senior recreation fall activities 2015

Senior Recreation

Fall 2015

Commissioner Amanda FritzDirector Mike Abbaté

RegistRAtiON BegiNs August 17, 2015Go to PortlandParks.org, click on the Register Now tab.

• New:Tap,Hula,SignLanguage,KayakBasics,BeginningArtWorkshop&LiveLit• New&Free:Computer-OnlineRegistrationTraining&OralHealthWorkshop• OnlyOfferedinFall:WreathMaking,BeginningMusicTheory,RoseCitySingers&HikingPotluck

Portland Parks & Recreation

2 SeniorRecreation503.823.4328

Program Coordinator: Kristine CanhamRecreation Coordinator: Lucille DawsonHours: Monday - Friday8:00 am - 12:00 pmPhone support with Senior Recreation staff12:00 pm - 5:00 pmPhone support transfers to the Customer Service Center

Senior RecreationTelephone: 503.823.4328

TABLE OF CONTENTS

Home & Garden .................................... 2Education ................................................ 4Cuisine .................................................... 4Dance ...................................................... 5Meet Us There ....................................... 6Intergenerational Trips ........................... 6Van Excursions ..................................7-12Reading & Writing ............................... 13Health & Fitness .............................14-19Music................................................20-21Fine Arts...........................................22-24Crafts .................................................... 25Home & Garden .................................. 26Golf ....................................................... 27Outdoor Adventures ............................. 27Biking .................................................... 28Walking & Hiking ...........................29-35Registration Information .................36-38Scholarship Form & Information ...39-40Registration Form ................................ 41

View & register for classes on-line at www.PortlandParks.org or call the

Customer Service Center at 503.823.2525.

CALENDAR

Winter 2016November 23

Fall 2015August 17

Scholarships / Financial AssistanceCityofPortlandresidents,regardlessofage,whorequirefinancialassistance,canreceivepartialtocompletescholarships.Scholarship

requestsarereviewedonacase-by-casebasis.

Ifyouneedassistance,call503.823.4328.

Home & Garden

Wreath MakingTake in the fragrance of luscious greens while designing a wreath to match your style & taste. From start to finish, follow step-by-step instructions to complete your customized wreath. Above & beyond store bought!

Instructor: Mark Vossbrink

Day/Time: Tuesday 10:00 am - noon Location: Hollywood Senior Center 1820 NE 40th Dates: December 1 Cost/#: $6 1038521

RegisterOn-Lineatwww.PortlandParks.org 3


CLASS & VAN EXCURSION LOCATIONSFor bus lines, schedules & route information, call Tri-Met at 503.238.RIDE (7433)

Meals on Wheels sites (formerly Loaves & Fishes)For additional meal sites call 503.736.6325

Centennial SUN Community School, 503.762.346317650 SE Brooklyn St., 97236

Charles Jordan Community Center 503.823.36319009 N Foss, 97203

Cherry Blossom Center, 503.256.2381740 SE 106th, 97216

Community Music Center, 503.823.31773350 SE Francis, 97202

East Portland Community Center503.823.3450740 SE 106th, 97216

Elm Court Center, 503.953.82041032 SW Main, 97205

First Congregational Church, 503.228.72191126 SW Park Ave, 97205

Glenhaven Parking LotNE 82nd & Siskiyou, 97220

Grout SUN Community School, 503.916.62413119 SE Holgate, 97202

Hollywood Senior Center, 503.288.83031820 NE 40th, 97212

IRCO Center, 503.234.154110301 NE Glisan, 97220

Lents Center, 503.953.820610325 SE Holgate # 121, 97266

Matt Dishman Community Center503.823.367377 NE Knott, 97212

Montavilla Community Center503.823.41018219 NE Glisan, 97220

Mt. Scott Community Center, 503.823.31835530 SE 72nd, 97206

Multnomah Arts Center, 503.823.27877688 SW Capitol Hwy., 97219

NE Multicultural Senior Center503.988.54705325 NE MLK Jr. Blvd., 97232

Neighborhood House Senior Center503.244.52047688 SW Capitol Hwy., 97219

Peninsula Park Community Center503.823.3620700 N Rosa Parks Way, 97217

Rice School, 503.823.43286433 NE Tillamook, 97213

Sellwood Community Center, 503.823.31951436 SE Spokane, 97202

SE Multicultural Senior Center503.988.63004610 SE Belmont, 97215

Southwest Community Center503.823.28406820 SW 45th, 97219

St. Johns Community Center, 503.823.31928427 N Central, 97203

Thelma Skelton Center503.953.82093925 SE Milwaukie, 97202

Two Rivers Center, 503.953.82019009 N Foss, 97203

Woodstock Community Center503.823.36335905 SE 43rd Ave., 97206



Cooking with Flair!Awaken those taste buds! From appetizers to sauces, dressing to desserts, discover secrets & tips that make a meal special. Interesting, entertaining & creative ideas add ‘joie de vivre’ to cooking & make you the ‘host with the most’!

Instructor: Carla Manuel Day/Time: Monday 6:00 pm - 7:30 pm Location: Centennial SUN Community School 17650 SE Brooklyn St.

No class November 23 Dates: October 5 - December 14 Cost/#: $60 1037086

Ethnic Supper Club Seeking fare with ethnic flair? Feast royally on theme cuisine around town & acquaint your palate with delicious foreign dishes from appetizer to dessert. Expand your knowledge of cultures & tastes in a social setting.

Instructor: Merry Enriquez

Meet at Tambayan for Filipino meal Location: 6014 SE Foster Day/Time: Thursday 5:30 pm - 7:00 pm Dates: October 22 Cost/#: $24 1035706

Meet at Queen of Sheba for Ethiopian cuisine Location: 2413 NE MLK Jr Blvd. Day/Time: Monday 5:30 pm - 7:00 pm Dates: November 16 Cost/#: $24 1035707

Meet at Beijing Hot Pot for Chinese dinner Location: 2768 SE 82nd Day/Time: Monday 5:30 pm - 7:00 pm Dates: December 7 Cost/#: $24 1035708

Computer - Online Registration TrainingStep-by-step easy to follow instruction is available! Receive an introduction to the fundamentals needed to become comfortable with Portland Parks & Recreation’s registration website. Learn to create & maintain an account, change your password, maneuver wish lists & registrations, review purchases & print confirmation receipts. Experts from the Customer Service Center will be leading this informative session. Take home a guide with screen shot instructions to follow from home.

Instructor: Taylor Supina Location: Customer Service Center 1st floor of the Portland Building 1120 SW 5th Ave.

Day/Time: Wednesday 3:00 pm - 4:30 pm Dates: August 26 Cost/#: Free 1034745

Day/Time: Thursday 1:00 pm - 2:30 pm Dates: August 27 Cost/#: Free 1034746

Day/Time: Monday 1:30 pm - 3:00 pm Dates: October 12 Cost/#: Free 1034747

American Sign Language (ASL) Gain an appreciation of the hearing impaired culture while engaging in a beautiful & expressive language. Communicate through articulated hand gestures & their placement relative to the upper body.

