c-u special recreation winter/spring 2013

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CUSRGeneral InformationHays Recreation Center1311 W. Church St.Champaign, IL 61821Phone: 217-239-1152

Fax: 217-373-7951711 RelayE-Mail: [email protected]: www.cuspecialrecreation.comOfce Hours: Mon-Fri, 8am-5pmOfce Closed: January 1, January 21, and May 27

Inclusive Programs

Through CUSRCUSR and its member park districts believe thatall individuals should be provided with leisureopportunities that allow for performance at theirhighest level of ability. We understand that notevery person who has a special need desiresCUSR programming. In cooperation with theChampaign Park District and the Urbana ParkDistrict, CUSR staff will be happy to assistand advise any resident who is interested inparticipating in local park district programs. CUSRwill provide the type of support deemed necessarfor successful participation. Support may includetraining with the park district staff members,consultation with the individual and the individualfamily members, and the assistance of a supportstaff member. CUSR provides all inclusion service

at no cost to the individual. For more information,please contact CUSR.

Our MissionOur ve year mission is to advocate for andprovide access to a full range of recreationalopportunities for people with disabilities to

focus on, further dene and provide our coreprograms to create partnerships that will increaseparticipation and programs, ensure nancialviability for growth and position CUSR to expandits number of member agencies.

Our VisionCUSR exists to ensure that people with disabilities,within our member agencies, have access to a fullrange of recreational services.

We create equal access to recreation, which isintegral to a higher quality of life. We create aware-ness and advocate acceptance of people withdisabilities in their communities so they more fullyparticipate in recreation and all aspects of society.

Invite Us To SpeakCUSR staff members are knowledgable in manydisability-related issues and topics. Let us talk toyour group about the Americans with Disabilities

Act, integration, and the future of specialrecreation. An overview of CUSRs mission,trends in recreation and many other topics areavailable to you with a simple phone call. Call theCUSR ofce at 217-239-1152 to set up a meeting.

Program HistoryCUSR is an intergovernmental cooperative madeup of the Champaign and Urbana Park Districts,that was founded in 1985. CUSR provides yearround leisure and recreation opportunities forchildren and adults with disabilities. Our missionis to enhance participants abilities in enjoyablerecreational, leisure, and social settings. CUSR

participants explore new areas of interest, makenew acquaintances, and learn lifetime leisure skilOur services include inclusive and cooperativeprograms, special events, after school programs,overnights, trips, Special Olympics, summer daycamps and much more.

Americans with DisabilitiesAct (ADA)CUSR complies with the Americans with Disabiliti

Act (ADA) which prohibits discrimination on thebasis of a disability. CUSR will make reasonableaccommodations in recreation programs to enableparticipation by an individual with a disabilitywho meets essential eligibility requirements. Therecreation programs offered by CUSR will beavailable in the most integrated setting appropriatfor each individual. If you have any questionsregarding the ADA, or believe you have beenunfairly discriminated against by CUSR, pleasecontact the CUSR Director at 217-239-1152.


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Whats Inside...Early Childhood ...........................3Youth & Teen ...............................3

Adult ............................................6Adult Day Programs ..................10Special Events ........................... 11Trips ...........................................13

Special Olympics .......................14Athletics .....................................16Registration Form ......................19Waiver and Release ..................20Special Olympic Application ......21CUSR Information .....................23

For a large-print version of this brochure, contact the CUSR ofce at 239-1152.

CUSR Staff

Dawn Schaefer, MS, CTRS - DirectorHannah Sheets, MA, CTRS - Athletics CoordinatorJessica Brutti, CTRS - Adult CoordinatorLisa Morand, CTRS - Youth & Teen CoordinatorCindy McGrath - Receptionist

Program Locations

Champaign

CUSR OfceHays Recreation Center / Eisner Park1311 W. Church St. 217-239-1152

Evolve Fitness Studio508 N. Neil St. 217-378-8714

Ice Arena406 East Armory Ave. 217-333-2212

Jupiters at the Crossing2511 Village Green Pl. 217-366-8300

Leaders for Life Martial Arts2413 Village Green Place

Spalding Recreation Center910 N. Harris 217-398-2577

Stephens Family YMCA2501 Fields South Dr. 217-359-9622

Western Bowl917 Francis Dr. 217-359-1678

SavoySavoy Recreation Center

402 W. Graham Dr. 217-359-3550

Urbana

Brookens Gymnasium1776 E. Washington 217-344-9583

Anita Purves Nature Center1505 N. Broadway 217-384-4062

Phillips Recreation Center505 W. Stoughton 217-367-1544

Urbana Indoor Aquatic Center102 E. Michigan 217-384-7665

Find us on Facebook and stay connectedChampaign-Urbana Special Recreation

CUSR staff, from left to right: Lisa Morand, Cindy McGrath,Jessica Brutti, Dawn Schaefer, and Hannah Sheets


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All residents of Champaign-Urbana are important to us! If you are new to the area, ChampaignUrbana Special Recreation invites you to come in and nd out what we have going on foryou and your family. Throughout the year, we provide a large variety of educational, social,

recreational and sports activities for all ages and abilities. To learn more about what we haveto offer, give us a call at 217-239-1152 and we will be happy to explain any program or service.As a potential program participant, we would like to meet with you and your family!

Welcome

RegistrationA CUSR registration form must be used. Youmay register for CUSR programs at these locations:

Hays Recreation Center1311 West Church Street, Champaign

Bresnan Meeting Center706 Kenwood Road, Champaign

Douglass Community Center512 E. Grove Street, Champaign

Leonhard Recreation Center2212 W. Sangamon Drive, Champaign

Springer Cultural Center301 N. Randolph Street, Champaign

Or register online at www.cuspecialrecreation.com*Please note: Online registration is not live, so

does not guarantee entry into program.Full payment must be received upon registrationunless specic arrangements have been madewith the CUSR ofce. Registrations will notbe processed if a fee balance remains from aprevious season. Registrations are accepted inperson at the locations listed above, through mail,and by fax (217-373-7951). When faxing, pleaseinclude credit card information so we may processthe registration. Coordinators and programleaders MAY NOT receive payment or registrationforms at programs. CUSR does not prorate forlate registration. Exceptions may be made forpeople who are new to the community.

Non-Resident Program FeesParticipants who do not pay property taxes inChampaign or Urbana will be required to pay 50%more than residents for programs. The NR listednext to the program fee is the Non-Resident fee.

MedicationAt times participants may require assistance takingmedication during programs. If the participant is unato self-medicate or take the medication prior to or aftthe program, CUSR requires additional paperwork,and pre-packaged medication must be delivered to oofce prior to the program.

Certied Therapeutic

Recreation Specialist (CTRS)The CUSR full-time program staff are all CertiedTherapeutic Recreation Specialists. This certicationdemonstrates that each of these individuals,through education, experience, and passing aknowledge-based examination, has met the minimumrequirements for practice in therapeutic recreation. Tnational exam for Therapeutic Recreation Specialistsis based on knowledge from the National Job Analys

Study for Therapeutic Recreation which denes theimportant skills and knowledge necessary for minimucompetency in the therapeutic recreation practice.

CUSR employs experienced professionals whounderstand the level of skill, both physical and mentaneeded to participate fully and safely in the programsthey plan. Therefore, CUSR reserves the right todetermine if a program is suitable for an individual.Staff may serve as a resource to suggest alternateprogramming.

