Enriching Lives Through Recreation

HABLAMOS ESPAÑOL FALL 2020 SESSION 2 SESSION

WSSRAWSSRAEnriching lives through recreation CHECK OUT THE HOLIDAY HULLABALOO INFORMATION ON PAGE 15! COVID-19 Guidelines for WSSRA in-person programs Be considerate of others and help stop the spread of COVID-19.

Please follow these easy steps when you participate in this fall’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 Table of Contents For more program information please contact.... FALL CALENDAR...... 7 IMAGINARIUM...... 8 Sylvia Dobbins LEKOTEK...... 9 Social Clubs & Young Adults IN-PERSON PROGRAM GUIDELINES...... 10 IN-PERSON CHILDREN & YOUTH PROGRAMS...11 IN-PERSON TEEN & ADULT PROGRAMS...... 12 IN-PERSON SPECIAL EVENTS...... 13-14 HOLIDAY HULLABALOOS...... 15-17 VIRTUAL PROGRAM INFORMATION...... 18 Mia Leyba VIRTUAL ALL AGES PROGRAMS...... 19 Teens & After School Programs Inclusion Support VIRTUAL ALL AGES PROGRAMS...... 20 VIRTUAL CHATS...... 21 VIRTUAL SPECIAL EVENTS...... 22 & 24 VIRTUAL WINTER BREAK CAMP...... 23

Key to Abbreviations Kelly Baran ADD Attention Deficit Disorder Swim programs, Adults ADHD Attention Deficit Hyperactivity Disorder ALZ Alzheimer’s AUT Autism DD Developmental Disability EC Early Childhood ED Emotional Disturbance HI Hearing Impairment LD Learning Disability MI Mental Impairment MH Multiple Handicaps Christina Fernandez Children & Youth, MLH Mental Health PI Physical Impairment Imaginarium Sensory Room SL Speech and Language Delay SO Special Olympics SP Severe and Profound Mental Impairment VI Visual Impairment Our Program Guide A great effort has been made to assure the accuracy of the Chris Sturm information provided in our Program Guide. Due to the large Special Olympics 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. office hours West Suburban Special monday through friday 8:30 am – 5:00 pm Recreation Association 2915 maple street follow us on /wssra @wssra @w.s.s.r.a franklin park, il 60131 847.455.2100 - voice or tty 3 Who We Are

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. WSSRA Staff Marianne Birko...... 226...... executive director ...... [email protected] Annie Hart...... 230...... superintendent of safety & operations ...... [email protected] April Ryan...... 231...... superintendent of recreation...... [email protected] Carla Pakenas...... 219...... staff manager ...... [email protected] Carlos Marroquin...... 232...... program manager ...... [email protected] Christopher Sturm...... 235...... inclusion manager ...... [email protected] Nicole Walsh...... 240...... public relations coordinator ...... [email protected] Kelly Baran...... 239...... recreation specialist ...... [email protected] Mia Leyba...... 236...... recreation specialist ...... [email protected] Sylvia Dobbins...... 238...... recreation specialist ...... [email protected] Christina Fernandez...... 234...... recreation specialist ...... [email protected] Lisa Gershak...... 221...... finance manager...... [email protected] Noelia Hernandez...... 222...... registrar...... [email protected] Antonio Casas...... receptionist...... [email protected] Julie Clasen...... school liason...... [email protected] Julia Harmon Bell...... 224...... fund development specialist/lekotek leader...... [email protected] Luz Rocha-Serrano...... 224...... lekotek leader...... [email protected] Keiajah Barber...... wssra driver Mike Zych...... wssra driver Frank Quaranta...... wssra driver

Board of Directors Board Meetings BERWYN PARK DISTRICT ...... SANDY FEJT The Board of Directors of the Association meets on CLYDE PARK DISTRICT...... LARRY BANKS the second Tuesday of the month, 8 times per year VILLAGE OF ELMWOOD PARK...... AL SCHMIDT at 4:00pm. Call the office for a meeting schedule and locations. The public is invited to attend. PARK DISTRICT OF FOREST PARK...... JACKIE IOVINELLI PARK DISTRICT OF FRANKLIN PARK...... JOSEPH MODRICH VILLAGE OF HARWOOD HEIGHTS...... ANNA WEGRECKI NORRIDGE PARK DISTRICT...... ANNEMARIE FLAHERTY NORTH BERWYN PARK DISTRICT...... MARK SLADEK PARK DISTRICT OF OAK PARK...... KASSIE PORRECA RIVER FOREST PARK DISTRICT...... MIKE SLETTEN VILLAGE OF NORTH RIVERSIDE...... TERESA MROZIK VILLAGE OF RIVERSIDE...... RON MALCHIODI

