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Enriching Lives Through Recreation

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2012

PROGRAMGUIDE 2012

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SEE PAGE 2 FOR DETAILS

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2 WSSRA.NET

WEST SUBURBAN SPECIAL RECREATION ASSOCIATION2915 Maple Street, Franklin Park, IL 60131

847.455.2100 (voice or TTY)Office Hours: 8:30 AM - 5:00 PM

Monday through Friday

Photo by David Kindler

The West Suburban Special Recreation Association is a part of your local park district or village recreation department. We provide recreation programs for individuals who have any type of disability. Your park district or village governs the operation of the Association.

BOARD OF DIRECTORSBerwyn Park District ............................................................ Jeff JandaClyde Park District ............................................................. Alex RuedaVillage of Elmwood Park .......................................... John LannefeldPark District of Forest Park .............................................. Larry PiekarzPark District of Franklin Park ............................... Joseph D. ModrichVillage of Harwood Heights .................................Michael GadzinskiHawthorne Park District ............................................. Dennis RaleighNorridge Park District ................................................... Mark DeSalvoNorth Berwyn Park District ...................................... Joseph C. VallezPark District of Oak Park ...............................................Marty BraccoRiver Forest Park District .................................................. Mike Sletten

BOARD MEETINGSThe Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 7:00pm. Call the office for a meeting schedule and locations. The public is invited to attend.

REGISTRATION UPDATEALL WINTER/SPRING 2012 REGISTRATION IS TAKEN ON A FIRST-COME, FIRST SERVED BASISWINTER REGISTRATION DEADLINE...........................February 3, 2012DAY CAMP REGISTRATION DEADLINE....................February 3, 2012SPRING REGISTRATION DEADLINE.............................March 30, 2012

Winter/Spring 2012

WInTersPrIng

registration

2012

WINTER SPRING REGISTRATION 2012WSSRA is offering you the opportunity to simplify your life and save time by registering for both the winter & spring 2012 program sessions with this ONE brochure. This winter and spring program session will run for 14 weeks. Most programs start the week of February 13 and end the week of May 19. See the actual program listing for the meeting dates and times. All registration is taken on a first come first served basis. If you wait to register you risk missing out on a program as it may fill up.

Please follow these steps to complete your winter/spring registration:STEP 1: Register for all winter and spring program options now. All program fees and balances for this winter/spring session must be paid in full by May 1, 2012 in order to register for summer programs. STEP 2: Payment is accepted in full or you can make weekly/monthly payments to pay off your balance. Contact Lisa or Bob to arrange a payment schedule.STEP 3: The “Activity Sales Receipt” you receive will include all of the programs that you have registered for winter & spring session. Included in this statement will be any credits or scholarships given. You are responsible for payment of all fees by May 1, 2012 in order to register for summer programs.

Need help reading your “Activity Sales Receipt” billing statement? Go to www.wssra.net click on program tab and then click on the billing statement tab. If you have any further questions about your statement please contact Lisa or Noly at 847.455.2100.

¿TIENAS PREGUNTAS ACERCA DE SU CUENTA? POR FAVOR LLAME NOLY O AILEEN AL 847.455.2100.

Thank you for the opportunity to serve you and/or your family member in our winter and spring 2012 program session.

3 WSSRA.NET

Programs at a GlanceWSSRA STAFF

Marianne Birko ....................226 .................................................Executive Director ........................................................ [email protected] Dennis .................219 ...................................... Superintendent of Recreation ...............................................gretchend@wssra.netRobert A. Foster ...................238 ..............................Superintendent of Safety & Operations ..................................................bobf@wssra.netMaryellen Bilek ....................228 ............................................... Outreach Specialist .......................................................maryellenb@wssra.netSherry Scouffas ....................225 ............................................... Outreach Specialist ................................................................sherrys@wssra.netAnnie Lhotka ........................230 ................................................. Inclusion Manager ..................................................................anniel@wssra.netMatt Barber ..........................235 .................................................... Staff Manager ..................................................................... [email protected] Krawiec .....................231 ................................................ Program Manager ................................................................dawnk@wssra.netAhren Hoffman ....................234 ............................................Recreation Coordinator ...........................................................ahrenh@wssra.netApril Ryan .............................240 .............................................. Recreation Specialist ..................................................................aprilr@wssra.netAmy Mepham .....................232 .............................................. Recreation Specialist ...............................................................amym@wssra.netKristy Dacanay ....................224 ................................................... Lekotek Leader .....................................................................kristyd@wssra.netLisa Gershak ........................221 .................................................Finance Manager .....................................................................lisag@wssra.netNoelia Hernandez ...............222 ..........................................................Registrar ............................................................................nolyh@wssra.netAileen Maldonado .............220 ............................................ Administrative Assistant ..........................................................aileenm@wssra.netLuz Rocha-Serrano .............245 ..................................................... WSSRA DriverLarry Feldt .............................245 ..................................................... WSSRA DriverJoe Wolfe ..............................245 ..................................................... WSSRA DriverMike Zych .............................245 ..................................................... WSSRA Driver

TABLE OF CONTENTS CHILDREN 8-9 SWIM LESSONS 10 SCHOOL AGE 11-13 SUMMER DAY CAMP 15-18 TEENS & YOUNG ADULTS 13-14, 20-27 SPORTS AND FITNESS 28-30 OLDER ADULTS 31 SPECIAL EVENTS 35

KEY TO ABBREVIATIONSADD: Attention Deficit Disorder

ADHD: Attention Deficit Hyperactivity Disorder

ALZ: Alzheimer’s

AUT: Autism

BD: Behaviour Disorder

DD: Developmental Disability

EC: Early Childhood

HI: Hearing Impairment

LD: Learning Disability

MI: Mental Impairment

MLH: Mental Health

PI: Physical Impairment

SL: Speech & Language Delay

VI: Visual Impairment

WWW.WSSRA.NETCheck out the WSSRA web site for up to

date program information. E-Mail your comments to us: [email protected]$

PPT WSSRA

Transportation

Transportation by Pick Up Point

Bring Extra Money to Program

FOLLOW US ON:

4 WSSRA.NET

WSSRA EXECUTIVE DIRECTOR HIREDWSSRA is proud to announce the hiring of Marianne Birko as the new Executive Director. Marianne begins her new position after 28 years of service as WSSRA’s Superintendent of Recreation. While moving on to her new position, Marianne remains dedicated in responding to the needs of our communities so that we may enrich the lives of the people we serve.“Marianne brings a wealth of knowledge about each of WSSRA’s 11 communities. Her program development skills and relationships with partner staff and commissioners, local legislators and social service agencies, WSSRA participants and their families make her an excellent person for the position,” said Larry Piekarz, WSSRA Board Chairperson.

Marianne is an Oak Park resident who loves spending time outdoors with her husband and two daughters.

Program LocationsBERWYN

Havlicek School6401 15th St. .......................................708.795.2450Jefferson School7035 16th St. .......................................708.795.2454Liberty Recreation Center6445 W. 27th Pl ...................................708.795.2891Morton West High School 2400 Home .........................................708.222.5700North Berwyn Park District16th & Wesley ....................................708.749.4900PAV Berwyn YMCA2947 S. Oak Park Ave .......................708.749.0606Proksa Park3001 Wisconsin...................................708.795.2892

CICEROCicero Community Center 2250 49th Ave ....................................708.477.6308Cicero West School4937 W. 23rd St. .................................708.780.4487Clyde Park District Stadium1909 S. Laramie .................................708.652.3545Columbus West School 5425 W. 31st........................................708.780.4482Hawthorne Park District5200 W. 29th Pl ...................................708.863.6511Morton East High School2423 S. Austin Blvd .............................708.222.5264Unity East School 2115 S. 54th Ave ................................708.863.8229Town Hall Bowl5025 25th St. .......................................708.863.0300Warren Park1225 S 60th Ct ....................................708.863.2220Woodbine School3003 S. 50th Ct ...................................708.652.8884

ELMWOOD PARKElmwood Park Recreation Center2 Conti Parkway ................................708.452.3935Elmwood Park Family Aquatic Center2 Conti Pkwy. .....................................708.452.3935

FOREST PARKCircle Lanes7244 Circle ..........................................708.366.2810Field Stevenson School925 Beloit ............................................708.366.5703Park District of Forest Park7501 Harrison ......................................708.366.7500Forest Park Middle School925 Beloit ............................................708.366.5703

See www.wssra.net for directions.

FRANKLIN PARKCentre at North Park Banquet Hall10040 Addison St. ..............................847.928.8478Enger School10401 W Grand ................................847.455.5299Franklin Park Community Center9560 Franklin ......................................847.455.2852Franklin Park Ice Arena9711 Waveland ................................847.671.4268Karate for Kids10125 W. Grand ...............................847.349.5425WSSRA Office2915 Maple St. ..................................847.455.2100

HARWOOD HEIGHTSHarwood Heights Village Hall7300 Wilson ........................................708.867.7200

MELROSE PARKMannheim Middle School2600 Hyde Park Avenue ..................847.455.5020

NORRIDGENorridge Park District4631 N. Overhill .................................708.457.1244

OAK PARKAscension Church601 Van Buren ...................................708.848.2703Barrie Recreation CenterGarfield & Lombard .........................708.383.6905Carroll Recreation Center1125 S. Kenilworth .............................708.383.6906Dole Center255 Augusta .......................................708.848.7050Field Recreation Center935 Woodbine Ave. .........................708.383.6907Fox Recreation CenterOak Park & Jackson .........................708.383.6908Irving School1125 S. Cuyler Ave ............................708.524.3090Longfellow Recreation CenterRidgeland & Adams .........................708.383.6909Longfellow School610 Highland ......................................708.524.3060Mann School921 N. Kenilworth ...............................708.524.3084Oak Park River Forest High School Lake & Scoville ..................................708.383.0700Rehm Pool515 Garfield St ...................................708.848.9661Whittier School715 N. Harvey ...................................708.524.3080

RIVER FORESTConcordia University7400 Augusta St ........................................................

5 WSSRA.NET

NEW MEMBERSThe WSSRF welcomes new members. Please consider joining! No one on the Foundation is asked to do more than they can handle, yet by working together, WSSRF raises $20,000 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 disabiltiies. Call Sherry Scouffas at 847.455.2100 ext. 225 to learn more.

The WSSRF needs you!

WSSRA is looking for energetic & caring staff to assist in recreation programs for individuals with disabilities. You will:• Meet new people while participating in fun recreation activities. • Enjoy personal growth. • Have a flexible schedule (morning, afternoon, evening & weekend hours available). • Gain leadership skills. • Enhance self-esteem by being part of a team that brings out the best in everyone.

For more information call 847.455.2100 or visit www.wssra.net.

Get Involved

Staff SpotlightWSSRA would like to recognize Jeanne Simons for her dedication to the agency, she has volunteered for over 750 hours to WSSRA in the past 6 years. Jeanne is an exceptional person and volunteer, she has had many positive influences on our participants and programs. Please take a few minutes to learn a little more about Jeanne. How long have you worked at WSSRA? 6 years How did you become involved with WSSRA? I heard about WSSRA through Dawn because she coached my daughter’s volleyball team. All of my girls were grown up so I decided to do something rewarding with my spare time. I also volunteer at my parish, help with fundraising at my daughter’s school and volunteer at Misericordia.

What programs have you done with WSSRA? Healthy Start and Weekly Workout

How many kids do you have? 4 girls, 2 are in high school and 2 are in college…Samantha, Kate, Maggie and Mary

Where are you from? Glenview

What are your hobbies? Golf, reading and volunteering

Program Locations

Winter/Spring 2012

SPECIA

L EVENTS

MO

NDA

YTUESDA

YW

EDNESDA

YTHURSDA

YFRIDA

YSA

TURDAY

WSSRA GOLF

PARTEEPA

GE 35

DESTINATION RANCH:SPRING GETAW

AYPA

GE 14

FLAP JACK BUNNY HOPPA

GE 35

DOWNHILL SKIERS

PAG

E 13

DERBY GALAPA

GE 35

WSSRF BOW

L-A-THONPA

GE 35

SPLASHTASTIC FAM

ILY SWIM

PAG

E 35

HEALTHY START10:00 – 11:30amFranklin Park C

omm

unity Center

WALK-N-DINE

9:30am – 12:30pm

Weekly location varies

YOGA

10:00 – 11:30amV

illage of Harwood

Heights

WILD CARD

WEDNESDAYS

9:30am – 12:30pm

PDFRP

WSSRA’s M

IX IT UP

3:15 – 4:30pm

Enger School

TOWERS SOCIAL

12:30 – 2:30pmFranklin Tow

ers

SENSATIONAL SATURDAYS9:00 – 11:30amN

orridge Park D

istrict

SATURDAY FUN CLUB9:00 – 11:30amC

arroll Center, O

ak Park

OUTDOOR ADVENTURES9:30am

– 12:30pmPark D

istrict of Forest Park Bldg #4

DANCE MANIA

2:45 – 4:00pmC

olumbus W

est School, Cicero

SALTA JUMP!

2:50 – 4:00pmW

arren Park School, Cicero

EXPLORE THE ARTS3:30 – 5:00pmBarrie C

enter

AUTISM M

OVEMENT

THERAPY 3:30 – 4:10pmD

ole Center

YOGA FOR ALL

4:15 – 5:00pmD

ole Center

!MI DEPORTE!

