 6/13 – 7/18* 7:15pm-8:00pm $30.95*NO PROGRAM on 7/4Round Trip Trans Fee: $31.75

SO Bowling TournamentIf you’re registered for Saturday Bowling League, compete in ISO annual tournament! Winners will advance to the Sectional competition on 10/20.

Registration Deadline: 5/24Location: Stardust Bowl, AddisonDay Dates Time Fee Sat 7/13 8:00am-3:00pm $25.00 (approximate)

Transportation Pick Up Points: WSSRA Office & Fox Park Trans Fee: $2.85

Bobcats Volleyball(Age: 15 and older)

Players will learn the emphasis of teamwork and good sportsmanship through the practice season while developing individual and team skills. Players must practice in the practice season to be eligible to compete with the Bobcats. Special Olympics competition requires that all teams are in uniform. New and replacement uniforms will have an additional fee. Team coaches will provide more details once practice season is underway.

Practice Season Info:Location: Park District of Franklin ParkDay Dates Time Mon 6/10 –7/ 22 6:30 – 7:30pm

Game Season Info:Location: Park District of Franklin ParkDay Dates Time Fee Tues 7/30 – 9/17 * 6:30 – 8:00pm $105.00***No program 8/6 **includes practice & game season

Volleyball Regional Tournament: 9/22/2019 at LaGrange Park District


How to Register Online

Step 1. Go to WSSRA.net and click on the Register tab

Step 2. Create an account

Step 3. Add participants to your Account that you would like to enroll in programs or activities. Don’t forget to include yourself as the Primary Account Holder.

Step 4. On the registration tab, select an activity that you would like to enroll in - it will be added to your shopping cart.

Step 5. Once you select the activity be sure to select the correct name of the registrant.

Step 6. Check out items in your Shopping Cart.

For help with creating an account or registering for programs, please call the WSSRA office at 847-455-2100.

mail to: wssra, 2915 maple street, franklin park, il 60131 ··· fax to: 847.455.2157 ··· signed registration must be received by may 31, 2019

participant’s name: ________________________________________________________ birth date: ________________________ gender:________________

address: ________________________________________________________________ city/state: _______________ zip: ___________________________

home phone: _____________________________________ park district/village: ______________________________________________________________

parent or guardian name: __________________________________________________________________________________________________________

email address:

parent/guardian work phone: _________________________________________________ parent/guardian cell phone: _________________________________

who should be contacted if parent/guardian is unavailable? name: ______________________________________________ phone: _________________________

present school/workshop/other: ______________________________________________ teacher/supervisor name: ___________________________________

participant disability: _____________________________________________________________________________________________________________

does participant use wheelchair/walker? specify: ____________________________________ ______________________ can participant transfer? *yes

is participant subject to seizures? *yes *no if yes, please complete and return seizure information form

is medication taken at program? *yes *no list any medication: ______________________________________________________________________________

list any allergies: _______________________________________________________________________________________________________________

does participant have a communicable disease? *yes *no if yes, please explain: ____________

*no

west suburban special recreation association

SUMMER 2019 REGISTRATION FORM

program name date day time fee trans program & trans fee subtotal

$

$

$

total due:amount paid:

remaining balance:

to credit card

PAYMENT OPTION ··· PLEASE CHECK ONE ··· PAYMENT IS EXPECTED AT REGISTRATION, IF YOU ARE UNABLE TO PAY YOUR FULL BALANCE,

A $5.00 DEPOSIT IS REQUIRED FOR EACH PROGRAM, WITH A MAXIMUM DEPOSIT OF $20.00

* total payment enclosed * total payment to follow (if faxed) * deposit made ($5 per prog)

* payment plan arranged with bob foster * request scholarship ($5 per prog deposit still required)

* credit card * visa * master card

card number: expiration date: _____ / _____ amount to be charged: $___________

i have read the waiver release of all claims and hold harmless agreement on the reverse side and unless i have checked no under the three authorizations, i approve them.

parent/participant/guardian signature date

HOLD HARMLESS RELEASE ON

REVERSE SIDE

v code:________(located on back - 3 digits)

West Suburban Special Recreation Association

WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENTPlease read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in the programs. In registering for these programs, you are agreeing as follows:

As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury.

