Download pdf - Youth Enrichment at WCH Fall 2012

7/31/2019 Youth Enrichment at WCH Fall 2012

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R E G I S T R A T I O N N O W O P E N !

W I N N E T K A C O M M U N I T Y H O U S E . O R G

F A L L 2 0 1 2 P R O G R A M S

Winnetka Community House

Y O U T H E N R I C H M E N TEAR LY LEARNING, ART , SC IENCE, MUS IC , SPANISH AND MORE


2/16Youth Enrichment Fall 2012

Y O U T H E N R I C H M E N T

L i t t l e B i t sMary Fisher & Elyse FerdinandDoes your two or three-year-old enjoya variety of activities? Join in free play,circle time, art, songs and simple child-centered projects. There will be interac-tion with other children and time for in-

dividual attention, encouraging childrento develop such social skills as sharing,caring, and cooperation. You may registerfor one day per week only. Staff may notchange diapers. Must be two years of ageby September 10, 2012.

September 10December 17 1100-0

Monday 9:3011:00 a.m.Ages: 23Member: $273 Non-Member: $325No class: 9/17, 10/15


Tuesday 9:3011:00 a.m.Ages: 23Member: $315 Non-Member: $375No class: 10/16


Wednesday 9:3011:00 a.m.Ages: 23Member: $294 Non-Member: $350No class: 9/26, 10/17

A B C s & 1 2 3 sMary Fisher & Elyse FerdinandEach class is centered on a differentnumber and letter which are reinforcedthrough various puppets, songs, games,and stories. Must be three years of age bySeptember 17, 2012.


Friday 9:3011:00 a.m.Ages: 34Member: $294 Non-Member: $350No class: 10/19, 11/23

T i n y B i t sMary FisherMom and tots come play and learn as wesee how much fun it is to be a toddler!Well have lots of exploring time plus anart project, story and snack to end a day of

fun. An adult must accompany each child.

September 6October 25 1100-5

Thursday 9:3010:30 a.m.Ages: 11/22 years with caregiverMember: $126 Non-Member: $147No class: 10/18

November 1December 20 1100-6

Thursday 9:3010:30 a.m.Ages: 11/22 years with caregiverMember: $126 Non-Member: $147No class: 11/22

T i n y T r e k s E x p l o r e r New!Tiny TreksTiny Treks is an innovative program forfamilies who want to teach their childrenabout the world through exploration oftheir natural surroundings. We believechildren learn best through hands-on ex-periences which build self-esteem andencourage a love of nature. In this classactivities will include short stimulatinghikes in a variety of outdoor settings, mu-sic, art projects and games. Please bring alunch and drink to class.


Wednesday 9:30 a.m.12:00 p.m.Ages: 46Member: $420 Non-Member: $546No class: 9/26, 10/17, 11/21


Wednesday 11:15 a.m. 1:45 p.m.

Ages: 46Member: $420 Non-Member: $546No class: 9/26, 10/17, 11/21

A m a z i n g M i n d sAmazing MindsLearning made fun! Come explore thisexciting after school program open toall rstthird graders who love to learn.Amazing Minds offers a variety of inter-active topics that change each session andwill expand your childs knowledge of theworld while reinforcing their academic

skills. Your child may become a junior ge-ologist and explore the world of rocks andminerals, investigate owl pellets, nd outhow to make raisins bounce through scien-tic experiments, learn about famous land-marks, discover rare Australian animals,excavate hidden treasures from an ancientEgyptian tomb or sample ethnic cuisinefrom China or Italy. Come join all the funexploration in this cant-miss enrichmentprogram. All materials are included. Eachsession a different country is explored,thus exposing your child to geography as

well as different languages and cultures.


Wednesday 4:005:00 p.m.Ages: 69Member: $240 Non-Member: $288No class: 9/26, 10/17, 10/31, 11/21

Photo coutresy of Tiny Treks


3/16Fall 2012 Youth Enrichmen

A d v a n c e d C h e s s New!Chess WizardsChess Wizards is now offering advanced chess classes at Win-netka Community House! If you feel your child needs more of achallenge, then this class will be the perfect way to expand theirknowledge of chess. Children will learn advanced strategies andtechniques, and classes will focus on preparation for tournamentsin the wider chess world. Our class will cover openings, end-games, grandmaster games, and competitive psychology. Pleasenote that this class is highly advanced and requires a good baseknowledge of chess theory.