2:45 – 4:00pmW

oodbine School, C

icero

GOAL!2:10 – 4:00pm

Unity School East, D

oor #14

TUMBLING INTO FUN

3:15 – 4:30pm

Jefferson School, Berwyn

BERWYN SPORTS

GALORE3:00 – 4:30pmHavlicek School, Berw

yn

SPECIAL OLYMPIC

TRAINING & SPORTS3:45 – 5:15pm

Pav YM

CA

WSSRA FC

4:00 – 5:00pmC

entre @ N

orthSpring: PD

of FP

“LITTLE TYKES” AUTISM

MOVEM

ENT THERAPY3:45 – 4:45pmScott stud

ents 3:45 – 4:45pmN

orridge PD

SWIM

LESSONS

3:10 – 3:40pm3:45 – 4:15pm4:20 – 4:50pm4:55 – 5:25pm5:30 – 6:00pmPA

V YM

CA

, Berwyn

SUPER SKATERS4:00 – 5:30pmFranklin Park Ice A

rena, Franklin Park

SUPER SATURDAYS12:15 – 2:45pmC

arroll Recreation Center,

Oak Park

SATURDAY BOWLING

LEAGUE1:00 – 3:00pmC

ircle Bowling Lanes, Forest Park

SWIM

LESSONS 6:15 – 6:45pmO

PRFHS-Girl’s Pool

ADVANCED SWIM

MERS

6:15 – 6:55pmO

PRFHS-Girl’s Pool

STINGRAY SWIM

TEAM

7:00 – 8:10pm

OPRFHS-G

irls Pool

AQUA ATHLETICS

8:15 – 9:00pmO

PRFHS – Girls pool

BOBCATS SOFTBALL7:00 – 8:30pm

WEEKLY W

ORKOUT

7:00 – 8:15pmPark D

istrict of Franklin Park

TAE KWON DO

7:15 – 8:00pm

Karate for Kids, Franklin Park

SWIM

LESSONS7:30 – 8:15pmM

annheim M

idd

le School

SO TRACK & FIELD CLINIC

7:00 – 8:15pmC

icero Com

munity C

enterSpring: C

oncordia Track

SWIM

LESSONS6:30 – 7:00pm7:00 – 7:30pmM

orton East High School

WINNER TAKES ALL

6:00 – 8:30pmW

SSRA O

ffice

SHAKE AND BAKE7:00 – 8:30pmBarrie C

enter

FOOD CRITICS

6:30 – 9:15pmBarrie C

enter Oak Park

FRIDAY SHOW TIM

E

Barrie Center, O

ak Park

SPLASHTASTIC FAMILY

SWIM

6:00 – 7:30pmM

annheim M

idd

le School

HOT SHOTS CARROLL CITY SLICKERS BARRIE6:00 – 9:00pm

SOCIALITES_ CARROLL M

OONLIGHTERS BARRIE6:00 – 9:00pm

7 WSSRA.NET

REGISTRATIONAny cancellations for WINTER programs will be accepted through February 3, 2012 and credit will be issued. Any cancellations after February 3, 2012 participants will be charged full program fee. Any unpaid balance will restrict participation in future programs.

CLOSED PROGRAMSIf a program closes because we have reached maximum enrollment, you will be put on a waiting list once we receive your signed registration form and contacted if additional space is available.

CANCELLED PROGRAMSA. If there is low enrollment, a program may be cancelled. A program reimbursement or credit will be issued.B. If a program is cancelled because of unforeseen circumstances you

will be contacted at the soonest possible time.C. A program credit will not be issued for weather related cancellations.

Programs will be made up at the end of season whenever possible.D. No program credits issued for sports tournament cancellations.

REFUNDSRefunds will only be issued when the registrant cannot participate for extended medical reasons and/or hospitalization verified by a physician. For the majority of the season the refund/credit will be prorated. Call for more information. 847.455.2100.

PAYMENT POLICYPayment of program fees is due upon registration unless other arrangements are made. Statements are mailed out the first week of the program season (4 times per year). Call the Finance Manager to arrange a payment plan, Monday through Thursday, 8:30 AM to noon. A participant cannot register for the next season until balance from previous season is paid.

RETURNED CHECK POLICYA $20.00 fee will be charged for any checks returned to WSSRA. The $20.00 fee, as well as the balance, will need to be paid before registering for future programs.

SCHOLARSHIP REQUESTWSSRA is in a position to offer scholarships to WSSRA residents for a percentage of fees for two programs each season. Persons requesting a scholarship must complete a scholarship application, which will be mailed to you upon request. Scholarship applications need to be filled out once a year. If you are interested in a scholarship, check the box on the registration form: Request Scholarship. All scholarship applications must be completed and submitted to the WSSRA office.

NON-RESIDENT POLICYWSSRA programs are limited to people who live in the WSSRA partner districts and villages. If you live outside the WSSRA communities and are interested in participating in a special recreation program, call your park district or village recreation department. Call the WSSRA Outreach Specialists for more information.

PARTICIPANT ABSENCEIf you or your child are not going to attend a recreation program that you are registered for, please notify WSSRA office 847.455.2100 AS SOON AS POSSIBLE! Please leave a message on Voice Mail after hours.

PARTICIPANT ILLNESSFor the protection of all the participants in programs, you/your child must be kept at home or will be sent home if he/she shows any of the following symptoms:• A temperature of over 100.3.• Stomach ache accompanied by diarrhea or vomiting.• Any undiagnosed rash.• Sore or discharging eyes or ears.• Profuse nasal discharge (green or yellow). Please keep children with

active colds home.• Have a highly contagious condition such as chicken pox, measles,

lice, etc.

MEDICATIONIt is the parent/guardian and participant’s responsibility to inform WSSRA of any medication a participant is taking. This information is very important in case of an emergency. Medication information should be noted on the registration forms, as well as the Annual Information Form. Any changes in medication should be communicated to WSSRA.

INSURANCEThe Association takes every reasonable precaution to prevent injuries and accidents from occurring. However, if an accident does occur or if you or your child is injured, you are solely responsible for any costs incurred or caused by an injury that happens in an Association program.

SAFETY PRECAUTIONSSome participants in WSSRA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service training concerning proper hygienic procedures. WSSRA seeks to provide a safe environment for all of our participants, staff volunteers and the public. If you have any specific questions, please call the WSSRA Executive Director or Superintendent of Safety & Operations at 847.455.2100.

REVISED LATE PICK-UP/DROP-OFF POLICYIn order to be fair to our participants, program staff and drivers, WSSRA has enacted a Late Pick-up/Drop-off Policy. Many of our program staff and drivers need to get to a program immediately after the program your child is in. We ask that you make sure you are on time picking up your child from program, as well as, home to greet your child when the WSSRA van drops them off.

A $10.00 fee will be charged for every 15 minutes or portion thereof, a participant is picked up late, or a van is delayed, after a 10 minute grace period. A notice will be sent to you indicating the fee being charged to your account.

Also, participants must be dropped off on time for programs that are travelling, including over night trips. Vans will not wait more than 5 minutes for participants who are late for the program.

Saturday morning programs - Parents must drop off their child by 9:30 AM or call the emergency phone. If the program is travelling, the van will not wait longer than 5 minutes past the program start time.

WSSRA Program Policies

Winter/Spring 2012

SPECIA

L EVENTS

MO

NDA

YTUESDA

YW

EDNESDA

YTHURSDA

YFRIDA

YSA

TURDAY

WSSRA GOLF

PARTEEPA

GE 35

DESTINATION RANCH:SPRING GETAW

AYPA

GE 14

FLAP JACK BUNNY HOPPA

GE 35

DOWNHILL SKIERS

PAG

E 13

DERBY GALAPA

GE 35

WSSRF BOW

L-A-THONPA

GE 35

SPLASHTASTIC FAM

ILY SWIM

PAG

E 35

HEALTHY START10:00 – 11:30amFranklin Park C

omm

unity Center

WALK-N-DINE

9:30am – 12:30pm

Weekly location varies

YOGA

10:00 – 11:30amV

illage of Harwood

Heights

WILD CARD

WEDNESDAYS

9:30am – 12:30pm

PDFRP

WSSRA’s M

IX IT UP

3:15 – 4:30pm

Enger School

TOWERS SOCIAL

12:30 – 2:30pmFranklin Tow

ers

SENSATIONAL SATURDAYS9:00 – 11:30amN

orridge Park D

istrict

SATURDAY FUN CLUB9:00 – 11:30amC

arroll Center, O

ak Park

OUTDOOR ADVENTURES9:30am

– 12:30pmPark D

istrict of Forest Park Bldg #4

DANCE MANIA

2:45 – 4:00pmC

olumbus W

est School, Cicero

SALTA JUMP!

2:50 – 4:00pmW

arren Park School, Cicero

EXPLORE THE ARTS3:30 – 5:00pmBarrie C

enter

AUTISM M

OVEMENT

THERAPY 3:30 – 4:10pmD

ole Center

YOGA FOR ALL

4:15 – 5:00pmD

ole Center

!MI DEPORTE!

2:45 – 4:00pmW

oodbine School, C

icero

GOAL!2:10 – 4:00pm

Unity School East, D

oor #14

TUMBLING INTO FUN

3:15 – 4:30pm

Jefferson School, Berwyn

BERWYN SPORTS

GALORE3:00 – 4:30pmHavlicek School, Berw

yn

SPECIAL OLYMPIC

TRAINING & SPORTS3:45 – 5:15pm

Pav YM

CA

WSSRA FC

4:00 – 5:00pmC

entre @ N

orthSpring: PD

of FP

“LITTLE TYKES” AUTISM

MOVEM

ENT THERAPY3:45 – 4:45pmScott stud

ents 3:45 – 4:45pmN

orridge PD

SWIM

LESSONS

3:10 – 3:40pm3:45 – 4:15pm4:20 – 4:50pm4:55 – 5:25pm5:30 – 6:00pmPA

V YM

CA

, Berwyn

SUPER SKATERS4:00 – 5:30pmFranklin Park Ice A

rena, Franklin Park

SUPER SATURDAYS12:15 – 2:45pmC

arroll Recreation Center,

Oak Park

SATURDAY BOWLING

LEAGUE1:00 – 3:00pmC

ircle Bowling Lanes, Forest Park

SWIM

LESSONS 6:15 – 6:45pmO

PRFHS-Girl’s Pool

ADVANCED SWIM

MERS

6:15 – 6:55pmO

PRFHS-Girl’s Pool

STINGRAY SWIM

TEAM

7:00 – 8:10pm

OPRFHS-G

irls Pool

AQUA ATHLETICS

8:15 – 9:00pmO

PRFHS – Girls pool

BOBCATS SOFTBALL7:00 – 8:30pm

WEEKLY W

ORKOUT

7:00 – 8:15pmPark D

istrict of Franklin Park

TAE KWON DO

7:15 – 8:00pm

Karate for Kids, Franklin Park

SWIM

LESSONS7:30 – 8:15pmM

annheim M

idd

le School

SO TRACK & FIELD CLINIC

7:00 – 8:15pmC

icero Com

munity C

enterSpring: C

oncordia Track

SWIM

LESSONS6:30 – 7:00pm7:00 – 7:30pmM

orton East High School

WINNER TAKES ALL

6:00 – 8:30pmW

SSRA O

ffice

SHAKE AND BAKE7:00 – 8:30pmBarrie C

enter

FOOD CRITICS

6:30 – 9:15pmBarrie C

enter Oak Park

FRIDAY SHOW TIM

E

Barrie Center, O

ak Park

SPLASHTASTIC FAMILY

SWIM

6:00 – 7:30pmM

annheim M

idd

le School

HOT SHOTS CARROLL CITY SLICKERS BARRIE6:00 – 9:00pm

SOCIALITES_ CARROLL M

OONLIGHTERS BARRIE6:00 – 9:00pm

8 WSSRA.NET

LEKOTEKALL ABILITIESBorrow toys from WSSRA’s toy lending library—we have over 2,000 toys! Our certified Lekotek leaders will guide you through a monthly play session and introduce you to a variety of adaptive toys, making play possible for ALL children. Lekotek offers:• Relaxing, guided play sessions;• Home loan of up to six toys monthly;• Opportunities to focus on the abilities of children;• Positive parent/child interactions;• Self-esteem building;• Sibling play and fun!

Age: birth to 6 yearsDay/Time: call WSSRA to schedule your individual sessionsLocation: North Berwyn Park District, Irving School in Berwyn, or WSSRA officeFee: $60 – $175 dependent on family size & incomeFee includes monthly toy loans and up to 9 play sessionsRegistration #: 100

TUMBLING INTO FUNALL ABILITIESRun, jump, spin, and roll – just part of the fun we’ll Tumble Into! Participants will also enjoy a snack and craft at program.

Age: 3 – 6 yearsDay: WednesdayTime: 3:15 – 4:30pm Location: Jefferson School, Berwyn

“LITTLE TYKES”AUTISM MOVEMENT THERAPY ®

ALL ABILITIESExperience this innovative and creative program under the guidance of WSSRA’s certified Autism Movement therapist, April Ryan. We use movement and music to help develop balance, coordination, sequencing and much more! Visit www.autismmovementtherapy.com for more insight on this program.

Age: 3 - 7 yearsDay: FridayTime: 3:45-4:45pmLocation: Norridge Park District, Green Room

Children

WINTER INFORMATION:Dates: February 15 – April 4 Registration #: 114Fee: $18.00

SPRING INFORMATION:Dates: April 18 – May 16(no program May 2)Registration #: 214Fee: $11.25

WINTER INFORMATION:Dates: February 17 – March 30Registration #: 111Fee: $15.75 Trans to program only: $21.00

SPRING INFORMATION:Dates: April 13 – May 18Registration #: 211Fee: $13.50Trans to program only: $18.00

“I like the projects we do! We play fun games and we get to eat good things like fruit snacks.”