I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs.

I do hereby fully release and discharge the West Suburban Special Recreation Association and the other released parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participation in these programs.

I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all

claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of these programs.

I further understand and agree that the terms such as “participation”, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision, of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events.

I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement.

In case of emergency, I give my permission for the participant to receive any first aid, transportation or medical attention that may be required.

You may return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile transmission to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.

to communicate with school/ health care personnel* i authorize counsellors, teachers, case workers, therapists, or physicians to communicate with wssra about the participant’s needs as they relate to wssra’s provision of recreation services to the participant. wssra will keep confidential all information obtained through such communications.

0 yes 0no

to disclose information to wssra member partners* wssra may disclose to my home park district or municipality information about the participant’s and my involvement in wssra programs or activities, including our names, telephone number, address, program registrations, and the participant’s age and disability, provided that my home park district or municipality shall not redisclose that information without my express written consent.

0 yes 0no

*I understand that I can change my decisions regarding the statements above at any time for any reason by delivering a written notice to WSSRA, prohibiting further disclosure information.

we welcome your input!We invite you to share with us your program ideas and comments about our services:

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you can also email us your input at [email protected] | follow us on /wssra @wssra @w.s.s.r.af

west suburban special recreation association

VERANO 2019 FORMA DE INSCRIPCIÓN ENVÍE A: 2915 Maple Street, Franklin Park, Il 60131 O POR FAX: (847)455-2157 ·· la registración firmada debe recibirse antes del 31 de mayo

nombre de participante: _________________________________________ fecha de nacimiento del participante:_________________ género_____________

dirección: ___________________________________________________ ciudad/estado: ____________________ código postal: ___________________

tel de casa: ___________________________________ distrito de parque/municipalidad: ___________________________________________________

padre/guarda legal: _________________________________________________________________________________________________________

correo electrónico:

padre/guarda legal tel del trabajo: _________________________________________ padre/guarda legal tel cel: ________________________________

¿a quien debemos llamar si el padre/tutor no esta disponible? nombre: _________________ telefono: _____________________________________________

escuela actual/trabajo/otro: _____________________________________________ nombre del maestro/supervisor: _____________________________

discapacidad del participante: ___________________________________________________________________________________________________

¿usa el participante silla de ruedas/andador? especifique: ____________________ ________________ ¿puede el participante trasferirse? *sÍ *no

¿es el participante sujeto a ataques? *sÍ *no por favor adjunte su plan de tratamiento para ataques

¿se toma el medicamento durante el programa? *sÍ *no liste los medicamentos: _________

liste cualquier alergias: _______________________________________________________________________________________________________

¿tiene el participante una enfermedad comunicable? *sÍ *no sÍ la tiene, por favor explique: _____________________________________________________

OPCIÓN DE PAGO ··· MARQUE UNO ··· EL PAGO SE DEBE CUANDO SE REGISTRE, SI NO PUEDE PAGAR TODO EL BALANCE,

SE DEBE PAGAR UN DEPOSITO DE $5 POR CADA PROGRAMA, MAXIMO DE $20.00

* pago total adjunto * pago total a seguir (sÍ mando por fax) * deposito dejado ($5.00 cada programa)

* solicitar beca * plan de pago arreglado con bob foster

* tarjeta de crédito * visa * master card

numero de tarjeta: fecha de caducidad: _____ / _____

v code:________(3 números en la parte posterior de la tarjeta)

he leído la exencion de todas las reclamaciones y acuerdo de mantener indemne y a menos que yo no haya comprobado bajo las tres autorizaciones, los apruebo.