October 6November 17 2720-8

Saturday 10:0011:00 a.m.Ages: K8Member: $120 Non-Member: $144No class: 10/20

M o d e r n M a n n e r s 1 0 1 - S o c i a l D i n i n g S k i l l sPatricia OBrienIt takes just 30 seconds to make an impression. Will it be a goodone? Introductions, handshakes, eye contact and body languageare just a few of the social graces you will learn and keep in yourportfolio for life. In addition, personal qualities such as telephonecourtesies, acts of kindness, parties, invitations, the importanceof RSVP and the importance of writing a thank you note will beincluded. Learn the rules of table manners including the properway to set the table, which fork to use and what to do if you dropit on the oor. Ms. Manners requests you be on time and dress in

your best: gentleman shirt, tie and sport coat; young women dress or suitable pant outt.

November 10 1300-8

Saturday 10:00 a.m.12:30 p.m.Ages: 713Member: $65 Non-Member: $77

E x t r a o r d i n a r y K i d sExtraordinary Kids StaffJoin an Extraordinary Kids class and en-rich your childs kindergarten year withan educational adventure. Each sessionwill explore several thematic units thatwill be integrated into all areas of the cur-riculum: science, math, language arts, so-

cial studies, geography and art. Kids learnabout the human body, monsters, Africa,dinosaurs and more. Extraordinary Kidsemphasizes fun and creativity, challengescreative minds, enhances learning throughinteractive and hands-on exploration, en-courages critical thinking and establishesa life-long love of learning. Students mustbe ve years of age by October 1, 2012.For more detailed information call Ex-traordinary Kids at 847-945-7632 or visitwww.Extraordinary-Kids.com


Monday 9:1511:15 a.m.Ages: 56Member: $308 Non-Member: $374No class: 9/17, 10/8, 10/15

September 10December 10 1101-1Monday 12:452:45 p.m.Ages: 56Member: $308 Non-Member: $374No class: 9/17, 10/8, 10/15


Tuesday 9:1511:15 a.m.Ages: 56Member: $364 Non-Member: $442No class: 10/16, 11/06


Tuesday 12:452:45 p.m.Ages: 56Member: $364 Non-Member: $442No class: 10/16, 11/06


Wednesday 9:1511:15 a.m.Ages: 56Member: $336 Non-Member: $408No class: 9/26, 10/17, 11/21


Wednesday 12:452:45 p.m.Ages: 56Member: $336 Non-Member: $408No class: 9/26, 10/17, 11/21


Thursday 9:1511:15 a.m.Ages: 56Member: $364 Non-Member: $442No class: 10/18, 11/22

September 6December 13 1101-7Thursday 12:452:45 p.m.Ages: 56Member: $364 Non-Member: $442No class: 10/18, 11/22

k i n d e r g a r t e n e n r i c h m e n t p r o g r a m


4/16Spanish Fall 2012

F u n w i t h A m i g o sAmigos ProgramEveryday will be a special day at FunWith Amigos. We will laugh, play, create,sing, paint, cook and discover great won-ders. We will do it all while learning Span-ish! From the creators of Camp Amigos,Fun with Amigos uses a highly controlledvocabulary introduced in conjunctionwith fun theme days. All instructors areexperienced in early childhood and at least

one instructor is a native speaker.September 10December 17 1305-0

Monday 9:3011:00 a.m.Ages: 35Member: $240 Non-Member: $288No class: 9/17, 10/08, 10/15


Tuesday 9:3011:00 a.m.Ages: 35Member: $240 Non-Member: $288No class: 9/18, 10/09, 10/16

C o o k i n g W i t h A m i g o sAmigos ProgramEvery day promises to include a fun-lleddelicious activity! We will chop, mix, slice,peel and eat. We will do it all while lean-ing Spanish! From the creators of CampAmigos, Cooking With Amigos uses ahighly controlled vocabulary introducedin conjunction with fun-to-make recipes.As we wait for our creations to cook,we will have lots of fun playing games in

Spanish. The instructor is a native Span-ish speaker who has been carefully trainedto implement the Amigos Programs curric-ulum. Please do not register if your childhas allergies to egg, soy, dairy, wheat,nuts or berries.


