hablamos español - wssra.net

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West Suburban Special Recreation Association2915 maple street, franklin park, il 60131847.455.2100 ··· voice or tty

office hours8:30 am – 5:00 pm ··· monday through friday

berwyn park district clyde park districtvillage of elmwood parkpark district of forest parkpark district of franklin parkvillage of harwood heightshawthorne park districtnorridge park district north berwyn park districtpark district of oak parkriver forest park district

jeff jandalarry banksal schmidtsteve thomasjoseph d. modrichmichael gadzinskidennis raleighmark desalvojoseph c. vallezkassie porrecamike sletten

Board of DirectorsThe Board of Directors of the Association meets on the second Tuesday of the month, 8 times per year at 5:00pm. Call the office for a meeting schedule and locations. The public is invited to attend.

Board Meetings

All Fall 2015 registration is taken on a first come, first served basis

fall deadline september 11th, 2015

On the CoverFrank makin' plays for the Bobcats

Gold Basketball team

ADDADHD

ALZAUTDDECEDHI

LDMI

MHMLH

PISL

SOSPVI

Attention Deficit DisorderAttention Deficit Hyperactivity DisorderAlzheimer’sAutismDevelopmental DisabilityEarly ChildhoodEmotional DisturbanceHearing ImpairmentLearning DisabilityMental ImpairmentMultiple HandicapsMental HealthPhysical ImpairmentSpeech and Language DelaySpecial OlympicsSevere and Profound Mental ImpairmentVisual Impairment

Key to Abbreviations

WSSRA Staff

FALL CALEnDAr

CHILDrEn & YOUTH

SwIM LESSOnS

TEEnS & YOUnG ADULTS

HOLIDAY HULLABALLOOS

SPOrTS, FITnESS, & SO

OLDEr ADULTS

rEGISTrATIOn

Table of Contents

follow us on /wssra @wssra

[email protected]@wssra.net






[email protected] [email protected]


[email protected]

executive directorsuperintendent of recreationsuperintendent of safety & operationsoutreach specialiststaff managerprogram managerrecreation specialistrecreation specialistrecreation specialistrecreation specialistrecreation specialistfinance managerregistrarreceptionistlekotek leadergraphic designerwssra driver/lekotek leaderwssra driverwssra driver

226219238228230231240236233234239221222220224

245245245

Marianne BirkoGretchen Dennisrobert A. FosterMaryellen BilekAnnie HartApril ryannathan SheadeElizabeth PliegoCarlos MarroquinBrittany PrysockAaron GlicksonLisa Gershaknoelia HernandezKarina MarroquinLaurie KiblerChristopher SwaskoLuz rocha-SerranoLarry FeldtMike Zych

wssra.net 1

A great effort has been made to assure the accuracy of the information provided in our Program Guide. Due to the large amount of information, however, errors and changes may occur related to program schedules, locations, transportation and fees. wSSrA reserves the right to make adjustments as necessary. wSSrA will make every effort to notify participants of changes and corrections as quickly and efficiently as possible. we apologize for any inconvenience our errors may cause.

Our Program Guide

Registration Update

3

6 – 9

10

11 - 18

8, 14, 15

19 - 21

22-23

26-30

BErwYnHavlicek School6401 15th St ........................... 708.795.2450Jefferson School7035 16th St ........................... 708.795.2454Liberty recreation Center6445 w 27th Pl ....................... 708.795.2891Morton west High School 2400 Home Ave ..................... 708.222.5700north Berwyn Park District Community Center1619 wesley Ave ................... 708.749.4900PAV Berwyn YMCA2947 S Oak Park Ave ............. 708.749.0606Proksa Park3001 wisconsin Ave .............. 708.795.2892

CICErOCicero Community Center 2250 49th Ave ........................ 708.477.6308Cicero west School4937 w 23rd St ...................... 708.780.4487Clyde Park District Stadium1909 S Laramie Ave .............. 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 Junior High School 2115 S 54th Ave ..................... 708.863.8229woodbine School3003 S 50th Ct ....................... 708.652.8884

ELMwOOD PArKElmwood Park recreation Center2 Conti Pkwy ........................... 708.452.3935Elmwood Park Family Aquatic Center2 Conti Pkwy ........................... 708.452.3935Elmwood Park High School8201 w Fullerton Ave ............ 708.452.7272

FOrEST PArKCircle Lanes7244 Circle Ave ..................... 708.366.2810Field Stevenson School925 Beloit Ave ....................... 708.366.5703Park District of Forest Park7501 Harrison St .................... 708.366.7500Forest Park Middle School925 Beloit Ave ....................... 708.366.5703