-Kathy Ann Surovych

T

9 WSSRA.NET

SATURDAY FUN CLUBLocation: Carroll Recreation CenterAge: 3 – 6 Time: 9:00 – 11:30am

SENSATIONAL SATURDAYS Location: Norridge Park District Age: 3 – 11 Time: 9:00 – 11:30am

SUPER SATURDAYSLocation: Carroll Recreation CenterAge: 7 – 11 Time: 12:15 – 2:45pm

Children

WINTER INFORMATION:Date: SATURDAY FUN CLUB:February 18 .....................................104-01February 25 ..................................... 104-02March 3 ...........................................104-03March 10 .........................................104-04March 17 .........................................104-05March 24 .........................................104-06March 31 ............ NO PROGRAM. COMESPRING INFORMATION:Date: SATURDAY FUN CLUB:April 14 ............................................. 204-01April 21 .............................................204-02April 28 .............................................204-03May 5 ...............................................204-04May 12 .............................................204-04May 19 .............................................204-06

SENSATIONAL SATURDAYS:

......................................................................105-01

......................................................................105-02

......................................................................105-03

......................................................................105-04

......................................................................105-05

......................................................................105-06TO FLAP JACK BUNNY HOP! ................ page 35

SENSATIONAL SATURDAYS:......................................................................205-01......................................................................205-02......................................................................205-03......................................................................205-04......................................................................205-05......................................................................205-06

SUPER SATURDAYS:

................................................................. 106-01

................................................................. 106-02

................................................................. 106-03

................................................................. 106-04

................................................................. 106-05

................................................................. 106-06

................................................................. 106-07

SUPER SATURDAYS:................................................................. 206-01................................................................. 206-02................................................................. 206-03................................................................. 206-04................................................................. 206-05................................................................. 206-06

ALL ABILITIES Day: Saturday Fee: $10.40/week

DATE ACTIVITY

WINTER INFORMATION2/18 Mardi Gras Mask Making! We will be making our own homemade bead celebration. DRESS FOR A MESS.2/25 Sensational Baking! Today we will be testing our baking techniques and pleasing our taste buds with sweets and treats.3/03 Happy Birthday Dr. Seuss! Let’s not just talk about it, let’s read about it! Today we will sing & play activities inspired by Dr. Seuss.3/10 Imagine that! Let’s pack our imagination bags and get ready to travel the globe as far as our imagination can reach.

Today we will be using our imagination to travel the world through fun games and activities. DRESS FOR THE WEATHER.3/17 St. Patrick’s Day! Consider yourself lucky! Today we are following the rainbow and searching for gold! We’ll end the day

with cookie decorating.3/24 Spring into Action! Today we are welcoming the spring with flower gardening and interactive back yard games.

DRESS FOR THE WEATHER AND READY FOR A MESS.3/31 Musical Me! Today we will learn to make our own musical instruments to enjoy group sing along and karaoke to our

favorite songs. SUPER SATURDAYS ONLY!SPRING INFORMATION

4/14 Wild West Yeehaw! Get ready to explore the west with a day full of western games and activities.4/21 Animals and Insects Buzzz Get your magnifying glasses out, today will be filled with activities & games about animals &

bugs!4/28 Monster Mania Get ready to get messy, today we will be unleashing our inner monster and doing all sorts of messy

activities. DRESS FOR MESS5/5 Spring has Sprung Let’s celebrate spring and learn all about the earth! We will play lots of spring games today.5/12 Just for Kicks Today we will be getting out & getting active. Let’s play fun games and learn about new sports & activities.

WEAR YOUR TENNIS SHOES AND COMFY CLOTHES5/19 Dino Day Let’s go back in time and explore. Today will be filled with games & activities all about dinosaurs.

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Swim LessonsSWIM LESSONS

ALL ABILITIESWSSRA teaches progressive skill development using the American Red Cross swim program. Parents are responsible for locker room supervision and assistance. *Public health code requires that anyone with possible incontinence must wear protective, rubber pants in addition to a swim diaper.

REGISTRATION NUMBER DAY TIME DATES AGE FEE

OAK PARK RIVER FOREST HIGH SCHOOL, OAK PARK

151-01 Mondays 6:15-6:55 PM February 13 – April 2(no program Feb. 20, Mar. 5, Mar. 26)

advanced swimmers only - must swim 1 length of pool

$28.25

151-02 Mondays 6:15-6:45 PM February 13 – April 2(no program Feb. 20, Mar. 5, Mar. 26)

3 and up $24.50

251-01 Mondays 6:15-6:55 PM April 9 – May 14 advanced swimmers only - must swim 1 length of pool

$30.75

251-02 Mondays 6:15-6:45 PM April 9 – May 14 3 and up $26.25

MANNHEIM MIDDLE SCHOOL, MELROSE PARK

151-03 Wednesdays 7:30-8:15 PM February 1 – February 29 3 and up $29.25251-03 Wednesdays 7:30-8:15 PM April 11 – May16 3 and up $32.00

MORTON EAST HIGH SCHOOL, CICERO (NOT ACCESSIBLE)

151-04 Thursdays 6:30-7:00 PM February 23 – March 29 3 and up $26.25151-05 Thursdays 7:00-7:30 PM February 23 – March 29 3 and up $26.25

251-04 Thursdays 6:30-7:00 PM April 19 – May 17 3 and up $24.40251-05 Thursdays 7:00-7:30 PM April 19 – May 17 3 and up $24.40

PAV YMCA, BERWYN

151-06 Fridays 3:10-3:40 PM February 17 – March 30 3-4 years $28.25151-07 Fridays 3:45-4:15 PM February 17 – March 30 3-4 years $28.25151-08 Fridays 4:20-4:50 PM February 17 – March 30 3-6 years $28.25151-09 Fridays 4:55-5:25 PM February 17 – March 30 7 and up $28.25151-10 Fridays 5:30-6:00 PM February 17 –March 30 7 and up $28.25251-06 Fridays 3:10-3:40 PM April 13 – May 18 3-4 years $26.25251-07 Fridays 3:45-4:15 PM April 13 – May 18 3-4 years $26.25

251-08 Fridays 4:20-4:50 PM April 13 – May 18 3-6 years $26.25

251-09 Fridays 4:55-5:25 PM April 13 – May 18 7 and up $26.25

251-10 Fridays 5:30-6:00 PM April 13 – May 18 7 and up $26.25

SEE PAGE 35 FOR INFORMATION ON OUR SPLASHTASTIC FAMILY SWIM SERIES!

11 WSSRA.NET

AUTISM MOVEMENT THERAPY ®ALL ABILITIESExperience this innovative and creative program under the guidance of WSSRA’s certified Autism Movement therapist, April Ryan. We use movement and music to help develop balance, coordination, sequencing and much more! Visit www.autismmovementtherapy.com for more insight on this program.

*SIGN UP AND STAY FOR YOGA FOR ALL!!

Age: 7-15 Day: TuesdayTime: 3:30-4:10Location: Dole Recreation Center, Oak Park

YOGA FOR ALLALL ABILITIESParticipants will be introduced to beginner yoga positions, meditative practice and stretching exercises in a fun, playful environment. The program’s focus will be on:• Body control;• Increased strength and flexibility;• Relaxation techniqes

*SIGN UP AND START WITH AUTISM MOVEMENT THERAPY!!

Age: 7-15 Day: TuesdayTime: 4:15-5:00pmLocation: Dole Recreation Center, Oak Park

TAE KWON DOALL ABILITIESThis class is designed to captivate the interest of our youngest student. Karate for Kids teaches the American Tae Kwon Do Association curriculum. It is based on the concepts of positive mental attitude and high goal setting. The building blocks for this system include:• Self-control • Courtesy • Integrity• Friendship • Confidence • Self-awareness• Self-esteem • Perseverance • Self-improvement • Respect• Dedication

Age: 9-14 Day: TuesdayTime: 7:15-8:00pm Location: Karate for Kids,10125 W. Grand Ave., Franklin ParkUniform Fee: $40.00/one-time fee for new participants in addition to program fee below

EXPLORE THE ARTSALL ABILITIESGrab your brush, sponge, or use your fingers to paint. Build a pot with clay or create a collage. Add some music and we’ll be dancing. There’s no limit to the elements we’ll explore!

Age: 3-11Day: MondayTime: 3:30-5:00pmLocation: Barrie Recreation Center, Oak Park

VOUNTEERS NEEDED!FEBRUARY 19, 2012 WSSRA is hosting the ITRS basketball tournament and needs:

• Referees

• Timers

• Scorekeepers

• Tournament Headquarters

We want YOU! Your Friends!Your co-workers! Call Dawn at the office or at [email protected]

School-Aged

WINTER INFORMATION:Dates: February 14 – April 3Registration #: 112Fee: $21.00 Trans: $48.40

SPRING INFORMATION:Dates: April 10 – May 15Registration #: 212Fee: $15.75 Trans: $36.30



WINTER INFORMATION:Dates: February 14 – April 3Registration #: 113Fee: $60.00

SPRING INFORMATION:Dates: April 10 – May 15Registration #: 213Fee: $60.00



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REGISTRATIONNUMBER DATE ACTIVITY DESTINATION

WINTER INFORMATION131-01 2/18 Mardi Gras Let’s have a Masquerade.

We’ll decorate our very own masks.Forest Park Bldg #4

131-02 2/25 UIC Flames Game SPECIAL TIME! 2:30–7:00pm UIC131-03 3/03 GO Bananas Enjoy and afternoon filled with games, rides, & prizes! Go Bananas131-04 3/10 Take a Hike! Explore nature, science and wildlife animals at the

Grove Nature Center.The Grove, Glenview

131-05 3/17 Shamrock Shake Look out McDonald’s Outdoor Adventures is going to create our own Shamrock Shakes. Then we’ll work off the calories by learning some Irish Dance moves.

Forest Park Bldg #4

131-06 3/24 It’s All Fun and Games We’ll have a friendly competition while playing some classic board games.

Forest Park Bldg #4

NO PROGRAM

3/31 Flap Jack Bunny Hop BRING YOUR FRIENDS AND FAMILY!!Celebrate spring with WSSRA and your friends at our annual pancake breakfast. We’ll cook up the ‘cakes and bring some crafts and games. All you have to do is bring your friends and family and get ready for some fun!

Ascension Church, Pine Room601 Van Buren, Oak Park

SPRING INFORMATION231-01 4/14 Jump! Zone Come experience of Jump!Zone’s 14 inflatable bounce houses. 6374 Howard St.,

Niles, IL231-02 4/21 Pancake Breakfast How do you like your pancakes? With chocolate chips,

blueberries, or perhaps nuts? Well, today you’ll get to make pancakes your way!

Forest Park,Building #4

231-03 4/28 John Hancock Building Enjoy the spectacular view of the city from the top of the John Hancock Observatory

Chicago, IL

231-04 5/5 Cinco de Mayo Wear your sombreros, we’ll bake a fiesta themed treat and break a piñata.


231-05 5/12 April Showers Bring May Flowers Today will be a flower themed day. You’ll get to plant your own flower to share with someone special.


231-06 5/19 Picnic in the Park We’ll travel to Proksa Park and celebrate the last day of Outdoor Adventures with a Picnic in the Park

Proksa Park, Berwyn, IL

School-AgedRegistration Number: OUTDOOR ADVENTURES

MI, DD, LD, VIWe fill our Saturday mornings with fun and thrills as we explore our communities. Sign up for any or all of the events. The van will depart promptly 5 minutes after scheduled start time!

Age: 12-22 yearsDate: SaturdayTime: 9:30am - 12:30pmLocation: Park District of Forest Park Building #4Fee: $13.70/week

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School-Aged/TeensBERWYN SPORTS GALORE

LD, BD, VI, PIIt’s all sports, fun, and games at this afterschool program!

Age: 7-14Day: WednesdayTime: 3:00-4:30pmLocation: Havlicek School, Berwyn


SPRING INFORMATION:Dates: April 18 – May 16 (no program May 2)Registration #: 215Fee: $11.25 Trans: $30.25

DOWNHILL SKIERSALL ABILITIES — SIBLINGS INVITED TOO!Hit the slopes with WSSRA! Learn to ski or hone your skills. Each week we’ll have a one-hour lesson followed by skiing. Lessons are taught by ski instructors from Four Lakes in Lisle ski resort.

Age: 7 and older Day: WednesdayDates: January 4, 11 & 18Time: 3:30-7:30pmRegistration #: 128Fee: $123 Trans: $18.25

SUPER SKATERSALL ABILITIESA fun program for anyone interested in learning basic skating skills or getting comfortable in skates and on the ice! Skaters can improve core strength as balance improves, and gain confidence as independence on the ice increases. Skate rental included.

Age: 7 and older Day: Friday Time: 4:00-5:30 (ice time: 4:20-5:20)Location: Franklin Park Ice Arena

WINTER INFORMATION:Dates: February 17 – March 30Registration #: 122 Fee: $54.40 Trans: $42.35

The purpose of this phone number is to allow access to WSSRA for emergencies only during non-office hours.

1. The phone may be called Monday through Friday, from 5:00 PM to 11:00 PM, Saturday, 7:00 AM to 11:00 PM when programs are in session only.

2. Leave a message with your phone number at 847.833.9611 and a WSSRA staff will return your call if neccessary.

3. The emergency phone should not be a substitute for calling the office for non-emergency questions, such as pick up times.