4 Facilities BENSENVILLE FRANKLIN PARK Oak Park Country Club 2001 Thatcher Ave...... 708.453.5554 White Pines Golf Course Centre at North Park Oak Park River Forest High School 10040 Addison St...... 847.928.8478 500 W. Jefferson St...... 630.766.0304 201 N Scoville Ave ...... 708.383.0700 Franklin Park Community Center Rehm Park BERWYN 9560 Franklin Ave ...... 847.455.2852 515 Garfield St...... 708.848.9661 Franklin Park Ice Arena Havlicek School Ridgeland Commons Rec Complex 9711 Waveland Ave ...... 847.671.4268 6401 15th St...... 708.795.2450 415 Lake St...... 708.725.2300 Franklin Towers Jefferson School Stevenson Recreation Center 7035 16th St...... 708.795.2454 9535 Franklin Ave ...... 847.455.0189 49 Lake St...... 708.725.2300 Liberty Recreation Center Pool on Pacific West Cook YMCA 6445 W 27th Pl...... 708.795.2891 9715 Pacific Ave...... 847.455.2858 255 S Marion St #3103...... 708.383.5200 Morton West High School O'Hare CrossFit Whittier School 2400 Home Ave...... 708.222.5700 9100 Belden Ave ...... 708.417.8502 715 N Harvey Ave...... 708.524.3080 North Berwyn Park District Community Center WSSRA Office 1619 Wesley Ave ...... 708.749.4900 2915 Maple St...... 847.455.2100 RIVER FOREST PAV Berwyn YMCA 2947 S Oak Park Ave...... 708.749.0606 HARWOOD HEIGHTS Keystone Center Proksa Park Harwood Heights Village Hall 7920 Central Avenue...... 708.366.6660 3001 Wisconsin Ave...... 708.795.2892 7300 Wilson Ave ...... 708.867.7200 RIVERSIDE CICERO NORRIDGE Historic Water Tower Cicero Community Center Leigh School 10 Pine Avenue...... 708.442.7025 2250 49th Ave...... 708.477.6308 8151 W. Lawrence Ave...... 708.456.8848 Riverside Swim Club Clyde Park District Stadium Norridge Park District 100 Bloomingbank Rd...... 708.447.6134 1909 S Laramie Ave ...... 708.652.3545 4631 N Overhill Ave...... 708.457.1244 Drexel Elementary School 5407 W 36th St...... 708.652.5532 NORTH RIVERSIDE EMERGENCY PHONE Duck Pond Pool Komarek School The purpose of 5105 31st St 8940 W 24th St...... 708.447.8030 this phone number Morton Freshman Center North Riverside Community Room is to allow access 1801 S 55th Ave...... 708.863.2200 2359 S. DesPlaines Ave...... 708.442.5515 Lincoln Elementary School to WSSRA for 3545 S 61st Ave...... 708.652.8889 OAK PARK emergencies only Manor Park during non-office Andersen Center 5800 W Park Ave...... 708.427.8244 hours. Morton East High School 820 Hayes Ave ...... 708.725.2000 2423 S Austin Blvd...... 708.222.5264 Barrie Recreation Center 1011 S Lombard Ave ...... 708.725.2000 1. The phone may be called Unity East Junior High School Monday through Friday, from 2115 S 54th Ave...... 708.863.8229 Carroll Recreation Center 1125 S Kenilworth Ave...... 708.725.2000 5:00pm to 11:00pm, Saturday, ELMWOOD PARK Cheney Mansion 7:00am to 11:00pm when Centennial Park 220 N Euclid Ave...... 708.725.2500 programs are in session only. 7600 W Armitage Ave...... 708.452.3935 Dole Center Elmwood Park Recreation Center 255 Augusta St ...... 708.725.2000 2 Conti Pkwy...... 708.452.3935 Dynamic Lynks 2. Leave a message with your Elmwood Park Family Aquatic Center 1100 Lake St #LL65 ...... 708-620-2373 phone number at 708.491.3779 2 Conti Pkwy...... 708.452.3935 Field Recreation Center and a WSSRA staff will return your Elmwood Park High School 935 Woodbine Ave ...... 708.725.2000 call if necessary. 8201 W Fullerton Ave...... 708.452.7272 Fox Recreation Center 624 S Oak Park Ave...... 708.725.2000 FOREST PARK Gymnastics & Recreation Center (GRC) 3. The emergency phone should not Circle Lanes 21 Lake St ...... 708.725.2000 be a substitute for calling the office 7244 Circle Ave ...... 708.366.2810 Imaginarium Sensory Room for non-emergency questions, such Field Stevenson School 228 Madison...... 708.455.2100 as pick up times. 925 Beloit Ave ...... 708.366.5703 Irving School Park District of Forest Park 1125 S Cuyler Ave ...... 708.524.3090 7501 Harrison St ...... 708.366.7500 Longfellow Recreation Center WWW.WSSRA.NET Forest Park Middle School 610 S Ridgeland Ave ...... 708.725.2000 Check out WSSRA on the web for 925 Beloit Ave ...... 708.366.5703 Longfellow School directions to program locations and Grant White School 715 S Highland Ave...... 708.524.3060 147 Circle Ave ...... 708.366.5704 Oak Park Conservatory up to date program information. Roos Recreation Center 615 Garfield St...... 708.725.2400 Email your comments to us: 7329 Harrison St ...... 708.366.7500 [email protected] 5 Staff Spotlight

Cheers to our incredible Recreation Team for providing innovative and creative virtual and in-person program opportunities for WSSRA participants and families. Thank you for making us laugh and putting a smile on our faces during these most challenging times.

6 Fall Program Calendar SESSION 2 - OCTOBER 26 - DECEMBER 12 SPECIAL MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY EVENTS Virtual Halloween MINDFUL CHAIR FITNESS BINGO* HEALTHY START VIRTUAL SIBSHOPS Dance Party MORNINGS 9:00-10:00am 10:00-11:15am 10:30-11:00am ADVENTURES 10:00am-12:00pm October 31 10:30-11:00am Harwood Heights Elmwood Park Rec. Ctr./ 10:30-11:00am Proksa Park, Berwyn 7:00-8:00pm Virtual AFTERSCHOOL DICE BOWLING WALK & TALK ADVENTURES RHYTHMIC 10:30-11:15am Virtual Cartoon Me! URBANITES 10:15-11:15am URBANITES 4:30-5:00pm GYMNASTICS November 20 EPHS STUDENTS Harwood Heights WEST LEYDEN 6:30-8:30 11:00-11:30am 2:45-3:15pm 5:00-5:45pm MUSIC MAKERS Andersen Center, POP-UP Sensory Sensative MORNING MIXER 5:30-6:15pm Oak Park PROGRAMS 10/24 - Monster Mash Treats with Santa BOBCATS 10:30-11:00am SNOWSHOEING BASKETBALL 9/23-12/9 TGIF Village of North Riverside December 9 11/7 - Fall Fest SKILLS & DRILLS 4:30-5:30pm SOCCER SKILLS 7:00-8:00pm YOGA Park District 4:00-5:00pm Andersen Center, Santa Express 4:45-5:45pm Park District of Forest Elmwood Park Rec. 4:30-5:00pm Forest Park, Village of Oak Park December 5 Park, Main Building Center front lawn North Riverside FOOD CRITICS SATURDAY Virtual Polar ARTASTIC! Express Storytime FUN FITNESS VIRTUAL THEATRE 6:00-6:30pm BOWLING MONDAY NIGHT 6:00-6:30pm December 18 & YOGA PROGRAM LEAGUE SPORTS TALK 5:45 - 6:45pm 6:30-7:30pm 12:15-1:30pm 6:30-7:00pm Park District of Forest SHOWTIME 1:45-3:00pm Virtual Winter 3:15-4:30pm Park Main Building 6:00-6:30pm Break Camp Circle Lanes December 21, 22, 23 NO PROGRAMS WEEKLY 11/26 December 28, 29, 30 SOCIAL CLUB WORKOUT LET’S DANCE NO PROGRAMS 7:15-7:45pm 6:15-7:00pm 7:00-8:00pm Holiday Hullabaloos 11/27 December 21, 22, 23 NO PROGRAMS December 28, 29, 30 11/28 Carroll Rec Center/ Field Rec Center PROGRAM KEY: IN-PERSON PROGRAMS VIRTUAL PROGRAMS * IN-PERSON & VIRTUAL Imaginarium - Sensory Room

WSSRA’s

WSSRA IS NOW OFFERING PRIVATE PLAY SESSIONS! WSSRA is excited to offer private play session in our new Imaginarium Sensory Room. We have put safety protocols in place to ensure the safety of participants, staff and family members. A list of frequently asked questions, including safety protocols, will be sent upon registration. CLICK HERE for the Imaginarium Frequently Asked Questions.