_________________________________________ ______________________padre/participante/tutor firma fecha

nombre de programa fecha dia hora costo trans total parcial de programa y trans

$

$

$

total debido:cantidad pagada:

nuevo balance:

ACUERDO INOCUO AL

LADO REVERSO

cantidad a cargar a la tarjeta de credito:

$___________


EXENCION DE TODAS LAS RECLAMACIONES Y ACUERDO DE MANTENER INDEMNE Lea por favor esta forma con cuidado y esté enterado que en si firma y participa en el programa de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciando de todo reclamo de por heridas que surgieran de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en los programas. Al registrar para estos programas, usted concuerda de la siguiente manera:

Como participante en estos programas, yo reconozco que hay ciertos riesgos de heridas físicas, y yo concuerdo en asumir el riesgo total de cualquier herida, daños o pérdida que pueda sostener a consecuencia de tomar parte de cualquier manera, en cualquier y todas las actividades conectadas con o asociado de tales actividades que implique riesgos substanciales de alguna herida.

Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener a consecuencia de tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial, cualquier y toda unidad gubernamental participante, cualquier y todos los contratistas independientes, oficiales, agentes, sirvientes, empleados de los cuerpos gubernamentales y contratistas independientes, y cualquier y todas las otras personas y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquier herida que yo quizás sostenga al tomar parte en estos programas.

Yo por la presente renuncio y completamente y libero a la Asociación West Suburban de Recreación Especial y libero a otros partidarios de cualquier y todo reclamo por heridas, daños o pérdida, que puedan incurrirme por motivo de mi participación en estos programas.

Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West Suburban de Recreación Especial y cualquier y todos los otros partidos de cualquier y todo reclamo que resulte en heridas, daños y pérdidas sostenidas por cualquiera, y surgiendo fuera de, conectado con, o en cualquier manera asociada con mi conducto y las actividades de estos programas.

Comprendo aún más y concuerdo que los términos como “participación”, y las “actividades”, se refirieron a en este Acuerdo, incluye todos ejercicios y los movimientos físicos de cualquier naturaleza mientras tomo parte en estos programas e incluye aún más la provisión, de o fracaso para proporcionar las instrucciones o la supervisión apropiadas, el uso y el ajuste de cualquier y toda maquinaria,equipo, y aparato, y algo relacionado con mi uso de los servicios, las facilidades, o Implicado en estos programas, y en el transporte a y de acontecimientos.

Comprendo la naturaleza de estos programas para el cual me inscrito, y he leído y comprendo completamente esta Renuncia, Liberación y Acuerdo Inocuo. Comprendo aún más que cualquier deliberación o advertencias de los riesgos particulares de estos programas que recibo subsiguientemente serán integradas por la referencia en y llegan a ser una parte de este Acuerdo.

En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueda ser requerida.

para comunicarse con los trabajadores de escuela/doctor yo autorizo a los maestras, trabajadores sociales, terapistas o doctores a comunicarse con wssra acerca de las necesidades del participante en relación a los programas de wssra. wssra guardara toda la información confidencial que recibimos.

o Si o No

para comunicarse con los acompanieros/miembros de wssra yo autorizo que wssra les puede dar información acerca del participante y su participación en programas y actividades a mi distrito de parque o municipalidad de mi ciudad, incluyendo nombre, dirección, numero de teléfono edad. discapacidad o registraciones, si no los revelar de nuevo sin mi firma de concento.

o Si o No

*yo entiendo que puedo cambiar a las declaraciones encima en cualquier momento entregando un aviso escrito a la oficina de wssra, para prohibir revelación adicional del información.

agradecimos sus comentarios!Los invitamos a compartir con nosotros su ideas de programas y comentarios sobre nuestros servicios:

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you can also email us your input at [email protected] | follow us on /wssra @wssra @w.s.s.r.af


SEIZURE INFORMATIONdate: ___________________________

Please complete this form if the participant experiences seizures, or return a copy of your child’s seizure plan from his/her school. Please update this form whenever there is a change in the seizure plan and submit it with your registration. You will be asked to review this once a year and provide any necessary updates.