Tuesday 9:3011:00 a.m.Ages: 46Member: $276 Non-Member: $336No class: 9/18, 10/09, 10/16


Tuesday 1:002:30 p.m.Ages: 46Member: $276 Non-Member: $336No class: 9/18, 10/09, 10/16

C a f e A m i g o sAmigos ProgramCafe Amigos is a Spanish lunch bunch!Following lunch children will enjoygames, songs and playtime while learningSpanish. The instructor is a native speak-er and trained to work in early childhood.Children bring their own lunch and a bev-erage. Staff will escort children from theWinnetka Community Nursery School.


Monday 11:15 a.m.12:45 p.m.Ages: 35Member: $240 Non-Member: $288No class: 9/17, 10/08, 10/15


Tuesday 11:15 a.m.12:45 p.m.Ages: 35Member: $240 Non-Member: $288No class: 9/18, 10/09, 10/16

T i m e f o r A m i g o sAmigos ProgramThis parent (or caregiver) and child classincludes songs, movement activities, cre-ative dramatics, art, playtime and more.We will do it all while learning Spanish!From the creators of Camp Amigos, Timefor Amigos uses a highly controlled vo-cabulary introduced in conjunction withfun theme days. Our instructor is a nativeSpanish speaker who has been carefullytrained to implement the Amigos Pro-grams curriculum.


Monday 9:3010:30 a.m.Ages: 23 with parent/caregiverMember: $156 Non-Member: $187

No class: 9/17, 10/08, 10/15

S P A N I S H


5/16Fall 2012 Art and Scienc

A r t S t a r s New!

Karen Perl, North Shore Art LeagueBecome an artist and explore many typesof materials including tempera and wa-tercolor paints, colored pencils, coloredpaper, crayons, markers and more. Listento stories for inspiration and create yourown masterpieces each week. All materi-als provided.

September 24November 26 1604-0

Monday 9:3011:00 a.m.Ages: 3.55Member: $270 Non-Member: $342No class: 10/8, 10/15

September 25November 20 1604-1

Tuesday 9:3011:00 a.m.Ages: 3.55Member: $270 Non-Member: $342No class: 10/16

A m a z i n g A r t New!Sunshine Arts and CraftsStudents begin by creating their owntie-dye shirts which are used as paintingsmocks for the remainder of the program.Shirts are provided. Kids will then be ex-posed to pottery painting using acrylicsand will learn a variety of techniques. Dif-

ferent concepts will be shown as studentsinvestigate aspects of color, brush strokes,sponging, dry-brushing, texturing andshading. All nished pieces will be glazedand glitter sparkled (if desired) and takenhome immediately. In the other sessionsthe kids will create recycled art projectsand a green ceramic bowl, plate, mug ortile which will be red and used at home.

September 13October 25 1604-2

Thursday 4:005:00 p.m.Ages: 510

Member: $120 Non-Member: $144No class: 10/18

November 1December 13 1604-3

Thursday 4:005:00 p.m.Ages: 510Member: $120 Non-Member: $144No class: 11/22

T h e J o y o f C r e a t i v i t yCarole Pearlman & StaffAn art curriculum designed especiallyfor the preschool and kindergarten childincluding creative explorations throughstories, art and play. The class beginswith plenty of time for free expression,an introduction to the project via a book

and then independent creativity begins.This is a mixed media class using water-colors, oil pastels, tempera paint, collageand more. A new project every week! Allmaterials are included.


Thursday 9:1511:15 a.m.Ages: 46Member: $390 Non-Member: $468No class: 10/18, 11/22


Thursday 12:452:45 p.m.

Ages: 46Member: $390 Non-Member: $468No class: 10/18, 11/22

A R T

S C I E N C EV i d e o G a m e R o b o t i c s New!Computer ExplorersBuild robotics and use them as controllersfor your Scratch video animation projects!You and a partner will use LEGO Roboticskits to build a controller for your Scratchgame (similar to Nintendo Wii). This amaz-

ing course uses the most innovative toolsavailable to experiment with robots andsensors that communicate with the com-puter to control your games.

October 2December 11 1301-8

Tuesday 5:306:30 p.m.Ages: 612Member: $198 Non-Member: $243No class: 10/16, 11/20

K i d s S c i e n c e L a b s New!Kids Science LabsKids Science Labs has developed innova-tive hands-on classes for kids using ourunique inquiry-based LIFES (Learning In-novation, Fun Engineering, and Science)Curriculum. By engaging kids with science

early and often we help enable a genera-tion of amazing critical thinkers. We startevery class with a question and then usescience activities to explore the answers.Our instructors are certied teachersand scientists.