Day/Time: Tuesday 10:00 am - 12:00 pm Location: Hollywood Senior Center 1820 NE 40th

Dates: October 6 - November 3 Cost/#: $35 1038546

No class December 1 Dates: November 10 - December 15 Cost/#: $35 1038548

CUISINEEDUCATION



Line Dance: Fitness & FunStay active discovering beginning steps that facilitate easy learning. Turns, walks, grapevines, step touches, heel struts, the count in, syncopation & more are taught with enthusiasm. Gain confidence to enjoy this form of movement almost immediately. Please wear smooth soled shoes. East Portland’s course includes many types of music.

Instructor: Joyce Mattson Location: East Portland Community Center 740 SE 106th

Day/Time: Tuesday 1:00 pm - 2:00 pm Dates: October 6 - December 15 Cost/#: $41.25 1037421

Instructor: Barb Hanson Location: Matt Dishman Community Ctr. 77 NE Knott

Day/Time: Thursday 1:00 pm - 2:00 pm Dates: October 8 - November 5 Cost/#: $18.75 1036524

No class November 26 Day/Time: Thursday 1:00 pm - 2:00 pm Dates: November 12 - December 17 Cost/#: $18.75 1036525

DANCE

Hula Dance The art of Hula is not only a beautiful & graceful dance experience but a pleasurable way to include more movement into your routine. It combines foot placement along with meaningful hand gestures that tell a story.

Location: Hollywood Senior Center 1820 NE 40th

Day/Time: Wednesday 10:00 am - 11:00 pm Dates: October 7 - November 4 Cost/#: $18.75 1038543

Day/Time: Wednesday 10:00 am - 11:00 pm Dates: November 18 - December 16 Cost/#: $18.75 1038545

Tap Dance: It’s Never Too Late To StartChildhood dreams become a reality in this exciting & lively American art form. Embrace your inner dancer with moves that improve balance, ankle strength & flexibility. Basic shuffle, toe tap & time steps may be included.

Instructor: DJ Rayley Location: Mt. Scott Community Center 5530 SE 72nd

Day/Time: Friday 10:00 am - 11:00 am Dates: October 9 - November 6 Cost/#: $35 1038770

No class on November 27 Day/Time: Friday 10:00 am - 11:00 am Dates: November 13 - December 18 Cost/#: $35 1039086

Line Dance: Fitness & Fun Advancing OnContinue to build your skills as you move to the beat of country music! No partners necessary to enjoy these exciting steps, patterns & rhythms. Get fit in a fun way! Please wear smooth soled shoes. Includes many types of music.

Instructor: Joyce Mattson Location: East Portland Community Center 740 SE 106th

Day/Time: Tuesday 2:00 pm - 3:00 pm Dates: October 6 - December 15 Cost/#: $41.25 1037422


INTERGENERATIONAL TRIPS


You may register for a maximum of 3 trips between 8/17 & 8/23.On 8/24, you may register or waitlist for as many additional trips as you wish.

Mobility Rating guide

* Accessibletothoseusingwalkers,wheelchairs&motorizedscooters

Mustbeabletomaneuver:

+ Door to Door Destinations

++ ContinuousStanding&Walking

+++ Stairs,Inclines,Distance



VAN EXCURSIONS



READING & WRITING

Writing Your MemoriesEveryone would love to find a journal or diary of their ancestors. Where’s yours? Future generations will cherish the childhood & family stories you prepare for them today. Learn to easily write your thoughts & recollections & preserve them before they disappear.

Instructor: Emily Aulincino Location: Woodstock Community Center 5905 SE 43rd

Day/Time: Wednesday 10:00 am - 12:00 pm Dates: November 18 - December 16 Cost/#: $18.50 1040189

Day/Time: Wednesday 1:00 pm - 3:00 pm Dates: November 18 - December 16 Cost/#: $18.50 1040190

Take an active part in a story, whether you write the script or play a role. Become more eloquent, improve communication style, build self-image & increase leadership skills, while feeling the gratification of building a character.

Instructor: Adrienne Flagg Location: Multnomah Arts Center 7688 SW Capitol Hwy.

Day/Time: Monday 2:00 pm - 3:30 pm Dates: October 12 - December 7 Cost/#: $72 1035915

Live Lit for Seniors



Arthritis Foundation Exercise ProgramLearn the role movement plays in managing arthritis. Easy paced class covers range of motion; relaxation methods & special techniques designed to help keep you moving & active. Take supportive measures now to relieve symptoms & maintain flexibility. Instructor certified through the Arthritis Foundation.

Instructor: Martha Anderson Location: East Portland Community Center 740 SE 106th

Day/Time: Thursday 10:00 am - 11:00 am Dates: October 8 - November 5 Cost/#: $15 1038882

No class November 26 Day/Time: Thursday 10:00 am - 11:00 am Dates: November 12 - December 17 Cost/#: $15 1038883

Brainpower BoostEnhance your mind through stimulation & achieve a healthier lifestyle. Gain know-how of the latest activities that assist in becoming & staying mentally acute. Games, fitness & programs that introduce brain-health will be presented. Challenge your brain to create positive change.

Instructor: Victoria Morgan Location: Charles Jordan Community Ctr. 9009 N Foss

Day/Time: Tues. & Thurs. 9:00 am - 10:00 am Dates: October 6 - November 5 Cost/#: $30 1037792

No class November 26 Day/Time: Tues. & Thurs. 9:00 am - 10:00 am Dates: November 10 - December 17 Cost/#: $33 1037793

HEALTH & FITNESS

Exercise Moderate Pace: EssentialSmaller class size will give individuals more personalized training. Build strength & stamina, help increase flexibility. Move at a moderate pace, seated & standing while listening to favorite songs. Good health starts with a commitment to exercise!!!

Instructor: Philippa Kaplan Location: Sellwood Community Center 1436 SE Spokane

Day/Time: Wed. & Fri. 12:30 pm - 1:30 pm Dates: October 7 - November 6 Cost/#: $45 1037635

No class November 11 & 27 Day/Time: Wed. & Fri. 12:30 pm - 1:30 pm Dates: November 13 - December 18 Cost/#: $45 1037636

Easy MovesBecome more active & start down the road to better health. We show you how through this program, which incorporates light movement into your daily routine.

Instructor: Marty Anderson Location: IRCO Center 10301 NE Glisan

Day/Time: Tuesday 10:15 am - 10:45 am Dates: October 6 - December 29 Cost: Free



HEALTH & FITNESS

Low Impact CardioThis comprehensive fitness program uses a chair & standing exercises designed to improve physical & mental health. An additional option may include resistance workout with hand weights & dynabands. Improve coordination, cardiovascular endurance, strength, flexibility & balance!