CUSR Transportation PolicyOur doortodoor routes need to have aminimum of 2 registrants to run. If a route iscancelled, a phone call will be made to theparticipant and their caregiver, and a full refundwill be issued to the participants account.


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www.cuspecialrecreation.com 3

Early Childhood

After School ProgramAges 5-High School Graduate

Come join your friends for an afternoon lledwith games, sports, arts and crafts, cooking,and eld trips. We offer an amazing, as well as

safe, atmosphere to laugh, play, grow and learnnew skills.

GOALS: To improve verbal and social skills,build new friendships and gain self-condenceand independence. To expand knowledge ofleisure activities.

Date Time Program IDJan. 8, 2012- 2:30-5:30pm 232104-A1May 24, 2013

Day: Monday-FridayLocation: Spalding Recreation Center

Fee (R/NR): $192/$288Min/Max: 6/15Deadline: One week prior to month starting*No Program:January 7, January 21February 18March 15, March 18-22, March 29

April 26NOTE: This program runs following theChampaign Unit 4 schedule.

Developmental

Play GroupAges 2-6 with parent/guardian

Play is a great way to address many therapeutic goalsall while smiling and laughing. These small groupsexplore the many aspects of play that will allow yourchild to laugh, learn and grow. The classes will beheld at the Stephens Family YMCA in the Family

Adventure Center and Sensory Rooms. Parents willbe actively involved for half of the class and will beallowed to have some time in the Resource Library tonetwork with the other families involved. Classes willbe led by a Recreation Therapist.

Registration taken at the Stephens Family YMCA.

Youth and Teen

Youth and Teen

COMING SUMMER 2013!

Therapeutic Horseback Riding

Have you ever dreamed of or been interestedin riding horses past a mere pony ride? If youanswered yes, then this is the program for you!

At Healing Horses Therapeutic Riding you willlearn riding skills through various fun activities,and you will also learn how to groom and saddlea horse. Therapeutic riding has been shown toimprove many aspects of life including: physical,psychological, cognitive, social, and educational.

Music TherapyAges 5-16 with parent/guardian

The goal of music therapy is to use specicallydesigned music and music activities to accomplishnon-musical goals. Learning through music therapy isa great way to have fun, interact socially, encourage

communication through singing, movement,expressiveness and to learn new skills. Class is leadby a Board Certied Music Therapist. Come ready tosing, move and try out some instruments.

Registration taken at the Stephens Family YMCA.


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Youth & Teen

Spring Break CampAges 7-High School Graduate

Searching for something fun to do over your springbreak? Join us for days lled with activities, games,arts, crafts, cooking and a fabulous eld trip. Pleasebring a lunch everyday.

GOALS: To explore leisure-based activities, improvecreativity through projects, improve social interactionwith peers and promote independence.

Date Time Program IDMarch 18-22 9am-3pm 422403-A1Day: Monday-FridayLocation: Spalding Recreation CenterFee (R/NR): $126/$189Min/Max: 6/12Deadline: March 13

Martial Arts(formerly Taekwondo)Ages 16-35

Experience the art ofTaekwondo and gain overallexposure to the martial arts.CUSR has partnered withTina and Jeff Newberry of Leaders for Life/Newberrys Martial Arts in order to providea comprehensive curriculum. This class willbe taught by instructors who have years ofexperience teaching martial arts to individualswith and without disabilities. This program willoffer a balanced physical and mental workout.NOTE: A uniform is required to participate,

which the fee does not include. The cost fora uniform is $45 payable to Leaders for LifeMartial Arts. Uniform sizes will be determined atthe rst class, and you will receive your uniformat the second class. Promotion tests (at anadditional cost) are optional, but recommended.

I am passionate about providing an atmospherewhere children and adults will never be madefun of or criticized ... a place where everyonewill be made to feel like champions.

Master Tina Newberry

GOALS: To learn self-defense, increaseconcentration and balance, and improvecoordination, gross motor skills, endurance,exibility, and balance. It will also focus onbuilding self-condence.

Date Time Program IDJanuary 9- April 24 5:45-6:30pm 432805-A1

Day: WednesdayLocation: Leaders for Life Martial Arts,2413 Village Green Place, Champaign (Villageat the Crossings on the north side next to theSmoke restaurant. Look for an illuminatedMartial Arts sign and their logo on top of thebuilding.)Fee (R/NR): $161/$241.50Min/Max: 4/20Deadline: January 2

Scholarships & PaymentPlans Available

Teen PinsAges 13-21

Bring your friends to the bowling alley for some fun!Learn how to bowl while socializing with your friendsand meeting new ones. Participants will be assignedto lanes and can bowl up to two games. Note:Participants arriving late will bowl 2 games or as longas time allows.

GOALS: To improve ability to interact with others,improve bowling skills, and increase gross motorcoordination.

Date Day Program IDJanuary 21-April 15 Mon. 432610-A1January 23-April 17 Wed. 432610-A2

Time: 4-5pmLocation: Western BowlFee (R/NR): $76/$114Min/Max: 3/20Deadline: January 30

Home-Only Transportation Fee: $65Transportation ID: 432610-T1; T2


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Youth & TeenSpecial Events

Pottery Place

Ages 7-18If you like painting pottery then Pottery Place is theplace for you. Enjoy the relaxing and inspiring spacewith your friends where you can create your ownpiece of pottery and use your creativity. Studio time isincluded in the fee as well as $12 for a piece to pickout. If you wish to spend more than $12 please bringyour own money.

GOALS: To increase independence, enhancecreativity, and improve ne motor skills.

Date Time Program ID

January 19 10:30-11:30am 432401-A1

Day: SaturdayLocation: Pottery PlaceFee (R/NR): $16/$24Min/Max: 4/12Deadline: January 14Transportation: Meet at Pottery Place at 10:15amand pick up at 11:30am

Ice SkatingAges 7-18

Glide away the afternoon with friends at theCampus Recreation Ice Arena. Please wearproper attire (pants, jacket, hat, gloves etc). Feeincludes cost of admission and skate rental.

GOALS: To increase socialization and to improvecoordination and balance.

Date Time Program IDFebruary 16 1:30-2:30pm 432403-A1

Day: Saturday

Location: Ice Arena- 406 East Armory Ave,ChampaignFee (R/NR): $19/$28.50Min/Max: 4/12Deadline: February 8Transportation: Meet at the Ice Arena at 1:15pmand pick-up at Ice Arena at 2:30pm

Fox Ridge State ParkAges 16-35Join your friends as we hike our way throughthe 2,064 acre park located in Charleston,Illinois. Turkey, deer, raccoons, a large varietyof birds, and the lush foliage are some of thethings well see. We will picnic in the park, soplease pack a sack lunch! Bring a camera tosnap some beautiful scenic pictures in the park!

**Must be able to walk long distances. Trailsare not accessible.

GOALS:To increase socialization, whileexploring the earths natural resources andenvironment, and to improve gross motormovement and endurance.

Date Program ID Transportation IDMarch 23 432404-A1 432404-T1

Day: SaturdayTime: 9:30am-3pmLocation: Fox Ridge State Park, Charleston, ILFee (R/NR): $19/$28.50

Min/Max: 6/12Deadline: Friday, March 15Transportation: Meet at Hays at 9:15am andpick-up at 3pmDoor-to-Door Transportation Fee: $10

Please share your email with us.Find the line on the registration form.