Monday 4:005:00 p.m.Ages: 68Member: $250 Non-Member: $300No class: 10/15, 10/22, 11/19

J u n i o r F U N - g i n e e r i n g New!

w i t h L E G O SComputer ExplorersWant to be an engineer? Working in teamsyoull learn about structures and forces, le-vers, wheels and axles, pulleys and gears.

Bring your machine to life while exploringmotors and energy. The class will culmi-nate with a catapult challenge where teamswill compete against each other to buildthe ultimate catapult machine.

October 2December 11 1605-0

Tuesday 4:005:00 p.m.Grades: 12Member: $175 Non-Member: $210No class: 10/16, 11/20


6/16


7/16Fall 2012 Youth Enrichmen

M e e t o u r Y o u t h E n r i c h m e n t i n s t r u c t o r sBrandon Seyferth has been teaching guitar at the North Shore School for the Arts in Glencoe for seven years. He is a critically acclaimedsongwriter and composer who is accomplished on the guitar, voice, blues piano and drums. Seyferth has performed, composed and re-corded with the likes of Jackson Browne, Victor Delarenzo (Violent Femmes), Jay Bennett (Wilco), Eric McFadden (P-Funk, StockholmSyndrome), and Clyde Stubbleeld (James Brown). His lengthy study and experience as a guitarist and multi-instrumentalist make himan excellent results-based instructor. His love for music and learning translates into fun and rewarding lessons.

Mary Fisher has been working in the early childhood profession for over 20 years. She has been teaching at the Community House forover 10 years.

Elyse Ferdinand holds a degree from Northern Illinois in Early Childhood Education. She has over 18 years of preschoolteaching experience.

Kids Science Labs has developed innovative hands-on classes for kids age two12 using our unique inquiry based LIFES Curriculum(Learning Innovation, Fun Engineering and Science). By engaging kids with the hands-on science they love early and with regular fre-quency year round, we help enable a generation of amazing critical thinkers, regardless of their future careers. All classes are built onactivities based on core science principles that are framed as questions that your kids ask you every day.

Carole Pearlman is the founder of The Joy of Creativity art program. Inspiring curriculum, freedom of expression and opportunitiesto explore many art materials make this innovative program a creative success for each student. Carole holds a BFA in painting and aMasters degree in education and psychology.

Karen Perl, BFA, The School of the Art Institute of Chicago. Studied in Dublin, Ireland at The National College of Art and Design.Lived and painted for two years in Montpellier, France. Teaching experience: Marwen, The Evanston Art Center, The GreenleafArt Center and private instruction. www.karenperl.com

Carol Modes worked for the Deereld Public Schools for 14 years teaching kindergarten, second and fourth grade classes and as agifted education instructor. She and codirector Susie Blau developed all materials and curriculum for Extraordinary Kids.

Susie Blau has a Master of Arts degree in behavioral psychology and has worked as a consultant to families and educators for over 15years. She and codirector Carol Modes developed all materials and curriculum for Extraordinary Kids.

Patricia OBrien has been trained and certied by the Protocol School of Washington to present etiquette programs to children, teensand young adults. She has established Manners, Please, providing social skills for every occasion.

Tiny Treks is an innovative program for families who want to teach their children about the world through exploration of their natu-ral surroundings. We believe children learn best through hands-on experiences which build self-esteem and encourage a love of nature.In this class activities will include short, stimulating hikes in a variety of outdoor settings, music, art projects and games.Please bring a lunch and drink to class.

The Music Institute of ChicagoCelebrate your childs love of nature and growing independence through activities which focus on the seasons of the year. Classes aredesigned to build attention span, self-expression and language development and include stories, singing and games.