Instructor: Brooke Claridge Location: Elm Court Center 1032 SW Main

Day/Time: Monday 10:30 am - 11:30 am Dates: October 5 - October 26 Cost/#: $13 1035694

Day/Time: Wednesday 10:30 am - 11:30 am Dates: October 7 - October 28 Cost/#: $13 1035695

Day/Time: Friday 10:30 am - 11:30 am Dates: October 2 - October 30 Cost/#: $13 1036529

Day/Time: Monday 10:30 am - 11:30 am Dates: November 2 - November 30 Cost/#: $13 1035696

No class November 11 Day/Time: Wednesday 10:30 am - 11:30 am Dates: November 4 - November 25 Cost/#: $13 1035697

No class November 27 Day/Time: Friday 10:30 am - 11:30 am

Dates: November 6 - November 20 Cost/#: $13 1036530

Day/Time: Monday 10:30 am - 11:30 am Dates: December 7 - December 28 Cost/#: $13 1035698

Day/Time: Wednesday 10:30 am - 11:30 am Dates: December 2 - December 30 Cost/#: $13 1035699

No class December 25 Day/Time: Friday 10:30 am - 11:30 am

Dates: December 4 - December 18 Cost/#: $13 1036531

QigongQi means breath in Chinese & gong means applied to a discipline. Qigong is then translated to mean ‘breath work’ or the art of managing breathing to achieve & maintain good health. Easy movements, seated or standing, enhance energy, mobilization, improve joint flexibility & stamina. Regular practice can reduce stress, establish balance & generate a sense of peace.

Instructor: Terry Louie Location: Elm Court Center 1032 SW Main

Day/Time: Tuesday 12:15 pm - 1:15 pm Dates: October 6 - October 27 Cost/#: $13 1035700

Day/Time: Thursday 12:15 pm - 1:15 pm Dates: October 1 - October 29 Cost/#: $13 1035701

Day/Time: Tuesday 12:15 pm - 1:15 pm Dates: November 3 - November 24 Cost/#: $13 1035702

No class November 26 Day/Time: Thursday 12:15 pm - 1:15 pm Dates: November 5 - November 19 Cost/#: $13 1035703

Day/Time: Tuesday 12:15 pm - 1:15 pm Dates: December 1 - December 29 Cost/#: $13 1035704

Day/Time: Thursday 12:15 pm - 1:15 pm Dates: December 3 - December 31 Cost/#: $13 1035705

Instructor: Martha Anderson Location: East Portland Community Center 740 SE 106th

Day/Time: Thursday 9:00 am - 10:00 am Dates: October 8 - November 5 Cost/#: $15 1038889

No class November 26 Day/Time: Thursday 9:00 am - 10:00 am Dates: November 12 - December 17 Cost/#: $15 1038890



Yoga In ChairsDesigned so almost anyone can participate. Gently works muscles & joints to enhance strength, range of motion, balance & circulation. Reaches beyond typical exercises as it encourages quiet reflection, proper breathing & better posture. Feel relaxed, refreshed & re-energized.

Instructor: Brooke Claridge Location: Elm Court Center 1032 SW Main

Day/Time: Tuesday 10:30 am - 11:30 am Dates: October 6 - October 27 Cost/#: $13 1035060

Day/Time: Thursday 10:30 am - 11:30 am Dates: October 1 - October 29 Cost/#: $13 1035061

Day/Time: Tuesday 10:30 am - 11:30 am Dates: November 3 - November 24 Cost/#: $13 1035062

No class November 26 Day/Time: Thursday 10:30 am - 11:30 am Dates: November 5 - November 19 Cost/#: $13 1035063

Day/Time: Tuesday 10:30 am - 11:30 am Dates: December 1 - December 29 Cost/#: $13 1035064

Day/Time: Thursday 10:30 am - 11:30 am Dates: December 3 - December 31 Cost/#: $13 1035065

Instructor: Terri Dudek Location: East Portland Community Center 740 SE 106th

Day/Time: Friday 11:00 am - 12:00 pm Dates: October 9 - November 6 Cost/#: $15 1038887

No class November 27 Day/Time: Friday 11:00 am - 12:00 pm Dates: November 13 - December 18 Cost/#: $15 1038888

HEALTH & FITNESS

Tai Chi TodayMore than 600 years ago this martial art evolved in China as healers searched for a source of physical immortality. Incorporate slow, gentle movements that increase flexibility, balance & lung capacity. Promote stress relief, body awareness, suppleness in your spine & increased stamina.

Instructor: Terry Louie Location: St. Johns Community Center 8427 N CentralBeginning Day/Time: Tuesday 10:00 am - 11:00 am Dates: October 6 - November 3 Cost/#: $15 1037500

Day/Time: Tuesday 10:00 am - 11:00 am Dates: November 10 - December 15 Cost/#: $18 1037503

Intermediate Day/Time: Monday 9:30 am - 10:30 am Dates: October 5 - November 2 Cost/#: $15 1037501

No class October 21 Day/Time: Wednesday 9:30 am - 10:30 am Dates: October 7 - November 4 Cost/#: $12 1037502

Day/Time: Monday 9:30 am - 10:30 am Dates: November 9 - December 14 Cost/#: $18 1037504

Day/Time: Wednesday 9:30 am - 10:30 am Dates: November 18 - December 16 Cost/#: $15 1037505

Instructor: Harry Affley Location: East Portland Community Center 740 SE 106th

Day/Time: Tuesday 9:00 am - 10:00 am Dates: October 6 - November 3 Cost/#: $15 1038885

Day/Time: Tuesday 9:00 am - 10:00 am Dates: November 10 - December 15 Cost/#: $18 1038886



HEALTH & FITNESS

Yoga: FitOriginating in India, this centuries old practice of exercise revitalizes both mind & body. Improve focus, release stress & tension while increasing strength & flexibility. An excellent way to learn to gauge & meet the ever changing demands of daily life.

Instructor: Chad Carver Location: First Congregational Church 1126 SW Park Ave.

Day/Time: Monday 1:15 pm - 2:15 pm Dates: October 5 - October 26 Cost/#: $13 1035054

Day/Time: Friday 1:15 pm - 2:15 pm Dates: October 2 - October 30 Cost/#: $13 1035055

Day/Time: Monday 1:15 pm - 2:15 pm Dates: November 2 - November 30 Cost/#: $13 1035056

No class November 27 Day/Time: Friday 1:15 pm - 2:15 pm Dates: November 6 - November 20 Cost/#: $13 1035057

Day/Time: Monday 1:15 pm - 2:15 pm Dates: December 7 - December 28 Cost/#: $13 1035058

Day/Time: Friday 1:15 pm - 2:15 pm Dates: December 4 - December 18 Cost/#: $13 1035059

Zumba Gold - FitEnjoy modified moves & pacing with the same elements Zumba is known for: zesty Latin music, like salsa, merengue, cumbia & reggaeton. Exhilarating easy-to-follow moves with an invigorating atmosphere. It’s a dance-fitness class that feels friendly & fun.