CONTACT INFORMATION

participant name:____________________________________________________________________________________________________________

person completing form:______________________________________________________________________________________________________

parent/guardian:____________________________________________________________________________________________________________

parent/guardian home phone:____________________________work:__________________________________cell:_____________________________

emergency contact:__________________________________________________________________________________________________________

emergency contact home phone:__________________________work:__________________________________cell:_____________________________

emergency contact relationship:_________________________________________________________________________________________________

email address:

what is the best way to communicate with you about the participant's seizure?:_________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

current seizure related medication:

1. Seizure Type (please check):

* Generalized tonic-clonic seizures (grand mal seizures) are the most common and best known type of generalized seizure. They begin with stiffening of the limbs (the tonic phase), followed by jerking of the limbs and face (the clonic phase).

* Myoclonic seizures are rapid, brief contractions of bodily muscles, which usually occur at the same time on both sides of the body. Occasionally, they involve one arm or a foot. People usually think of them as sudden jerks or clumsiness.

* Atonic seizures produce an abrupt loss of muscle tone. They produce head drops, loss of posture, or sudden collapse. Because they are so abrupt, without any warning, and because the people who experience them fall with force, atonic seizures can result in injuries to the head and face. Protective headgear is sometimes used by children and adults.

* Absence seizures (petit mal seizures) are lapses of awareness, sometimes with staring, that begin and end abruptly, lasting only a few seconds. There is no warning and no after-effect.

* Simple partial show no loss of consciousness. Sudden jerking, sensory phenomena. Lasts about 90 seconds.

* Complex partial last about 1-2 minutes in which consciousness is impaired or lost. May have an aura. Symptoms include: Automatisms such as lip smacking, picking at clothes, fumbling. They may be unaware of the environment and may wander. Following the seizure they are often unaware of the seizure event and can be confused and sleepy.* Status epilepticus If seizures are prolonged, or occur in a series, there is an increased risk of status epilepticus. The term literally means a continuous state of seizure.

2. When was your/the participant’s last seizure? _____ /_____ /______ How long does the seizure last?

How long was the longest seizure? _________________________________________________________________________________________

3. Describe what a typical seizure looks like (be specific) : _________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

medication name dosage time of intake


SEIZURE INFORMATION continued 4. Are you/the participant aware that they are about to have or have just had a seizure? yes no

5. Are there any symptoms or triggers prior to the onset of your/the participant’s seizure? (i.e. stomach pain, fear, smells, sounds, lights)

Explain: ___________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

6. Has there been any recent change in your/the participant’s seizure pattern? yes no

Explain: ___________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

7. Have you/the participant ever been hospitalized for continuous seizures? (Status epilepticus) yes no

Explain: ___________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

8. Please list below the necessary steps you would like WSSRA to take in the event of a seizure:

1. Call 911 for a seizure over ______ minute(s). WSSRA will call 911 if a seizure lasts 5 minutes

2. ______________________________________________________________________________________________________________________

3. ______________________________________________________________________________________________________________________

9. Please describe what constitutes an emergency for you/ the participant: ____________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

10. Do you/the participant have a VNS (vagal nerve stimulator)? yes no If yes, contact WSSRA at 847.455.2100 to discuss further.

11. Is there any other information that WSSRA should know? ________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________


WSSRA Registration & PoliciesREGISTRATION OPTIONSIn order to participate in Winter/Spring programs, your completed AND signed registration form must be received in the WSSRA office by May 31st. WSSRA registration is taken on a first-come, first-served basis.

REGISTRATIONA completed AND signed registration form is required (along with a $5 deposit per program) in order to start participation. If your signed form is not received by May 31st, you will lose your spot in any of your selected programs and be put on a waitlist.

CLOSED PROGRAMS/WAIT LISTSIf a program is at maximum enrollment, your participant will be placed on a wait list once your completed and signed registration form along with full payment or program deposit is recieved. Wait lists are reviewed on a weekly basis. Once the program season begins, you will be notified if additional space in the program becomes available. Please call 1-week prior to program begining, to see if you have been removed from the wait list.

NEW PARTICIPANTSIf you are new to WSSRA, proof of residency is required at the time of enrollment. WSSRA will accept a current utility bill, mortgage or lease in your name.