FrAnKLIn PArKCentre at north Park10040 Addison St .................. 847.928.8478Enger School10401 w Grand Ave ............. 847.455.5299

Franklin Park Community Center9560 Franklin Ave .................847.455.2852Franklin Park Ice Arena9711 waveland Ave ..............847.671.4268Karate for Kids10125 w Grand Ave .............847.349.5425O'Hare CrossFit9100 Belden Ave ...................708.417.8502wSSrA Office2915 Maple St ........................847.455.2100

HArwOOD HEIGHTSHarwood Heights Village Hall7300 wilson Ave ...................708.867.7200

MELrOSE PArKMannheim Middle School2600 Hyde Park Ave .............847.455.5020

nOrrIDGEnorridge Park District4631 n Overhill Ave .............708.457.1244

OAK PArKAndersen Center820 Hayes Ave .......................708.524.2050Barrie recreation Center1101 S Lombard Ave ............708.383.6905Carroll recreation Center1125 S Kenilworth Ave ..........708.383.6906Dole Center255 Augusta St ......................708.848.7050Field recreation Center935 woodbine Ave ...............708.383.6907Fox recreation Center624 S Oak Park Ave ...............708.383.6908Gymnastics & recreation Center (GrC)21 Lake St ............................... 708.725.2200Irving School1125 S Cuyler Ave ................708.524.3090Longfellow recreation Center610 S ridgeland Ave ............708.383.6909Longfellow School610 Highland Ave ..................708.524.3060Oak Park Conservatory615 Garfield St .......................708.725.2400Oak Park Country Club2001 Thatcher Ave .................708.453.5554Oak Park river Forest High School 201 n Scoville Ave ................708.383.0700rehm Park515 Garfield St .......................708.848.9661ridgeland Commons rec Complex415 Lake St .............................708.725.2300whittier School715 n Harvey Ave ..................708.524.3080

rIVEr FOrESTKeystone Center7920 Central Avenue .............708.366.6660

EMErGEnCY PHOnE The purpose of this phone number

is to allow access to wSSrA for

emergencies only during

non-office hours.

1. The phone may be called Monday

through Friday, from 5:00pm to

11:00pm, Saturday, 7:00am to

11:00pm when programs are in

session only.

2. Leave a message with your phone

number at 708.491.3779 and a

wSSrA staff will return your call

if necessary.

3. The emergency phone should not

be a substitute for calling the office

for non-emergency questions, such

as pick up times.

www.wSSrA.nETCheck out the wSSrA on the web

for directions to program locations

and up to date program information.

Email your comments to us:

[email protected]

2 wssra.net

Program locations

SATURD

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TUESD

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TEAM U

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munity Center

SUn

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11:00am – 12:30pm

Park District of

Forest Park

wSSrA BO

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ole CenterO

ak Park

SATUrD

AY FUn

CLU

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ak Park

OUTD

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Park District of Forest Park

Building #4

IMAG

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n9:30am

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north Berw

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istrict

TOw

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Franklin Tow

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HEALTH

Y STArT 10:00 – 11:30amFranklin Park Com

munity Center

wALK-n

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– 12:15pm

YOG

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10:00 – 11:15amVillage of H

arwood H

eights

wILD

CArDw

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9:30 – 12:00pmFranklin Park Com

munity Center

SUPEr SATU

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12:15 – 2:45pmCarroll C

enterO

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SATUrD

AY BOw

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ircle Bowling Lanes

Forest Park

SwIM

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CA Berw

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4:15 – 5:30pmC

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Forest Park

TEEn SC

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3:00 – 5:00pmw

est Leyden H

igh School

ICE SKATIn

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4:45 – 5:45pmrC

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ExPLOrE TH

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TUM

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Jefferson SchoolBerw

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est Leyden High

School

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6:15pm – 6:55pm

Dole Center

Oak Park

YOG

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7:00pm – 7:45pm

Dole Center

Oak Park

AQUA ATH

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8:15 – 9:00pmO

PrFHS

Girl’s Pool

MO

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SOC

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– 9:00pmCarroll C

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HO

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istrict of Forest ParkBuilding #4