Location: Woodstock Community Center 5905 SE 43rd Ave.

Day/Time: Sunday 12:45 pm - 1:45 pm Dates: October 11 - November 8 Cost/#: $15 1037897

Day/Time: Sunday 1:45 pm - 2:45 pm Dates: October 11 - November 8 Cost/#: $15 1037898

Day/Time: Sunday 12:45 pm - 1:45 pm Dates: November 15 - December 13 Cost/#: $15 1037902

Day/Time: Sunday 1:45 pm - 2:45 pm Dates: November 15 - December 13 Cost/#: $15 1037901

Tooth Wisdom: Get Smart About Your MouthOur oral health is closely related to our general health status. With age, we are more likely to have chronic health conditions such as diabetes & heart disease, & also more likely to have oral disease. So it becomes even more important to take good care of our teeth & mouth!

Portland State University’s Institute on Aging is coordinating with Oral Health America to offer this educational workshop on oral health. The workshop is led by professional dental hygienists. Sign up at the center or you can contact the center to get your name on the attendance list.

Location: Mt. Scott Community Center 5530 SE 72nd Day/Time: Wednesday 12:30 pm - 1:30 pm Dates: September 23 Cost/#: Free

Location: East Portland Community Center 740 SE 106th Day/Time: Thursday 12:30 pm - 1:30 pm Dates: September 24 Cost/#: Free



MUSICAll Piano courses are held at the Community Music Center, 3350 SE Francis.

Instructor George Cheshier has a Master of Science in Teaching in Music & extensive performance history.

Music TheoryWould you like to know more about the fundamentals? Discover basic principles through the study of keyboard harmony, intervals, tonality, chord functions & progressions. Learn to analyze & better understand repertoire. Comprehension & performance ability will increase dramatically. This is the first term of a four session term.

Beginning (only offered in Fall) Day/Time: Wednesday 10:00 am - 10:50 am Dates: September 30 - December 9 Cost/#: $77 1036298

Continuing Day/Time: Friday 12:00 pm - 12:50 pm Dates: October 2 - December 11 Cost/#: $77 1036409

Piano BeginningComfortable small class setting in state of the art piano lab explores the elements of rhythm, melody & harmony. Learn to read music & play popular songs on full size digital pianos. Bring $11 for a lesson book.

Day/Time: Tuesday 12:00 pm - 12:50 pm Dates: September 29 - December 8 Cost/#: $77 1036307

Continuing PianoNew continuing students must contact Senior Recreation at 503.823.4328 (8 am - 12 pm) for placement prior to registration. Classes are listed in order of difficulty from easiest to most advanced.

Day/Time: Wednesday 1:00 pm - 1:50 pm Dates: September 30 - December 9 Cost/#: $77 1036257

Day/Time: Friday 10:00 am - 10:50 am Dates: October 2 - December 11 Cost/#: $77 1036258

Day/Time: Wednesday 11:00 am - 11:50 am Dates: September 30 - December 9 Cost/#: $77 1036259

Day/Time: Thursday 12:00 pm - 12:50 pm Dates: October 1 - December 10 Cost/#: $77 1036260

Day/Time: Thursday 11:00 am - 11:50 am Dates: October 1 - December 10 Cost/#: $77 1036261


Day/Time: Friday 1:00 pm - 1:50 pm Dates: October 2 - December 11 Cost/#: $77 1036264

Day/Time: Friday 11:00 am - 11:50 am Dates: October 2 - December 11 Cost/#: $77 1036265


Day/Time: Wednesday 9:00 am - 9:50 am Dates: September 30 - December 9 Cost/#: $77 1036267

Day/Time: Wednesday 12:00 pm - 12:50 pm Dates: September 30 - December 9 Cost/#: $77 1036268

Day/Time: Thursday 10:00 am - 10:50 am Dates: October 1 - December 10 Cost/#: $77 1036269



MUSICNew students must contact Sellwood Community Center at 503.823.3195 for placement prior to registration.

Piano Private Lesson: It’s never too Late to StartAlways wanted to ‘tickle the ivories’ or just brush up on skills? Designed to challenge anyone who wants to learn or improve. Note-reading, style & rhythm are techniques essential to putting you on the right path! Why wait another minute?

Dates: November 13 - December 18

Day/Time: Friday 10:30 am - 11:00 am Cost/#: $90 1037774 Day/Time: Friday 11:05 am - 11:35 am Cost/#: $90 1037775 Day/Time: Friday 11:40 am - 12:10 pm Cost/#: $90 1037776 Day/Time: Friday 12:15 pm - 12:45 pm Cost/#: $90 1037777 Day/Time: Friday 12:50 pm - 1:20 pm Cost/#: $90 1037778

Rose City SingersDo you like to harmonize with fellow songsters? Join this group for a relaxed & social time. Perform old standards & your favorite tunes. Get into the swing of things as you enjoy a lifelong love with new friends. Singers practice for several weeks & then travel to area senior living facilities to entertain residents. Practice dates are August 31, September 14, 21, 28. Performances are October - May (no December performances). If you would like to schedule a performance at your facility, call 503.823.4328.

Director: Richard Reiten Coordinator: Nancy Goldsmith Pianist: Nancy Wilcox Driver: Ken Schrock

Location: Community Music Center 3350 SE Francis Day/Time: Monday 1:00 pm - 3:00 pm Dates: August 31, 2015 - May 23, 2016 Cost/#: $40 1035132

Instructor: Philippa Kaplan Location: Sellwood Community Center 1436 SE Spokane

Dates: October 9 - November 6

Day/Time: Friday 10:30 am - 11:00 am Cost/#: $90 1037769 Day/Time: Friday 11:05 am - 11:35 am Cost/#: $90 1037770 Day/Time: Friday 11:40 am - 12:10 pm Cost/#: $90 1037771 Day/Time: Friday 12:15 pm - 12:45 pm Cost/#: $90 1037772 Day/Time: Friday 12:50 pm - 1:20 pm Cost/#: $90 1037773



FINE ARTS

Watercolor – All LevelsExpress your creativity exploring basic to advanced methods. Use techniques such as sketching, mixed colors & laying washes to develop a unique style. Discover elements of light & shadow, composition & texture that you can bring to all the visual arts.

Instructor: Richard Armstrong Day/Time: Wednesday 6:00 pm - 8:00 pm Location: Grout SUN Community School 3119 SE Holgate Blvd.