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Adults ~ Monday

Computers 101Ages 16+

Microsoft Word, Access, Excel, emaildoes thisall sound confusing to you? Would you like to learnmore? Then come on over and learn how its done.Please register for one session per date. Newlearners take priority in registration.

GOALS: To enhance ne motor skills and increasecomputer knowledge.

Date Program ID Sess 1 Sess 2 SessJanuary 14 432607 A1 A2 A3February 11 432607 A4 A5 A6March 11 432607 A7 A8 A9

April 8 432607 B1 B2 B3

Day: MondayTime: Session 1: 4-4:30pm

Session 2: 4:30-5pmSession 3: 5-5:30pm

Location: Hays Recreation CenterFee (R/NR): $6/$9Min/Max: 1/3Deadline: 1 week prior to program

CUSR Transportation PolicyOur Door-to-Door routes need to have a minimumof 2 registrants to run. If a route is cancelled, aphone call will be made to the participant and theircaregiver and a full refund will be issued.

Cookin CrewsAges 18+

Measure, chop, stir and cook! Join us as weprepare recipes from across the world. We willhave themed dinners to learn about differentcultures, and how they prepare their meals.Themes include Italian, Mexican, and Chinese.

You will receive a recipe book of the meals weprepare to try at home.

GOALS: To enhance cultural awareness,develop appropriate dining etiquette, andimprove cooking skills.

Date Program ID Transportation ID

January 7 442535-A1 442535-T1February 4 442535-A2 442535-T2March 4 442535-A3 442535-T3

April 1 442535-A4 442535-T4

Day: MondayTime: 5:30-8:30pmLocation: Hays Recreation CenterFee (R/NR): $22/$33Min/Max: 4/10Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

COMING SUMMER 2013!

Therapeutic Horseback Riding

Have you ever dreamed of or been interestedin riding horses past a mere pony ride? If youanswered yes, then this is the program for you!

At Healing Horses Therapeutic Riding you willlearn riding skills through various fun activitiesand you will also learn how to groom and saddlea horse. Therapeutic riding has been shown toimprove many aspects of life including; physical,psychological, cognitive, social, and educational.


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Adults ~ WednesdayJumpin at JupitersAges 18+

Have you and your friends been looking for a nightwhere you can play some pool, enjoy arcade games,and win some prizes? If you have, meet us atJupiters at the Crossing for a night of that and much

more. CUSR will pay for one game of pool. Pleasebring money for food and arcade games.

GOALS: To increase money management skills,and enhance social skills with peers and communitymembers.

Date Program ID Transportation IDJanuary 14 442507-A1 442507-T1February 11 442507-A2 442507-T2March 11 442507-A3 442507-T3

April 8 442507-A4 442507-T4

Day: MondayTime: 7-9pmLocation: Meet at Jupiters at the CrossingFee (R/NR): $17/$25.50Min/Max: 4/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Dancing in DecaturAges 21+CUSR will venture out and enjoy an evening ofdancing and snacks at the Knights of ColumbusHall in Decatur, Illinois. Join us as we dance thenight away, and of course, meet new friends.

Admission is included; you just need to bringyour dancing shoes!

GOALS: To enhance socialization with peersand meet new people.


February 6 443002-A1 443002-T1March 6 443002-A2 443002-T2April 3 443002-A3 443002-T3

Day: WednesdayTime: 5:15-9:15pmLocation: Meet at Hays Recreation CenterFee (R/NR): $13/$19.50Min/Max: 6/24Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Wacky Science

with Pi Kappa PhiAges 16+

Experience the beautiful world of science! At eachsession we will conduct three small science experi-ments and learn what happens during each of thoseexperiments. If you are ready to learn, and of coursehave some fun with the Pi Kapps, then come on out!

GOALS: To enhance socialization, explore scienceactivities, and try a new leisure activity.


January 28 443501-A1 443501-T1February 25 443501-A2 443501-T2

March 25 443501-A3 443501-T3April 22 443501-A4 443501-T4

Day: MondayTime: 6-7pmLocation: Hays Recreation CenterFee (R/NR): $12/$18Min/Max: 4/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Learn to Play Chess/

Checkers with Pi Kappa PhiAges 18+

Chess and Checkers? Where do I even begin tolearn how to play these games? Enjoy a night atthe Hays Center with Pi Kappa Phi as they teachyou the skills it takes to successfully masterthese games.

GOALS: To enhance socialization with peers,increase listening and comprehension skills.


January 30 443502-A1 443502-T1February 27 443502-A2 443502-T2March 27 443502-A3 443502-T3

April 24 443502-A4 443502-T4

Day: WednesdayTime: 6-7pmLocation: Hays Recreation CenterFee (R/NR): $11/$16.50Min/Max: 4/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

New!

New!


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Adults ~ Wednesday

Diners ClubAges 18+

Expand your palate as we go out to different

restaurants around town for dinner. Fee includesdinner. At Diners Club you will be able to socializewith your friends and enjoy a GREAT dinner.

GOALS: To enhance socialization with peers,increase money management skills, and diningetiquette.

Date Restaurant Program IDJanuary 3 El Toro (Springeld) 442503-A1February 7 OCharleys 442503-A2March 7 Old Chicago 442503-A3

April 4 Rainbow Garden (Urbana) 442503-A4

Day: ThursdayTime: 6-7:30pmLocation: Meet at restaurantFee (R/NR): $100/$150 for all four venues$41/$61.50 for each individual venueMin/Max: 4/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10 each;$40 all fourTransportation ID: 442503-T1; T2; T3; T4

Adults ~ Thursday


Experience the art ofTaekwondo and gain overallexposure to the martial arts.CUSR has partnered withTina and Jeff Newberry of Leaders for Life/Newberrys Martial Arts in order to providea comprehensive curriculum. This class willbe taught by instructors who have years ofexperience teaching martial arts to individualswith and without disabilities. This program willoffer a balanced physical and mental workout.NOTE: A uniform is required to participate,which the fee does not include. The cost fora uniform is $45 payable to Leaders for LifeMartial Arts. Uniform sizes will be determined atthe rst class, and you will receive your uniformat the second class. Promotion tests (at anadditional cost) are optional, but recommended.





Day: WednesdayLocation: Leaders for Life Martial Arts,2413 Village Green Place, Champaign (Village

at the Crossings on the north side next to theSmoke restaurant. Look for an illuminatedMartial Arts sign and their logo on top of thebuilding.)Fee (R/NR): $161/$241.50Min/Max: 4/20Deadline: January 2


Hays HangoutAges 18+

Fill the evening with a night of cards, Wii, boardgames and more. At Hays Hangout you will socializewith all of your friends from CUSR. Snacks areincluded.

GOALS: To enhance socialization with peers andturn- taking skills.

Date Program ID Transportation IDFebruary 21 442532-A1 442532-T1

April 18 442532-A2 442532-T2

Day: ThursdayTime: 6:30-8pmLocation: Hays Recreation CenterFee (R/NR): $7/$10.50Min/Max: 4/25Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10


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Adults ~ Friday

Karaoke and DancingAges 18+

ATTENTION all singers and dancers. Come onover as CUSR brings out the karaoke machinefor a night of dancing and singing. With lots ofmusic to choose from, its sure to be a goodtime.