CITY SLIC

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– 9:00pmPark D

istrict of Forest ParkBuilding #4

STInG

rAY SwIM

TEAM7:00 – 8:10pmO

PrFHS

Girl’s Pool

DIn

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SSrA Office

SwIM

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orton East High School

nO

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FOO

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6:30 – 9:15pmBarrie CenterO

ak Park

FrIDAY SH

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Time Varies

Barrie CenterO

ak Park

SwIM

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PrFHS

Girl’s Pool

TAE KwO

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Karate for KidsFranklin Park

wEEKLY w

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7:00 – 8:15pmPark D

istrict of Franklin Park

BOBCATS BASKETBALL

Unity Jr. H

ighC

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SwIM

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annheim M

iddle School

CrO

SS-FIT6:30 – 7:30pmO

’Hare C

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ZUMBA

7:00 - 8:00pmCicero Com

munity Center

Cicero

SPECIAL EVEN

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SEPTEMBEr 2 – 3

PAREN

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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

disabilities.

West Suburban Special Recreation FoundationThe west Suburban Special recreation Foundation (wSSrF)

is an Illinois not-for-profit corporation that exists to raise funds

for wSSrA. The funds raised by the wSSrF help expand

programming and support additional needs of wSSrA when

necessary. To learn more about wSSrF, call Marianne Birko at the

wSSrA office.

The WSSRF needs you!

4 wssra.net

· 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 wssra.net

Get involved!

Staff Spotlight

WSSRA is looking for energetic & caring staff to assist in recreation programs for individuals with disabilities. You will:

noly Hernandez, registrar, has been with wSSrA

for 18 years and Karina Marroquin, receptionist,

will celebrate 3 years in our front office. You can’t

see it over the phone, but these two are always

smiling and working hard to get you the necessary

reminders, information, and help get your

questions answered. They are critical in the day to

day operation of wSSrA, won’t you take a minute

and get to know a little bit about them?

personal interestsnoly: Spend time with my family and friends, love

being outside. I love nature and watching movies.

Karina: I like to spend time with my family and play

with my baby Sammie.

favorite moviesnoly: The notebook and Lilo and Stitch

Karina: Grease and Dumb and Dumber

favorite sports teamsnoly: The Cubs

Karina: All Chicago sports teams

favorite food noly: I love everything!

Karina: Ceviche

You know their voices, they've helped you register

for programs, and answered any questions you

may have– now, get to know them!

wssra.net 5

favorite thing about wssraKarina: The people I work with and getting to know the different families.

noly: Serving families and letting them know what services we could offer them so

they could enjoy life to the fullest! I love helping families answering any question

they have and making them happy.

6 wssra.net

children & youth

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!

Ages 3 – 12 ··· Mondays, 4:15 – 5:30pm

dates: September 21–november 16 no program october 12

Keystone Center, river Forest

round trip trans trans fee: $48.40

registration #: 407 fee: $37.00

Ice SkatingALL ABILITIESLace up your skates and glide onto the ice. no previous skating experience is necessary. Through skating, participants may:

· Experience enjoyment through independent movement · Improve balance and coordination · Increase overall fitness

Ages 8-22 ··· Tuesdays, 4:45 – 5:45pm

ridgeland Commons rec Complex, Oak Park

dates: September 8 – October 27



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.

Ages 3-6 ··· wednesdays, 3:15 – 4:30pm

Jefferson School, Berwyn

dates: September 23 – november 18


Parent Date NightALL ABILITIESwe’ll keep the kids busy with ice skating, bowling, pizza and more while you enjoy a night out! Adults, if you’re looking for something to do, come to the wSSrF Fallin’ For Our Stars event tonight! See page 4 for event details.

Ages 3-22 ··· Friday, 6:30pm – 11:00pm

date: October 16

ridgeland Commons recreation Complex, Oak Park

registration #: 487-01 fee: $30.00

Super BowlersALL ABILITIESHit the lanes with wSSrA and learn the fundamentals of bowling. Bumpers and adaptive equipment is available if needed.

Ages 7-22 ··· Fridays, 4:15 – 5:30pm

Circle Lanes, Forest Park




Imagination StationALL ABILITIESBuild a rocket ship and blast off for the moon! Protect your castle from invaders! All you need to bring each week is your imagination—we’ll build, create and design using the Imagination Playground ® .