$25 supply fee payable to instructor at first class

No class October 21 or November 11 Dates: October 7 - December 16 Cost/#: $49.50 1036556

Instructor: Carolynn Wagler Day/Time: Wednesday 12:00 pm - 2:00 pm Location: Mt. Scott Community Center 5530 SE 72nd


Instructor: Caitlin Moline Day/Time: Friday 12:00 pm - 2:00 pm Location: Charles Jordan Community Ctr. 9009 N Foss

Dates: October 9 - November 6 Cost/#: $27.50 1037796

No class November 27 Dates: November 13 - December 18 Cost/#: $27.50 1037797

Supply list included with receipt.

Learning the Basics: WatercolorHave you always wanted to start a new type of art? Receive the opportunity to delve into a new medium along with other beginners. This watercolor workshop will cover glazes, washes, color mixing & texture. $10 material fee payable to instructor at class, all supplies provided.

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Instructor: Melissa Gannon Day/Time: Monday 10:00 am - 2:00 pm Location: East Portland Community Center 740 SE 106th

Dates: September 21 Cost/#: $20 1037958

Instructor: Robin Berry Day/Time: Monday 12:30 pm - 2:30 pm Location: Montavilla Community Center 8219 NE Glisan


Dates: November 9 - December 14 Cost/#: $33 1038255

Instructor: Melissa Gannon Day/Time: Monday 12:00 pm - 2:30 pm Location: East Portland Community Center 740 SE 106th


Dates: November 9 - December 14 Cost/#: $41.50 1037434

Instructor: Melody Howden Day/Time: Tuesday 12:30 pm - 2:30 pm Location: Hollywood Senior Center 1820 NE 40th





FINE ARTS

Watercolor – Chinese Brush ArtExperience a graceful form of painting. Apply simple strokes & flourishes with inks & bamboo brushes, creating birds, fish, flowers or other shapes on rice paper. Gain insight into shading techniques through this ancient art form. Create the kind of paintings you’ve always dreamed of.

Instructor: Frances Li Day/Time: Wednesday 10:00 am - 12:00 pm Location: Neighborhood House Senior Ctr. 7688 SW Capitol Hwy.

No class October 14 Dates: October 7 - November 4 Cost/#: $22 1036606


Watercolor – Chinese Brush Art Advancing OnStudy this watercolor style in-depth through detailed instruction on quality of stroke & relationship between color & composition. Gain skill & feel pride in your accomplishment. A variety of subjects, such as floral, animal & landscapes will be explored.

Instructor: Frances Li Day/Time: Wednesday 12:30 pm - 2:30 pm Location: Neighborhood House Senior Ctr. 7688 SW Capitol Hwy.

No class October 14 Dates: October 7 - November 4 Cost/#: $22 1036612


Pastel Techniques – OilDiscover the diverse artistic potential of oil pastels. This unique medium utilizes layering & blending to obtain its rich color & painterly characteristics. Class will cover composition & drawing basics while exploring various oil pastel applications & techniques.

Instructor: Caitlin Moline Day/Time: Thursday 12:00 pm - 2:00 pm Location: Montavilla Community Center 8219 NE Glisan


No class November 26 Dates: November 12 - December 17 Cost/#: $27.50 1038561


Drawing – Colored Pencil TechniquesThe beauty of drawing is that it takes very little supplies; pencils, paper & a few tools & you’re on your way. Be amazed at the vivid colors, variety of methods & little tricks used to create rich, realistic drawings.

Instructor: Caitlin Moline Day/Time: Tuesday 1:00 pm - 3:00 pm Location: Matt Dishman Community Ctr. 77 NE Knott





Drawing: All LevelsDiscover your hidden talents through the basics using charcoal & pencils. Find out how fun & easy it is as it builds the self-confidence of beginners or advanced students! Simple-to-understand instruction taught in a relaxed atmosphere.

Instructor: Melissa Gannon Day/Time: Monday 9:30 am - 11:30 am Location: East Portland Community Center 740 SE 106th



Fine Arts - Mixed MediaTired of only drawing or just painting? Become involved with a variety of media. Stimulate creative energies & find inspiration using a combination of materials. Learn new techniques & improve on skills.

Instructor: Melody Howden Day/Time: Tuesday 10:00 am - 12:00 pm Location: Hollywood Senior Center 1820 NE 40th



Painting - AcrylicsPainting can be relaxing & very inspiring. Gain knowledge of paint colors & uses, brushes, layering, building transparencies, creating depth & distance, composition, value & perspective & more. Step-by-step instruction assists in producing incredible works of art! Discover your own unique style & be thrilled about what you can create!

Instructor: Caitlin Moline Day/Time: Tuesday 3:15 pm - 5:15 pm Location: Matt Dishman Community Ctr. 77 NE Knott



Painting - Acrylics & OilsExpress your creative side on canvas. Unleash that hidden talent through individual expression using still life, landscapes, reproductions & photographs. Discover skills in technique & perspective in a relaxing setting.

Instructor: Bonnie Allen Day/Time: Tuesday 10:00 am - 1:00 pm Location: Mt. Scott Community Center 5530 SE 72nd

Dates: October 6 - December 15 Cost/#: $90.75 1038831

Pastel Techniques – ChalkArtists have long valued this medium for its immediacy in application & fabulous color. Vibrant tones are mixed on the paper by overlaying or blending, rather than on a palette. Gain knowledge in composition, shading & value contrast.

Instructor: Carolynn Wagler Day/Time: Wednesday 9:30 am - 11:30 am Location: Mt. Scott Community Center 5530 SE 72nd


FINE ARTS


Watercolor & Colored Pencil by Melody Howden



CRAFTS

Crochet For EveryoneOriginally developed during the 16th century, ‘chain lace’ acquired its name from the French word for hook. Explore patterns, terms, techniques & skills creating simple or complicated projects at your experience level. Enjoy this relaxing, lifetime hobby anywhere, anytime! Just call & let us know you’re coming! Call for more information.

Instructor: Cleo White

Day/Time: Tuesday 6:00 pm - 8:00 pm Location: Sellwood Community Center 1436 SE Spokane

Dates: October 13, 20, 27 November 10, 17, 24 December 15, 22, 29 Cost/#: $7 drop-in fee

Handbuilding with ClayLet’s play with clay! Explore the art of ceramics while creating treasures to take home. Craft hand-built bowls or sculpture while exploring pinch, coil & slab forms. Gain knowledge of the fundamentals in a creative, nurturing environment. Class held in Room 33 of the Neighborhood House Senior Ctr.. Students are encouraged to wear clothing that can get a little dirty. Class includes a tour of the Multnomah Arts Center Ceramics Studio, along with all materials. Open studio not included.

Instructor: Annette Lansing Day/Time: Friday 12:45 pm - 2:45 pm Location: Multnomah Arts Center 7688 SW Capitol Hwy.