FALL 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 Features of carried over to another season and will expire after 1 year of purchase. WSSRA’s Imaginarium Age: All Ages, All Abilities & Siblings Sensory Room Location: 228 Madison Street, Oak Park include: Dates: 10/27-12/12 • Bubble tube *The sensory room will be closed on November 26 - 28 • Illuminated cabin Hours: Tuesdays - Appointments between 3:30-6:45pm Thursdays - Appointments between 10:30am-6:45pm • Animated Sparkle Wall panel Saturdays - Appointments between 9:30am-3:15pm • The Gesturetek Cube (an interactive floor *must reserve your 45 - minute time slot in advance projection with over 75 special effects) Fee: $5 for a single visit • Essential aromatherapy oils $25 for a 5-visit punch card • Calming music $50 for a 12-visit punch card • Sensory toys *Punch cards can be shared with siblings; siblings must register separately. Benefits Include: • 1 punch for an individual visit • Decreased anxiety • 2 punches for a family visit • Fewer disruptive behaviors For more information contactChristina Fernandez • Promote mental and physical relaxation at (847) 455-2100. • Increase concentration • Enhance learning through play CLICK HERE to Schedule • Improve coordination & motor development Your Private Play Session

8 Lekotek - Toy Lending Library

What is Lekotek? Where are play sessions held? WSSRA Lekotek Toy Lending Library is a resource center Locations vary, play sessions are currently being held for families with children who have special needs. Our at WSSRA Imaginaruim Sensory Room located at trained Lekotek leaders offer play session for your entire 228 Madison Street, Oak Park. family and will help you choose the toys you think your child will most enjoy for the following month. It operates Toy Delivery- NEW! very much like a traditional library and having new toys in WSSRA is now offering a contactless toy delivery option your home each month will delight your children! which includes a virtual assessment and tour of or our Lekotek Library. Toys will be delivered monthly and our Our Toys Lekotek Leaders will be available via phone or Zoom to WSSRA’s Toy Lending Library houses over 2000 toys, answer any questions about the toys. All toys are properly games and play equipment. Some of our toys are sanitized before and after each use with EPA approved highly specialized to meet the needs of children who disinfectants. are non-verbal and love toys that light up, play music and are easy to operate. Schools and Therapists Any special education teacher or therapist serving Why Play? children with special needs in our partner communities • Play helps build self-esteem and self-confidence are eligible to borrow toys from our Lekotek Library. • Play develops fine and gross motor skills • Play helps stimulate the mind and boosts creativity Registration and problem-solving skills Registration is ongoing throughout the year. Call the • Play helps children use their imagination while WSSRA office for more information (847) 455-2100. developing their cognitive and language skills • Play helps improve social skills by demonstrating positive social interactions among the child, parents and siblings

Who can participate? Children ages birth-8 and family members are welcome to participate. Play sessions are scheduled monthly based on the family’s availability. Participants must be able to meet participation eligibility guidelines.

What does a play session look like? All play sessions are conducted once a month for one hour each session. Play sessions are led by our experienced Lekotek Leaders. Each session children are introduced to a variety of adapted toys making play possible for ALL children. Participants can take home up to eight toys monthly, new toys will be exchanged each visit. Siblings, family members, and caregivers are encouraged to participate.

9 In-Person Program Guidelines/Protocols PARTICIPATION GUIDELINES WSSRA Participation Guidelines and Safety Protocols • Participant must have the ability to put on and wear a face covering when necessary, for the duration of WSSRA is excited to offer limited in-person program the program opportunities based on state and federal regulations. • Participant must be able to maintain a 6’ distance All in-person programming is pending these guidelines, from other participants and staff WSSRA will open these guidelines further as the • Participant must be able to follow directions with regulations are updated. minimal intervention by staff • Participant must be able to be successful with a WSSRA has put participation eligibility guidelines in place 4:1 staffing and devoid of emotional outbursts in order to comply with state and federal regulations. A requiring 1:1 staffing support WSSRA staff member will conduct an assessment upon • Participant must be independent in managing registration to determine eligibility. WSSRA will allow personal care including toileting, feeding, personal participants who cannot meet these guidelines to attend hygiene with an adult family member who lives within the same SAFETY PROTOCOLS household to assist them to meet the guidelines. WSSRA has put the following safety protocols in place in Please note: Participants traveling to one of the states order to ensure the safety of participants, staff and family listed in the Chicago Emergency Travel Order are asked members: not to return to program for two weeks after returning • Participants and staff must complete a health from the designate hotspot. For up-to-date details on the screening upon arrival states listed in this order please visit www.chicago.gov. • 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 • All program spaces and equipment will be cleaned with an EPA approved disinfectant between uses • If WSSRA becomes aware that someone has been exposed to COVID-19, we will take the appropriate steps as directed by local health officials • 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 April Ryan at [email protected] or (847) 455-2100 ext. 231. 10 In-Person Programs: Children & Youth Fun Fitness & Yoga (Age: 5-14) 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. Please dress for the weather. We will try to have class outdoors, weather permitting.

Location: Park District of Forest Park Sibshops (Age: 7-13) Day Dates Time Fee This program is designed Wed 10/28-12/9 5:45-6:45pm $29.75 for brothers and sisters of children with special needs. Sibs will have the Soccer Skills (Age: 5 & Older) opportunity to meet and Are you a soccer fanatic that needs a “kick” me up!? talk with other sibs who Come join Coach Carlos in a soccer workout! We will work “get it.” Participants will on our fitness and conditioning as well as some cool new also learn about the soccer workouts and games! Please dress for the weather. services their brothers We will try to have class outdoors, weather permitting. and sisters receive and most importantly play Location:Village of North Riverside games and have fun! Day Dates Time Fee Priority given to participants from Berwyn. Program Thurs 10/29-12/10 4:00-5:00pm $25.50 sponsored by Berwyn Township 708 Community Mental Health Board. *No program 11/26 Location: Proksa Park, Berwyn Day Dates Time Fee Rhythmic Gymnastics (Age: 8 & Older) Sat 10/10 10:00am- 12:00pm $1.00 If you love dance and music, then this NEW sport is for Sat 10/24 10:00am- 12:00pm $1.00 you! Rhythmic Gymnastics combines elements of both Sat 11/14 10:00am- 12:00pm $1.00 gymnastics and dance. We will learn a fun routine using Sat 11/21 10:00am- 12:00pm $1.00 ribbon sticks focusing on our flexibility, coordination, Sat 12/12 10:00am- 12:00pm $1.00 and overall movement. Participants will also express themselves through freestyle ribbon dances. Saturday Bowling League (Age: 8 -21) Andersen Center, Oak Park Location: Strikes, spares, and splits, oh my! Join us as we sharpen Day Dates Time Fee our bowling skills and have fun with friends while staying Fri 10/30-12/11 5:00-5:45pm $19.15 socially distanced. A maximum of 3 participants will be *No program 11/27 assigned to each lane using every other lane.