GOALS: To increase socialization skills andturn-taking skills.

Date Program ID Transportation IDFebruary 22 442531-A1 442531-T1March 29 442531-A2 442531-T2

Day: FridayTime: 6:30-8pmLocation: Hays Recreation CenterFee (R/NR): $7/$10.50Min/Max: 4/25Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Blackout B-I-N-G-OAges 18+

Come one, come all for a night of Bingo! You willenjoy hanging out and socializing with your friendsand may even win some prizes!

GOALS: To enhance socialization with peers andturn-taking skills.

Date Program ID Transportation IDJanuary 17 432503-A1 432503-T1March 21 432503-A2 432503-T2

Day: ThursdayTime: 6:30-7:30pmLocation: Hays Recreation Center

Fee (R/NR): $11/$16.50Min/Max: 6/25Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Movie NightAges 18+

Bring out your inner critic! Join us as we choose

movies to watch at the Hays Center, or feel freeto bring your own movies from home to sharewith us! CUSR will make popcorn, you just needto be ready for some entertainment!

GOALS: To enhance socialization with peers,increase listening and comprehension skills.

Date Program ID Transportation IDJanuary 4 442508-A1 442508-T1February 1 442508-A2 442508-T2March 1 442508-A3 442508-T3

April 5 442508-A4 442508-T4

Day: FridayTime: 6:30-8:30pmLocation: Hays Recreation CenterFee (R/NR): $7/$10.50Min/Max: 4/25Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

3 Nights/ 4 Days in

Louisville, KentuckyDo you like baseball, horses and adventure?If so start saving now for our trip to LouisvilleKentucky for fall of 2013. There we will bevisiting the Kentucky Derby Museum, LouisvilleSlugger Museum, and the Louisville MegaCavern were we will be taking a tour of theunderground caves and zip lining. Look forwardto more information in our upcoming brochures!

TRIP FOR FALL OF 2013


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AdultsDay Programs

Luncheon BunchAges High School Graduate-35

Whats for lunch today? Join us as we head outand experience different restaurants around

town. CUSR will pick up your tab for lunch, youjust have to join the club!

GOALS: To increase money management anddining etiquette skills, and increase socializationamong peers.

Date Location Program IDJanuary 9 OCharleys 443403-A1February 13 Monicals (Mattis) 443403-A2March 13 Zas (Springeld) 443403-A3

April 10 Pancheros 443403-A4

Day: WednesdayTime: 11:30am-1pmLocation: Meet at the restaurantFee (R/NR): $16/$24 per session;

$51/$76.50 all 4 sessionsMin/Max: 6/12Deadline: One week prior to programDoor-to-Door Transportation Fee: $10Transportation ID: 443403-T1; T2; T3; T4

Out and AboutAges High School Graduate-35

Travel with CUSR as we take a day trip once a montto places near and far. Any admissions and meals arincluded in the fee.

GOALS: To increase socialization among peers,increase money management skills, and enhancecommunity awareness.

Date Program ProgramJanuary 18 Cook the Day Away 443404-AFebruary 22 Scrapbooking 443404-AMarch 29 Tuscola Outlet Mall & Lunch 443404-A

April 12 Brookeld Zoo & Lunch 443404-A

Session 1: Cook the Day AwayDay: Friday, January 18Time: 2-5pmLocation: Hays Recreation CenterFee (R/NR): $21/ $31.50Min/Max: 6/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10Transportation ID: 443404-T1

Session 2: Scrapbooking (Bring 20 photos minimumDay: Friday, February 22Time: 2-4pmLocation: Hays Recreation CenterFee (R/NR): $8/ $12Min/Max: 6/12

Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10Transportation ID: 443404-T2

Session 3: Tuscola Outlet Mall & LunchDay: Friday, March 29Time: 10am-2:30pmLocation: Meet at the Hays Recreation CenterFee (R/NR): $19/$28.50Min/Max: 6/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Transportation ID: 443404-T3

Session 4: Brookeld Zoo & LunchDay: Friday, April 12Time: 8am-5pmLocation: Meet at the Hays Recreation CenterFee (R/NR): $45/$67.50Min/Max: 6/12Deadline: 2 week prior to programDoor-to-Door Transportation Fee: $10Transportation ID: 443404-T4


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JanuarySpecial Events

Sports ClubAges 18+

ATTENTION SPORT FANS! CUSR has the perfectclub for you! We will attend two sporting events thisspring. Cost of your ticket is included. Bring moneyfor snacks.

GOALS: To increase socialization and moneymanagement skills.

Date Location and ProgramFebruary 20 Parkland Mens BasketballTBA Parkland Mens Baseball

Session 1: Parkland College Mens Basketball

vs. KankakeeDay: WednesdayTime: 5:15-8:45pmLocation: Meet at Hays Recreation CenterFee (R/NR): $19/$28.50Min/Max: 6/12Deadline: February 6Program ID: 442807-A1Door-to-Door Transportation Fee: $10Transportation ID: 442807-T1

Session 2: Parkland College Mens Baseball

Day: TBATime: TBALocation: Meet at Hays Recreation CenterFee (R/NR): $19/$28.50Min/Max: 6/12Deadline: 1 week prior to programProgram ID: 442807-A2Door-to-Door Transportation Fee: $10Transportation ID: 442807-T2

Pottery PlaceAges 18+

Paint the evening away with your friends fromCUSR as we head out to Pottery Place. CUSRwill pay for your paint, studio time, and one pieceof pottery. Just bring your creativity!

GOALS: To increase artistic expression andsocial skills.

Date Program ID Transportation IDJanuary 11 442526-A1 442526-T1

Day: FridayTime: 6:30-8pmLocation: Meet at Pottery PlaceFee (R/NR): $32/$48Min/Max: 6/24Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Dinner and

Cosmic BowlingAges 18+

Looking for things to ll your Saturday nights?CUSR staff will choose the restaurant based onsome local favorites and then head to ArrowheadLanes for Cosmic Bowling. CUSR will pay foryour dinner and two games of bowling.*NOTE: STROBE LIGHTS MAY CAUSESEIZURE ACTIVITY

GOALS: To improve gross motor coordination,turn-taking skills, and socialization with peers.


January 19 442529-A1 442529-T1Day: SaturdayTime: 7-11pmLocation: Meet at Hays Recreation CenterFee (R/NR): $39/ $58.50Min/Max: 4/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10


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MarchSpecial Event

FebruarySpecial Events

Valentines Day DanceAges 18+

Travel to Bloomington, Illinois to join S.O.A.R. attheir annual Valentines Day Dance. There we willlisten to the DJ, have a light snack, and dance thenight away.

GOALS: To enhance socialization with others,and meet new people.

Date Program ID Transportation IDFebruary 8 442904-A1 442904-T1

Day: Friday

Time: 5:30-9:30pmLocation: Meet at Hays Recreation CenterFee (R/NR): $24/$36Min/Max: 6/22Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Iron Chef

with Pi Kappa PhiAges 18+

Do you feel you have what it takes to be thenext Iron Chef of America? If you do, here is theperfect program to show off those cooking skills.During Iron Chef we will split up into two teams.Whichever team prepares the better meal, asdetermined by the judges, wins.

GOALS: To make new friends, developappropriate dining etiquette, and improvecooking skills.