Beginning Dates: October 2 - November 6 Cost/#: $62 1035412

IntermediatePrerequisite: Handbuilding with Clay - Beginning.No class November 27 Dates: November 13 - December 18 Cost/#: $56 1035413

Paper Crafting CreationsSave money & make cards that you will be proud to send. Create one-of-a-kind designer cards, stationery, envelopes & gift-bags with simple techniques. Personalize your projects with decorative punches, fancy scissors, unique materials & colorful stamps.

Instructor: Sherry Alexander Day/Time: Friday 10:30 am - 12:30 pm Location: Hollywood Senior Center 1820 NE 40th


No class on November 27 Dates: November 13 - December 18 Cost/#: $22.50 1036527

Stamping Artistic CreationsExperience the excitement of creating special occasion cards using techniques such as sponging, embossing, working with chalks, colored pencils & markers. Add a personal touch to your correspondence. Great for beginning students or those with experience. $3 supply fee payable at each class. Bring sharp paper-cutting scissors.

Instructor: Sherry Alexander

Day/Time: Monday 9:30 am - 11:00 am Location: Mt. Scott Community Center 5530 SE 72nd Dates: October 5 - December 14 Cost/#: $30.50 1028810



HOME & GARDEN

Floral DesignLearn the basic art to create stunning arrangements for your home that express your creativity. Expand your skills as you experiment with composition & style techniques of the trade. Delight in lovely aromatic bouquets as your ability blossoms. $20 supply fee payable at first class. Take home a finished arrangement each class. Bring a pair of pruning shears.


Location: East Portland Community Center 740 SE 106th Day/Time: Wednesday 12:30 pm - 2:30 pm Dates: Oct. 14, Nov. 4 & Dec. 9 Cost/#: $18 1037418

Location: Mt. Scott Community Center 5530 SE 72nd Day/Time: Wednesday 12:30 pm - 2:30 pm Dates: Oct. 21, Nov. 18 & Dec. 16 Cost/#: $18 1038759

Location: Charles Jordan Community Ctr. 9009 N Foss Day/Time: Friday 12:30 pm - 2:30 pm Dates: Oct. 16, Nov. 13 & Dec. 11 Cost/#: $18 1037795

Growing BonsaiTranslated as ‘tray planting’, a millennia-old art form is still going strong today! Every branch & twig is shaped or eliminated until the chosen image is achieved. Gain insight into history, styles & techniques. This constantly changing & rewarding pastime allows for immense creativity as you choose plant material & container, working toward a harmonious unit. Class will include indoor & outdoor projects. $25 supply fee payable at first class. Take home a project each class. Bring pruning shears & pliers to class.


Location: East Portland Community Center 740 SE 106th Day/Time: Wednesday 2:30 pm - 4:30 pm Dates: Oct. 14, Nov. 4 & Dec. 9 Cost/#: $18 1037419

Location: Mt. Scott Community Center 5530 SE 72nd Day/Time: Wednesday 2:30 pm - 4:30 pm Dates: Oct. 21, Nov. 18 & Dec. 16 Cost/#: $18 1038760

The global bike share

All races begin at 9am

May 17: Fernhill Park #1026050

June 14: Lents Park #1026051

July 12: Gabriel Park #1026052

Aug. 16: Laurelhurst Park #1026053

Sept. 13: Westmoreland Park #1026054

Oct. 18: Pier Park #1026055

$5 18 years & older

Kids run for FREE! (17 & under)

Kids Fun Run (8 & under)

Rockwall, Family activities, Vendors

Space is limited, Register Early!

Portla

nd Parks & Recreation 2015

Register online:www.PortlandParks.org

$55Kcity-wide run/walk series



GOLF

Golf Lessons Fore! Want to improve your golf game? Here’s your chance! Lower your score using your present swing. Printed instructional materials will be provided. Bring clubs or you can rent a set from the Eastmoreland Pro Shop for $15. If it’s raining, plan on purchasing range balls.

Instructor: Larry Fleckenstein Assistant: Pete Castaneda Location: Eastmoreland Golf Course 2425 SE Bybee Blvd.

Beginning Day/Time: Tuesday 9:30 am - 11:00 am Dates: September 8 - September 29 Cost/#: $30 1028433

Intermediate Day/Time: Tuesday 11:00 am - 12:30 pm Dates: September 8 - September 29 Cost/#: $30 1029235

Outdoor Adventure

Start working towards being the open water adventurer you always dreamed of becoming!

kayaking Basics - Pool Instruction Take the first step to becoming a safe, confident & efficient paddler. Learn the basics of entering & exiting a kayak, handing a paddle, maneuvering & edging, as well as skeg & rudder usage. Extremely knowledgeable & skilled instructors from Next Adventure will have you feeling right at home on the water. Designed for beginners, although this course is also great for kayakers that have never had a lesson, as skills will be gained that assist in more efficient paddling. All equipment provided. Organized Kayak trips will be planned in coming terms.

Location: Columbia Pool 7701 N Chautauqua

Day/Time: Wednesday 8:00 pm - 9:30 pm Dates: October 28 Cost/#: $47 1038533

Day/Time: Monday 8:00 pm - 9:30 pm Dates: November 23 Cost/#: $47 1038534


Biking Orientation & RideFitting the bike is essential to having a successful, enjoyable ride. Find out where the seat, backrest & handlebars best suit you. Learn how & when to effectively use hand gears, enabling you to conserve energy & ride longer. Discover the use of hand breaks & their importance on hills & corners. Orientation will also cover trail & street etiquette, hand signals & safety accessories.

Day/Time: Monday 8:30 am - 11:00 am Date/#: August 31 1039127

Beginning Bike RidePrerequisite: Must have ridden a bike in the recent past or taken the Biking Orientation.

Day/Time: Monday 9:00 am - 11:00 am Date/#: September 14 1038526 September 21 1038527 September 28 1038528

Day/Time: Monday 11:30 am - 1:30 pm Date/#: September 14 1038536 September 21 1038537 September 28 1038538

Intermediate Bike RidePrerequisite: 1 Beginning Bike Ride is a requirement. 3 Beginning Bike Rides are recommended.

Day/Time: Wednesday 9:00 am - 11:00 am Date/#: September 9 1038529 September 16 1038530 September 23 1038531 September 30 1038532

Day/Time: Wednesday 11:30 am - 1:30 pm Date/#: September 9 1038539 September 16 1038540 September 23 1038541 September 30 1038542


The Senior Recreation hiking program offers 4 levels. As individuals gain strength & endurance they may

choose to qualify to move on to longer & more difficult hikes.