Location:Circle Lanes, Forest Park CLICK HERE TO REGISTER Day Dates Time Fee Sat 10/31-12/12 12:15-1:30pm $42.65 FOR IN-PERSON PROGRAMS *No program 11/28

11 CLICK HERE TO REGISTER FOR IN-PERSON In-Person Programs: PROGRAMS Teen & Adults Chair Fitness (Age: 40 & older) Do you know exercise can relieve stress and improve your mood? Snowshoeing (Age: 15 & older) Join WSSRA as we start the day with gentle stretching and No snow required. WSSRA is offering Snowshoeing for the first time! strengthening movements combined with breathing exercises… Snowshoeing is a great form of exercise and can be enjoyed at any all to relaxing music. Exercises will be taught in a seated position fitness level. Participants will be given their own snowshoes and using chairs. Please bring your own water bottle. taught in a socially distance friendly environment outside. Location:Village of Harwood Heights Participants will learn how to walk and run in their snowshoes to Day Dates Time Fee help develop lower body strength and endurance. Come join us for Tues 10/27-12/8 9:00-10:00am $18.55 an adventure in the great outdoors. Please dress for the weather.

Location:Park District of Forest Park Walk and Talk (Age: 15 & older) Day Dates Time Fee Catch up with your WSSRA friends and staff as we get some exercise Wed 10/28-12/9 4:30-5:30pm $37.80 walking around The Village of Harwood Heights newly built indoor track. Program will begin with a light warm up and end with a light cool down. Please bring your own water bottle. TGIF (Age: 15 & older) Who is ready for the weekend? Unwind, unplug and join us for some Day Dates Time Location Fee Friday evening fun! Catch up with friends while enjoying a variety Tues 10/27 10:15-11:15am Village of HH* $4.55 of games and activities. Please bring a water bottle and dress for the Tues 11/3 10:15-11:15am Village of HH* $4.55 weather. Tues 11/10 10:15-11:15am Village of HH* $4.55 Tues 11/17 10:15-11:15am Village of HH* $4.55 Time: 7:00-8:15pm Tues 11/24 10:15-11:15am Village of HH* $4.55 Location: Park District of Forest Park, Main Building Tues 12/1 10:15-11:15am Village of HH* $4.55 Tues 12/8 10:15-11:15am Village of HH* $4.55 Date Description Fee * Village of Harwood Heights Fri Halloween Happenings $7.00 Round Trip Transportation Fee: $6.50 per week 10/30 Are you ready for a Spooktacular time? Celebrate Transportation is limited and on a first come, first served basis. Halloween Eve playing festive physically distant Participants must be able to get on and off the bus independently. games and creating your own Jack-o-Lantern. Fri Backyard Game Night $7.00 Bobcats Basketball Skills & Drills (Age: 15 & older) 11/13 Who needs to be outside for some backyard Take your basketball skills to the next level! Whether you’re a beginner fun? Join WSSRA and friends as we bring the fun inside and play Corn Hole, Ladder Toss and more. or an advance player, this is the program for you! Participants will learn Let the games begin! the fundamental skills of basketball including shooting, passing, and dribbling while offering changing drills for advance players. Fri Sip and Paint $10.00 *No program 11/23 12/4 Do you like to be creative with color? Art teacher, Terry Burke, will lead participants Location:Elmwood Park Recreation Center as they paint their own masterpieces on canvas. Day Dates Time Fee Please bring a non-alcoholic drink to sip along as Mon 10/26-12/14* 4:45-5:45pm $37.80 we paint.

(Age: 15 & older) Bingo (Age: 22 & older) Join your WSSRA friends as you try your luck at Bingo. Program will Saturday Bowling League Strikes, spares, and splits, oh my! Join us as we sharpen our bowling be offered both in-person and virtually allowing for many to interact skills and have fun with friends while staying socially distanced. A and play Bingo together. Prizes will be presented to weekly winners. maximum of 3 participants will be assigned to each lane using every Please bring your own beverage. other lane. *No program 11/28 Location: Elmwood Park Recreation Center Day Dates Time Fee Location:Circle Lanes, Forest Park Wed 10/28-12/9 10:00-11:00am $31.95 Day Dates Time Fee Sat 10/31-12/12 1:45-3:00pm $42.65 Round Trip Transportation Fee: $45.50 Sat 10/31-12/12 3:15-4:30pm $42.65 Transportation is limited and on a first come, first served basis. Participants must be able to get on and off the bus independently. 12 In-Person Pop-Up Family Events

WSSRA is offering pop-up events for the entire family this fall! Events will be held outdoors to ensure social distancing. Preregistration is required and siblings must register separately. Parents and guardians are free. Monster Mash familyFALL FEST What did one Autumn leaf say to the other? I’m FALLing for you!

Join WSSRA as we FALL in love Calling all monsters, witches, & ghosts! with Autumn at the family Fall Fest. We will be playing carnival games, Join WSSRA for Monster Mash in the park. We enjoying Fall sensory activities, will be decorating pumpkins, having a mummy and making our own scarecrows! wrapping contest and enjoying a candy hunt! Costumes are highly encouraged. Age: All Ages, Siblings Date: Saturday, November 7 Age: All Ages, Siblings Time Slots: 10:30 - 11:30am Date: Saturday, October 24 11:45am-12:45pm Time Slots: 11:00am - 12:00pm Location: Andersen Center, Oak Park 12:15 - 1:15pm Fee: $3/participant Location: Commons Park, North Riverside Fee: $3/participant CLICK HERE TO REGISTER 13 FOR IN-PERSON PROGRAMS CLICK HERE TO REGISTER FOR IN-PERSON In-Person Special Events EVENTS WSSRA Santa Express Age: All Ages, Siblings Saturday, WSSRA December 5 Fee: $7/person Santa Claus is coming to town! Brighten up your holiday with a personal visit from Santa and his elves outside your home. Be sure to have your cameras and letters to Santa ready! Each participant will receive a gift from Santa. Registration will be limited and taken on a first come, first served basis. WSSRA will schedule a delivery time upon registration. Event is sponsored by Thumbuddy Special Sensory Sensitive Treats with Santa

Age: All Ages, Siblings Date: Wednesday, December 9 Time: 5:00p – 6:00pm 6:00p – 7:00pm The Park District of Oak Park and WSSRA 7:00p – 8:00pm welcomes families with sensory sensitivities to an Location: Cheney Mansion evening at the Cheney Mansion and a visit with Santa! Fee: $5 per resident/$8 per non-resident Bring your camera for a photo with Santa in the Cheney Mansion Library. Santa has added a mask under his beard Visit the Park District of Oak Park’s website in the global effort to be safe. There will be activities WWW.PDOP.ORG to register today! and treats to enjoy while you wait. Please note all participants must be accompanied by an adult 14 Holiday Hullaballoos (Age: 3 - 26 years)

Looking for something to do over winter break? Well look no further! We have all your winter fun here!

ACTIVITIES WILL INCLUDE: Location: Carroll Recreation Center & • Pottery with Creativita Field Recreation Center • Cooking with the Opportunity Knocks Warriors Fee: $31.80/per Full Day $15.90/per Half Day • Wonders of Winter Magic Show *Registration is limited and will be taken • Winter Olympics on a first come, first served basis.

• Music with DJ Marc Poise Participants must be able to meet participation • Sensory activities guidelines in order to participate in Holiday Hullabaloos (see page 10 to review the guidelines). • Socially distanced friendly games A WSSRA staff member will conduct an • Arts & crafts assessment upon registration to determine eligibility.

