wssrawssra · 2020-07-13 · for more information contact christina fernandez at (847) 455-2100....

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Who We Are HABLAMOS ESPAÑOL SUMMER 2020 SUMMER 2020 SESSION 2 SESSION 2 Enriching lives through recreation Enriching lives through recreation WSSRA WSSRA WSSRA WSSRA

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Page 1: WSSRAWSSRA · 2020-07-13 · For more information contact Christina Fernandez at (847) 455-2100. Features of WSSRA’s Imaginarium Sensory Room include: • Bubble tube • Illuminated

Who We Are HABLAMOSESPAÑOL

SUM

MER

202

0 SU

MM

ER 2

020

SESS

ION

2SE

SSIO

N 2

Enriching lives through recreationEnriching lives through recreationWSSRAWSSRAWSSRAWSSRA

Page 2: WSSRAWSSRA · 2020-07-13 · For more information contact Christina Fernandez at (847) 455-2100. Features of WSSRA’s Imaginarium Sensory Room include: • Bubble tube • Illuminated

COVID-19 Guidelines for WSSRA in-person

programsBe considerate of others and

help stop the spread ofCOVID-19.

Please follow these easy steps when you participate

in this summer’s WSSRA programs.

Thank you for your cooperation.

Wash your hands upon arrival at

the program

Practice Social Distancing Stay 6 feet away from

others

Wear a face covering when

indoors and cannot keep a 6-foot distance

Use readily available

hand sanitizers

Stay home if you are sick

For more information, call or visit our website

p 847.455.2100wssra.net

146th146th Running of the

KENTUCKY DERBYKENTUCKY DERBY

DATESAVE the

the

SATURDAY, SEPTEMBER 5SATURDAY, SEPTEMBER 54:00 - 7:30PM4:00 - 7:30PM

ANNUAL ANNUAL D E R BY GALADER BY GALA

WSSRA’s

N E W LOCATION! 2520 S Des Plaines Ave, North Riverside, IL

RIVERSIDE GOLF CLUB

Click Here For More Click Here For More InformationInformation

PLEASE NOTE All face to face programming is pending the CDC

guidelines and can only be offered once we move into Restore Illinois Phase 4. WSSRA will open these

guidelines further as the CDC regulations are updated.

All in-person programs will be limited to 8 participants per program with 2 staff.

Page 3: WSSRAWSSRA · 2020-07-13 · For more information contact Christina Fernandez at (847) 455-2100. Features of WSSRA’s Imaginarium Sensory Room include: • Bubble tube • Illuminated

Imaginarium - Sensory Room

3

WSSRA’s

SUMMER SPECIAL! Participants will get private use of our sensory room for 45 minutes for the price of 30 minutes. Sign up for a time slot that is most convenient for you! Punch cards can be carried over to another season and will expire after 1 year of purchase.

Age: All Ages, All Abilities & Siblings Location: 228 Madison Street, Oak Park Dates: 6/20-8/8 *The sensory room will be closed on Saturday, July 4Hours: Tuesdays and Thursday Appointments between 10:00am - 6:00pm Saturdays Appointments between 9:30am - 3:00pm *must reserve your 45 -minute time slot in advanceFee: $5 for a single visit $25 for a 5-visit punch card $50 for a 12-visit punch card

*Punch cards can be shared with siblings; siblings must register separately. • 1 punch for an individual visit • 2 punches for a family visit

For more information contact Christina Fernandez at (847) 455-2100.

Features of WSSRA’s Imaginarium Sensory Room include: • Bubble tube • Illuminated cabin • Animated Sparkle Wall panel • The Gesturetek Cube (an interactive floor projection with over 75 special effects) • Essential aromatherapy oils • Calming music • Sensory toys

Benefits Include: • Decreased anxiety • Fewer disruptive behaviors • Promote mental and physical relaxation • Increase concentration • Enhance learning through play • Improve coordination and motor development

WSSRA IS NOW OFFERING PRIVATE PLAY SESSIONS! We are excited to announce the re-opening of our Imaginarium Sensory Room.

We have put new protocols in place to ensure the safety of our staff andparticipants. A list of protocols will be sent upon registration.CLICK HERE for the Imaginarium Frequently Asked Questions.