Leader: Janis Christian Barcode Dates Meeting Place 1st Wednesdays 1035117 10/7, 11/4, 12/2 Ladd’s Addition 2nd Wednesdays 1035118 10/14, 12/9 Washington Park 3rd Wednesdays 1035119 10/21, 11/18, 12/16 Eastmoreland


WednesdaysFee: $16.00 per hike


Refund request timeframe requirements

1st Day of class Latest time of notificationMonday Prior Monday at noonTuesday Prior Tuesday at noonWednesday Prior Wednesday at noonThursday Prior Thursday at noonFriday Prior Friday at noonSaturday Prior Monday at noonSunday Prior Monday at noon

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REGISTRATIONReceipt of full payment is required for registration, unless otherwise arranged. Please call if you receive a returned check or declined bank card notice, either of which void registration.

RESIDENT / NON-RESIDENTA resident is:

•anyonewhooccupiesapermanentresidenceinside the city limits of Portland. At the discretion of a Community Center Director, proof of home address may be required. Acceptable address verification may include a 1) drivers license, 2) Oregon ID card, 3) property tax statement, 4) utility bill or lease agreement with current home address.

•anychildlivingwithintheschoolboundaries of the Reynolds & Centennial School Districts who is attending a SUN Community School. Through a partnership between the City & County, a child attending a SUN Community School is eligible to register for programs at any SUN Community School location without paying a non-resident surcharge.

Anyone else is considered a non-resident (NR) & will be assessed a 40% surcharge. NR surcharges do not apply to drop-in activities. Non-residents who wish to register for PP&R activities may choose one of these options:

•Pay the additional 40% NR fee.

•Purchase a NR fee discount pass as either an individual or family for a period of three, six or nine months from the date of purchase. The NR discount pass takes 25% off the NR fee for the activity. Inquire about this option at time of registration. These passes are not refundable.

Non-resident Pass Prices3-month pass: Individual $25 Family $506-month pass: Individual $45 Family $909-month pass: Individual $65 Family $130

A family denotes a couple (married or domestic) or a single parent & their legal dependents living in the same residence.

CLASS ENROLLMENTOur classes must meet minimum & maximum enrollment standards. Classes may fill quickly or be canceled due to low enrollment.

WITHDRAWAL & REFUNDSPlease notify us at least five (5) business days (Monday-Friday), unless otherwise specified, before the start of your program so that we can refund or credit your account for the registration fee. Pre-paid materials & admission tickets cannot be refunded. Participants needing to withdraw after the program has begun are offered a prorated credit or refund based upon when the request is made.

SCHOLARSHIPSCity of Portland residents, regardless of age, who require financial assistance may apply for partial scholarships. Contact individual centers for information.

NOTICE OF NON-DISCRIMINATIONPP&R programs & services reflect the cultural diversity of our community. We do not discriminate on the basis of religion, race, color, gender, national origin, sexual orientation, age or ability.


Registration Inform

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SPECIAL NEEDSWithin the American with Disability Act (ADA), a person with a disability or special need who desires assistance with registration and/or participation in general PP&R programs can contact Inclusion Services at please call 503-823-4333 or 711 (TRS). If you request assistance through Inclusion Services, a minimum of 10 business days (Monday-Friday) advance notice is required.

If you need a sign language interpreter or FM loop amplifier, please contact please call 503-823-4333 or 711 (TRS), at least five business days in advance of the activity or class. Information about programs & services is available online for those needing a voice synthesis; visit our website at www.PortlandParks.org. For additional ADA information, call 503-823-2223.

PHOTO POLICyPortland Parks & Recreation (PP&R) reserves the right, & may give permission to the media, to photograph classes, programs, & participants at any of our facilities & properties or any sponsored activity. Please be aware that these photos are for promotional purposes & may be used in future publications & media communications in any format.

If you do not wish to be photographed, please inform staff & we will make reasonable efforts to honor your request. If you see staff taking pictures, & you do not wish to be photographed, please let us know.

If you see a photo of yourself or a family member that causes you concern, please notify us. As a courtesy, we will make every reasonable effort to dispose of the image, & will not use it in future publications. However, we will not be able to retrieve, destroy or discontinue existing printed publications in which the photograph may have been included.

CUSTOMER SATISFACTIONYour satisfaction is our goal! Portland Parks & Recreation strives for 100% customer satisfaction. If you are not satisfied with a recreation program or service, please let us know.

INFORMATION HOTLINEFor information on other PP&R services & programs, call our Information Hotline at 503-823-PLAY (7529), Monday-Friday, 8:30am-5pm.

INCLEMENT WEATHERIf the City of Portland public school districts (Portland Public, Parkrose, David Douglas, Reynolds, & Centennial) are closed because of weather conditions, PP&R classes & youth basketball in those school districts are cancelled. However, some sites may be open for drop-in activities. Call the specific PP&R facility for information & opening/closing times. If inclement weather is forecast on weekends or holidays, call the PP&R facility or program for operating hours & activity cancellations.

DONATIONS: Senior Recreation works cooperatively with Portland area Senior Centers & Loaves & Fishes. In support of these programs, participants who are financially able are encouraged to make a facility donation.

RECEIVE A CATALOG IN THE MAIL: If you have registered for a Senior Recreation class within the last twelve months you will automatically receive next term’s schedule in the mail, as long as the address we have for you is current.


Your Satisfaction is Our Goal. Portland Parks & Recreation strives for 100% customer satisfaction.

Registration is a breeze! Choose 1 of 5 easy ways to register

ONLINE AT www.PoRtlaNdPaRks.org Click on the “Register Now!” top tab. Search for classes by age, keyword or activity.

PHONE. Call our Customer Service Center at 503-823-2525, Monday-Friday, 8:30 am- 5 pm.

Visa or MasterCard are accepted by phone. Or, call any of our community centers to register over the phone.

MAIL. Mail in your completed registration form (page 41) to PP&R Customer Service Center, 1120 SW Fifth Ave, Suite 1302, Portland, OR 97204. Include full payment using your Visa, MasterCard, American Express or check payable to the City of Portland.

FAX. Fax to 503-823-2515. Complete the registration form (page 41) and fax it to us with full payment using your Visa, MasterCard or American Express. Fax is accepted 24 hours/day, seven days/week but is processed during regular business hours.

IN PERSON. Any PP&R facility is able to process your registration, including the Customer Service Center which is located in the lobby of the Portland Building at 1120 SW Fifth Ave. See the map of our facilities within this catalog.

Adaptive and Inclusive means ever yone plays!

Call 503 -823-2223

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Scholarship Form

FACILITY NAME: ___________________________________ PROGRAM/ACTIVITY: _____________________________

Portland Parks & Recreation recognizes that some residents of the City of Portland require financial assistance to attend certain recreational activities. A limited number of scholarships are available for those who qualify. The information requested below is confidential and necessary to help determine the degree of need for each applicant. ALL information must be filled in or the application will be returned unaccepted. If you are applying for multiple scholarships, a separate application is required for each participant and for each activity. Please allow a minimum of 2 working days to process your scholarship. Call or come in to the recreational facility to confirm approval of your scholarship.