EMERGENCYPHONE

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WEST SUBURBAN FCAUT, DD, MIIf you love the game of soccer, then come play with us! We will follow the rules of Special Olympics soccer in our training program. Participants will learn the rules of the game and can improve their:• Coordination;• Ball handling skills;• Kicking techniques;• Stretching and strengthening

Age: 13 and older Day: ThursdayTime: 4:00-5:00pm

WINTER INFORMATION:Dates: February 16 – April 5Registration #: 124Fee: $28.80 Trans: $2.75/week or $18/seasonPick-Up Point: Fox Park @3:30pmLocation: Center at North Park Field House, Franklin Park

SPRING INFORMATION:Dates: April 12 – May 17Registration #: 224Fee: $21.60 Trans: $2.75/week or $16.50/seasonLocation: Park District of Forest Park

BAKE & SHAKEALL ABILITIESAlternate one week of baking with one week of fitness. WSSRA will serve a delicious and energizing Winter & Spring season of goodness! Age: 15 and older Day: ThursdayTime: 7:00-8:30pmLocation: Barrie Recreation Center, Oak Park

WINTER INFORMATION:Dates: February 16 – March 29Registration #: 143Fee: $37.80 Trans: $42.35


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SUMMER DAY CAMP 2012

West Suburban Special Recreation AssociationCAMP ACTIVITIES MAY INCLUDE:• Sports • Music • Field Trips • Swimming• Drama • Games • Arts & Crafts

WSSRA RESIDENTSServing residents of the Villages of Harwood Heights and Elmwood Park and the Park Districts of Berwyn, Clyde, Forest Park,Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park and River Forest.

CAMP DATESJune 18 – July 27, 2012 Monday through Friday.There is NO CAMP on Wednesday July 4, 2012

FULL-DAY CAMP (AGES 7-22)9:00AM – 3:00pm, Monday through FridayFull Day is not an option if your child attends summer school.

HALF-DAY CAMP (AGES 7-22) LIMITED SPOTS AVAILABLE!12:15pm – 3:00pm, Monday through Friday• You must indicate on your registration form if you will be registering for

the half-day option.• A limited number of half day spots are available and will be filled

according to the February lottery.• No adjusted registrations can be made for participants attending

summer school.

PRESCHOOL CAMP (AGES 3-6)Choose one:Morning Session: No swimming offered. .............. 9:00–11:45amAfternoon Session: No swimming offered. ........... 12:15–3:00pm

CAMP LOCATIONSCamps may be held in Berwyn, Cicero, Forest Park or Oak Park. Camps will be assigned a location based on space needed and facilities available. You will be notified by mail as to your child’s camp location.

DAY CAMP FEESFull-Day Option:…………… ............................................. $468.00Half-Day/Preschool Option: ............................................. $234.00

TRANSPORTATION FEESOne-Way Transportation: ................................................. $211.50Round-Trip Transportation: ............................................... $423.00

TRANSPORTATIONDoor to door transportation for camp is available. You must sign up for transportation when you are completing your registration form. Limited transportation slots are available. Transportation fees will be added to your day camp registration. Transportation for camp is not provided for participants without a physical disability living within 5 blocks of the assigned camp site. Buses are not air-conditioned.

SCHOLARSHIPSIf you are unable to afford the fee for day camp, you may request a scholarship application from the WSSRA office or download the scholarship form from the WSSRA web site, www. wssra.net. All applications must be completed and returned by February 3, 2012 with your day camp registration form. You will be notified by mail if you will receive a scholarship and the amount of assistance granted. You must attend 20 days of camp in 2012 to be eligible to receive a scholarship in 2013. Any medical leave must be documented by a doctor.

REGISTRATION PROCEDURES1. Walk-in, mail-in, or fax (847.455.2157) your Day Camp registration to

WSSRA. You must call to confirm FAX was received.2. You must return the Day Camp Registration fully completed, signed,

and dated by February 3, 2012 at 5:00pm to be eligible for the lottery. Additionally, Scholarship Application forms must be in the office by this time as well.

3. The lottery will be drawn and scholarships will be awarded February 6-17, 2012.

4. Letter of acceptance into WSSRA Day Camp, information regarding scholarships awarded, and a payment schedule will be mailed out beginning February 24, 2012.

DAY CAMP PAYMENT SCHEDULE:1. First 1/3 of your total due March 23, 20122. Second 1/3 of total due April 20, 20123. Final payment due May 25, 2012. Anyone not completing their

payment by May 25 will risk losing their camp placement.4. Cancellations prior to May 25, 2012 will receive a refund less a

$10.00 processing fee. NO Refunds after May 25, 2012.

Questions, call WSSRA 847.455.2100

WSSRA’s 2012 Summer Day Camp is designed for participants ages 3-22, who have a disability and/or receive special education services. Your child must be 3 -22 years of age on the first day of camp to participate. Day camp registration is conducted by a lottery. All persons who meet the age & registration requirements will be entered into the lottery. If you are not selected in the lottery for day camp placement you will be placed on a waiting list according to the order you were drawn in the lottery. WSSRA offers different day camps according to age and ability groups. Camp provides age-appropriate recreational activities while achieving these goals:• To involve your child in fun recreational opportunities.

• To improve your child’s motor skills and overall fitness.• To encourage an environment where your child can succeed and build self-esteem.• To help your child maintain & increase language and self-expression skills.

LOTTERY DEADLINE:

FEBRUARY 3, 2012

SPING INFORMATION:

REGISTRATION NUMBER DATE RESTAURANT LOCATION

261-01 4/20 China Chop Suey Barrie Center-order in

261-02 4/27 New Star Elmwood Park261-03 5/11 Szechwan Beijing Oak Park261-04 5/18 King & I Barrie Center-

order in

REGISTRATION NUMBER DATE RESTAURANT LOCATION

161-01 2/17 Grandma Sally’s River Forest161-02 2/24 Delia’s Kitchen Oak Park161-03 3/9 Mother’s Day Riverside161-04 3/16 George’s Oak Park161-05 3/30 Crystal Fountain

CaféFranklin Park

SHOW TIMEMI, AUT, DDEnjoy a night with popcorn and the big screen! WSSRA will notify participants of the show & time on Wednesday, the week of the movie. In order to minimize disturbance of other movie patrons, participants must be able to focus on a movie for two hours in length with minimal breaks. Participants need to bring $20 to pay for ticket & snacks.

Age: 15 and older Day: FridayTime: TBD, WSSRA will notify on Wednesday, the week of showLocation: Barrie Recreation CenterFee: $12.50/week Trans: $2.75/weekPick-Up Points: WSSRA Office, Cicero McDonalds

DESTINATION RANCH: SPRING GETAWAYMI,DDWSSRA is going back to the ranch…White Pines Ranch that is! Pack your bags for a fun weekend of horsin’ around. We will have the opportunity to:• Horseback ride • Groom/feed horses • Hike • Campfire• Orienteer • Line Dance • Hay ride • BINGOFurther information and detail will be sent upon registration.

Age: 13 and olderDay: Friday – Sunday Dates: March 23 -25Location: White Pines Ranch, Oregon, ILDepart from & return to WSSRA office Fee: $225 Registration #: 146

FOOD CRITICSMLH, MI, AUT, DDOur tasty travels continue!

Lively discussion about what we liked best each week is all part of the fun. Bring $25 to cover your food and share of the tip. Participants must be able to sit for a meal with general interruptions to others.

Age: 15 and olderDay: Friday Time: 6:30-9:15pmLocation: Barrie Recreation CenterFee: $12.00/week Trans: $2.75/weekPick-Up Points: WSSRA Office @5:15pm/10:00pm Cicero McDonalds @6:15pm/9:00pmWINTER INFORMATION:

Teens & Young Adults

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BROADWAY TOURHI, VI, PI, MLH, DDSee live Broadway productions. Registered participants will be notified of the actual show dates once WSSRA is able to secure tickets after the ticket release date. Once you are notified of the the show date and time, you are obligated to the ticket. Ticket prices may vary from the list below. Participants must be able to focus on a 2+ hour performance with minimal interruptions. This is to minimize disturbance to other audience members.

Age: 15 and older

Registration #: 181Date: January 24-January 29Show: MAMA MIA – Have the time of your life at this smash-hit musical that combines ABBA’s greatest hits with an enchanting tale of love, laughter & friendship.Destination: Oriental Theater, ChicagoFee: $40.00

Registration #: 381Date: August –September 2012Show: MILLION DOLLAR QUARTET – On December 4, 1956 an auspicious twist of fate brought together Johnny Cash, Jerry Lee Lewis, Carl Perkins, and Elvis Presley. The four legends-to-be united for the only time in their careers for an impromptu recording session that embodied the birth of rock n’roll and has come to be known as one of the greatest rock jam sessions of all time.Destination: Apollo Theater, ChicagoFee: $46.00

WINTER INFORMATION:160-01: March 2160-02: March 23

SPRING INFORMATION:260-01: April 13260-02: May 4

SUMMER DAY CAMP 2012

West Suburban Special Recreation AssociationCAMP ACTIVITIES MAY INCLUDE:• Sports • Music • Field Trips • Swimming• Drama • Games • Arts & Crafts

WSSRA RESIDENTSServing residents of the Villages of Harwood Heights and Elmwood Park and the Park Districts of Berwyn, Clyde, Forest Park,Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park and River Forest.

CAMP DATESJune 18 – July 27, 2012 Monday through Friday.There is NO CAMP on Wednesday July 4, 2012

FULL-DAY CAMP (AGES 7-22)9:00AM – 3:00pm, Monday through FridayFull Day is not an option if your child attends summer school.

HALF-DAY CAMP (AGES 7-22) LIMITED SPOTS AVAILABLE!12:15pm – 3:00pm, Monday through Friday• You must indicate on your registration form if you will be registering for

the half-day option.• A limited number of half day spots are available and will be filled

according to the February lottery.• No adjusted registrations can be made for participants attending

summer school.

PRESCHOOL CAMP (AGES 3-6)Choose one:Morning Session: No swimming offered. .............. 9:00–11:45amAfternoon Session: No swimming offered. ........... 12:15–3:00pm

CAMP LOCATIONSCamps may be held in Berwyn, Cicero, Forest Park or Oak Park. Camps will be assigned a location based on space needed and facilities available. You will be notified by mail as to your child’s camp location.

DAY CAMP FEESFull-Day Option:…………… ............................................. $468.00Half-Day/Preschool Option: ............................................. $234.00

TRANSPORTATION FEESOne-Way Transportation: ................................................. $211.50Round-Trip Transportation: ............................................... $423.00

TRANSPORTATIONDoor to door transportation for camp is available. You must sign up for transportation when you are completing your registration form. Limited transportation slots are available. Transportation fees will be added to your day camp registration. Transportation for camp is not provided for participants without a physical disability living within 5 blocks of the assigned camp site. Buses are not air-conditioned.

SCHOLARSHIPSIf you are unable to afford the fee for day camp, you may request a scholarship application from the WSSRA office or download the scholarship form from the WSSRA web site, www. wssra.net. All applications must be completed and returned by February 3, 2012 with your day camp registration form. You will be notified by mail if you will receive a scholarship and the amount of assistance granted. You must attend 20 days of camp in 2012 to be eligible to receive a scholarship in 2013. Any medical leave must be documented by a doctor.

REGISTRATION PROCEDURES1. Walk-in, mail-in, or fax (847.455.2157) your Day Camp registration to

WSSRA. You must call to confirm FAX was received.2. You must return the Day Camp Registration fully completed, signed,

and dated by February 3, 2012 at 5:00pm to be eligible for the lottery. Additionally, Scholarship Application forms must be in the office by this time as well.

3. The lottery will be drawn and scholarships will be awarded February 6-17, 2012.

4. Letter of acceptance into WSSRA Day Camp, information regarding scholarships awarded, and a payment schedule will be mailed out beginning February 24, 2012.

DAY CAMP PAYMENT SCHEDULE:1. First 1/3 of your total due March 23, 20122. Second 1/3 of total due April 20, 20123. Final payment due May 25, 2012. Anyone not completing their

payment by May 25 will risk losing their camp placement.4. Cancellations prior to May 25, 2012 will receive a refund less a

$10.00 processing fee. NO Refunds after May 25, 2012.

Questions, call WSSRA 847.455.2100

WSSRA’s 2012 Summer Day Camp is designed for participants ages 3-22, who have a disability and/or receive special education services. Your child must be 3 -22 years of age on the first day of camp to participate. Day camp registration is conducted by a lottery. All persons who meet the age & registration requirements will be entered into the lottery. If you are not selected in the lottery for day camp placement you will be placed on a waiting list according to the order you were drawn in the lottery. WSSRA offers different day camps according to age and ability groups. Camp provides age-appropriate recreational activities while achieving these goals:• To involve your child in fun recreational opportunities.

• To improve your child’s motor skills and overall fitness.• To encourage an environment where your child can succeed and build self-esteem.• To help your child maintain & increase language and self-expression skills.

LOTTERY DEADLINE:

FEBRUARY 3, 2012

LOTTERY DEADLINE: February 3, 20122012 DAY CAMP REGISTRATIONFAX TO: 847.455.2157 MAIL TO: WSSRA, 2915 Maple Street, Franklin Park, IL 60131

SCHOLARSHIP REQUEST□ Request Scholarship□ Participates in free lunch program at school

CAMP OPTIONS□ 1/2 Day Option 7 & Up□ Full Day Option 7 & Up□ AM Preschool age 3 to 6□ PM Preschool age 3 to 6

TRANSPORTATION OPTIONScheck ONE□ Transport Self□ WSSRA Round Trip□ WSSRA Home Only□ WSSRA To Camp Only

DISABILITY□ Learning Disability□ Behavior Disability□ Hearing Impairment□ Developmental Disability□ Visual Impairment □ Physical Impairment□ Autism□ Other___________________

CAMPER’S T-SHIRT SIZE Child Size: □ 6-8 □ 10-12 □ 14-16Adult Size: □ S □ M □ L □ XL □ XX □ XXX

West Suburban Special Recreation Association WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT (READ CAREFULLY)Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in programs. In registering for these programs, you are agreeing as follows:

As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury.