8/16

A tradition in Winnetka since 1915! Mount your broomsticks and fy on over or Halloween thrills at this popular Community House tradition

Not So Scary Haunted HouseAges 10 and underDo your kids wonder what the haunted house is all about but arent sure they want to visit because it might be too scary? Join us on Friday, October 26 an event like no other. Enjoy the twists, turns and excitement with the lights on, music down and no ghouls jumping out. Purchase your tickets at the WCront desk the day o the event and enjoy some Halloween un!Friday, October 26 10:00 a.m.2:00 p.m.$2/person single visit (accompanying adult ree)

Haunted HouseVisit our traditional haunted house with your amily and riends and be prepared to get scared. Follow the twists and turns o our classic maze... i you daAll ages are welcome... to get rightened.Friday, October 26 7:009:00 p.m.$5/person single visit


9/16

CIRCUS BOY'S ACTION PACKED COMEDY SHOW

MONDAY, OCTOBER 8 11:00 12:00

TICKETS: $5

pm

reserve your tickets today atwinnetkacommunityhouse.org

WINNETKA COMMUNITY HOUSE 620 LINCOLN AVE., WINNETKA, IL 60093 847-446-0537

S C H O O L H O U S E R O C K L I V E !

TUESDAY, NOVEMBER 6 11:00 12:00

TICKETS: $5

pm

reserve your tickets today atwinnetkacommunityhouse.org

WINNETKA COMMUNITY HOUSE 620 LINCOLN AVE., WINNETKA, IL 60093 847-446-0537


10/16

Join us for our

C e n t e n n i a lc l o s i n g c e r e m o n y

Friday, November 2F i n d o u t m o r e a t w i n n e t k a c o m m u n i t y h o u s e . o r g / c e n t e n n i a l


11/16

Winnetka Community House makes birthday

parties easy! We offer full service birthday partieswith complete set up and clean up. Our party

coordinator can help you plan your party and

select from a variety of entertainers and activi-

ties. We also partner with popular vendors to help

you save on food for your WCH party. Our parties

will make your child's birthday an event they'll

never forget!

PARTIES SO EASY THEYMIGHT AS WELL BE MAGIC

To see all our parties visit winnetkacommunityhouse.org/birthdays or call 847-446-3207

B r e a k f a s tw i t h S a n t a

D e c e m b e r 8w i n n e t k a c o m m u n i t y h o u s e . o r g

Mark your calendars for our Wine Tasting, coming March 8, 2013

P r o d u c e d b y t h e W o m a n s B o a r

o f W i n n e t k a C o m m u n i t y H o u


12/16Registration Fall 2012

R E G I S T R A T I O N I N F O R M A T I O NMember registration opens July 16, 2012, and will be processed on a rstcome, rst served basis.Membership does not guarantee placement in a class.

All non-members will be able to register July 23, 2012.Registration received through the mail, fax, or in person will be processedby 5:00 p.m. the next business day. The best way to ensure that yourregistration is processed immediately is by using our online registration at

winnetkacommunityhouse.org

M e m b e r s h i p I n f o r m a t i o nEarly registration: Members are eligible to register for all classes one week

prior to the start of seasonal registration. Early registration can be done

via the web at winnetkacommunityhouse.org, fax or in person at Winnetka

Community House. Please note: early registration does not guarantee a

spot in a class.

Who is eligible for benets? All family members in your household are

eligible for membership benets. When registering for membership, just list

your family members, and they will be included for the program registra-

tion benets automatically when registering for classes.

Membership renewal: Members receive a notice about one month prior

to the expiration, so the membership can be renewed for the next year.

Refunds for memberships will not be available.

H o w T o R e g i s t e r To register for membership, simply list all eligible members on the registra-

tion form. Then check the box and add the membership fee in withyour registration.

Register for programs online at winnetkacommunityhouse.org or on theenclosed registration form.

Please print clearly. Read and ll out form completely. By listing your email address, you agree to receive email communications

from Winnetka Community House. We will never sell your address,but love to keep in touch with our users to give news about programs,events, and special offers from Winnetka Community House. If you donot wish to receive these emails, simply unsubscribe.

Sign the registration form. Unsigned forms will not be processed, but will be returned to you. This

will delay processing your registration. Registration forms may be mailed or faxed. Registration by telephone

are not accepted.

C r e d i t C a r d sYou may use your credit card for all programs which appear with a classnumber or for a Fitness Centre membership. Fitness Centre membershipsare obtained at the Fitness Centre only. Be sure to ll out the credit cardinformation completely and sign the form. We do not take telephoneregistration. However, if you are paying by credit card, you may fax yourregistration to (847) 446-0609.