CLICK HERE to Schedule Your Private Play Session

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Table of ContentsIMAGINARIUM ....................................................... 3SUMMER CALENDAR ............................................. 7IN-PERSON PROGRAM GUIDELINES ..................... 8IN-PERSON CHILDREN & YOUTH PROGRAMS ..... 9IN-PERSON TEEN, ADULT, SPORTS & FITNESS PROGRAMS .......................................................... 10VIRTUAL PROGRAM INFORMATION .................. 11VIRTUAL CHILDREN & YOUTH PROGRAMS ........ 12VIRTUAL TEEN & ADULT PROGRAMS ........... 13-14VIRTUAL SUMMER DAY CAMP ............................ 15VIRTUAL SPECIAL EVENTS .............................. 16-17CREATION KITS ..................................................... 18

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....

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

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

Christina FernandezChildren & Youth

Chris SturmSpecial Olympics

Carlos MarroquinDay Camp

Sylvia DobbinsSocial Clubs & Young Adults

Mia Leyba Teens & After School ProgramsInclusion Support

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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 safety & operations [email protected] Ryan ..................... 231 .................... superintendent of recreation ................................................. [email protected] Pakenas ............... 219 .................... staff manager ........................................................................carlap@wssra.netCarlos Marroquin ......... 232 .................... program manager ............................................................... [email protected] Sturm ........ 235 .................... inclusion manager ................................................................. [email protected] Walsh ................. 240 .................... public relations coordinator ............................................ [email protected] Baran .................... 239 .................... recreation specialist .............................................................. [email protected] Leyba ..................... 236 .................... recreation specialist .................................................................mial@wssra.netSylvia Dobbins .............. 238 .................... recreation specialist ............................................................sylviad@wssra.netChristina Fernandez ...... 234 .................... recreation specialist .........................................................christinaf@wssra.netLisa Gershak.................. 221 .................... finance manager ....................................................................... [email protected] Hernandez ......... 222 .................... registrar ...................................................................................nolyh@wssra.netAntonio Casas .......................................... receptionist ..............................................................................tonyc@wssra.netJulie Clasen .............................................. school liason ........................................................................... [email protected] Harmon Bell .......... 224 .................... fund development specialist/lekotek leader [email protected] Rocha-Serrano ........ 224 .................... lekotek leader..............................................................................luzs@wssra.netKeiajah Barber ......................................... 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 MeetingsBERWYN PARK DISTRICT ................................. SANDY FEJTCLYDE 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 WEGRECKINORRIDGE PARK DISTRICT ............ANNEMARIE FLAHERTYNORTH 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

Who We Are

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FacilitiesFRANKLIN PARKCentre at North Park10040 Addison St .................. 847.928.8478Franklin Park Community Center9560 Franklin Ave ................. 847.455.2852Franklin Park Ice Arena9711 Waveland Ave .............. 847.671.4268Franklin Towers9535 Franklin Ave ................. 847.455.0189Pool on Pacific9715 Pacific Ave .................... 847.455.2858O'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 Center1011 S Lombard Ave ............. 708.725.2000Carroll Recreation Center1125 S Kenilworth Ave........... 708.725.2000Cheney Mansion220 N Euclid Ave .................... 708.725.2500Dole Center255 Augusta St ...................... 708.725.2000Dynamic Lynks1100 Lake St #LL65 ...............708-620-2373Field Recreation Center935 Woodbine Ave ............... 708.725.2000Fox Recreation Center624 S Oak Park Ave ................ 708.725.2000Gymnastics & Recreation Center (GRC)21 Lake St ............................. 708.725.2000Imaginarium Sensory Room228 Madison .......................... 708.455.2100Irving School1125 S Cuyler Ave ................. 708.524.3090Longfellow Recreation Center610 S Ridgeland Ave ............. 708.725.2000Longfellow School715 S Highland Ave ................ 708.524.3060

Oak 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 ............................ 708.725.2300West Cook YMCA255 S Marion St #3103 .......... 708.383.5200Whittier School715 N Harvey Ave .................. 708.524.3080

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

RIVERSIDEHistoric Water Tower 10 Pine Avenue ...................... 708.442.7025Riverside Swim Club100 Bloomingbank Rd ........... 708.447.6134

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]

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.