PAYMENTPayment of program fees is due upon registration. If you are unable to pay your full balance, a $5.00 deposit is required for each program with a maximum deposit of $20 required. Billing statements are mailed out once a month. Call to arrange for a payment plan. A participant may not register for the next season until a balance from previous season is paid. WSSRA Program Supervisors MAY NOT accept payment or registration forms at program.

RETURNED CHECKSA $20.00 fee will be charged for any checks returned to WSSRA. The $20.00, as well as the balance, will need to be paid before registering for future programs.

PROGRAM CREDITS AND CANCELLED PROGRAMS1. Program credits will not be issued for weather related cancellations. WSSRA will attempt to make up programs due to weather cancellations.

2. Program credits will not be issued for sports tournament cancellations.3. If WSSRA is notified 5 business days prior to the start of a program season, the participant will be credited the cost of each program cancelled less a $5.00 processing fee.4. A full, prorated program credit will be issued if for extended medical reasons and/or hospitalization with written verification from a physician.5. A prorated program credit will be issued for programs that may have a postponed start due to low enrollment. If the program is subsequently cancelled, a full program credit will be issued.6. A full program credit is issued if a program or special event is cancelled by WSSRA due to low enrollment.7. If a participant chooses to cancel from a program after the season has begun, a prorated program credit will be issued for each program cancelled, less a $5.00 processing fee, the cost of a ticket (unless there is a person on a waiting list), contracted services, or specialized non-refundable supplies.8. Program credits will not be issued retroactively. Prior notification of program cancellation to WSSRA office is necessary in order to be eligible for a program credit.9. All credit requests will be reviewed on a monthly basis

SCHOLARSHIP REQUESTWSSRA is in a position to offer scholarships to WSSRA residents for a percentage of fees for two programs each season. Persons requesting a scholarship must complete a scholarship application, which will be mailed to you upon request. Scholarship applications need to be filled out once a year. If you are interested in a scholarship, check the box on the registration form: Request Scholarship. All scholarship applications must be completed and submitted to the WSSRA office. Proof of income is required.

PARENT DROP-OFF & PICK-UPWSSRA programs are staffed according to the needs of the participants who are registered. If your participant does not show up to program, we will send staff home for the day. Please help WSSRA keep programs running safely with the necessary number of staff by making sure that your participant arrives for program at the start time of program. Please do not drop your participant off prior to the stated program start time. For the safety of your participant, at drop off & pick up, be sure to make contact with a WSSRA staff person.

When a program is scheduled to travel (i.e. Saturday nights, outdoor adventures, etc.), The WSSRA vehicles will leave the meeting location promptly at 5 minutes past the program’s listed start time.

LATE PICK-UP/DROP-OFF A $10.00 Fee will be charged for every 15 minutes, or portion thereof, that a participant is picked up late or WSSRA vehicle is delayed. A notice will be sent to you indicating the fee being charged to your account.

DROP OFF AT THE WSSRA OFFICE OR MAIL TO

WSSRA2915 Maple St.

Franklin Park, IL 60131

SCAN & EMAIL [email protected]

ONLINE wssra.net

FAX TO847.455.2157

PHONE TO:847.455.2100


WSSRA Registration & PoliciesPARTICIPANT ILLNESSFor the protection of all of the participants in program, your participant must be kept at home or will be sent home if he/she shows any of the following symptoms: · A temperature over 100.3. · Stomach ache accompanied by diarrhea or vomiting. · Any undiagnosed rash. · Sore or discharging eyes or ears. · Profuse nasal discharge (green or yellow). Please keep children with active colds at home. · Have a highly contagious condition such as chicken pox, measles, lice, etc.

PARTICIPANT ABSENCE If your participant is not going to attend a program for which you are registered, please notify the WSSRA office as soon as possible. Make sure you leave a voice mail if you call after our office has closed for the day.

SAFETY PRECAUTIONSSome participants in WSSRA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service training concerning proper hygienic procedures. WSSRA seeks to provide a safe environment for all of our participants, staff, volunteers, and the public. If you have specific questions, please call the WSSRA executive director or superintendent of safety & operations.