Ages 3 – 7 ··· Saturdays, 9:30am –12:00pm

north Berwyn Park District Community Center

program fee: $10.60 / week Or $51.75 / 9 weeks

DATE rEG #October 31 429-06november 7 429-07 november 14 429-08november 21 429-09

DATE rEG #September 26 429-01October 3 429-02October 10 429-03October 17 429-04October 24 429-05

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 based on positive mental attitude and high goal setting. The building blocks for this system include:

Ages 9-14 ··· Mondays, 7:15-8:00pm

Karate for Kids, Franklin Park

uniform fee: $40.00/one-time fee for new participants in addition to program fee paid directly to Karate for Kids

dates: September 21–november 16 no program october 12


· Self-control· Courtesy· Friendship· Confidence· Self-awareness

· Self-esteem· Perseverance· Self-improvement· respect· Dedication

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!

For children birth – 6 years

north Berwyn Park District, Irving School in Berwyn, or wSSrA office

Call wSSrA to schedule individual sessions

registration #: 401

fee: $60-$175 dependant on family size and income.

Fee includes monthly toy loans and up to 9 play sessions.

Autism Movement Therapy ®

ALL ABILITIESExperience this innovative and creative program under the guidance of a certified Autism Movement therapist. we use movement and music to help develop balance, coordination, sequencing and much more!


Dole Center, Oak Park

dates: September 23 - november 18



Yoga for AllALL ABILITIESParticipants will be introduced to beginner yoga positions, meditative practice and stretching exercises in a fun, playful environment. The program will focus on body control, increased strength and flexibility, and relaxation techniques.


Dole Center, Oak Park




Sign up for both!Autism Movement Therapy and Yoga For All meet back-to-back on wednesday nights!

wssra.net 7

children & youth

Ages 3 - 11time: 9:00am – 3:00pm round trip trans trans fee: $6.05/event Meeting location to be determined

activity date reg # fee

Giddy Up! we’re heading to Equestrian Connection, Lake Forest for horseback riding, hiking, art therapy and more!

MondayDecember 21

482-01 $28.60

Strike out with a 300! Enjoy a day of pin clashing at Circle Lanes.

TuesdayDecember 22

482-02 $28.60

A whole new worldCome join us for a day themed around the wonderful world of Disney!

wednesdayDecember 23

482-03 $21.45

It’s a Bird, It’s a Plane, It’s a day at Pelican Harbor! Bring your flip flops, swim suit, and a lunch to enjoy at Bolingbrook Park District’s Indoor Aquatic Park.

MondayDecember 28

482-04 $28.60

Missing that Summer Sun? Look no further than this in-house taste of summer activity filled day with “Summer in December!”

TuesdayDecember 29

482-05 $21.45

Lions, Tigers, and Bears, Oh My!Come for a day filled with your favorite animals at the Brookfield Zoo


482-06 $28.60

Looking for something fun to do during the holidays? Look no further! Sign up for some of our Holiday Hullabaloo events! Space is limited so register today. Holiday Hullabaloo events are open to all abilities. Participants need to bring a lunch for each event. Snacks will be provided. Detailed information will be sent prior to the events in December.

holiday hullaballoos

8 wssra.net

saturdays

ALL ABILITIES Ages 3 – 6 ··· Saturdays, 9:00am – 11:30amBarrie recreation Center fee: $10.60/week reg #: 404

ALL ABILITIES Ages 7 – 11 ··· Saturdays, 12:15 – 2:45pmBarrie recreation Center fee: $10.60/week reg #: 406

Saturday Fun Club

Super Saturdays

reg #dateactivity

Make a Splash! It’s time to get wet and wacky with some water games today!

Sept 26 404-01

406-01

Park A Palooza! Monkey tag, Freeze tag, Blob tag, and more! There’s no limit to the fun we’ll have at the playground today!

Oct 3 404-02406-02

walk the Plank! Arrrrrre you ready for some pirate themed games today?

Oct 10 404-03406-03

Dino-rOAr! Let’s celebrate Jurassic world with a dinosaur party!

Oct 17 404-04

406-04

Monster Inc., wSSrA Edition Sulley and Boo invite you to a monster themed day of games and crafts!

Oct 24 404-05

406-05

Brainssss! It’s a zombie invasion this Halloween! Join your friends for some living-dead-awesome games!

Oct 31 404-06

406-06

Banana! nothing is sillier or more fun than our Minion party today!

nov 7 404-07

406-07

Crayola Kids! It’s an art party today! Get ready for a colorful mess!

nov 14 404-08

406-08

Sensory Saturday! It’s time to tickle our senses this Thanksgiving season!

nov 21 404-09

406-09

Tell us how we’re doing!

wssra wants your feedback!

we want your feedback and suggestions regarding the programs for which you have registered. Please take 3-4 minutes to help us improve the services we offer. All answers are anonymous, confidential, and will be

used only by wSSrA.