EMERGENCY PHONE

BENSENVILLEWhite 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 ....................... 708.477.6308Clyde Park District Stadium1909 S Laramie Ave .............. 708.652.3545Drexel Elementary School5407 W 36th St ...................... 708.652.5532Duck Pond Pool5105 31st StMorton Freshman Center1801 S 55th Ave ..................... 708.863.2200Lincoln Elementary School3545 S 61st Ave ..................... 708.652.8889Manor Park5800 W Park Ave ................... 708.427.8244Morton East High School2423 S Austin Blvd ................. 708.222.5264Unity East Junior High School 2115 S 54th Ave ..................... 708.863.8229

ELMWOOD PARKCentennial Park7600 W Armitage Ave ............ 708.452.3935Elmwood Park Recreation Center2 Conti Pkwy .......................... 708.452.3935Elmwood Park Family Aquatic Center2 Conti Pkwy .......................... 708.452.3935Elmwood 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 ....................... 708.366.5704Roos Recreation Center7329 Harrison St ................... 708.366.7500

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SPECIAL EVENTS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Reptile Encounters

Thursday, July 9from 6:30 - 7:30pm

Dance Party Saturday, July 25

from 7:00 - 8:00pm

SSSDThursday, August 6

7:00-8:30pm

Creation Kits

Art & Crafts

Sensory Exploration

Fun & Games

MINDFUL MORNINGS

10:30-11:00am

SENSORY SCIENTIST

1:30-2:45pmForest Park

SENSORY SUMMER FUN

2:00-2:45pm

BOBCATS SWIM TEAM

SOCIAL 7/13

Supervisor - Kelly7:30-8:00pm

STEP IT UP10:00-11:15amCommons Park Norridge Park

SING-ALONGS & STORY TIME

10:30-11:00am

YOGA4:00-4:30pm

EXPLORING NATURE THROUGH ART6:00pm-7:00pm

Barrie

BOBCATS SKILLS & DRILLS*

6:00-7:00pmAndersen/Virtual

FUN & GAMES6:00-7:00pm

WINNER TAKES ALL10:00-11:15am

Elmwood Park Rec. Ctr.

MORNING MIXER10:30-11:00am

SIBSHOPS 1:00-2:00pm

BOCCE 4:00-5:00pm

Elmwood Park

FUN FITNESS*5:45 - 6:30pm

Forest Park/Virtual

YOGA FOR ALL*6:35-7:20pm

Forest Park/Virtual

HIP HOP DANCE 6:15-7:00pm

HEALTHY START 10:30-11:00am

CREATIVE CORNER11:15am-11:45am

DIY DESIGNS1:30-2:45pmForest Park

MUSIC MAKERS5:30-6:15pm

CREATIVE CARDIO6:00pm-7:00pm

Forest Park

VIRTUAL ADVENTURES

10:30am-11:00am

LUNCH BUNCH12:00-12:30pm

FOOD CRITICS 7/10, 7/17, 7/31, 8/7

6:00-6:30pm

SHOWTIME7/24, 8/14

6:00-6:45pm

DICE BOWLING (all ages)

1:00pm-1:45pm

SOCIAL CLUB

7:00-8:00pm

Summer Sunshine Program CalendarSession 2 - JULY 6 - AUGUST 15

CLICK HERE TO REGISTER

PROGRAM KEY:IN-PERSON PROGRAMSVIRTUAL PROGRAMS* IN-PERSON & VIRTUAL

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WSSRA Participation Guidelines and Safety Protocols

WSSRA is excited to offer limited face to face program opportunities based on the CDC guidelines which limits programming to participants who can meet these participation guidelines. A WSSRA staff member will call you upon registration to conduct a short assessment to determine eligibility for programs. WSSRA will allow participants who cannot meet these guidelines to attend with an adult family member who lives within the same household to assist them to meet the guidelines.

Please note all face to face programming is pending the CDC guidelines and can only be offered once we move into Restore Illinois Phase 4. WSSRA will open these guidelines further as the CDC regulations are updated.