Dates: 12/21, 12/22, 12/23 Scholarships are available, please contact 12/28, 12/29, 12/30 Annie Hart for more information at (847) 455-2100 ext. 230 or [email protected]. Time: Full Day - 9:00am - 3:00pm Half Day AM - 9:00 - 11:45am Turn to page 24 for information on Half Day PM - 12:15 - 3:00pm WSSRA’s Virtual Winter Break Camp! Please register using the Holiday Hullabaloos Registration Form or online by clicking HERE WEST SUBURBAN SPECIAL RECREATION ASSOCIATION 2020 HOLIDAY HULLABALOOS REGISTRATION FORM

Fax To: (847)455-2157 Mail To: 2915 Maple Street, Franklin Park, Il 60131·· signed registration must be received by November 20, 2020

Participant Name:______Date of Birth:______

Disability:______

Address: ______City/State:______Zip: ______

Park District/Village: ______Parent/Guardian Name:______

Home Phone: ______Cell Phone: ______

Email:

Emergency Contact: ______Emergency Contact Phone: ______

Present School/Workshop: ______Teacher/supervisor name:______

Does participant use a wheelchair? o Y o N Specify:______

Is participant subject to seizures? o Y o N IF YES, FILL OUT SEIZURE FORM

Will medication be taken at program? o Y o N List any medications: ______

Allergies: ______

Does participant have a communicable disease? o Y o N If yes, please explain:______

Did you child attend camp last year? o Y o N If yes, where: ______

If using WSSRA transportation, is the pick up/drop off location different from above?o Y o N

If yes, address:______

PAYMENT OPTION ··· PLEASE CHECK ONE ··· PAYMENT IS EXPECTED AT REGISTRATION, IF YOU ARE UNABLE TO PAY YOUR FULL BALANCE, Date Session Time Fee A 50% DEPOSIT OF YOUR BALANCE IS DUE. o Monday, December 21 Full Day 9:00am-3:00pm $31.80 * total payment enclosed * total payment to follow (if faxed) o Monday, December 21 Half Day AM 9:00-11:45am $15.90 o Monday, December 21 Half Day PM 12:15-3:00pm $15.90 * deposit made (50% of balance) * payment plan arranged with annie hart

* request scholarship (50% deposit still required) o Tuesday, December 22 Full Day 9:00am-3:00pm $31.80 o Tuesday, December 22 Half Day AM 9:00-11:45am $15.90 o Tuesday, December 22 Half Day PM 12:15-3:00pm $15.90 * CREDIT CARD * VISA * MASTER CARD o Wednesday, December 23 Full Day 9:00am-3:00pm $31.80 * Total Amount Paid:______o Wednesday, December 23 Half Day AM 9:00-11:45am $15.90 o Wednesday, December 23 Half Day PM 12:15-3:00pm $15.90 CARD NUMBER: o Full Day 9:00am-3:00pm $31.80 Monday, December 28 o Monday, December 28 Half Day AM 9:00-11:45am $15.90 o Monday, December 28 Half Day PM 12:15-3:00pm $15.90 expiration date: _____ / _____ o Tuesday, December 29 Full Day 9:00am-3:00pm $31.80 V code:______(located on back - 3 digits) o Tuesday, December 29 Half Day AM 9:00-11:45am $15.90 o Tuesday, December 29 Half Day PM 12:15-3:00pm $15.90 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 o Wednesday, December 30 Full Day 9:00am-3:00pm $31.80 authorizations, I approve them. o Wednesday, December 30 Half Day AM 9:00-11:45am $15.90 o Wednesday, December 30 Half Day PM 12:15-3:00pm $15.90 ______parent/participant/guardian signature Total Due $ HOLD HARMLESS RELEASE ON ______REVERSE SIDE date West Suburban Special Recreation Association WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT Please read this form carefully and be aware that in signing up and claims resulting from injuries, damages and losses sustained by anyone, and participating in West Suburban Special Recreation Association programs, arising out of, connected with, or in any way associated with my conduct and you will be waiving and releasing all claims for injuries arising out of these the activities of these programs. 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 I further understand and agree that the terms such as “participation”, and programs. In registering for these programs, you are agreeing as follows: “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and As a participant in these programs, I recognize and acknowledge that there are further include the provision, of or failure to provide proper instructions or certain risks of physical injury, and I agree to assume the full risk of any injuries, supervision, the use and adjustment of any and all machinery, equipment, damages or loss which I may sustain as a result of participating in any manner, and apparatus, and anything related to my use of the services, facilities, or in any and all activities connected with or associated with such activities and premises, involved in these programs, and transportation to and from events. involve substantial risks of injury. I understand the nature of these programs for which I am registering, and have I agree to waive and relinquish any and all claims I may have as a result of read and fully understand this Waiver, Release and Hold Harmless Agreement. participating in these programs against the West Suburban Special Recreation I further understand that any advisement or warnings of the particular risks of Association, any and all participating governmental units, any and all these programs that I subsequently receive will be incorporated by reference independent contractors, officers, agents, servants and employees of the into and become a part of this Agreement. governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable In case of emergency, I give my permission for the participant to receive any for any injuries, that I might sustain while participating in these programs. first aid, transportation or medical attention that may be required.

I do hereby fully release and discharge the West Suburban Special Recreation You may return this waiver and release of all claims by mail or fax. You may Association and the other released parties from any and all claims for injuries, mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile damages or loss, which I may have or which may accrue to me on account of transmission to 847.455.2157. When forwarding by fax, it is mutually understood my participation in these programs. that the facsimile document shall substitute for and have the same legal effect as the original form. 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

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 Virtual Programming

What is virtual programming? Reconnect with friends and try one of WSSRA’s virtual programs! Many programs will be offered again due to popular demand, but our staff have created many new program opportunities for you to enjoy! WSSRA’s Virtual Programs are designed for our participants to stay active and connected during these times. All weekly programs are FREE, thanks to our supportive sponsors.