TBD 443503-A1 443503-T1

Day: SaturdayTime: 11am-2pmLocation: Meet at Hays Recreation CenterFee (R/NR): $18/$27Min/Max: 6/12Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Fox Ridge State ParkAges 16-35

Join your friends as we hike our way through the2,064 acre park located in Charleston, Illinois.Turkey, deer, raccoons, a large variety of birds, andthe lush foliage are some of the things well see.

We will picnic in the park, so please pack a sacklunch! Bring a camera to snap some beautiful scenicpictures in the park!

**Must be able to walk long distances. Trails arenot accessible.

GOALS:To increase socialization, while exploringthe earths natural resources and environment, andto improve gross motor movement and endurance.

Date Program ID Transportation IDMarch 23 432404-A1 432404-T1

Day: SaturdayTime: 9:30am-3pmLocation: Fox Ridge State Park, Charleston, ILFee (R/NR): $19/$28.50Min/Max: 6/12Deadline: Friday, March 15Transportation: Meet at Hays at 9:15am and pick-upat 3pmDoor-to-Door Transportation Fee: $10

Climb the WallAges 16-35

Can you reach the top? You will get off the groundwith the support of the staff and the cheers from youpeers. Experience the climbing wall at the YMCA.The program includes a half hour climb on the wall.There is a maximum of four participants per hour sosign up fast to reserve a spot.

Date DayFebruary 18 Monday

Time: 6-7pm or 7-8pmLocation: Meet at the Stephens Family YMCAFee: $12 YMCA Member; $24 YMCA Guest

Registration taken at the Stephens Family YMCA

New!

New!


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AprilSpecial Event

Spring FormalAges 18+

Its that time of year again! CUSR is hosting ourannual Spring Formal at the Phillips RecreationCenter. This years theme is I Got a Feeling. Thereis absolutely NO GLITTER allowed at the venue.

GOALS: Meet new people and enhancesocialization skills.

Date Program ID Transportation IDApril 20 422504-A1 422504-T1

Day: SaturdayTime: 6-8pmLocation: Philips Recreation CenterFee (R/NR): $17/ $25.50Min/Max: 6/25Deadline: 1 week prior to programDoor-to-Door Transportation Fee: $10

Adult Trips

Peoria OvernightAges 18+

Join us as we venture to Peoria for ourovernight trip. We will visit the Peoria Riverplexand join their XR-Gaming and Zumba class.We will also see the play Unnecessary Farceat Conklins II Dinner Theater in Goodeld,Illinois. Lodging, admission, and meals areincluded in fee. Please bring money for anyextra snacks and souvenirs.

GOALS: To improve gross motor coordination,turn taking skills, independent living andsocialization with peers.

Date Program IDMarch 9-10 443021-A1

Day: Saturday-SundayTime: Leaving the Hays Center at 9am onMarch 9. Returning at noon on March 10.Location: Meet at Hays Recreation CenterFee (R/NR): $189/$283.50Min/Max: 6/12Deadline: February 9

Bloomington Blaze GameAges 18+

Come cheer on the Blaze on Saturday, Febru-ary 9th! Well travel to Bloomington for dinnerand then watch the Blaze hockey team face offagainst the Quad City Mallards. Program feeincludes dinner and game ticket. Bring moneyfor souvenirs if you wish.

GOALS: To increase socialization and moneymanagement skills.

Date Program IDFebruary 9 443504-A1

Day: SaturdayTime: 4:30-10:30pmLocation: Meet at Hays Recreation CenterFee (R/NR): $60/$90Min/Max: 6/10Deadline: January 18



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Criteria for ParticipationAll Special Olympics athletes must have acurrent, completed Application for Participationin Illinois Special Olympics form on le with the

Athletics Coordinator at CUSR. This form hasfour sections:

1. Athlete Information2. Parent/Guardian Authorization & Medical

Authorization3. Health Insurance and Emergency

Information

4. Medical Clearance *(Must be completed byphysician)

Applications for Participation in Illinois SpecialOlympics are valid for 2 years based on theearliest signed date on the medical applicationform. Anyone interested in participating,starting a new sport, or volunteering, pleasecontact: Hannah Sheets, CUSR AthleticsCoordinator at 217-239-1152.

Special OlympicsSpecial Olympics Illinois provides year-round sports training in a variety of Olympic-type sports for youth, teens and adults withintellectual disabilities who are 8 years of ageor older. CUSR supports the mission of SpecialOlympics Illinois through participation in thefollowing sports:

Volleyball Basketball Basketball Skills Power Lifting Aquatics

Bocce Track & Field Softball Bowling

Important

Special Olympic DatesJanuary 20 Mens District Basketball, TBAMarch 16 & 17 State Basketball,

Bloomington-NormalApril 6 Power Lifting Qualier,

Granite CityApril 7 District Aquatics, UrbanaApril 20 District Bocce, ChampaignMay 4 District Track, TBA

Mustang Power LiftingAges 16+

Bench this! Work out with Mack, and hell get youinto shape. Training takes place twice a week inpreparation for the Special Olympics Meet in April.

Participants must purchase their own lifting suit andbelt for competition.

GOALS: Improve overall strength and gross motorcoordination, learn and practice weight room safetyand etiquette, improve goal setting abilities.

Date Program IDJanuary 17-June 16 442801-A1

Time: Thursdays 7:30-8:30pmSundays 5-6pm

Day: Thursdays & SundaysLocation: Evolve Fitness StudioFee (R/NR): $46/$69Min/Max: 4/8

Deadline: January 15NO TRANSPORTATION

CUSR Special OlympicsSports Banquet

Dont forget that CUSRs annualSports Banquet will be held in April.Watch the mail for your invitation!


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Mustang BocceAges 12+Bocce is a sport similar to bowling but played inthe grass. This is a great activity for people of allability levels and can be played as an individual, 2person team, or 4 person team. Participants will getthe opportunity to compete at the Special OlympicsIllinois District Competition in April.

GOALS: To become familiar with the rules of bocce,improve sportsmanship and teamwork skills.

Date Time Program ID

March 5-April 20 4-5pm 472801-A1Day: TuesdayLocation: Eisner ParkFee (R/NR): $41/$61.50Min/Max: 4/12Deadline: March 1Home Only Transportation Fee: $35Transportation ID: 472801-T1

Mustang AquaticsAges 10+

Make your Mustang way into the water and join usfor swim practice. Athletes will have the opportunityto compete at a time trials practice meet and the

Special Olympics District meet.You must be able to swim the length of the poolunassisted to register for this program. One pieceswim suits are required for female swimmers. Swimtrunks or jammers are required for male swimmers.

GOALS: To increase cardiovascular tness and grossmotor coordination, improve goal setting abilities, andimprove swimming stroke.

Date Time Program IDJanuary 27-April 7 7-8pm 472804-A1

*No program March 17 & 31Day: SundayLocation: Urbana Indoor Aquatic CenterFee (R/NR): $53/$79.50Min/Max: 4/12Deadline: January 21Door-to-Door Transportation Fee: $90Transportation ID: 472804-T1

Mustang Track & FieldAges 13+

There is something for everyone at Track &Field. You can train for eld events, runningor walking events, sprints or long distance,

motorized or non-motorized wheelchair races.Athletes have the opportunity to compete at theDistrict Special Olympics Track & Field Meet inMay. Please wear appropriate athletic clothingto practice athletic shorts or sweat pants,t-shirts, and tennis shoes. Jeans and sandalsof any kind are not allowed at practice.