PARTICIPATION GUIDELINES

• Participant must have the ability to wear a mask when necessary

• Participant must be able to social distance 6’

• Participant must be able to follow directions with minimal intervention by staff

• Participant must be able to be successful with a 4:1 staffing and devoid of emotional outbursts requiring 1:1 staffing support

• Participant must be independent in managing personal care including toileting, feeding, personal hygiene

SAFETY PROTOCOLS

• Participants and staff must complete a health screening upon arrival

• Participants and staff will wash hands upon arrival and throughout the program

• Participants must be dropped off to WSSRA staff at the facility entrance, parents and guardians will not be allowed inside facilities

• Participants must be able to follow participation guidelines per COVID-19 state mandates, safe behaviors will be strictly enforced

• Programs will be limited to 8 participants per program with 2 staff

• In the event of inclement weather WSSRA will do our best to move programs indoors. If we cannot safely move a program indoors, WSSRA will cancel or move the program to a virtual option.

Questions?If you have any questions or need assistance with

registration, please contact Annie Hart at (847) 455-2100 ext. 230.

In-Person ProgramGuidelines/Protocols

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In-Person ProgramsChildren & Youth

Please note all face to face programming is pending the CDC guidelines and can only be offered once we move into Restore Illinois Phase 4.

Sensory Scientist (Age: 5 - 15)Join WSSRA as we explore and experiment with our senses! We will be partaking in sensory play, science experiments, music, dance and much more!

Location: Park District of Forest Park, Main Building (3rd floor) Day Dates Time FeeMon 7/13 - 8/10 1:30-2:45pm $36.55

Exploring Nature Through Art (Age: 5 - 15)Enjoy the beauty of nature as we use shape, color and texture to create beautiful works of art. Activities will include painting, sculpture and more! Please wear clothes that can get messy and bring a labeled bottle of water.

Location: Barrie Center, Oak Park Day Dates Time FeeTues 7/14 - 8/11 6:00-7:00pm $36.55

Fun Fitness (Age: 5 - 15)Experience a fun way to get fit! This class will get you moving, build strength, improve endurance and teach you the importance of overall wellness through fun activities. Bring a labeled bottle of water.

Location: Park District of Forest Park, Outdoors Day Dates Time FeeWed 7/15 - 8/12 5:45-6:30pm $15.95

Yoga for All (Age: 5 - 15)Participants will be introduced and experience beginner yoga positions, meditative practice and stretching exercises in a playful environment. There will be an exciting theme each week focusing on body control, strength, flexibility and relaxation techniques. Bring a yoga mat and a labeled bottle of water.

Location: Park District of Forest Park, Outdoors Day Dates Time FeeWed 7/15 - 8/12 6:35-7:20pm $15.95

CLICK HERE TO REGISTERFOR IN-PERSON PROGRAMS

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In-Person ProgramsTeens, Adults, Sports & Fitness

Please note all face to face programming is pending the CDC guidelines and can only be offered once we

move into Restore Illinois Phase 4.

Step it Up (Age: 18 & older)Walk or wheel your way to a healthier heart with your friends at WSSRA! We will start each program with gentle stretching and end socializing at a safe physical distance. Please bring a labeled water bottle.

Day Dates Time Location FeeTues 7/14 10-11:15am Commons Park* $5.70Tues 7/21 10-11:15am Commons Park* $5.70Tues 7/28 10-11:15am Norridge PD $5.70Tues 8/4 10-11:15am Norridge PD $5.70 Tues 8/11 10-11:15am Norridge PD $5.70*North Riverside

Winner Takes All (Age: 18 & older)Join WSSRA friends to socialize as we keep a safe physical distance. We will play Bingo, Bunco and more games that allow us to keep a safe distance and still have fun! Game pieces will not be shared by participants. Please bring something to drink.

Location: Elmwood Park Recreation Center Day Dates Time FeeWed 7/15 - 8/12 10:00-11:15am $28.50

Round Trip Transportation Fee: $32.50 Transportation is limited and on a first come, first served basis. Participants must be able to get on and off the bus independently.

DIY Designs (Age: 16 & older)This program will bring out your artistic side! Each week participants will be creating new arts and crafts projects using different materials. Please dress for the weather as part of the program may take place outdoors.

Location: Park District of Forest Park, Main Building (3rd floor) Day Dates Time FeeThurs 7/16 - 8/13 1:30-2:45pm $36.55

Bobcats Skills and Drills (Age: 15 & older)Join us as we preform various skills and drills to help us stay fit and active. This program is designed to help increase strength and endurance and prepare athletes to compete again soon! Please wear gym shoes and bring a water bottle.