I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants, and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs.

I do hereby fully release and discharge the West Suburban Special Recreation Association and the other related parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participating in these programs.

I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with or in any way associated with my conduct and the activities of these programs.

I further understand and agree that the terms such as “participation, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision of, or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events.

I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement.

In case of emergency, I give my permission for the participant to receive any first-aid, transportation or medical attention that may be required.

You must return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple Street, Franklin Park, IL 60131 or send by fax to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.

PARENT/PARTICIPANT/GUARDIAN SIGNATURE ________________________________________________________________ Date___________________

participant’s name: _________________________________________ □male □female participant’s birthdate: ________ / ____/ ________parent/guardian 1: __________________________________________ parent/guardian 2: __________________________________________ address: __________________________________________________ city: _______________________________ zipcode: ______________home phone: ________________________________ park district/village: _______________________________________________________

e-mail address: work phone 1 (whose): ______________________________________ work phone 2 (whose): ______________________________________cell phone 1 (whose): ________________________________________ cell phone 2 (whose): _______________________________________emergency contact person (other than parent): __________________________________ emergency phone: ___________________________current school: ______________________________________ current teacher: ___________________________________________________doctor’s name: ____________________________________________________ doctor’s phone: _____________________________________does participant use wheelchair/walker/other? □yes □no specify: ________________________________________________________can participant transfer from wheelchair? □yes □no is participant subject to seizures? □yes □no Please attach seizure treatment plan.does participant have a communicable disease? □yes □no if yes, please explain: _________________________________________________________________________________________________photo permission: □yes □nowill medication be taken at camp? □yes □no Please attach instructions for medical procedures.list any medication: ___________________________________________________________________________________________________list any allergies: _____________________________________________________________________________________________________

For office use only: SC_____ BF____ LG____ SA requested: Y N SA returned: Y N Date Received:____________________ Previous Year Camp Location:____________________

CAMPAMENTO DE VERANO DE DÍA 2012El Campamento de Verano de Día 2011 de WSSRA es diseñado para los participantes edades 3-22, quien tiene una descapacidad y/o recibe servicios de educación especial. Su niño debe tener de 3 -22 años de edad en el primer día de participación del campamento. Inscripción del Campamento de Día es conducido por medio de una lotería. Todas las personas que tienen la edad y requerimientos de inscripción entrarán en la lotería. Si usted no esta seleccionado en la lotería para participar en campamento de día, usted será puesto en una lista de espera de acuerdo a la orden en que quedó en el sorteo. WSSRA ofrece diferentes campamentos de día de acuerdo a la edad y los grupos de habilidad. El campamento provee actividades de recreación apropiada a la edad y al mismo tiempo logra estas metas:

• Involucrar a su niño en oportunidades divertidas recreacionales.• Mejorar las habilidades motrices de su niño y aptitud en general.• Fomentar el ambiente en donde su niño pueda lograr y edificar su propia-estima.• Ayudar a mantener o ayudar a que su niño mantenga el incremente de su lenguaje y habilidades de expresión-propia.

PLAZO DE LOTERÍA:

3 DE FEBRERO DE 2012

Asociación West Suburban de Recreación EspecialACTIVIDADES DEL CAMPAMENTOLas actividades del Campamento pueden incluir:• Natación • Deportes • Drama • MúsicaRESIDENTES WSSRASirviendo a los residentes de los Municipios de Harwood Heights y Elmwood Park y Distritos de Parques de Berwyn, Clyde, Forest Park, Franklin Park, Hawthorne, Norridge, North Berwyn, Oak Park y River Forest.FECHAS DE CAMPAMENTOJunio 18 – Julio 27, 2012 Lunes a Viernes.NO hay CAMPAMENTO el Lunes, 4 de JulioCAMPAMENTO DE DÍA-COMPLETO (EDADES 7-22)9:00AM – 3:00pm, Lunes a ViernesDía Completo es una opción si su niño no asiste a la escuelade verano.CAMPAMENTO DE MEDIO-DÍA (EDADES 7-22)12:15pm – 3:00pm, Lunes a Viernes• Usted debe indicar en su forma de inscripción si usted esta

inscribiendo para la opción de medio-día.• Hay un número limitado de lugares para campamento de medio día, y

se llenarán de acuerdo de la lotería del Febrero.• No se puede hacer ajustes de inscripción para los participantes que

asistan escuela de verano.CAMPAMENTO PREESCOLAR (EDADES 3-6)Escoja uno:Sesión de la Manana: No se ofrece natación...... 9:00–11:45amSesión de la Tarde: No se ofrece natación. ....... 12:15–3:00pmLOCALIDADES DE LOS CAMPAMENTOSLos campamentos pueden estar localizado en Berwyn, Cícero, Forest Park o Oak Park. Los participantes seran asignado una localizacion basada en edad y descapacidad. Se le notificarán por correo acerca de la localidad del campamento de su niño.TRANSPORTACIÓNTransportación de puerta-a-puerta para el campamento es disponible. Usted debe inscribirse para la transportación cuando complete su forma de inscripción. Lugares limitados de transportación están disponibles. El costo de transportación sera cargada junto con el inscripción de campamento de día. La transportación para el campamento no es proveída para participantes sin discapacidades físicas viviendo dentro de 5 cuadras del sitio del campamento asignado. Los autobuses no tienen aire-condicionado.

COSTO DE CAMPAMENTO DE DÍAOpción de Día-Completo ............................................ $468.00Opción de Medio-Día/Preescolar ............................... $234.00COSTO DE TRANSPORTACIÓNTransportación de Ida ................................................. $211.50Transportación de Ida y Vuelta .................................... $423.00BECASSi no puede pagar el costo de campamento de día, usted puede solicitar ayuda por beca de la oficina WSSRA o descargar la forma de beca de la pagina de internet de WSSRA, www. wssra.net. Es necesario completar y regresar la forma de beca antes de el 3 de febrero de 2012 con su forma de inscripción para el campamento de día. Usted será notificado por correo si usted recibirá una beca y el cantidad de ayuda que recibira. Es necesario asistir 20 días al campamento en 2012 para ser elegible para recibir una beca en el año 2013. Cualquier problema médica debe ser documentado por un médico.PROCEDIMIENTOS DE INSCRIPCIÓN1. Pase en persona, envíe, o mande por fax (847.455.2157) su

inscripción de Campamento de Día de WSSRA.2. Usted debe regresar la Registración de Campamento de Día

totalmente completa, firmada, y fechada antes de el 3 de Febrero de 2012 a la 5:00pm para ser elegible para la lotería. Adicionalmente, la forma de Aplicación de Becas necesita estar en la oficina junto con la forma de inscripcion

de Campamento3. La lotería sera procesado durante el tiempo de el 6 al 17 de Febrero

de 2012.4. Una carta de aceptación al Campamento de Día de WSSRA,

información referente a becas recibidas, y un calendario de pagos sera enviado por correo, comenzando el 24 de Febrero de 2012.

HORARIO DE PAGOS DEL CAMPAMENTO DE DÍA:1. La primera parte de su balance total es debido antes que el 23 de

Marzo de 2012.2. La segunda parte de su balance total es debido antes que el 20 de

Abril de 2012.3. El pago final se debe antes que el 25 de Mayo de 2012. Cualquier

persona que no termine de hacer sus pagos para el 25 de Mayo puede perder su lugar en el campamento

4. Cancelaciones antes de el 25 de Mayo de 2012 recibirán un reembolso menos $10.00 por costo de proceso. NO HAY REEMBOLSO después del 25 de Mayo de 2012.

Para Preguntas, llame a WSSRA al 847.455.2100

CAMPAMENTO DE VERANO DE DÍA 2012El Campamento de Verano de Día 2011 de WSSRA es diseñado para los participantes edades 3-22, quien tiene una descapacidad y/o recibe servicios de educación especial. Su niño debe tener de 3 -22 años de edad en el primer día de participación del campamento. Inscripción del Campamento de Día es conducido por medio de una lotería. Todas las personas que tienen la edad y requerimientos de inscripción entrarán en la lotería. Si usted no esta seleccionado en la lotería para participar en campamento de día, usted será puesto en una lista de espera de acuerdo a la orden en que quedó en el sorteo. WSSRA ofrece diferentes campamentos de día de acuerdo a la edad y los grupos de habilidad. El campamento provee actividades de recreación apropiada a la edad y al mismo tiempo logra estas metas:

• Involucrar a su niño en oportunidades divertidas recreacionales.• Mejorar las habilidades motrices de su niño y aptitud en general.• Fomentar el ambiente en donde su niño pueda lograr y edificar su propia-estima.• Ayudar a mantener o ayudar a que su niño mantenga el incremente de su lenguaje y habilidades de expresión-propia.

PLAZO DE LOTERÍA:

3 DE FEBRERO DE 2012

APPLIC

ATION

FOR

PAR

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andatory for all competitors

605 E. W

illow St.

Norm

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309-888-2551

ATHLETE

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Athlete N

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Athlete’s M

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Sex (M

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I, on my ow

n behalf or as the undersigned parent and/or legal guardian of the above named applicant (hereafter referred to as the “E

ntrant”), hereby request permission for the

Entrant to participate in Special O

lympics program

s. I acknowledge that Special O

lympics w

ill screen all entrants using the Sex O

ffender Public R

egistry and the Child M

urder andViolent O

ffender Against Youth R

egistry and understand that entrants listed on either Registry w

ill be denied participation. I affirm that this

Entrant has never been on said R

egistriesor, if E

ntrant was listed on either R

egistry but has since been removed, I w

ill contact SpecialOlym

pics Illinois for instructions before submitting this application.

I represent and warrant to you that the Entrant is physically and m

entally able to participate in Special Olym

pics, and I submit herew

ith a subscribed medical certificate. I understand that

if the athlete has Dow

n Syndrome, he/she cannot participate in sports or events w

hich, by their nature result in hyper-extension, radical flexion or direct pressure on the neck or upperspine unless a full radiological exam

ination establishes the absence of Atlantoaxial Instability. I am aw

are that the sports and events for which this radiological exam

ination is requiredare equestrian sports, artistic gym

nastics, diving, pentathlon, high jump, alpine skiing, soccer, soccer skills, pow

erlifting squat and butterfly stroke and diving starts in swim

ming.

On behalf of the E

ntrant and myself, I acknow

ledge that the Entrant w

ill be using facilities at his/her own risk and I, on m

y own behalf, herby release, discharge and indem

nifySpecial O

lympics from

all liability for injury to person or damage to property of m

yself and Entrant.

In permitting the E

ntrant to participate, I am specifically granting perm

ission to Special Olym

pics Illinois to use the likeness, voice and words of the E

ntrant in television, radio, films,

newspapers, m

agazines and other media, and in any form

not heretofore described, for the purpose of advertising or comm

unicating the purposes and activities of SpecialO

lympics and in appealing for funds to support such activities. I understand that by signing below

I consent for the Entrant to participate in the Special O

lympics H

ealthy Athletes

Program

that provides individual screening assessments of health status and health care needs. The E

ntrant has no obligation to participate and I understand the Entrant should

seek his/her own m

edical advice and assistance and Special Olym

pics is not responsible for the Entrant’s health.

If I am not personally present at Special O

lympics activities in w

hich the Entrant is to com

pete, so as to be consulted in case of necessity, you are authorized on my behalf and at

my account to take such m

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advisable for the health and well-being of the E

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T,have read and fully understand the provisions of the above release and/or have had them

explained. I hereby agree that Iw

ill be bound thereby and I shall defend Special Olym

pics Illinois and hold it harmless

from disaffirm

ation thereof.

Entrant

Witness

Date

Athlete’s E

mail A

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I, THE U

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PAR

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/OR

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Nof the above specified

Entrant, have read and fully understand the provisions of the above release and have

explained them to said E

ntrant. I hereby agree that I and said minor w

ill be boundthereby, and I shall defend Special O

lympics Illinois and hold it harm

less from any

disaffirmation thereof by said m

inor.S

ignature of Parent

and/or Legal Guardian

(Check appropriate box)

Print N

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oIf yes, have x-rays of the C

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been taken and examined?

YesN

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ate of x-rayIs the athlete clear

of Atlantoaxial Instability?Yes

No

Does the athlete have or is the athlete:H

eart Problem

sYes

No

Diabetic

YesN

oE

pileptic/Seizures

YesN

oB

lindYes

No

Deaf

YesN

oH

epatitisYes

No

Other

Current M

edicationD

osage

Allergies to m

edication, if any:

Date of last Tetanus shot:

I have examined the above-nam

ed Entrant

and, in my opinion, there is no m

ental or physical reason w

hy he or she should not participate in the Special O

lympics sports

training and competition program

. Further inform

ation will be forw

arded if required.C

urrent medication, if any, is specified w

ith dosage on this application.

Exam

ination Date

Doctor’s S

ignature

Print N

ame

Address

City

State Zip

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SOILL

OFFIC

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State

Parent’s/G

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merican

Hispanic/Latino

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Asian

Original parent/guardian and doctor signatures are required by the office of Special O

lympics Illinois. Faxed signatures w

illnotbe accepted.