C a n c e l l a t i o n o f C l a s s e s

Prior to any class, registration is reviewed to determine if the enrollmentis sufcient to hold the class. Register early! Do not wait until the day ofthe rst class to register. You may nd the class has been cancelled due to

low enrollment.

R e f u n d P o l i c yFull refunds will be issued for courses that are cancelled by WinnetkaCommunity House due to insufcient registration. A refund, less a 10%service charge (not to exceed $25), may be granted if the refund request isreceived ve full working days prior to the start of the program. No refundswill be allowed after this time unless a medical condition develops and awritten explanation from a physician on his/her letterhead is presented.

Due to advanced reservation requirements, no refunds for trips, outings,or special events will be given.

P r o r a t e d P o l i c yClasses may be prorated if you would like to enroll in a class after it hasstarted, provided the instructor has space, and allows for late registration.The supervisor must approve the prorated amount.

I n c l e m e n t W e a t h e rWinnetka Community House will not hold classes on days when theWinnetka Public Schools have cancelled classes due to inclement weather.

R e l i g i o u s H o l i d a y sWinnetka Community House makes every effort to avoid schedulingprograms or events on religious holidays. Anyone affected will be offeredthe option of attending a session of the same program on a different date as amake-up, or receiving a prorated refund of the series fee for the date missed. Winnetka Community House is not responsible for the supervision

of children on site prior to or remaining on site after the establishedprogram times.

Winnetka Community House is handicapped accessible. If you or any member of your family has special needs, please see our

Executive Director. Winnetka Community House receives no tax dollars. We are supported by

our programs, fund raising events, our annual campaign, and donations. Winnetka Community House assumes no responsibility and carries no

accident or medical insurance for injuries or accidents at programs oractivities on Community House property. It is advisable to review yourown personal health insurance plan to be certain that you and your family

have proper and sufcient insurance coverage.

B r o c h u r e E r r o r sComplete details of program policies, procedures, and guidelines aresometimes inadvertently omitted. Errors in days, times, registrationrequirements, and fees may occur in the brochure. When such errors occur,the staff will advise you of the change as quickly as possible. We thank youfor your understanding.

C o p y A n d F a x S e r v i c e A v a i l a b l eCopy service is available at $.10/copy. Fax service is available at $2/rstpage and $1/each additional page. Cost to receive a fax: $1/page (Faxesare limited to 847, 312, 773, 708, and 630 area codes)

Winnetka Community House asks that all participants be courte-ous to our neighbors when driving and parking in the area.

STEPHEN DUSTMAN MEMORIAL SCHOLARSHIP FUNDWinnetka Community House has established the Stephen Dustman Memorial Scholarship Fund to any resident whowould like to take part in a Winnetka Community House activity, but is unable to render ull payment. Persons in-terested may submit their need in writing to the attention o the Executive Director or confdential review. I urtherinormation is desired, please call our main ofce.Donations to this scholarship fund are gratefully accepted.


13/16Fall 2012 Registration Page 4

Be

com

Member!

C O M M U N I T Y H O U S E

Becom

Do forgeMembers also receive special offers and rewards throughout the year! Watch your email for Members Only specials on programs, events and mor

Step 1Register your whole family!

A one year Community House Membership is$150. All family members in your householdare eligible for membership benefits.

When registering for, just list your familymembers, and they will automatically be eligiblefor benefits when registering.

Step 2Use your Membership to regis-

ter early for WCH programs!Registration begins a week early for CommunityHouse Members. Check out our website or

program guide to find out when member registra-tion begins.Note: Membership does not guaranteeplacement in all classes. Some classes fill quickly.

Step 3Save money on classes!Community House members save up to 20% oregistration! Find the Member price listed for eacprogram and save on your whole familys programall year!


14/16

Winnetka Community House is committed to conducting its recreation programs and activities in the safest manner possible, and holds the safety of the participants in the highest possible regard. Participanparents registering their child in recreation programs must recognize, however, that there is an inherent risk of injury when choosing to participate in recreation activities. Winnetka Community House contstrives to reduce such risks, and insists that all participants follow safety rules and instructions which have been designed to protect the participants safety. Please recognize that Winnetka Community Housnot carry medical accident insurance for injuries sustained in its programs. The cost of such would make program fees prohibitive. Therefore, each person registering himself\herself or a family member

recreation program/activity should review his/her own health insurance policy for coverage. It must be noted that the absence of health insurance coverage does not make Winnetka Community House automresponsible for payment of medical expenses. Due to the difficulty and high cost of obtaining liability insurance, the agency providing liability coverage for Winnetka Community House requires the executhe following Waiver and Release. Your cooperation is greatly appreciated. Please read this form carefully, and be aware in participating in the program(s) listed on this page, you will be waiving and releasclaims for injuries you might sustain arising out of the activities of this program.