GOALS: To increase gross motor coordination,improve athletic abilities, and improvecommunication and listening skills.

Date Program ID

Week of March 4-May 4 472802-A1Day: TBDTime: TBDLocation: TBDFee (R/NR): $41/$61.60Min/Max: 6/25Deadline: February 25Door-to-Door Transportation Fee: $90Transportation ID: 472802-T1

*Information will be mailed out after theregistration deadline.


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AthleticsAquafun & FitnessAges 15+

Splish-splash were gettin t in a ash!At Aquafun & Fitness well use foam water

weights and noodles to get a great workout inthe warm water therapy pool. Come try CUSRswater exercise class! The warm water will feelso good, you wont even know youre getting aworkout!

GOALS: To increase gross motor coordinationand strength, and improve balance and mobility.

Date Program IDJanuary 21-March 4 442530-A1March 11-April 22 442530-A2

Day: MondayTime: 5:45-6:30pmLocation: Stephens Family YMCAFee (R/NR): $47/$70.50Min/Max: 4/8Deadline: A1: January 11; A2: March 1NO TRANSPORTATION

Sign up for both sessions for $90/$135!

Swim LessonsThanks to our cooperative programagreement, swim lessons are now heldat the Stephens Family YMCA. Pleasecheck out their brochure or call217-359-9622 for more information.


Experience the art ofTaekwondo and gain overall

exposure to the martial arts.CUSR has partnered withTina and Jeff Newberry of Leaders for Life/Newberrys Martial Arts in order to providea comprehensive curriculum. This class willbe taught by instructors who have years ofexperience teaching martial arts to individualswith and without disabilities. This program willoffer a balanced physical and mental workout.NOTE: A uniform is required to participate,which the fee does not include. The cost fora uniform is $45 payable to Leaders for Life

Martial Arts. Uniform sizes will be determined atthe rst class, and you will receive your uniformat the second class. Promotion tests (at anadditional cost) are optional, but recommended.





Day: WednesdayLocation: Leaders for Life Martial Arts,2413 Village Green Place, Champaign (Villageat the Crossings on the north side next to theSmoke restaurant. Look for an illuminated

Martial Arts sign and their logo on top of thebuilding.)Fee (R/NR): $161/$241.50Min/Max: 4/20Deadline: January 2


Find us on Facebook and stay connectedChampaign-Urbana Special Recreation


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Strikes & SparesAges 22+

Bring your friends to the bowling alley forsome fun. Perfect your skills while socializing

with your friends and meeting new ones.Participants will be assigned to lanes and canbowl up to two games. Note: Participantsarriving late will bowl 2 games or as long astime allows.

GOALS: To improve social skills and abilityto interact with others, learn and practicebowling etiquette, and increase gross motorcoordination.

Date Day Program IDJanuary 21-April 15 Mon. 472803-A1January 23-April 17 Wed. 472803-A2

Time: 4-5pmLocation: Western BowlFee (R/NR): $76/$114Min/Max: 4/25Deadline: January 30Home-Only Transportation Fee: $65Transportation ID: 472803-T1; T2

Frunner ClubAges 15+

All returning and new runners: get ready for our springsession of Frunner club. Runners of all pacesare welcome and training partners will work with you

at your pace. Get outside, and celebrate the returnof warm weather by training to run a 5K on May 11.Please wear shoes with proper support and weatherappropriate clothing.

GOALS: Improve cardiovascular tness and goalsetting abilities, and increase self-condence.

Date Program IDMarch 14-May 11 442809-A1

Day & Time: Sunday: 4-5pm;Thursday: 5:30-6:30pm

Location: Sunday: Meadowbrook Park East Parking LotThursday: Pavilion at Hessel ParkFee (R/NR): $51/$76.50Min/Max: 4/10Deadline: March 7NO TRANSPORTATION

C-U Kiwanis Tom Jones

Challenger Little LeagueAges 6-21

The Challenger League is a cooperative programbetween the C-U Kiwanis Club and CUSR.Challenger baseball gives players with physical and/or intellectual disabilities the opportunity to play thegame of baseball. Uniforms, caps, and equipmentare provided for the games. Players either hit froma tee or swing at a pitched ball and are assisted bycoaches, volunteers, and buddies.

Date Program IDMay & June 472807-A1

Time: TBADay: Tuesday evenings & Saturday morningsLocation:Ambucs Park, UrbanaFee (R/NR): $25Deadline: Friday, March 29



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Adult ProgramsDerek AwtrySara BurtonChris DeamontLesley DressenRyan Gatza

Mia GoodlyAmber HarmonAlex KeatingEric LangenfeldMolly RomanzStacey ScottJoe SeibtKate StcyrStrikes & SparesGeorge DeamontCasey KarmellEric Langenfeld

Joe SeibtMichael Stout

Mustang BasketballMatt EisenmengerJim GadburyGreg GarlandDick MeentsDebby Rehn

Athletics

Fitness FrenzyAges 15+

Need some extra motivation to get t? Try

exercising with a friend! Participants will bepaired with a CUSR staff member who willexercise with them for an hour, twice a week,for 8 weeks. Workouts will be planned to meetparticipants individual tness goals and canbe scheduled when it is convenient for bothpartners. For more information on registration,please contact Hannah.

GOALS: To increase gross motor coordinationand physical tness, and gain knowledge of

proper tness techniques.

Date Program IDJanuary 14-March 10 432803-A1

Location: Savoy Recreation CenterFee (R/NR): $213/$319.50Deadline: January 2

Thank You toOur Volunteers!

Frunner ClubDerek AwtryEliot BethkeJon CerquaLauren CessnaChris Deamont

Tom KaczmarczykJoe KearfottJon Kiefer

Alex LakocyBrian LickenbrockErin Lieb

Andy LuckmanSam NoetheJeannine ReeseDebby RehnKelsey RussellErika SametRichard Thornbury

Ray UrbanSean Walker


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PARTICIPANT NAME

ADDRESS PHONE (H)

PHONE (W)

CITY ZIP

BIRTHDATE AGE SEX SHIRT SIZE EMAIL

PRIMARY DISABILITY

PARENT/GUARDIAN PHONE (H) PHONE (C)

EMERGENCY NAME PHONE (H) PHONE (C)

DOCTORS NAME PHONE

PREFERRED HOSPITAL

ALL INFORMATION BELOW MUST BE COMPLETED FOR FORM TO BE PROCESSED.ANY FORM NOT COMPLETELY FILLED OUT WILL BE RETURNED TO PARTICIPANT.

MAIL CUSR 1311 W. Church St., Champaign, IL 61821FAX 217-373-7951 QUESTIONS: (phone) 217-239-1152 711 Relay

PROGRAM NAME CODE PICK UP POINT TRANSPORT CODE FEE

1.

2.

3.

4.

5.

Would you like to make a donation to the CUSR scholarship fund? $5.00 $10.00 Other

Fee Waiver/Scholarship applied for? ________ NO ________ YES (If yes, please attach)

CUSR may use pictures and videos taken at programs for publicity purposes. Is this okay? __________ Yes __________ No

List Medications:

List Allergies:

List Dietary Restrictions:

List Special Needs/Assistance Necessary:

Please circle all that apply: Wheelchair: manual/electric Nonverbal Sign Lanuage Close Supervision

Seizures Cane/Walker Atlantoaxial Subluxation Condition

Participants name

Participants signature* Date* (18 YEARS/OLDER OR PARENT/GUARDIAN)* Participation can be denied if the signature of adult participant or parent/guardian and date are not on this waiver.Please call 239-1152, if you require special accommodations.