SOILL

Rev. 8-1-10

PLAZO DE LOTERÍA: 3 de Febrero de 2012 a las 5:00pmINSCRIPCIÓN DE CAMPAMENTO DE DÍA 2012 DE WSSRA FAX A: 847.455.2157 ENVÍE A: WSSRA, 2915 Maple Street, Franklin Park, IL 60131

SOLICITUD DE BECA □ Pida una Beca□ Participantes de almuerzo gratis programa escolar

OPCIONES DE CAMPAMENTO □ Opcion de 1/2 Dia 7 y mayor□ Opcion de Dia completo 7 y mayor□ AM Preescolar edad 3 a 6□ PM Preescolar edad 3 a 6

OPCIONES DE TRANPORTACIONESmarque UNO□ Transportacion Propia□ WSSRA Viaje Redondo□ WSSRA A La Casa Solamente□ WSSRA Al Campamento

DISCAPACIDAD□ Discapacidad de Aprendizaje□ Discapacidad de Comportamiento □ Impedimento de Audición□ Autismo□ Discapacidad de Desarrollob □ Impedimento de Visión□ Impedimento Físico□ Otro___________________

MEDIDA DE CAMISETA DEL CAMPISTAMedida Niños: □ 6-8 □ 10-12 □ 14-16Medida Adultos: □ S □ M □ L □ XL □ XX □ XXX

Asociación West Suburban de Recreación Especial LIBERACION DE RENUNCIA DE TODO RECLAMO Y CONTIENE ACUERDO INOCUO (LEA CUIDADOSAMENTE)Lea con cuidado por favor esta forma y esté enterado que al inscribirse y tomar parte en programas de la Asociación West Suburban de Recreación Especial, usted estará liberando y renunciando de todo reclamo surgiendo de alguna lesión fuera de estos programas que usted o el participante denominado quizás sostenga. Los términos “yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en los programas. Al registrarse para estos programas, usted concuerda de la siguiente manera:

Cuando un participante en estos programas, yo reconozco y admito que hay ciertos riesgos de lesiones física, y yo concuerdo en asumir el riesgo total de cualquier lesión, daños o la pérdida que puedo sostener a consecuencia de tomar parte de cualquier manera, en cualquier y toda actividad conectada con o asociado con tales actividades que implica riesgos substanciales de lesiones.

Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda tener consecuencia por tomar parte en estos programas contra la Asociación West Suburban de Recreación Especial, de cualquier y toda unidad gubernamental participante, cualquier y todo contratista independiente, oficiales, agentes, sirvientes, y empleados de los cuerpos gubernamentales y contratistas independientes, y cualquier y toda persona y entidades de cualquier naturaleza que quizás sea directamente o indirectamente responsable de cualquiera lesión, que yo quizás sostenga al tomar parte en estos programas.

Yo por la presente libero completamente y descargo la Asociación West Suburban de Recreación Especial, y otros partidarios relacionados de cualquier y todo reclamo por lesiones, daños o pérdidas, que pueda tener o que pueda acumulárseme por motivo de que yo tomé parte en estos programas. Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West Suburban de Recreación Especial y cualquier y todos los otros partidarios de cualquier y todo reclamo que resulte de un lesión, daño y pérdida sostenidos por cualquiera, y surgiendo fuera de, conectado con o en cualquier manera asociada con mi conducta y las actividades de estos programas.

Comprendo aún más y concuerdo que los términos como “participación, y” actividades”, se refirieren a este acuerdo, incluye todos los ejercicios y movimientos físicos de cualquier naturaleza mientras tome parte en estos programas e incluye aún más la provisión de, o el fracaso para proporcionar instrucciones o supervisión apropiadas, el uso y el ajuste de cualquier y toda maquinaria, equipo, y aparato, y algo relacionado a mi uso de los servicios, las facilidades, o local, implicado en estos programas, y en el transporte a y de acontecimientos.

Comprendo la naturaleza de estos programas para los cuales me registro, y he leído y he comprendido completamente esta Renuncia, Liberación y Tengo Acuerdo Inocuo. Comprendo aún más que cualquier deliberación o las advertencias de riesgos particulares de estos programas que recibo subsiguientemente serán integradas por referencia en y llegan a ser una parte de este Acuerdo.

En caso de emergencia, yo doy mi permiso para que el participante reciba primeros auxilios, transporte o atención médica que pueden ser requeridos.

Yo debo regresar esta liberación y renuncia de todo reclamo por correo o fax. Yo puedo enviar esta liberación al 2915 Maple Street, Franklin Park, IL 60131 o enviar por transmisión facsímil al 847.455.2157. Cuando enviando por fax, es de mutuo entendimiento que el documento facsímil substituirá por y tendrá el mismo efecto legal que la forma original.

FIRMA DEL PADRE/PARTICIPANTE/TUTOR ________________________________________________________________ Fecha___________________

nombre del participante: _____________________________________ □masc. □fem. fecha de nacimiento del participante: ___/ ___ / _____padre/guarda legal 1: _______________________________________ padre/guarda legal 2: ________________________________________ dirección: _________________________________________________ ciudad: _____________________________ código postal: __________tel de casa: _________________________________ distrito de parque/municipalidad _____________________________________________

correo electrónico: tel del trabajo 1 (de quien?): __________________________________ tel del trabajo 2 (de quien?): __________________________________tel cel 1 (de quien?): ________________________________________ tel cel 2 (de quien?): ________________________________________persona contacto de emergencia(otra persona que no sea el padre): _______________________ teléfono de emergencia: __________________escuela: ___________________________________________ maestro(a): _______________________________________________________nombre de doctor: _________________________________________________ teléfono de doctor: ___________________________________¿el participante usa silla de ruedas/andador/otros? □si □no especifico: ____________________________________________________¿puede el participante transferirse de la silla de ruedas? □si □no ¿es el participante sujeto asimientos/attaques? □si □no Por favor adjunte su plan de tratamiento para attaques.¿tiene el participante alguna enfermedad contagiosa? □si □no si la tiene, por favor explique: ___________________________________________________________________________________________permiso para fotos: □si □noel participante toma medicacion durante el campamento?: □yes □no Por favor adjunte instrucciones para procedimientos médicos.¿qué medicamento se estará tomando en el campamento? ____________________________________________________________________lista de cualquier alergia: ______________________________________________________________________________________________

For office use only:For office use only: SC_____ BF____ LG____ SA requested: Y N SA returned: Y N Date Received:____________________ Previous Year Camp Location:____________________

20 WSSRA.NET

WINTER: pick up & drop off @Carroll Center

BE MY VALENTINE DANCEALL SOCIAL CLUB EVENT! Come out and dance with your friends and show them your sweet moves. Date: 2/4/12 Time: 6:00-9:00pm Registration Number: 173-01Destination: Howard Mohr Community Center, Forest Park Fee: $10.00

WINTER WONDERLAND HAYRIDEYee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms/hay/animals. Dress for the weather.Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 173-02Destination: Danada Farms, Wheaton Fee: $16.00

SNOWBALL FIGHT!!!Let’s play in the snow! We’re building snowmen, snow forts and warming up with hot cocoa. Dress for the weather.Date: 2/18/12 Time: 6:00-9:00pm Registration Number: 173-03Destination: Carroll Center, Oak Park Fee: $12.00

UIC FLAMES GAMEGo Cheer on the Flames as they play Loyola. Today all of the Social Club groups and Outdoor Adventures will be combined for the event. Bring money for snacks. Be on time to Park District of Forest Park Building #4! Bus is leaving promptly. SPECIAL TIME/LOCATION.Date: 2/25/12 Time: 2:30-7:00pm Registration Number: 173-04Destination: UIC Pavilion, Chicago Fee: $15.00

WHOLE FOODS CHICAGOWe’re heading to the city to check out the biggest Whole Foods and all it has to offer. Bring money for purchases. WSSRA will provide a small snack from Whole Foods.Date: 3/3/12 Time: 6:00-9:00pm Registration Number: 173-05Destination: Whole Foods, Chicago Fee: $15.00

“THROW SOME GLITTER, MAKE IT RAIN!”Just dance! Tonight we’ll be tearin’ up the dance floor. Date: 3/10/12 Time: 6:00–9:00pm Registration Number: 173-06Destination: Carroll Center, Oak Park Fee: $12.00

ST. PATTY’S DAYBINGO, Bags & Brats- ALL SOCIAL CLUB EVENT! Today we are going to celebrate the luck o’ the Irish with games of BINGO and bags and feast on bratwurst and sides. All participants should meet at the Park District of Forest Park. Don’t forget to dress in green!Date: 3/17/12 Time: 6:00-9:00pm Registration Number: 173-07 Destination: Park District of Forest Park, main building Fee: $12.00

GO WOLVES!Let’s go watch some hockey! Chicago Wolves vs. Hamilton Bulldogs. Date: 3/24/12 Time: 6:00-9:00pm Registration Number: 173-08Destination: AllState Arena, Rosemont Fee: $16.00

Hot Shots

20 WSSRA.NET

SPRING: pick up & drop off @Carroll Center

KICKBALL & BOCCIAIt’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather.Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 273-01Destination: Carroll Center, Oak Park Fee: $12.00

DUCT TAPE OLYMPICSDuct tape isn’t just silver anymore… tonight we’ll be playing games and constructing awesome creations with duct tape. Date: 4/21/12 Time: 6:00-9:00pm Registration Number: 273-02Destination: Carroll Center, Oak Park Fee: $15.00

NAVY PIER EXPERIENCEPut on your walking shoes because we’re walkin’ the Pier…Navy Pier that is! Find your courage to ride the Ferris Wheel, Carousel or swings! Dress for the weather. Bring money for snacks and other purchases.Date: 4/28/12 Time: 6:00-9:00pm Registration Number: 273-03Destination: Navy Pier, Chicago Fee: $18.00

UNO, DOS, TRES, QUATRO… CINCO DE MAYO!It’s a fiesta! Come join your amigos for some Cinco de Mayo fun and festivities. Pinatas, Sombrero dances, Mexican paper cutting, cookie making and more! Dress for the occasion. ALL PARTICIPANTS SHOULD MEET AT THE PARK DISTRICT OF FOREST PARK. Date: 5/5/12 Time: 6:00-9:00pm Registration Number: 273-04Destination: Park District of Forest Park, main building Fee: $12.00

XTREME TRAMPOLINESGet XTreme! Put on your socks because we are jumpin’ on over to XTreme Trampolines. Wear socks. Any participant with Atlantoaxial Instability may join City Slickers at Laser Quest. All participants must sign a waiver and bring ID.Date: 5/12/12 Time: 6:00-9:00pm Registration Number: 273-05Destination: XTreme Trampoline, Carol Stream Fee: $15.00

COSMIC BOWLINGALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE.Date: 5/19/12 Time: 6:00–9:00pm Registration Number: 273-06Destination: Mont Clare Lanes, Chicago Fee: $15.00

Pick Up Point: WSSRA Office, 2915 Maple Street, Franklin Park or McDonalds, 5500 Cermak (West of Laramie), Cicero Pick up Point Transportation: $2.75 per week Ability Group: DD, MI Age: 15 years and older

22 WSSRA.NET

WINTER: pick up & drop off @Barrie Center


SLIP & SIPLet’s go sledding and warm up with some hot cocoa! Bring your sled if you have one. Dress for the weather.Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 176-02Destination: Barrie Center, oak Park Fee: $12.00

WINTER WONDERLAND HAYRIDEYee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms, hay, and animals. Dress for the weather.Date: 2/18/11 Time: 6:00-9:00pm Fee: $16.00Destination: Danada Farms, Wheaton Registration Number: 176-03


SATURDAY NIGHT FEVERIt’s Saturday night and we’re dancing! Put on your dancin’ shoes and show us your best moves. Date: 3/3/12 Time: 6:00-9:00pm Fee: $12.00Destination: Barrie Center, Oak Park Registration Number: 176-05


ST. PATTY’S DAYBINGO, Bags & Brats- ALL SOCIAL CLUB EVENT! Today we are going to celebrate the luck o’ the Irish with games of BINGO and bags and feast on bratwurst and sides. All participants should meet at the Park District of Forest Park. Don’t forget to dress in green!Date: 3/17/12 Time: 6:00-9:00pm Destination: Park District of Forest Park, main building Fee: $12.00 Registration Number: 176-07

THINK OF THE PASTABILITIESIt’s all for the love of pasta tonight- put on your chef hat because we are making our own Italian feast!Date: 3/24/11 Time: 6:00–9:00pm Registration Number: 176-08Destination: Barrie Center, Oak Park Fee: $12.00

Socialites

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SPRING: pick up & drop off @Barrie Center

GO WOLVES!Let’s watch some hockey! Chicago Wolves vs. Milwaukee. Bring Money for snack.Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 276-01Destination: Allstate Arena Fee: $16.00

TAG - YOU’RE IT!! We’re heading to laser quest to play a couple games of laser tag. Bring your best shot! Wear dark colorsDate: 4/21/12 Time: 6:00-9:00pm Registration Number: 276-02Destination: Laser Quest, Norridge Fee: $18.00

GREEN THUMBS Calling all green thumbs! We’re going to be making the earth smile today with our planting and potting skillsDate: 4/28/12 Time: 6:00-9:00pm Registration Number: 276-03Destination: Barrie Center Fee: $12.00


KICKBALL & BOCCIA It’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather.Date: 5/12/12 Time: 6:00-9:00pm Registration Number: 276-05Destination: Barrie Center, Oak Park Fee: $12.00

COSMIC BOWLING ALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE.Date: 5/19/12 Time: 6:00-9:00pm Registration Number: 276-06Destination: Mont Clare Lanes, Chicago Fee: $12.00











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City SlickersWINTER: pick up & drop off @Barrie Center