Location: Andersen, Oak Park Day Dates Time FeeTues 7/7 - 8/11 6:00-7:00pm $32.40

Bocce (Age: 16 & older)Let the good times roll! Are you looking for a new and easy game to learn? Look no further, this is the sport for you. Enjoy the summer outdoors with your friends as you socialize and play a few rounds of bocce ball.

Location: Centennial Park, Elmwood Park Day Dates Time FeeWed 7/15 -9/16 4:00-5:00pm $64.80

Creative Cardio Workout (Age: 16 & older)Become a healthier you by joining WSSRA friends for this unique workout that combines dance, kickboxing and interval training all to your favorite tunes! Partic-ipants will remain at a safe physical distance. Please bring a towel or yoga mat and a labeled bottle of water.

Location: Park District of Forest Park, Outdoors Day Dates Time FeeThurs 7/16 - 8/13 6:00-7:00pm $21.25

CLICK HERE TO REGISTERFOR IN-PERSON PROGRAMS

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What type of technology is needed to participate in virtual programs?All program are conducted through Zoom. Participants will need access to the internet and a computer with a web camera. Programs can also be accessed with a smart phone or tablet by downloading the Zoom app. CLICK HERE for zoom instructions.

Who can participate in WSSRA’s virtual programs? Our virtual programs are designed for WSSRA participants and family members.

How to register for virtual programs Registration is easy! Please CLICK HERE to register.

Select the “sign up” button for the program you would like to register for and follow the prompts.

After you submit your registration a confirmation email will be sent with a unique program link, click on the link at the scheduled program time to join the program.

Registration DeadlinesRegistration closes 2 hours prior to the program start.

Questions?If you have any questions regarding virtual program-ming or would like a one-on-one tutorial on how to register, please contact Annie Hart at (847) 455-2100 ext. 230.

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Virtual ProgrammingWhat is virtual programming?WSSRA’s Summer Sunshine Virtual Programs are designed for our participants to stay active and connected during these times. Programs include day camp, fitness, music, games, social activities and more! All virtual programs and events

are FREE, thanks to our supportive sponsors.

Thank you to our sponsors

for supporting WSSRA’s virtual

programmingBerwyn Community

Development Block Grant

Byline Bank

Senator Phil Rock Scholarship Fund

Thumbuddy Special

West Suburban Special Recreation

Foundation

Help Support WSSRA’s Virtual Programs

CLICK HERE TO DONATE

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Sibshops (Age: 7 - 13)Sibshops is a program designed for brothers and sisters of children with special needs. Sibs will have the opportunity to meet and talk with other sibs who “get it.” Participants will also learn about the services their brothers and sisters receive and most importantly play games and have fun! Day: WednesdaysDates: July 15 - August 26Time: 1:00 - 2:00pmFor more information contact Mia Leyba at (847) 455-2100 ext. 236

Creative Corner - VirtualMove and groove your way to WSSRA’s creative corner! Each week we will find new ways to express ourselves through song, dance, and arts & crafts.Day: ThursdaysDates: July 9-August 13 Time: 11:15-11:45am

Music Makers - VirtualThis class incorporates singing and making music with things around the house. Class will be led by a certified music therapist from Dynamic Lynks.Day: ThursdaysDates: July 9-August 13 Time: 5:30-6:15pm

Lunch Bunch - Virtual Join us for a lunch break hangout, where we are going to enjoy our lunchtime with friends. This day-time social program is a great way to connect with friends and staff. Day: FridaysDates: July 10-August 14 Time: 12:00-12:30pm

Dice Bowling - VirtualWe can’t go to the bowling alley, but we can still bowl! This bowing game can be played anywhere, anytime. Please note: 2 dice are needed to participate in this program. Day: SaturdaysDates: July 11- August 15 Time: 1:00-1:45pm

Children & Youth

CLICK HERE TO REGISTER

Sensory Summer Fun - Virtual Get ready to rock your senses with some good ole’ camp fun! We will be exploring our senses through music, art, games, and science. Supply kits are included.Day: Mondays Time: 2:00-2:45pm Dates: July 20-August 10