Proof of income is required with ALL scholarship applications. Please see reverse for more information and valid forms of income verification.

SCHOLARSHIP APPLICATION forClasses & Programs

Participant’s Name: _______________________________________________________________ Age: ___________________

Address: ________________________________________________________________________________________________

City________________________________________ State:_______________________ Zip Code: ______________________

Daytime Phone:________________________________________ Evening Phone: ____________________________________

This scholarship will be used for: Activity: ___________________________________ Barcode:________________________

Knowing that the normal fee for this program is $_______________ what do you think you can pay? $_______________Our program does not allow us to cover the program fee completely, so please enter an amount that is possible for you to pay.

State the financial need which makes it impossible for you to pay entire fee: __________________________________________

_______________________________________________________________________________________________________

FOR YOUTH REGISTRATIONS ONLY:

Father’s Name: ____________________________________________ Employer:____________________________________

Mother’s Name: ___________________________________________ Employer:_____________________________________

____________________________________________________________________ _____________________ Participant / Parent / Guardian Signature DateFOR OFFICE USE ONLY:

Notes:

Date Received: ____________________ Date Approved: ____________________ Regular Program Fee: $ ________________

Term: ___________________________ Dates Phoned: _____________________ Less Scholarship Amt: $ ________________

Program Manager Signature: _________________________________________ Total Participant Fee: $ ___________________

Dates Phoned: ____________________________________________________________________________________________

Sustaining a healthy park and recreation system to make Portland a great place to live, work and play.www.PortlandParks.org•CommissionerAmandaFritz•DirectorMikeAbbaté

THIS FORM IS FOR CLASSES & PROGRAMS ONLy. FOR INFORMATION ON MEMBERSHIP SCHOLARSHIPS CONTACT yOUR LOCAL COMMUNITy CENTER.


Scho

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VERIFICATION OF INCOME ELIGIBILITYWhen applying for a scholarship, Portland Parks & Recreation requires a copy of your latest 1040 Income Tax Form or other accepted form to verify your income (see below). This information must be update with each subsequent scholarship request. Portland Parks & Recreation values your privacy and will make every effort to ensure information provided remains confidential.

Number of children living at home: ___________Number of adults in household: __________

TOTAL YEARLY FAMILY INCOME (include child support if applicable):

o 0 to $19,239 o $32,560 to $39,219 o $52,540 to $59,199 o $19,240 to $25,899 o $39,220 to $45,879 o $59,200 to $65,859 o $25,900 to $32,559 o $45,880 to $52,539 o Over $65,859

ACCEPTABLE forms of income verification (please check form used):

_____ Most recent 1040 income tax return_____ Proof of current Social Security benefits (SSA Benefit Statement or SSA-1099)_____ Proof of disability pay (SSI)_____ Proof of current OHP (Oregon Health Plan – striped medical paper with client info on it)_____ Oregon Trail (food stamps) award letter

UNACCEPTABLE forms of income verification:• Bank Statements• Paycheck stubs• Individual W-2’s• Plastic Oregon Trail Card• WIC

To the best of my knowledge, the information provided on the Verification of Income Eligibility form is accurate. I understand that misrepresenting could result in an inability to receive Portland Parks & recreation scholarships in the future.

Signature of Participant (18 & older or Parent/Guardian) Date

FOR OFFICE USE ONLY

After review by staff, proof of eligibility was:

q Return to customer Date: _______________ Staff Name: ______________

q Shred Date: _______________ Staff Name: ______________


Registration Form

Name(last,first) Birthdate M/F ClassTitle Course# ClassLocation StartDate Cost

CHECK ONE: NewCustomer TakenclasswithPP&Rbefore Myaccountinformationhaschanged

MainContactName _______________________________________________________________________ Birthdate ___________________________ M_____ F_____

CIRCLE ONE: Africanimmigrant AmericanIndian/AlaskaNative Black/AfricanAmerican Hispanic/Latino NativeHawaiian/PacificIslander White Slavic/EasternEuropeanImmigrant Asian Multi-Racial Other

HomeAddress ________________________________________________________________________ City/St/Zip _______________________________________________

HomePhone(_________)________________________________________________ WorkPhone(_________)_________________________________________________ CellPhone(_________)_____________________________________________ EmailAddress _______________________________________________________________

EmergencyContactName&PhoneNumber ___________________________________________________________________________________________________

PortlandParks&Recreationwelcomesindividualswithdisabilitiesandspecialneedsintoprograms.Pleasedescribeany accommodationsneededforsuccessfulinclusion: _____________________________________________________________________________________________

PARTICIPANT INFORMATION

NON-RESIDENTSoftheCityofPortlandpaya40%surcharge.Oryoumaypurchaseanon-residentpassattheamountslistedbelow.Listpasspriceor 40%surchargeincolumnatrightandaddtoyourtotal.

Ialreadyhaveanon-residentpass.Duration______-month Purchasedate______/______/______

Passholdername ________________________________________________________________________________________________

Ineedapass.Circle one: 3-month|6-month|9-monthCircle one:Individual|Family

Nameofperson(s)needingpass______________________________________________________________________________

3-monthpass:individual$25;family$50|6-monthpass:individual$45;family$909-monthpass:individual$65;family$130

Idonotwantapass.Ichoosetopaythe40%surcharge.

Subtotal

40%non-residentsurchargeor passprice

TOTAL

Pleaseprint

CHECK Checknumber_____________________ (makecheckpayabletotheCityofPortland)

CREDIT CARDInformation

Account# ____ ____ ____ ____ -____ ____ ____ ____ -____ ____ ____ ____ -____ ____ ____ ____ Expires ____________________________________

Cardholder’sName_____________________________________________________ Signature______________________________________________________________

PAyMENT INFORMATION

VISA

MasterCard

Amex

Name(last,first) Birthdate M/F ClassTitle Course# ClassLocation StartDate Cost

PARTICIPANT INFORMATION

NON-RESIDENTSoftheCityofPortlandpaya40%surcharge.Oryoumaypurchaseanon-residentpassattheamountslistedbelow.Listpasspriceor 40%surchargeincolumnatrightandaddtoyourtotal.

Ialreadyhaveanon-residentpass.Kindofcard_______________________ Purchasedate______/______/______

Passholdername ________________________________________________________________________________________________

Ineedapass.Circle one: 3-month|6-month|9-monthCircle one:Individual|Family

Nameofperson(s)needingpass______________________________________________________________________________

3-monthpass:individual$25;family$50|6-monthpass:individual$45;family$909-monthpass:individual$65;family$130

Idonotwantapass.Ichoosetopaythe40%surcharge.

Subtotal

40%non-residentsurchargeor passprice

TOTAL

PRSRTSTDUSPOSTAGE

PAIDPORTLAND,ORPERMITNO.653

SeniorRecreation6433NETillamookPortland,OR97213

senior recreation fall activities 2015

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