See back of form for credit card payment information


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PLEASE SEE FRONT SIDE FOR WAIVER. THE WAIVER MUST BE SIGNED BEFORE YOUR REGISTRATION MAY BE PROCESSED.Please make checks payable to CUSR. Complete below when using VISA/MasterCard

Account Number

3-4 Digit CCID# (on back of card) Expiration Date

Authorized Signature Charge Amount

Important information

CUSR is committed to conducting its recre-ation programs and activities in a safe mannerand holds the safety of participants in high re-gard. CUSR continually strives to reduce suchrisks and insists that all participants followsafety rules and instructions that are designedto protect the participants safety. However,

participants and parents/guardians of minorsregistering for the CUSR programs/activitiesmust recognize that there is an inherent riskof injury when choosing to participate in rec-reational activities/ programs. You are solelyresponsible for determining if you or your mi-nor child/ward are physically t and/or skilledfor the activities contemplated by this agree-ment. It is always advisable, especially if theparticipant is pregnant, disabled in any way, orrecently suffered illness, injury, or impairment,

to consult a physician before undertaking anyphysical activity.

Warning of riskRecreational activities/programs are intendedto challenge and engage the physical, mentaland emotional resources of each participant.Despite careful and proper preparation, in-struction, medical advice, conditioning andequipment, there is still a risk of serious injurywhen participating in any recreational activ-

ity/program. Understandably, not all hazardsand dangers can be foreseen. Depending onthe particular activity, participants must under-stand that certain risks, dangers and injuriesdue to inclement weather, slipping, falling,poor skill level or conditioning, carelessness,horseplay, unsportsmanlike conduct, premisesdefects, inadequate or defective equipment,inadequate supervision, instruction or ofci-ating, and all other circumstances inherent

to indoor and outdoor recreational activities/programs exist. In this regard, it must berecognized that it is impossible for CUSR toguarantee absolute safety.

Waiver and release of all claims and

assumption of riskPlease read this form carefully and be awarethat in signing up and participating in CUSRprograms/activities, you will be expressly as-suming the risk and legal liability and waivingand releasing all claims for injuries, damages orloss which you or your minor child/ward might

sustain as a result of participating in any and allactivities connected with and associated withsaid programs/activities (including transportatioservices/vehicle operation, when provided).

I recognize and acknowledge that there arecertain risks of physical injury to participants inthese programs/activities, and I voluntarily agreto assume the full risk of any and all injuries,damages or loss, regardless of severity, that myminor child/ward or I may sustain as a result of

said participation. I further agree to waive andrelinquish all claims I or my minor child/wardmay have (or accrue to me or my child/ward) asa result of participating in these program/activi-ties against CUSR and Champaign and UrbanaPark Districts, including their respected ofcialsofcers, employees, and volunteers (hereinaftecollectively referred as CUSR). I do herebyfully release and forever discharge CUSR fromany and all claims for injuries, damages, or loss

that my minor child/ward or I may have or whichmay accrue to me or my minor child/ward andarising out of, connected with, or in any way as-sociated with these programs/activities. I haveread and understand the above important infor-mation, warning of risk, assumption of risk andwaiver and release of all claims.


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Instructions for Completing the Application for Participation

The Application for Participation (App) must be filled in completely. Apps with blank sections or attachments (exception: let-

ter from State Office of Guardianship, 2a below) will not be accepted.

This App is valid for 2 years from the date of the examination date, regardless of the parent/guardian/Entrant signature date.

Parent/guardian and doctor signatures must be original and both original signatures must be on the same App form. Faxed

signatures, phone consents or verbal consents will not be accepted.

If Entrant was listed on the Sex Offender Public Registry or the Child Murder and Violent Offender Against Youth Registry

but has since been removed, contact the Special Olympics Illinois office for instructions before submitting this application.

ATHLETE INFORMATION AND HEALTH INSURANCE & EMERGENCY INFORMATION

1. The first two sections must be filled in completely. The ethnicity information is requested to assist in the organizational outreach

efforts.

PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE

2. The Parent or Legal Guardian must read, sign and date the Parent/Guardian Authorization and Media Release.

a. The section must be signed and dated as printed. Deletions or alterations to the section will result in an invalid App.

(Exception: Deletion of the last paragraph regarding medical treatment and attachment of a letter of explanation and 24-hour emer-

gency telephone numbers from the State Office of Guardianship. As of January 1, 1987, the letter of explanation must be

attached.)

b. Only one of the two signature blocks must be completed. Special Olympics Illinois works under the understanding that this

section may be signed by either:

The (biological or adoptive) parent unless the athlete has been designated a ward of the state;OR

The legal guardian; this person must be legally assigned for the individual;OR

The athlete if he/she is over the age of 18 and has not been designated as needing and having been assigned a legal guardian.A witness signature is necessary if the athletes signature is unrecognizable (for example, if the athletes signature is an X.)

MEDICAL CLEARANCE

3. The Medical Clearance section must be completed, signed and dated by a medical practitioner licensed to administer physical

examinations by the state in which he/she practices. As of September 1, 1990, the Special Olympics Illinois Application for

Participation is the only Medical Clearance form which will be accepted as valid by Special Olympics Illinois.This person, by signing the Medical Clearance, is stating that the athlete is in good health and can safely participate in Special

Olympics sports training and competition. It is strongly suggested that the person administering the physical examination possess the

following:

Background and preparation in giving sports physical examinations.

Qualifications to administer examinations that would not compromise his/her area of specialty.

AFTER COMPLETING THE APPLICATION ...

4. Send the original copy of the Application for Participation to the Area Director who will send the App to the Special Olympics

Illinois Chapter office. The Chapter office will validate the Application for Participation and send a copy of the App with an

approved stamp back to the SOAD (Special Olympics Athletic Director). An Application for Participation will not be validated until

all information is correct and completed on the approved form.

5. Special Olympics Illinois requires that all Applications for Participation be presented prior to and no later than the established

Medical App deadline of a Chapter championship level event (Winter Games, State Basketball Tournament, Summer Games,

Outdoor Sports Festival, Fall Games, Floor Hockey or State Bowling Tournament). All Apps for the event in question must be valid

throughout the completion of that Chapter competition.

Applications for Participation for athletes participating in District Tournaments and Sectional Tournaments must be received before

the entry deadline or with registration materials.

Applications not on file or in receipt by the specified deadline will not be accepted.


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Late Pick-Up PolicyIn order to be fair to our participants and programleaders, CUSR has enacted a late pick-up policy.The rst time a participant is not picked up within a 5minute grace period, a written warning will be handedout. For each minute following the grace period, afee of $1/per minute will be charged to the parent orguardian. Registration for other programs will notbe accepted until all outstanding late fees are paid.Thank you for helping us to respect others throughpunctual pick-ups.