Fun & Games - Virtual Join us on Tuesday evenings to play fun online board games, trivia, and more! We will be testing your general knowledge with themed trivia questions, playing classic board games, and spending time together socializing in a group.Day: Tuesdays Time: 6:00-7:00pm Dates: July 14-August 12

Sing-Alongs and Story Time - VirtualJoin us for a fun and interactive program featuring music, stories and movement. Day: TuesdaysDates: July 7-August 11Time: 10:30-11:00am

Yoga - VirtualJoin us for a fun-filled and relaxing yoga class, where each week we will have new themes such as animal, superhero, ABC and more!Day: TuesdaysDates: July 7-August 11Time: 4:00-4:30pm

Fun Fitness This class is offered both in person and virtually.Experience a fun way to get fit! This class will get you moving, build strength, improve endurance and teach you the importance of overall wellness through fun activities. Day: Wednesdays Time: 5:45-6:30pm Dates: July 15-August 12

Yoga for All This class is offered both in person and virtually. Participants will be introduced and experience beginner yoga positions, meditative practice and stretching exercises in a playful environment. There will be an exciting theme each week focusing on body control, strength, flexibility and relaxation techniques. Day: Wednesdays Time: 6:35-7:20pmDates: July 15-August 12

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Mindful Mornings - VirtualEase into your morning by joining us as we learn and practice yoga and mindfulness techniques that will help us stay in tune throughout our day.Day: MondaysDates: July 6 - August 10 Time: 10:30-11:00am

Bobcats Swim Team Get Together - Virtual Join your swim teammates and find out how everyone is doing!Day: MondayDate: July 13Time: 7:30-8:00pm

Bobcats Skills and Drills - VirtualJoin the Bobcats coaches for live workouts and discussions on fitness, health and nutrition.Day: TuesdaysDates: July 7- August 11 Time: 6:00-7:00pm

Morning Mixer - VirtualGrab your favorite morning drink and join friends to chat and play games chosen by the group.Day: WednesdaysDates: July 8 - August 12 Time: 10:30-11:00am

Let’s Dance - VirtualDance your way to a healthier you! Participants will learn a variety of dance led by certified dance instructor, Sidney McNeal.Day: WednesdaysDates: July 8 - August 12 Time: 6:15-7:00pm

Healthy Start - Virtual Grab your water bottle and join us for a fun workout including cardio, strength and flexibility! Exercises can be done from a chair or standing.Day: ThursdaysDates: July 9 - August 13Time: 10:30-11:00am

Virtual Adventures - VirtualWe are taking adventure to the next level by virtually transporting to extraordinary places around the world without leaving the comfort of your home. During this interactive program, we will visit famous museums, art exhibits, landmarks, and more via ZOOM. Day: FridaysDates: July 10 - August 14Time: 10:30-11:00am

Food Critics - VirtualWhat’s on your plate? In this virtual version of Food Critics, we will share what we’re having for dinner and socialize with our peers.Day: FridaysDates: July 10, 17, 31, August 7Time: 6:00-6:30pm

Teens & Adults CLICK HERE TO REGISTER

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14

Teens & Adults

Showtime - VirtualBring your own popcorn as we watch a short film followed by a group discussion on what everyone thought of the film. Day: FridayDates: July 24, August 14Time: 6:00-6:45pm

Dice Bowling - VirtualWe can’t go to the bowling alley, but we can still bowl! This bowing game can be played anywhere, anytime. Please note 2 dice are needed to participate in this program.Day: SaturdaysDates: July 11 - August 15Time: 1:00-1:45pm

WSSRA staff misses everyone in programs and we want to know

what you’re up to!

Virtual Chat with a WSSRA Staff Member

We are now offering 20 minute hang out sessions with WSSRA

staff member.

Social Club - VirtualJoin us Saturday evenings to socialize with friends and take part in some fun activities! Day: SaturdaysDates: July 11 - August 15Time: 7:00-8:00pm

• July 11 – Disney Sing-Along – Come sing your favorite Disney songs with social club tonight!

• July 18 – Christmas in July – Let’s celebrate Christmas in July with Holiday songs and games!