WAI VE R AN D RELE ASE OF AL L CL AI MS

As a participant in the program, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, including death, damages or loss, regardless of sevwhich I may sustain as a result of participating in any and all activities connected with or associated with such program. I agree to waive and relinquish all claims I may have as a result of participating in the pragainst Winnetka Community House and its officers, agents, servants and employees. I do hereby fully release and discharge Winnetka Community House and its officers, agents, servants and employees froand all claims from injuries, including death, damages or loss which I may have or which may accrue to me on account of my participation. I further agree to indemnify and hold harmless and defend Winnetka Conity House and its officers, agents, servants and employees from any and all claims from injuries, including death, damages or losses sustained by me or arising out of, connected with, or in any way associatethe activities of the program. In the event of emergency, I authorize Winnetka Community House officials to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necfor my immediate care, and agree that I will be responsible for payment of any and all medical services required. All participants agree that any photography taken while participating in a class, special eventof a facility may be used for promotional purposes Winnetka Community House. Participants agree to receive emails from Winnetka Community House.

REFUND AND PRORATE INFORMATION

Full refunds will be issued for courses that are cancelled by Winnetka Community House due to insufficient registration. A refund, less a 10% service charge (not to exceed $25), may be granted if the refund reis received five full working days prior to the start of the program. No refunds will be allowed after this time unless a medical condition develops and a written explanation from a physician on his/her letterhpresented. Due to advanced reservation requirements, no refunds for trips, outings, or special events will be given. Classes may be prorated if you would like to enroll in a class after it has started, providinstructor has space, and allows for late registration. The supervisor must approve the prorated amount.

Please list any specific medical allergies, medications, chronic illness or other conditions which staff should be aware of:

Winnetka Community House operates in compliance with the Americans with Disabilities Act. If you believe you or your child need accommodations to facilitate participa

in Winnetka Community House program(s) for which you are registering, please check box.

CONTACT INFORMATION

PARENT/GUARDIANS LAST NAME: PARENT/GUARDIANS F IRST NAME:

ADDRES S: CITY: STATE: Z IPCO DE :PHONE: WORK PHONE:

EMAIL: I WOULD LIKE TO RECEIVE NEWS FROM THE WCH

EMERGENCY CONTACT NAME: EMERGENCY CONTACT PHONE:

REGISTRATION FORMRegister online at winnetkacommunityhouse.org, via fax at 847-446-0609 or mail this form with payment in full to: Registraiton - WinnetkaCommunity House, 620 Lincoln Ave., Winnetka, IL 60093. Contact us by phone at 847-446-0537 with any questions. Please print.

PARTICIPANT INFO CLASS INFO

FULL NAME BIRTH DATE M/F SCHOOL CLASS CODE CLASS NAME FEE

I would like to register for a Community House Membership! Please list all family members on the reverse side of this form $150

$100I would like to donate a Centennial gift of $100 to the Community House along with my registration.

TOTAL

SIGNATURE: DATE:

R e g i s t r a t i o n f o r m w i l l no t b e p r o c e s s e d w i t ho u t wa i v e r s i gn

CASH VISA

CHECK MASTERCARD

CARD NUMBER EXP. DATE

TOTAL PAYMENT SIGNATURE

I have read and fully understand the aforementioned Program Details, Waiver and Release of All Claims and Permission to Secure Treatm


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A U C T I O N E D O N N O V E M B E R 2 .

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Non-Proft Org.U.S. Postage

PAIDPermit No. 50Winnetka, IL

WINNETKA COMMUNITY HOUSE

620 LINCOLN AVE., WINNETKA IL 60093

WINNETKACOMMUNITYHOUSE.ORG

FACEBOOK.COM/WINNETKACOMMUNITYHOUSE

TWITTER.COM/WCHNEWS

847-446-0537

S AV E T H E D AT E : O C T O B E R 1 9 2 1

T H E W I N N E T K A S H OW C O M