What type of technology is needed to participate in virtual programs? All programs are conducted through Zoom. Participants Thank you 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. to our sponsors CLICK HERE for zoom instructions. for supporting

How to register for virtual programs WSSRA’s virtual Registration is easy! Select the program you would like to register for and follow the prompts. After you submit programming your registration, WSSRA will send you a unique program link. Click on the link at the scheduled program Berwyn Community time to join the program. Development Block Grant

What else should I know? Byline Bank • Registration will be online only • Registration closes 2 hours prior to the program start Senator Phil Rock • Imaginarium appointments must be made 24 hours in Scholarship Fund advance • WSSRA’s virtual programs are designed for WSSRA Thumbuddy Special participants and family members • For scholarship information, please contact Annie West Suburban Hart at [email protected] or (847) 455-2100 ext. 230 Special Recreation Foundation Questions? If you have any questions regarding virtual Help Support WSSRA’s programming or would like a one-on-one tutorial Virtual Programs on how to register, please contact April Ryan at [email protected] or (847) 455-2100 ext. 231. CLICK HERE TO DONATE

18 Virtual Programs: All Ages

Monday Night Sports Talk - CLICK HERE Virtual Adventures Virtual We are taking adventure to the next Televised sports are back! Join us as we TO REGISTER level! You will be virtually transported to talk about the best moments in sports extraordinary places around the world from the week and a chance to socialize without leaving the comfort of your with your friends. Don’t forget to wear Let’s Dance - Virtual home. During this interactive program, your favorite jersey! Dance your way to a healthier you! we will visit famous vacation spots, Participants will learn a variety of dance Day: Mondays museums, art exhibits, landmarks and led by certified dance instructor, Sidney *No program on 11/27 Time: 6:30-7:00pm more via Zoom. McNeal. Dates: 10/26-12/7 Day: Fridays Day: Wednesdays Time: 10:30-11:00am Time: 6:15-7:00pm Dates: 10/30-12/11 Weekly Workout - Virtual Dates: 10/28-12/9 This at-home workout will get you Dice Bowling- Virtual moving and your heartbeat and energy Music Makers - Virtual Come roll with us! Dice bowling can be up! Class will incorporate stretching, Move and groove your body to beat of played anywhere, anytime, all you need cardio and strength and conditioning to your own drum! This class incorporates is a pair of dice and some luck! Please help build muscle and endurance. singing, dancing, and making music. It note: 2 dice are needed to participate in All you need is an open space and a will be led by a certified music therapist this program. *No program on 11/28 positive mindset! from Dynamic Lynks. *N0 program 11/26 Day: Saturdays Day: Mondays Day: Thursday Time: 10:30-11:15am Time: 7:15-7:45pm Time: 5:30-6:15pm Dates: 10/31-12/12 Dates: 10/26-12/7 Dates: 10/29-12/10 Yoga - Virtual Join us for a fun-filled and relaxing Afterschool Adventures - Virtual This program is designed for students to learn and experience new leisure activities virtually! yoga class. Each week we will have new We will participate in fun socialization games, virtual field trips, healthy living and more. themes such as animal, superhero, and Day: Thursdays more! Participants will not only practice Time: 4:30 – 5:30pm yoga, they will learn mindfulness and practice guided meditations. We will get in the Halloween spirit by playing an escape 10/29 Spooky! Day: Tuesdays room and fun group games. Time: 4:30- 5:00pm Join us for a virtual field trip to the National Aquarium. Let's Dive into the Dates: 10/27-12/8 11/5 We will also explore live exhibits through web cams of Aquarium! jellyfish, gators, otters, and more. ARTastic! - Virtual Lace up your gym shoes because today we will learn a Bring your imagination to life through 11/12 Power to you! fun way to stay active as group. We will participate in a beginner circuit training and focus on healthy living. art! We will be creating a cool new art project each week. Supply kits are Today we will practice gratitude by creating cards for the included, information regarding supply 11/19 Friends-giving! people we love most. We will also discuss what we are thankful for through FUN Thanksgiving games! kits will be sent upon registration. Participants must register a minimum No Program 11/26/2020 of 3 days in advance. Join us in a beginner level yoga class. We will practice 12/3 Peace! Day: Tuesday fun poses as a group and learn mindfulness. Time: 6:00-6:30pm We are going to take a virtual field trip to Antarctica. We 12/10 Antarctica Adventure! Dates: 10/27-12/8 will explore glaciers, polar bears, penguins, and more!

19 Virtual Programs: Teen & Adults Mindful Mornings - Virtual Ease into your morning by joining us as we learn and practice Food Critics - Virtual yoga and mindfulness techniques that will help us stay in tune What’s on your plate? In this virtual version of Food Critics, we throughout our day. will share what we’re having for dinner and socialize with our Day: Mondays peers. *No program 11/27 Time: 10:30-11:00am Day: Fridays Dates: 10/26-12/7 Time: 6:00 – 6:30pm Dates: 11/6, 11/13, 11/20, 12/11 Morning Mixer - Virtual Grab your favorite morning drink and join friends to chat and Showtime - Virtual play games chosen by the group. Bring your own popcorn as we watch short films followed by a Day: Tuesdays group discussion on what everyone thought of them. Time: 10:30-11:00am Day: Fridays Dates: 10/27-12/8 Time: 6:00 – 6:30pm Dates: 10/30, 12/4 Bingo - Virtual Join your WSSRA friends as you try your luck at Bingo. Social Club - Virtual Program is offered both in-person and virtually allowing Join a club for some Saturday evening fun! We’ll have weekly for many to interact and play Bingo together. virtual activities with friends while focusing on enhancement Day: Wednesdays of social skills. Time: 10:00-11:00am Day: Saturdays Dates: 10/28-12/9 Time: 7:00 – 8:00pm

Virtual Theatre Halloween Dance Party! Calling all actors! Join us as we work together to put on a Celebrate Halloween with WSSRA! DJ Mark virtual production of Alice in Wonderland! We will pick rolls 10/31 Poise will be joining us and playing all our favorite Halloween dance songs! and work together on adapting the play to fit a virtual Come dressed in costume. platform, remembering lines and putting together costumes Just Dance with things around the house! *No program 11/26 11/7 Learn some new dance moves to some of our Day: Thursdays favorite songs! Time: 6:30 -7:30pm Dates: 10/29-12/10 Total Request Live! 11/14 Request music videos to be played live! Thanksgiving Bingo Healthy Start - Virtual 11/21 Thanksgiving themed bingo cards will be mailed Grab your water bottle and join us for a fun workout including to participants. cardio, strength and flexibility! Exercises can be done from a chair or standing. *No program 11/26 *No program 11/28 Day: Thursdays Pet Show! Time: 10:30-11:00am 12/5 Bring your pet to program! If you don’t have a Dates: 10/29-12/10 pet, join us to socialize about pets. Holiday Karaoke 12/12 Karaoke with a festive twist! Sing all your favorite Holiday tunes! CLICK HERE TO REGISTER

20 Virtual Programs Virtual Chat with a WSSRA Staff Member WSSRA staff want to know what you are up to!

Register for a 20-minute Zoom hangout session with a with WSSRA staff member. ENJOY • Games CLICK HERE • Great conversation TO SCHEDULE • And more! YOUR SESSION 21 Virtual Special Events

Virtual Halloween Cartoon Me! Dance Party Age: All Ages Date: Friday, November 20 Age: All Ages Time: Session 1 - 6:30pm–7:30pm, Day: Saturday, October 31 Session 2 – 7:30pm-8:30pm Time: 7:00 – 8:00pm A professional Caricature artist will be joining us this evening to draw participants Celebrate Halloween with WSSRA! as cartoon characters! Participants will receive DJ Mark Poise will be joining us their pictures after the event via email. and playing all our favorite Registration is limited and will be and will Halloween dance songs! be taken on a first come, first served basis. Come dressed in costume.