• July 25 – Special Event – Join WSSRA’s Virtual Dance Party with Special Guest DJ Mark Poise

• August 1 – Music Bingo – A fun twist on Bingo! Hear the song and mark your card!

• August 8 – Escape From Wonderland – We will work as a team to answer clues to get to the end of this Virtual Alice in Wonderland themed escape room!

• August 15 – Just Dance – Learn some new dance moves to some of our favorite songs!

CLICK HERE TO SCHEDULE YOUR SESSION

CLICK HERE TO REGISTER

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CLICK HERE TO REGISTERFOR VIRTUAL DAY CAMP

15

Virtual Day CampPARA

AYUDA EN ESPAÑOL LLAMÉ

A NOLY A (847) 455-2100

EXT. 222

(All ages, All abilities)

This virtual camp will be filled with fun activities that you can do in the comfort of your home. Activities in-clude circle time, sensory exploration, arts and crafts, virtual field trips, special guests and more! Camp will be structured like our traditional day camp; each day will consist of 3- 30-minute blocks of activities with a 15 minutes screen break between each activity. Siblings are welcome to join in on the fun.

Virtual Camp Dates:Session 1: June 15 - July 2 (no Camp July 3rd)THERE IS STILL TIME TO REGISTER FOR SESSION 1! Call Carlos at 847-455-2100 to register.

Session 2: July 6 - July 24

Days: Mondays, Wednesdays & Fridays

Times: 9:30am - 11:30am

Fee: $20 per sessionRegistration will include a “Highlighter Kit”

Scholarships are available, please contact Annie Hart for more information at (847) 455-2100ext. 230 or at [email protected].

Three activities will be offered on camp days. Campers can drop in to

1, 2, or all 3 activities each day! 9:30 - 10:00am - Opening CircleWe will be starting off the day with songs, music, yoga and “get to know you” activities. 10:15 -10:45am - Sensory and Arts Join us for creative crafts and exciting experiments. 11:00 - 11:30am - Let's get moving! We will be doing active games, dancing and more.

Highlighter Supply Kits:Each kit will include a camp t-shirt and the

supplies needed to participate in all activities. A detailed calendar of activities will be included.

Siblings must register separately to receive a Highlighter Kit.

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16

Special Events

Virtual Reptile Encounters with Special Guest:

Dave DiNaso’s Traveling World of Reptiles

Date: July, 9th Time: 6:30 - 7:30pm

Join other WSSRA families and

friends as we celebrate summer with a virtual “trip to the zoo”

We will be entertained and

educated by Dave and his exotic live reptiles via Zoom.

WSSRA Virtual Dance Party with Special Guest:

DJ Mark PoiseDate: Satuday, July 25th

Time: 7:00 - 8:00pm

Join other WSSRA families and friends as we dance the night away at

our Virtual Dance Party via Zoom!

Send your song requests to Sylvia Dobbins by July 23rd,

and DJ Mark Poise will do his best to play your song!

CLICK HERE TO REGISTER

AUDIENCE PARTICIPATION IS ENCOURAGED.

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All friends and families are welcome to participate.

WACKY QUACKY DUCKSONLY $2 eacheachGO TO WSSRA.NET to adopt your ducks!

DJ Marc will provide the music and entertainment as we dance and cheer on the ducks in the virtual waterslide races.

Who will be this year’s Who will be this year’s quacktastic winners? quacktastic winners?

Buy a duck today, Buy a duck today, and it could be you! and it could be you!

Summer DanceSummer DanceFeaturing the WackyFeaturing the Wacky Quacky Duck RaceQuacky Duck Race

August 6August 6, 2020 , 2020 7:00 - 8:307:00 - 8:30pmpm

VirtualVirtual

Join the WSSRA family Join the WSSRA family for a virtual summer dance party in celebration for a virtual summer dance party in celebration

of our favorite Wacky, Quacky Duck Races! of our favorite Wacky, Quacky Duck Races!

CLICK HERE TO REGISTER for the Splish Splash Summer Dance

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Fridays6/26, 7/10, 7/24

Fridays6/26, 7/10, 7/24

Fridays6/26, 7/10, 7/24

WSSRA Office 2915 Maple St Franklin Park

Imaginarium 228 Madison St

Oak Park

Liberty Center 6445 27th Pl

Berwyn 9:00am- 4:30pm 3:00-4:00pm 5:00-6:00pm18

Creation Kits Creation Kits are for those individuals who are looking

for at-home activities that can be done all summer long!