WINTER WONDERLAND HAYRIDEYee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms, hay, and animals. Dress for the weather.Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 174-02Destination: Danada Farms, Wheaton Fee: $16.00

SNOWBALL FIGHT!!!Let’s play in the snow! We’re building snowmen, snow forts and warming up with hot cocoa. Dress for the weather.Date: 2/18/12 Time: 6:00-9:00pm Registration Number: 174-03Destination: Barrie Center, Oak Park Fee: $12.00



“THROW SOME GLITTER, MAKE IT RAIN!”Just dance! Tonight we’ll be tearin’ up the dance floor. Date: 3/10/12 Time: 6:00–9:00pm Registration Number: 174-06Destination: Barrie Center, Oak Park Fee: $12.00


GO WOLVES!Let’s go watch some hockey! Chicago Wolves vs. Hamilton Bulldogs. Date: 3/24/12 Time: 6:00-9:00pm Registration Number: 174-08 Destination: AllState Arena, Rosemont Fee: $16.00

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KICKBALL & BOCCIAIt’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather.Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 274-01Destination: Barrie Center, Oak Park Fee: $12.00

DUCT TAPE OLYMPICSDuct tape isn’t just silver anymore… tonight we’ll be playing games and constructing awesome creations with duct tape. Date: 4/21/12 Time: 6:00-9:00pm Registration Number: 274-02Destination: Barrie Center, Oak Park Fee: $15.00

NAVY PIER EXPERIENCEPut on your walking shoes because we’re walkin’ the Pier…Navy Pier that is! Find your courage to ride the Ferris Wheel, Carousel or swings! Dress for the weather. Bring money for snacks and other purchases.Date: 4/28/12 Time: 6:00-9:00pm Registration Number: 274-03Destination: Navy Pier, Chicago Fee: $18.00



COSMIC BOWLINGALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE.Date: 5/19/12 Time: 6:00–9:00pm Registration Number: 274-06Destination: Mont Clare Lanes, Chicago Fee: $15.00




WINTER WONDERLAND HAYRIDEYee Haw! We’re goin’ on a hayride at Danada Farms. Note allergies to farms, hay, and animals. Dress for the weather.Date: 2/11/12 Time: 6:00-9:00pm Registration Number: 174-02Destination: Danada Farms, Wheaton Fee: $16.00

SNOWBALL FIGHT!!!Let’s play in the snow! We’re building snowmen, snow forts and warming up with hot cocoa. Dress for the weather.Date: 2/18/12 Time: 6:00-9:00pm Registration Number: 174-03Destination: Barrie Center, Oak Park Fee: $12.00



“THROW SOME GLITTER, MAKE IT RAIN!”Just dance! Tonight we’ll be tearin’ up the dance floor. Date: 3/10/12 Time: 6:00–9:00pm Registration Number: 174-06Destination: Barrie Center, Oak Park Fee: $12.00


GO WOLVES!Let’s go watch some hockey! Chicago Wolves vs. Hamilton Bulldogs. Date: 3/24/12 Time: 6:00-9:00pm Registration Number: 174-08 Destination: AllState Arena, Rosemont Fee: $16.00

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MoonlightersWINTER: pick up & drop off @Barrie Center









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GO WOLVES!Let’s watch some hockey! Chicago Wolves vs. Milwaukee. Bring Money for snack.Date: 4/14/12 Time: 6:00-9:00pm Registration Number: 275-01Destination: Allstate Arena Fee: $16.00


GREEN THUMBS Calling all green thumbs! We’re going to be making the earth smile today with our planting and potting skillsDate: 4/28/12 Time: 6:00-9:00pm Registration Number: 275-03Destination: Barrie Center Fee: $12.00


KICKBALL & BOCCIA It’s all fun and games today. Come join your friends for some kickball and boccia! If you don’t know the game of boccia- we will teach you. Dress for the weather.Date: 5/12/12 Time: 6:00-9:00pm Registration Number: 275-05Destination: Barrie Center, Oak Park Fee: $12.00

COSMIC BOWLING ALL SOCIAL CLUB EVENT! We’re turnin’ off the lights and turnin’ up the strikes! Come out and cosmic bowl tonight. Wear socks. Bring bowling ball/shoes if you have them. FACILITY NOT ACCESSIBLE.Date: 5/19/12 Time: 6:00-9:00pm Registration Number: 275-06Destination: Mont Clare Lanes, Chicago Fee: $15.00











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Sports & FitnessSPECIAL OLYMPICSIllinois Special Olympics provides year round sports training in a variety of Olympic-type sports for individuals who are 8 years and older and who have mental impairments or closely related developmental disabilities. The program gives athletes opportunities to develop physical fitness, demonstrate courage, experience joy and participate in the sharing of skills and friendship with their families and other athletes. WSSRA supports the mission of Special Olympics through the participation in the following sports:Aquatics, Basketball, Boccia, Bowling, Golf, Softball, Track & Field, and Volleyball.

Critieria for participationAll Special Olympic athletes must have a current, completed Application for Participation in Illinois Special Olympics on file with the Special Olympic coordinator at WSSRA. This form contains 4 sections:1. Ahtlete information2. Parent and/or Guardian Authorization & Medical Authorization3. Health Insurance and Emergency Information4. Medical Clearance (this MUST be completed by a physician)Applications for Participation in Illinois Special Olympics are valid for 2 years based on the earliest signed date on the medical application form. See page 19 for the Application.

Anyone interested in participating, starting a new sport, or volunteering please contact the WSSRA Special Olympic Coordinator.

GOOD SPORTSMANSHIPWSSRA encourages parents and families to attend games and tournaments and cheer our athletes on! We expect coaches, players and parents to demonstrate good sportsmanship during these events. This includes the respect and support of coaching staff and officials who are working on behalf of your player. Any person not demonstrating good sportsmanship including behavior outbursts towards a player, coaching staff, or official, that is deemed threatening, will not be tolerated. You may be asked to leave and your future participation and attendance at events will be in jeopardy. By registering your son/daughter/dependent for these programs you are agreeing to follow these guidelines as written. Please refer any concerns or questions to the Superintendent of Recreation. We look forward to a safe and successful season!

HEALTHY STARTALL ABILITIESStart your week with a healthy dose of exercise! We’ll emphasize:• Stretching & flexibility;• Moderate aerobics;• Use of exercise equipmentExercise routines will be monitored by staff to meet your individual needs.

Age: 21 and olderDay: MondayTime: 10:00-11:30amLocation: Franklin Park Community Center

TEEN & ADULT AQUA ATHLETICSMLH, MI, AUT, DDEnjoy one of the greatest modes of exercise. While having fun in the pool with your friends, you may also improve your:• Strength • Flexibility • Mobility • Range of motion

Age: 15 and olderDay: MondayTime: 8:15-9:00pmLocation: Oak Park River Forest High School Girls Pool

BOBCAT BASKETBALLMI, AUT, DDHey Bobcats! Make sure you have your calendars marked with 2 upcoming basketball tournaments. More information to come.

January 29, 2012: ISO District Basketball TournamentFebruary 19, 2012: ITRS Team Tournament **WSSRA is hosting this year’s ITRS tourney!!!

SEE PAGE 11 REGARDING TOURNAMENT VOLUNTEERS!

WINTER INFORMATION:Dates: February 13 – April 2 (No program February 20)Fee: $37.80 Trans: $42.35Registration #: 145

SPRING INFORMATION:Dates: April 9 – May 14Fee: $32.40 Trans: $36.30Registration #: 245

WINTER INFORMATION:Dates: February 13 – April 2(No program February 20; March 5; March 26) Fee: $29.10 Trans: $30.25Registration #: 148


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Sports & FitnessWEEKLY WORKOUT

MI, AUT, DD, MLHFinish your day with a great workout! Improve your physical condition through:• Exercise stations;• Weight lifting;• Low impact aerobics

Age: 13 and olderDay: TuesdayTime: 7:00-8:15pmLocation: Franklin Park Community Center

ISO TRACK & FIELD CLINICMI, AUT, DD, MHSpecial Olympic Track & Field training gets underway. Practices will include:• Stretch & warm-up exercises;• Practice for softball throw, short running, & long jump events;

**Participants who register for both Winter & Spring sessions will automatically be registered for the SO Spring Games on April 29, 2012. All participants must have a current Special Olympic medical form on file by March1, 2012. Registration in both sessions is required for competition.

Age: 13 and olderDay: WednesdayTime: 7:00-8:15pm

DOWNHILL SKIERSALL ABILITIES – SIBLINGS INVITED TOO!SEE PAGE 13 FOR PROGRAM & REGISTRATION INFORMATION

STINGRAY SWIM TEAMStingray Swim Team is a training program for those athletes who have excelled in WSSRA swim lessons and can now swim at least one length of the pool independently. Training consists of consecutive lap-swimming throughout most of the program. Stingray members are eligible, but not obligated for Special Olympic aquatic competition. Swim team members are not eligible to register for WSSRA swim lessons.

Don’t forget to sign up for swim meets below!

Day: MondayTime: 7:00-8:10pmLocation: Oak Park River Forest High School, Girls Pool

WINTER INFORMATION:Dates: February 13 – April 2 (no program February 20, March 5, and March 27)Fee: $38.50 Trans: $30.25Registration #: 141


WDSRA SWIM MEETDay: SaturdayDate: February 4Location: West Chicago High SchoolFee: $15.00 Trans: $2.75Pick up Point: TBDRegistration #: 133-01

ISO DISTRICT AQUATICS MEETDay: WEDNESDAYDate: March 7Location: Neuqua Valley High School, NapervilleTrans: $2.75Pick up Point: TBDRegistration #: 133-02

WEST SUBURBAN FCAUT, DD, MISEE PAGE 13 FOR PROGRAM & REGISTRATION INFORMATION

WINTER INFORMATION:Dates: February 15 – April 4Location: Cicero Community CenterFee: $36.00 Trans: $48.40Registration #: 142

SPRING INFORMATION:Dates: April 11 – May 16Location: Concordia University Track, River ForestFee: $27.00 Trans: $36.30Registration #: 242

WINTER INFORMATIONDates: February 14 – April 3Fee: $36.00 Trans: $48.40Registration #: 147

SPRING INFORMATIONDates: April 10 – May 15Fee: $27.00 Trans: $36.30Registration #: 247

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Sports & FitnessSPECIAL OLYMPIC TRAINING & SPORTS

MI, AUT, MH, DDSpecial Olympic Track & Field training gets underway. Practices will include:• Stretch & warm-up exercises;• Practice for softball throw, short running, & long jump events;• Healthy snacks

**Participants who register for both Winter & Spring sessions will automatically be registered for the SO Spring Games on April 29, 2012. All participants must have a current Special Olympic medical form on file by March1, 2012. Registration in both sessions is required for competition.

Age: 7 and olderDay: ThursdayTime: 3:45-5:15pmLocation: PAV YMCA, Berwyn

WHEELCHAIR BASKETBALLPIThis program is open to anyone with a physical disability and is ambulatory or uses a wheelchair. All players must play from a sports chair for games and practices. Don’t worry! NEDSRA has plenty of sports chairs available for use. New players are always welcome—call today for more information.

Contact: Adam Kramer 630-576-4037Location: NEDSRA, 1770 W. Centennial Place, Addison

SEASPAR BOWLING TOURNAMENT

MI, AUT, DD, SP, MHIf you’re registered for Saturday Bowling League, compete in SEASPAR’s annual tournament!

Day: SaturdayDate: April 14, 2012Time: 12:00-4:30pm (approximate)Location: TBDFee: $23.00 Trans: $2.75 Pick up Point: TBDRegistration #: 238Registration deadline: March 9

SATURDAY BOWLING LEAGUEMI, AUT, DD, SP, MHSharpen your bowling skills while spending time with friends. An adaptive ball and bowling ramp will be available. Don’t forget to sign up for the SEASPAR Bowling Tournament!

Age: 13 and olderDay: SaturdayTime: 1:00-3:00pmLocation: Circle Lanes, Forest Park

WINTER INFORMATION:Dates: February 18 – March 31Fee: $62.50/week Trans: $19.25Pick-Up Points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonaldsRegistration #: 110

SPRING INFORMATION:Dates: April 14 – May 19 (no program April 21)Fee: $52.50/week Trans: $16.50Pick-Up Points: WSSRA Office, Harwood Heights Village Hall, Elmwood Park Recreation Center, Cicero McDonaldsRegistration #: 210

BOBCAT SOFTBALLMI, AUT, DDPractices and games will be held on Tuesday evenings. During the Spring session participants will practice and prepare for the game season. In order to play in the game season, participants MUST register for the spring practice session.

Bobcat Softball Philosophy: In establishing the Bobcat’s softball program, WSSRA has set criteria. WSSRA will emphasize teamwork, good sportsmanship, and giving one’s best in a safe and healthy environment. Competitiveness will come from the game itself and not from emphasis on the score. Each player will:• Learn the fundamentals of softball;• Learn and play different positions;• Be a part of a team and learn the importance of teamwork.

Up to 3 teams and 3 practice locations will be announced at the beginning of the season. Game schedules and information will be available after registration. New players must purchase a uniform before being able to compete on the Bobcats Softball team.

Day: Tuesday Fee: $121 (includes practice and game season)Practice Time: 6:00-7:30pm Game Times: 6:45-8:00pmPractice Locations: TBA Registration #: 299/399

WINTER INFORMATION:Dates: February 16 – April 5 Fee: $43.20 Trans: $48.40Registration #: 132


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WINTER INFORMATION:Dates: February 16 – March 29Fee: $52.50 Trans: $42.35Registration #: 162

SPRING INFORMATION:Dates: April12 – May 17Fee: $45.00 Trans: $36.30Registration #: 262

WALK’N DINEHI, VI, PI, MLHWalk or wheel your way to a healthier heart with your friends at WSSRA! We’ll end each week with lunch at a local restaurant. Participants must be independent in mobility. Participants will be responsible for buying their own lunch. Sign up for the weeks that fit your schedule!