CLICK HERE CLICK HERE TO REGISTER TO REGISTER

22 Virtual Winter Break Camp Age: All Ages

Join WSSRA for a winter wonderland of fun! Each day participants will journey virtually into their own winter wonderland filled with arts & crafts, music, dance, games, and much more!

Registration includes a Winter Wonder Bag which includes all materials needed to participate in virtual activities. Dates: 12/21, 12/22, 12/23 12/28, 12/29, 12/20 Directions for all activities will be included in the bag. Therefore, Three activities will be offered on camp days. Campers can drop in to 1, 2, or participants can choose to join all 3 activities each day! WSSRA staff to complete activities virtually on Zoom or do the activities 10:00 - 10:30am - Opening Circle on their own time. We will be starting off the day with songs, music, yoga and “get to know you” activities.

Fee: $15 10:45 -11:15am - Sensory and Arts Fee includes delivery. WSSRA staff will schedule Join us for creative crafts and exciting experiments. a delivery date upon registration. 11:30am-12:00pm - Let’s get moving! CLICK HERE We will be doing active games, dancing and more. TO REGISTER 23 CLICK HERE Virtual Special Events TO REGISTER Virtual POLAR EXPRESS Storytime

Friday, December 18 7:00-7:30pm Hop into something comfy and join us for a bedtime reading of the classic story “Polar Express” by Chris Van Allsburg by one of Santa’s Elves themselves! Registration will include a holiday kit with make your own hot cocoa supplies.

24 west suburban special recreation association FALL 2020 REGISTRATION FORM mail to: wssra, 2915 maple street, franklin park, il 60131 ··· fax to: 847.455.2157 ··· signed registration must be received by October 21, 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 *no 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:______

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

total due: $ amount paid: $ remaining balance: $

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: $______to credit card V code:______(located on back - 3 digits) 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. HOLD HARMLESS RELEASE ON REVERSE SIDE parent/participant/guardian signature date West Suburban Special Recreation Association WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT Please read this form carefully and be aware that in signing up and claims resulting from injuries, damages and losses sustained by anyone, and participating in West Suburban Special Recreation Association programs, arising out of, connected with, or in any way associated with my conduct and you will be waiving and releasing all claims for injuries arising out of these the activities of these programs. 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 I further understand and agree that the terms such as “participation”, and programs. In registering for these programs, you are agreeing as follows: “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and As a participant in these programs, I recognize and acknowledge that there are further include the provision, of or failure to provide proper instructions or certain risks of physical injury, and I agree to assume the full risk of any injuries, supervision, the use and adjustment of any and all machinery, equipment, damages or loss which I may sustain as a result of participating in any manner, and apparatus, and anything related to my use of the services, facilities, or in any and all activities connected with or associated with such activities and premises, involved in these programs, and transportation to and from events. involve substantial risks of injury. I understand the nature of these programs for which I am registering, and have I agree to waive and relinquish any and all claims I may have as a result of read and fully understand this Waiver, Release and Hold Harmless Agreement. participating in these programs against the West Suburban Special Recreation I further understand that any advisement or warnings of the particular risks of Association, any and all participating governmental units, any and all these programs that I subsequently receive will be incorporated by reference independent contractors, officers, agents, servants and employees of the into and become a part of this Agreement. governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable In case of emergency, I give my permission for the participant to receive any for any injuries, that I might sustain while participating in these programs. first aid, transportation or medical attention that may be required.

you can also email us your input at [email protected] | follow us on /wssra @wssra @w.s.s.r.a west suburban special recreation association OTOÑO 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 21 de Octubre 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:______

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

total debido: $ cantidad pagada: $ nuevo balance: $

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 cantidad a cargar a la tarjeta de credito: 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.

ACUERDO ______INOCUO AL Padre/Participante/Tutor Firma Fecha LADO REVERSO 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 Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West el programa de la Asociación West Suburban de Recreación Especial, usted estará Suburban de Recreación Especial y cualquier y todos los otros partidos de liberando y renunciando de todo reclamo de por heridas que surgieran de estos cualquier y todo reclamo que resulte en heridas, daños y pérdidas sostenidas por programas que usted o el participante denominado quizás sostenga. Los términos cualquiera, y surgiendo fuera de, conectado con, o en cualquier manera asociada “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en con mi conducto y las actividades de estos programas. los programas. Al registrar para estos programas, usted concuerda de la siguiente manera: Comprendo aún más y concuerdo que los términos como “participación”, y las “actividades”, se refirieron a en este Acuerdo, incluye todos ejercicios y los Como participante en estos programas, yo reconozco que hay ciertos riesgos movimientos físicos de cualquier naturaleza mientras tomo parte en estos de heridas físicas, y yo concuerdo en asumir el riesgo total de cualquier herida, programas e incluye aún más la provisión, de o fracaso para proporcionar las daños o pérdida que pueda sostener a consecuencia de tomar parte de cualquier instrucciones o la supervisión apropiadas, el uso y el ajuste de cualquier y toda manera, en cualquier y todas las actividades conectadas con o asociado de tales maquinaria, actividades que implique riesgos substanciales de alguna herida. 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. Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener a consecuencia de tomar parte en estos programas contra la Asociación Comprendo la naturaleza de estos programas para el cual me inscrito, y he leído West Suburban de Recreación Especial, cualquier y toda unidad gubernamental y comprendo completamente esta Renuncia, Liberación y Acuerdo Inocuo. participante, cualquier y todos los contratistas independientes, oficiales, Comprendo aún más que cualquier deliberación o advertencias de los riesgos agentes, sirvientes, empleados de los cuerpos gubernamentales y contratistas particulares de estos programas que recibo subsiguientemente serán integradas independientes, y cualquier y todas las otras personas y entidades de cualquier por la referencia en y llegan a ser una parte de este Acuerdo. naturaleza que quizás sea directamente o indirectamente responsable de cualquier herida que yo quizás sostenga al tomar parte en estos programas. En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueda ser requerida. 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. 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: ______you can also email us your input at [email protected] | follow us on /wssra @wssra @w.s.s.r.a West Suburban Special Recreation Association SEIZURE INFORMATION date:______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:

Medication Name Dosage Time of Intake

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) _: ______

______

______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?______

______

______WSSRA Registration & Policies

REGISTRATION OPTIONS 2.. Program credits will not be issued for sports tournament cancellations. Registration for in-person programs will be completed through MaxGalaxy. In order to participate in Fall programs, your completed 3. .If WSSRA is notified 5 business days prior to the start of a program AND signed registration form must be received in the WSSRA office by season, the participant will be credited the cost of each program October 21WSSRA registration is taken on a first-come, cancelled less a $5.00 processing fee. first-served basis. 4.. A full, prorated program credit will be issued for extended medical MAIL TO WSSRA: reasons and/or hospitalization with written verification from a physician. 2915 Maple St. 5. .A prorated program credit will be issued for programs that may have a Franklin Park, IL 60131 postponed start due to low enrollment. If the program is subsequently SCAN & EMAIL TO: [email protected] cancelled, a full program credit will be issued. ONLINE: wssra.net 6.. A full program credit is issued if a program or special event is cancelled FAX TO: 847.455.2157 by WSSRA due to low enrollment.