Pick Up OptionsYou can choose if you want to pick up

one, two, or all three boxes on the date and time of your choice.

There are three types of Creation Kits available: Arts and Crafts, Sensory Exploration, and Fun and Games. All kits will come with step-by-step

instructions on how to complete the activities or suggestions for free play.

Kit #1: Arts and CraftsFee: $12.00What’s Included:• Washable Paint Pack with brushes and canvas • Design Your Own Pinwheel• Model Magic Clay • 4th of July Fireworks and Flag crafts

Kit #2: Sensory ExplorationFee: $12.00What’s Included:• Homemade Sensory Bags• Child-safe Interlocking Building blocks• Ocean themed Sensory play• Kinetic Sand

Kit #3: Fun and GamesFee: $12.00What’s Included:• Paw Toss and Catch Set with Activity Ideas• Sidewalk Chalk with Activity Book• Pop-Open Lawn Flyer• Indoor and Outdoor Scavenger Hunt Book• Painters Tape with Activity Guide

KIT PICK UP DATES, TIMES & LOCATIONS:

CLICK HERE to purchase your kit and schedule your pick up time

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mail to: wssra, 2915 maple street, franklin park, il 60131 ··· fax to: 847.455.2157 ··· signed registration must be received by July 1, 2020

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 2020 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 50% DEPOSIT OF YOUR BALANCE IS DUE.

* total payment enclosed * total payment to follow (if faxed) * deposit made (50% of balance)

* payment plan arranged with annie hart * request scholarship (50% 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)

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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:

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

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

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west suburban special recreation association

VERANO 2020 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 1 de Julio

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,

DEBE PAGAR EL 50% DE SU BALANCÉ.

* pago total adJunto * pago total a seguir (sÍ mando por fax) * deposito (50% de su balancé)

* solicitar beca (debe pagar el 50% de su balancé) * plan de pago arreglado con annie hart

* 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 transtotal parcial de

programa y trans

$

$

$

total debido:cantidad pagada:

nuevo balance:

ACUERDO INOCUO AL

LADO REVERSO

cantidad a cargar a la tarjeta de credito:

$___________

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West Suburban Special Recreation Association

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:

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

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

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West Suburban Special Recreation Association

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

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West Suburban Special Recreation Association

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? ________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

Page 25: WSSRAWSSRA · 2020-07-13 · For more information contact Christina Fernandez at (847) 455-2100. Features of WSSRA’s Imaginarium Sensory Room include: • Bubble tube • Illuminated

REGISTRATION OPTIONSRegistration for in-person programs will be completed through MaxGalaxy. In order to participate in Summerprograms, your completed AND signed registration form must be received in the WSSRA office by July 1 WSSRA registration is taken on a first-come, first-served basis.

MAIL TO WSSRA:2915 Maple St.Franklin Park, IL 60131

SCAN & EMAIL TO: [email protected]

ONLINE: wssra.net

FAX TO: 847.455.2157

PHONE TO: 847.455.2100

REGISTRATIONA completed AND signed registration form is required in order to start participation. If your signed form is not received by July 1 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 and we have received your signed registration form and payment, the participant will be placed on a wait list. 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 for program fees is due upon registration. If you are unable to pay your full balance, a deposit of 50% of your balance is due. 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 the balance from the previous season is paid in full. 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 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 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 social clubs, 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.

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PARTICIPANT 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 100.4 or higher. · 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 be able to get on and off the bus independently. · 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. 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.

WSSRA Registration & Policies

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.

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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.

Rocio Perez, Board Chair Christine Nakatsuka, Treasurer

Beth Kaplan, SecretaryMargaret O’Rourke, Former Board Chair

Lisa Shanahan, Former TreasurerJulia Arnett

Kristi BraunDora CalkinsKevin Calkins

AnneMarie CasasMichaelina Considine

James DunlopLynn Galuska-Elsen

Karen Mullarkey-KerrinsCarol MilburnJohn Mullins

Madeline O’RourkeKim Perry

Veronica RamirezLeonor Vanik de Vazquez

WSSRF Board Of Trustees