Date: TuesdayTime: 9:30am-12:30pmFee: $11.00/week OR $154.00/14 weeksTrans: $6.05/week

Program #/Date/LocationWINTER INFORMATION:167-01: February 14 North Riverside Mall167-02: February 21 Yorktown Center167-03: February 28 Harlem Irving Plaza167-04: March 6 Walmart, Forest Park167-05: March 13 North Riverside Mall167-06: March 20 Golf Mill167-07: March 27 North Riverside Mall167-08: April 3 Proksa Park

SPRING INFORMATION:267-01: April 10 Center at North Park267-02: April 17 Commons Park267-03: April 24 The Quarry267-04: May 1 Lindberg Park267-05: May 8 Commons Park267-06: May 15 Portage Park

WILD CARD WEDNESDAYSHI, VI, PI, MLHStart your day with some card shuffling fun! Light & healthy refreshments will be served. Sign up for the weeks that fit your schedule!

Day: Wednesdays Time: 9:30am-12:30pmLocation: Franklin Park Community CenterFee: $10.40/week Trans: $6.05/week

WINTER INFORMATION:165-01: February 15165-02: February 22165-03: February 29165-04: March 7165-05: March 14165-06: March 21165-07: March 28165-08: April 4

SPRING INFORMATION:265-01: April 11265-02: April 18265-03: April 25265-04: May 2265-05: May 9265-06: May 16

WINNER TAKES ALL HI, VI, PI, MLHJoin us for a night of socializing, laughter, and games. We’ll play some old favorites and learn new games as well. Each week we will order “take-out” dinner from a local restaurant. Bring $10 for dinner.

Date: ThursdayTime: 6:00-8:30pmLocation: WSSRA Office, Franklin Park

BROADWAY TOURS HI, VI, PI, MLH, DDSEE PAGE 14 FOR PROGRAM AND SHOW INFORMATION.

Older Adults

TOWERS SOCIALHI, VI, PI, MLH Join us one Friday a month for socializing, games and trivia. We’ll enjoy coffee and a light snack while we play cards, “Garbage” style.

Day: FridayTime: 12:30-2:30pmFee: FREE Trans: $6.05/week

WINTER INFORMATION:Registration # Date 179-01 January 6179-02 February 3

SPRING INFORMATION:279-01 March 9 279-02 April 13279-03 May 11

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WSSRA TRANSPORTATION1. Door to door transportation is available for all programs noted with

the transportation symbol. This extra service is available if you pay a $6.05 per round trip fee, for each day the program meets.

2. Transportation to programs from designated pick up points is available for a fee of $2.75 per round trip, for each day the program meets. You must pay at time of registration.

3. All participants being transported in WSSRA vehicles must abide by WSSRA guidelines. Failure to do so will result in suspension from transportation. Repeat offenders will not be transported by WSSRA.

4. Parents or participants must notify the Association in regard to any change in transportation.

5. If an Association vehicle cannot complete a route and family members must pick up riders, a credit will be issued for the participant’s later use.

6. Any registration received after June 3, 2011 may result in a late program start or no transportation.

7. Parents are requested to notify their child’s school on days students are being picked up by a WSSRA van.

8. A participant under the age of 16 must be taken off the van by a responsible person over 12 years old.

PLAYING IT SAFEDue to new state legislation, car seats or booster seats must be provided for all children ages seven and under. For more information contact Bob Foster.

WAIVER OF LIABILITYWSSRA is insured through a self insurance pool with other Special Recreation Associations and Park Districts. Our pool is known as the Park District Risk Management Agency (PDRMA). As a loss prevention measure, PDRMA is requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the WSSRA waiver release form. This must be signed and returned to the WSSRA office before participants can be in programs.

Since we do not carry medical or accident insurance for program participants, the release of liability is necessary. The cost of such coverage would make our program fees too high for most to afford. Please review your personal health plan to be certain that you and your family have coverage in instances like these.

Our objective is to offer a high quality program at a reasonable cost. The use of a release of liability when appropriate is but one way we are trying to meet that objective. If you have any questions, call Sandra Gbur at 847.455.2100. We appreciate your continued involvement and support.

WALK-IN OR MAIL-IN OR FAXED REGISTRATION PROCEDURES1. Complete the enclosed registration form with correct program

selection, day, program fee, transportation and payment option. 2. Contact your local park district or village for use of their fax machine

to fax your registration.3. All signed registration forms received by February 3, 2012 will be

processed by the WSSRA Registrar and approved for program and transportation information.

4. All registrations will be accepted on a first-come, first served basis until we reach our maximum enrolment for each program.

5. Mail-in or walk-in registrations received AFTER 5:00 PM February 3, 2012 may result in a late program start and transportation may not be available.

6. If a program is closed you will be added to a wait list once we have received a signed registration form. We will contact you when an opening is available.

7. Recreation Specialists MAY NOT accept program payment or registration forms at programs. This must be done by mail or at the office only.

8. Anyone registering MUST have a working phone number.9. A participant cannot register for the next season until balance from

previous season is paid.

PHONE-IN REGISTRATION PROCEDURES ONLY1. Phone-in registration begins once you receive your brochure and will

be accepted until February 3, 2012. 2. Calls will be accepted Monday through Friday from 9:00 until 4:30 PM.3. The WSSRA Registrar will assist you in completing the registration

form. She will be sure the programs selected are age and ability appropriate.

4. A confirmation letter will be sent to you. Sign the attached waiver form and return to WSSRA by February 3, 2012.

5. The registration will be on hold until we receive the signed registration form. No participation can take place without this signature.

6. Phone-in registration WILL NOT BE ACCEPTED after February 3, 2012.7. Faxed, mail-in or walk-in registrations will be accepted after February 3, 2012 but may result in a late program start and

transportation may not be available.8. All registrations will be accepted on a first-come, first-served basis until

we reach our maximum enrolment for each program.9. If a program is closed you will be added to a wait list once we have

received a signed registration form. We will contact you when an opening is available.

10. Recreation Specialists MAY NOT accept program payment or registration forms at programs. This must be done by mail or at the office only. We can accept credit card payments over the phone during business hours.

11. Anyone registering MUST have a working phone number.12. A participant cannot register for the next season until balance from

previous season is paid.

WINTER/SPRING 2012 REGISTRATION FORMMAIL TO: WSSRA, 2915 Maple Street, Franklin Park, IL 60131 FAX TO: 847.455.2157 SIGNED REGISTRATION MUST BE RECEIVED BY FEBRUARY 3, 2012

Participant’s Name: __________________________________________ Birth Date: __________________

Address: __________________________________________ City/State: ______________________ / _______ Zip: _______________________

Park District/Village: ________________________________________ Home Phone: _______________________________________________

Parent Or Guardian Name: ______________________________________________________________________________________________

e-mail address:

Parent/Guardian Work Phone: __________________________________ Parent/Guardian Cell Phone: _________________________________

Who Should We Contact If Parent/Guardian Is Unavailable? Name: __________________________________ Phone: ______________________

Doctor’s Name: ___________________________________________ Doctor’s Phone: ______________________________________________

Present School/ Workshop/Other: ________________________________________________________________________________________

Teacher/Supervisor Name: _____________________________________ Dismissal Time: ___________________________________________

Participant’s Disability: ________________________________________________________________________________________________

Can Participant Transfer? □Yes □No Does Participant Use Wheelchair/Walker? Specify: _____________________________________________

Is Participant Subject To Seizures: □Yes □No List Any Medication: ______________________________________________________________

Is Medication Taken At Program? □Yes □No List Any Allergies: _________________________________________________________________

Does Participant Have A Communicable Disease? □Yes □No If Yes, Please Explain _________________________________________________

___________________________________________________________________________________________________________________

Program # Program Name Day Fee Transp Subtotal Program &

Transport FEES

TOTAL DUE:

FEE PAYMENT OPTION - CHECK ONE (payment is expected at registration unless other arrangements are made)□Total Payment Enclosed □Total Payment to Follow (if FAXED) □Request Scholarship □Payment Plan – Arranged with Finance Manager□ Credit Card □ Visa □ Master Card □ Discover Exp. Date: __________________________________________________________ Card Number:

I have read the Waiver Release of All Claims and Hold Harmless Agreement on the reverse and unless I have checked NO under the three authorizations, I approve them.

___________________________________________________ ___________________________Parent/Participant/Guardian Signature Date

HOLD HARMLESS RELEASE ON

REVERSE SIDE

West Suburban Special Recreation Association

WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT(Read Carefully)

Please read this form carefully and be aware that in signing up and participating in West Suburban Special Recreation Association programs, you will be waiving and releasing all claims for injuries arising out of these programs that you or the named participant might sustain. The terms “I”, “me” and “my” also refer to parents or guardians as well as participants in the programs. In registering for these programs, you are agreeing as follows:

As a participant in these programs, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of any injuries, damages or loss which I may sustain as a result of participating in any manner, in any and all activities connected with or associated with such activities and involve substantial risks of injury.

I agree to waive and relinquish any and all claims I may have as a result of participating in these programs against the West Suburban Special Recreation Association, any and all participating governmental units, any and all independent contractors, officers, agents, servants and employees of the governmental bodies and independent contractors, and any and all other persons and entities of whatever nature that might be directly or indirectly liable for any injuries, that I might sustain while participating in these programs.

I do hereby fully release and discharge the West Suburban Special Recreation Association and the other released parties from any and all claims for injuries, damages or loss, which I may have or which may accrue to me on account of my participation in these programs.

I further agree to indemnify, hold harmless and defend, the West Suburban Special Recreation Association and any and all other parties from any and all claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of these programs.

I further understand and agree that the terms such as “participation”, and “activities”, referred to in this Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision, of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises, involved in these programs, and transportation to and from events.

I understand the nature of these programs for which I am registering, and have read and fully understand this Waiver, Release and Hold Harmless Agreement. I further understand that any advisement or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement.

In case of emergency, I give my permission for the participant to receive any first aid, transportation or medical attention that may be required.

You may return this waiver and release of all claims by mail or fax. You may mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile transmission to 847.455.2157. When forwarding by fax, it is mutually understood that the facsimile document shall substitute for and have the same legal effect as the original form.

To Communicate with School/Health Care Personnel*I authorize counsellors, teachers, case workers, therapists, or physicians to communicate with WSSRA about the participant’s needs as they relate to WSSRA’s provision of recreation services to the participant. WSSRA will keep confidential all information obtained through such communications.□ yes □ no

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. □ yes □ no

To Release Information for Publicity Purposes*I authorize the use of photographs or descriptions of the participant or of me in publicity materials about WSSRA programs and services, which may appear in newspapers, member partner brochures, video presentations, web sites and other similar mediums or displays.□ yes □ no

*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.

COMMENT SHEET – WE WELCOME YOUR INPUT!We invite you to share with us your program ideas and comments about our services:_______________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

You can also send us an email at [email protected] Support WSSRA by following us on

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Special Events

FLAP JACK BUNNY HOPALL ABILITIES—BRING YOUR FRIENDS AND FAMILY!!Celebrate spring with WSSRA and your friends at our annual pancake breakfast. We’ll cook up the ‘cakes and bring some crafts and games. All you have to do is bring your friends and family and get ready for some fun!!

Day: SaturdayDate: March 31Time: 8:30-10:30amLocation: Ascension Church, Pine Room 601 Van Buren, Oak Park Fee: $1.00/kids 12 and under $5.00/people 13 and upRegistration #: 195

WSSRA DERBY GALAWe’re off to the races to raise funds for WSSRA! Our annual Gala includes simulcasts of thoroughbred racing and the Kentucky Derby, food and beverage, a silent auction, and much more!

Check our website for event updates or call WSSRA for more information.

Day: SaturdayDate: May 5Location: Hawthorne Race Course 3501 S. Laramie, Cicero

WSSRA GOLF PAR-TEEWhat’s the best thing to do on a cold, winter Saturday night? Yep! Hit the greens and daydream of warm, summer days on the golf course.

The Golf Par-Tee is 3 hours of golf fun: driving range, swing evaluation, longest drive contest, virtual golf, drinks, refreshments, and tips from a pro. All funds raised will support WSSRA programs.

Day: TBALocation: White Pines Golf Dome 500 W. Jefferson St., BensenvilleMore Info: check our website for updatesRSVP: call WSSRAFee: $40 in advance/$50 at the doorRegistration #: 197

WSSRF BOWL-A-THONBring your family & friends for an afternoon of kid-friendly bowling, snacks, a raffle, and camaraderie! We’ll have fun while raising funds for WSSRA! Information will be sent home through programs.

Day: SaturdayDate: March 10Time: 3:00-5:00pmLocation: Circle Lanes, Forest ParkMore Info: Check our website or call the office

SPLASHTASTIC FAMILY SWIMDay: FridayDate: February 24, March 16, April 13, May 4Time: 6:00-7:30pmLocation: Mannheim Middle School PoolFee: $5 per family of 4 ($2/additional person) each swim sessionRegistration #: 193

West Suburban Special Recreation Association2915 Maple Street | Franklin Park, Il 60131P 847.455.2100 | F 847.455.2157www.wssra.net

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winter spring 2012 brochure

Documents

local park district

jeff jandaclyde park

winterspring registration

spring registration

spring program session

recreation programs

spring program options

program fees