WSSRA TRANSPORTATIONTransportation by WSSRA is available for some programs and with an additional fee. When offered, transportation information and fees are noted in a program’s registration information in this program guide. All riders must abide by the following WSSRA guidelines. Failure to do so will result in suspension from transportation. Repeat offenders will not be transported by WSSRA. · Riders must stay in their seat with a seatbelt on at all times. · Riders must not deface the vehicle. · Riders must keep their hands and feet to themselves. · Eating is not permitted on WSSRA vehicles. · Parents or participants must notify WSSRA in regard to any change in transportation. · Any registration received after September 11 may result in a late program start or no transportation. · Parents are requested to notify their child’s school on days the child will be picked up by WSSRA. · A participant under the age of 16 must be taken off of the WSSRA vehicle by a responsible person over the age of 12.

CAR SEATSDue to state legislation, car seats or boosters must be provided for all children ages seven and under. For more information contact the superintendent of safety & operations.

MEDICATIONIt is the parent/guardian and participant’s responsibility to inform WSSRA of any medication a participant is taking. This information is important in case of an emergency. Medication information should be noted ion the registration forms, as well as the annual information form. Any changes in medication should be communication to WSSRA.

SEIZURESParticipants who have had a seizure must complete a seizure information form prior to beginning programs. Please see page 25 for this form. Forms can be found on the WSSRA website, scanned & emailed, or mailed to you. Forms need to be updated as changes with the seizures or medication occurs.

INSURANCEThe association takes every reasonable precaution to prevent injuries and accidents from occurring. However, if an accident does occur or if you or your participant is injured, you are solely responsible for any costs incurred or caused by an injury that happens in an association program.

WAIVER OF LIABILITYWSSRA is insured through a self-insurance pool with other special recreation associations and park districts. Our pool is known as the park district risk management agency (pdrma). As a loss prevention measure, pdrma is requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the WSSRA waiver release form. This must be signed and returned to the WSSRA office before a participant can be in programs each season.Since we do not carry medical or accident insurance for program participants, the release of liability is necessary. The cost of such coverage would make our program fees to high for most to afford. Please review your personal health plan to be certain that you and your family have coverage in instances like these.Our objective is to offer a high-quality program at a reasonable cost. The use of a release of liability, when appropriate, is but one way we are trying to meet that objective. If you have questions, call the WSSRA executive director. We appreciate your continued involvement and support.

NON-RESIDENT POLICYWSSRA programs are limited to people who live in the WSSRA partner districts and villages. If you live outside of the WSSRA communities and are interested in participating in a special recreation program, call your park district or village recreation department. Call the WSSRA executive director for more information.

SAY CHEESE Photos & videos are periodically taken of people participating in WSSRA & Inclusive Partner District programs & activities. All persons registering for WSSRA and Partner Inclusion programs/activities thereby agrees that any photograph or videotape taken by WSSRA may be used for promotional

purposes including its electronic media, videotapes, brochures, flyers and other publications without additional,

prior notice or permission and without compensation to the participant, rights to royalties or any other consideration now and in the future.

2018 Recognition Awards

Shining Star: Melanie Mamalayha

Spirit Award: Dana Wax

Distinctive Service: Seph’s Sweets

Rising Star: Mylia Concha

Staff of the Year: Lindsey Kiska

Athlete of the Year: Erik Cox

IPRA Distinguished Service Award:

Fernando Serrano

West Suburban Special Recreation Association2915 Maple Street, Franklin Park, IL 60131P 847.455.2100 | F 847.455.2157www.wssra.net

PRSRT STDU.S. POSTAGE

PAIDPERMIT NO. 317

FOND DU LAC, WI


Quacky Duck Splash

July 18, 2019 6:30 - 9:30pm

Turn to page 10 for more information!

Documents

WSSRAWSSRACHECK OUT OUR SPLISH SPLASH SUMMER BASH INFO ON PAGE 10. West Suburban Special Recreation Association & Foundation present. Join us for a special night of fun & fundraising