PHONE TO: 847.455.2100 7.. If a participant chooses to cancel a program after the season has begun, a prorated program credit will be issued for each program REGISTRATION 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- A completed AND signed registration form is required in order to start refundable supplies. participation. If your signed form is not received byOctober 21 you will lose your spot in any of your selected programs and be put on a 8. Program credits will not be issued retroactively. Prior notification of waitlist. program cancellation to WSSRA office is necessary in order to be eligible for a program credit. CLOSED PROGRAMS/WAIT LISTS 9. All credit requests will be reviewed on a monthly basis If 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. SCHOLARSHIP REQUEST Wait lists are reviewed on a weekly basis. Once the program season begins, WSSRA is in a position to offer scholarships to WSSRA residents for a you will be notified if additional space in the program becomes available. percentage of fees for two programs each season. Persons requesting Please call 1-week prior to program begining, to see if you have been a scholarship must complete a scholarship application, which will be removed from the wait list. 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 NEW PARTICIPANTS the registration form: Request Scholarship. All scholarship applications If you are new to WSSRA, proof of residency is required at the time of must be completed and submitted to the WSSRA office. Proof of income enrollment. WSSRA will accept a current utility bill, mortgage or lease in is required. your name. PARENT DROP-OFF & PICK-UP PAYMENT WSSRA programs are staffed according to the needs of the participants Payment for program fees is due upon registration. If you are unable to who are registered. If your participant does not show up to program, pay your full balance, a deposit of 50% of your balance is due. Billing we will send staff home for the day. Please help WSSRA keep programs statements are mailed out once a month. Call to arrange for a payment running safely with the necessary number of staff by making sure that plan. A participant may not register for the next season until the balance your participant arrives for program at the start time of program. Please from the previous season is paid in full. WSSRA Program Supervisors MAY do not drop your participant off prior to the stated program start time. NOT accept payment or registration forms at program. For the safety of your participant, at drop off & pick up, be sure to make contact with a WSSRA staff person. RETURNED CHECKS When a program is scheduled to travel (i.e. Saturday nights social clubs, A $20.00 fee will be charged for any checks returned to WSSRA. The Outdoor Adventures, etc.), The WSSRA vehicles will leave the meeting $20.00, as well as the balance, will need to be paid before registering for location promptly at 5 minutes past the program’s listed start time. future programs. LATE PICK-UP/DROP-OFF PROGRAM CREDITS AND CANCELLED PROGRAMS 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 1.. Program credits will not be issued for weather related cancellations. will be sent to you indicating the fee being charged to your account. WSSRA will attempt to make up programs due to weather cancellations. 31 WSSRA Registration & Policies

SEIZURES PARTICIPANT ILLNESS Participants who have had a seizure must complete a seizure information For the protection of all of the participants in program, your participant form prior to beginning programs. Forms can be found on the WSSRA must be kept at home or will be sent home if he/she shows any of the website, scanned & emailed, or mailed to you. Forms need to be updated as following symptoms: changes with the seizures or medication occurs. · A temperature over 100.4 or higher. · Stomach ache accompanied by diarrhea or vomiting. · Any undiagnosed rash. INSURANCE · Sore or discharging eyes or ears. The association takes every reasonable precaution to prevent injuries and · Profuse nasal discharge (green or yellow). Please keep children accidents from occurring. However, if an accident does occur or if you or your with active colds at home. participant is injured, you are solely responsible for any costs incurred or · Have a highly contagious condition such as chicken pox, caused by an injury that happens in an association program. measles, lice, etc. WAIVER OF LIABILITY PARTICIPANT ABSENCE WSSRA is insured through a self-insurance pool with other special recreation If your participant is not going to attend a program for which you are associations and park districts. Our pool is known as the park district risk registered, please notify the WSSRA office as soon as possible. Make sure management agency (PDRMA). As a loss prevention measure, PDRMA is you leave a voice mail if you call after our office has closed for the day. requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the WSSRA waiver release SAFETY PRECAUTIONS form. This must be signed and returned to the WSSRA office before a participant can be in programs each season. Some participants in WSSRA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service Since we do not carry medical or accident insurance for program participants, training concerning proper hygienic procedures. WSSRA seeks to provide the release of liability is necessary. The cost of such coverage would make our a safe environment for all of our participants, staff, volunteers, and the program fees to high for most to afford. Please review your personal health public. If you have specific questions, please call the WSSRA Executive plan to be certain that you and your family have coverage in instances like Director or Superintendent of Safety & Operations. these.

WSSRA TRANSPORTATION Our objective is to offer a high-quality program at a reasonable cost. The use Transportation by WSSRA is available for some programs and with an additional of a release of liability, when appropriate, is but one way we are trying to meet fee. When offered, transportation information and fees are noted in a that objective. If you have questions, call the WSSRA Executive Director. We program’s registration information in this program guide. All riders must abide appreciate your continued involvement and support. by the following WSSRA guidelines. Failure to do so will result in suspension from transportation. Repeat offenders will not be transported by WSSRA. NON-RESIDENT POLICY .· Riders must be able to get on and off the bus independently. WSSRA programs are limited to people who live in the WSSRA partner .· Riders must stay in their seat with a seatbelt on at all times. districts and villages. If you live outside of the WSSRA communities and are · Riders must not deface the vehicle. interested in participating in a special recreation program, call your park · Riders must keep their hands and feet to themselves. district or village recreation department. Call the WSSRA Executive Director · Eating is not permitted on WSSRA vehicles. for more information. · 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. SAY CHEESE Photos & videos are periodically taken of people CAR SEATS participating in WSSRA & Inclusive Partner District programs & activities. All persons Due to state legislation, car seats or boosters must be provided for registering for WSSRA and Partner Inclusion all children ages seven and under. For more information contact the programs/activities thereby agrees that any Superintendent of Safety & Operations. photograph or videotape taken by WSSRA may be used for promotional purposes including its electronic media, videotapes, MEDICATION brochures, flyers and other publications without additional, prior notice or It is the parent/guardian and participant’s responsibility to inform WSSRA permission and without compensation to the participant, rights to royalties of any medication a participant is taking. This information is important in or any other consideration now and in the future. 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. 32 West Suburban Special Recreation Foundation The 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!

WSSRF Board Of Trustees Rocio Perez, Board Chair Kristi Braun Karen Mullarkey-Kerrins Christine Nakatsuka,Treasurer Dora Calkins Carol Milburn Beth Kaplan, Secretary Kevin Calkins John Mullins Margaret O’Rourke, AnneMarie Casas Madeline O’Rourke Former Board Chair Michaelina Considine Kim Perry Lisa Shanahan, Former Treasurer James Dunlop Veronica Ramirez Julia Arnett Lynn Galuska-Elsen Leonor Vanik de Vazquez

New Members The 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.