Satisfaction GuaranteedCUSR constantly strives to provide participantswith high quality recreation programs, activities,and events. To encourage rst-time participation,as well as repeat participation, CUSR has a refundpolicy highlighted by a satisfaction guarantee.This special refund policy provides us with timelyfeedback about dissatisfaction regarding our

services. If you are not completely satised, tell us,and we will either invite you to repeat the class atno charge, allow you a credit that can be applied toanother program, or issue you a refund. A refundwill be granted if you were dissatised with theexperience due to circumstances under CUSRscontrol. If you are not satised, we kindly ask youto give us your input or ideas for improvement.Requests for the above mentioned options must bemade before the midpoint of the program or withintwo weeks of a single meeting activity. All refundrequests must be submitted on the SatisfactionRefund Request form and turned into CUSR. A $5

service charge will be deducted from all refunds.Satisfaction Guarantee does not apply to trips andspecial events with prepaid admissions and tickets.

Program Cancellation PolicyAll registration cancellations must be made at leastone week prior to the start of the program in order toreceive a full refund. For programs with cancellationdates listed, registration must be cancelled no laterthan the specied date to receive a full refund. Anyprogram cancellations after the one week deadlinewill receive NO refund. A $5 service charge will bededucted from all refunds.

Program ScholarshipsBecause some residents are unable to participatein recreation programs due to economic hardship,CUSR provides a scholarship policy to reduce certainfees and charges. Scholarship applications arenot guaranteed and are based on available funds,program registration, or choice of program location.

Early applications are given priority. Please apply 3-4weeks before the program start date. Applicationsare available at the CUSR ofce and can be mailedupon request. Need is the primary criteria upon whichscholarship applicants are considered. Scholarshipsare not available for transportation and specicallyidentied programs. For more information, call 217-239-1152. Payment plans available to all. ALLmonies owed must be paid prior to next seasonregistration accepted.

Inclement Weather PolicyIf inclement weather occurs, CUSR may still decide tohold programs. If the weather turns dangerous, CUSRwill call participants prior to the start of the programto cancel the program. If you are unsure whethera program will meet due to inclement weather, call

CUSR. Missed programs due to weather may bemade up the week after the end of the programseason. Credit is given for additional cancellations.

CUSR Information

Extreme Temperature PolicyHot temperatures (for outdoor programs) atprogram time: 100oF actual temperature; heat indexof 110oF or more constitutes cancelling programdue to unsafe conditions.

Cold temperatures (for all programs) at programtime: 2oF actual temperature; -30oF or below wind

chill constitutes cancelling program due to unsafeconditions.

Participant Expectations1. Participants need to wear appropriate attire for

program participation (i.e. for athletic/tnessprograms comfortable clothing and tennis shoesmust be worn). If you have questions aboutthe type of attire participants should wear for aparticular program, please contact our ofce.

2. Participants need to have clean, dry clothing.

3. No bowel/bladder problems upon arrival at thetransportation location or program. (If this is aconcern, extra clean clothing, clean-up suppliesand Depend garments (or similar items) must besent with the participant).

4. Participants need to pay attention to bodyodor and overall appearance (clean hair, face,teeth, hands, etc.). CUSR staff will also beconsistent in stressing personal hygiene whileparticipants are in our programs and will notreturn participants at the end of a program in anunclean manner.


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Transportation

Policy/Safety Procedures1. Transportation must be requested at least

48 hours prior to the program date. Iftransportation is requested with less than 48hours from program date, there is no guaranteetransportation will be available.NO transportation request at the time of theprogram will be accepted.

2. A minimum of two participants must register fortransportation in order for it to run.

3. Transportation is provided from YOUR homeback to YOUR home. We will not pick up or drooff at any other sites.

4. CUSR staff will wait a maximum of5 minutespast your pickup time due to a demanding van

schedule. If you miss your pickup time, we willnot return to pick you up. It is your responsibilityto nd transportation to the program if you missyour pickup time.

5. CUSR transports in-district participants only.

6. Transportation will only be provided for thosewho sign up and pay for the service at thebeginning of the program. We will not providetransportation for anyone mid-season that is noton the transportation roster at the beginning ofthe program.

7. Persons unable to be in a house alone shouldhave someone meet the van at the designatedtime of return.

8. If needed, the CUSR driver will assistparticipants to and from their homes, butdriveways and walkways must be clear of debrisand obstacles.

9. All passengers must be sitting in seats orwheelchairs with belts securely fastened in thecorrect manner or the driver will not move thevehicle.

10. CUSR staff is responsible for determiningwhether or not a participant can be transportedsafely.

11. Persons riding in Amigo-type wheelchairs orstrollers must transfer into a vehicle seat and usa seat belt.

CUSR reserves the right to refuse to transportindividuals. These policies have been developed toensure safety of everyone riding in CUSR vehicles.

Behavior CodeCUSR promotes the concept of Equal Fun ForEveryone and strives to accomplish this beliefthrough our program goals. However, certainrules are necessary to ensure everyones safetyand enjoyment.

CUSR participants are expected to exhibitappropriate behavior at all times. The CUSRbehavior code states that participants shallshow respect to all participants and staff, refrainfrom using foul language, refrain from causing

bodily harm, and show respect to equipment,supplies, and facilities. Additional policies maybe developed for specic programs and camps.

DisciplineA caring, positive approach will be usedregarding discipline. CUSR reserves the rightto dismiss participants. Each situation will beevaluated on its own merit.

InsuranceIndividual accident liability insurance is notprovided by CUSR.

Dishonored ChecksA $25 service charge will be assessed on allchecks returned by the bank for any reason.

CUSR Information

Emergency ContactsEmergency phone numbers may be usedfor reasons other than an actual emergencysituation. If staff needs to communicate anyunforeseen change(s) of plans, transportationschedule adjustments, etc., and neither parent/guarding can be reached, the emergency contactis our only source to call. Please help us reduceany anxiety created with these calls by lettingyour designated emergency contact know thatthey may be called for other situations. Yourassistance with this is appreciated.

Atlanto-Axial SubluxationIndividuals with Downs Syndrome are at risk ofhaving a condition known as Atlanto-Axial Sub-luxation. CUSR must have a doctors written noteon le stating a participant is free of the instabilityif he/she wishes to participate in programs thatmay cause undue stress upon the neck. Pleasetake this into consideration when registering andinform staff if the condition is present.


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CUSR Picture RequestDo you have some great pictures of programs orevents? Please email them [email protected] or bring a CD to HaysRecreation Center.

Follow us on FacebookTo stay connected to all the happenings, nd us onFacebook and see whats going on.

Program IdeasDo you want to try out a new food place? Have youwanted to see a play at Krannert? Let us know!


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Champaign-Urbana

Special Recreation

Hays Recreation Center

1311 W. Church St.

Champaign, IL 61821

PRSTD. STD.

U.S. Postage

PAID

Permit No. 287

Champaign, IL

www.cuspecialrecreation.com

[email protected]

600

CUSR is always looking for new ideas for programs. Perhaps you have an interest in

something special and would like to see if we can offer it. Please ll in this form and return it to:

Champaign-Urbana Special Recreation, 1311 W. Church Street, Champaign, IL 61820.

As a bonus, if a program you suggest becomes a reality, you will be given the opportunity to

attend that program FREE OF CHARGE for one season! In the case of duplicate suggestions,

names will be drawn to determine who receives the free program.

NameAddress

City Zip Phone

I would like to see the following program(s) offered:

Design-a-Program

c-u special recreation winter/spring 2013

Documents