Just visit wssra.net and click on “tell us

what you think!”

Thanks for your assistance!

wssra.net 9

swim lessonsALL ABILITIESwSSrA conducts swim lessons to allow all individuals to progress from beginner to advanced swimming abilities. Our swim lessons cover fundamental body positions, breath control, stroke drills, and age appropriate safety skills. If you are looking to learn more advanced, competitive, and technical strokes to improve your swimming check out or Stingray Swim Team page! wSSrA swim lessons use the progressive American red Cross Learn-To-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.

PAV YMCA, BErwYn

Friday 3 – 6 years 3:10 – 3:40pm Sept 25 – nov 20 no program oct 23

451-07 $30.40


451-08 $30.40


451-09 $30.40

Friday 7 years & up 4:55 – 5:25pm Sept 25 – nov 20 no program oct 23

451-10 $30.40

Friday 7 years & up 5:30 – 6:00pm Sept 25 – nov 20 no program oct 23

451-11 $30.40

OAK PArK rIVEr FOrEST HIGH SCHOOL

Monday 3 years & up 6:00 – 6:30pm Sept 21 – nov 16 no program oct 12

451-01 $30.40

Monday Advanced Swimmers: must swim pool length

6:00 – 6:50pm Sept 21 – nov 16 no program oct 12

451-02 $39.90

Monday 3 years & up 6:30 – 7:00pm Sept 21 – nov 16 no program oct 12

451-03 $30.40

MAnnHEIM MIDDLE SCHOOL, MELrOSE PArK

wednesday 3 years & up 7:30 – 8:15pm Sept 23 – nov 18 no program nov 11

451-04 $38.10

MOrTOn EAST HIGH SCHOOL, CICErO

Thursday 3 years & up 6:30 – 7:00pm Sept 24 – nov 19 451-05 $32.35

Thursday 3 years & up 7:00 – 7:30pm Sept 24 – nov 19 451-06 $32.35

10 wssra.net

activity date reg #

D.I.Y D.A.Y.You make it. You take it. we’re putting our crafting skills to the test today as we create art from Pinterest.

September 26 431-01

Tracks of AmericaAll aboard for the Chicago Botanical Garden! we are going to spend the day walking along their Model railroad Garden featuring landmarks from across America.Time change today! 9:00am – 1:00pm

October 3 431-02

Grill MasterEnjoy the fall weather with a grill challenge and some outside games today!

October 10 431-03

LEGO to the Arboretum we’re visiting the Morton Arboretum today to check out nature Connects®: Art with LEGO bricks by Sean Kenney. we’ll see 13 larger-than-life sculptures inspired by nature and built from our favorite bricks.

October 17 431-04

Boo at the Zoo! Take a spin on the Creepy Carosel or the Haunted Hayride. After we escape the Crazed Maze, we’ll see what the animals are up to at Brookfield Zoo.

October 24 431-05

Build Your Own Burrito! Today is taco morning! we’re celebrating Day of the Dead a little early with some food, sugar skull painting, and games!

October 31 431-06

Pajama Jam!roll out of bed and come to program in your nighties! we’re celebrating early mornings with a pajama dance and sleepover games

november 7 431-07

Knights of the wSSrA tablewe’re off to Adventure realm where arcades, Magiquest game play, and Knights Quest laser tag are the journey for the day!

november 14 431-08

Turkey BowlIt’s the season to give thanks, eat food, and celebrate football! Share some fun and food with your friends at our football themed holiday feast.

november 21 431-09

MI, DD, LD, VIwe fill our Saturday mornings with fun and thrills as we explore our communities. The vans will depart 5 minutes after scheduled start time for our out trips! we do a lot of indoor AnD outdoor activities each week. Please make sure that you are dressed for both!

outdoor adventures

Ages 12 – 22 ··· Saturdays, 9:15am-12:15pmPark District of Forest Park, Building #4

fee: $14.00/weekPlease see weekly program descriptions for any changes in fee or program time

wssra.net 11

teens & young adults

Show TimeMI, DD, AUT, MLHEnjoy a night with popcorn and the big screen! In order to minimize disturbance to other movie patrons, participants must be able to focus on a movie for two hours with minimal breaks.

Participants need to bring $20 for ticket and snacks.

Ages 15 and older ··· Fridays

Barrie recreation Center

pick up point trans trans fee: $2.75/week · wSSrA Office · Cicero McDonald’s

program fee: $12.75/week

Now We’re Cookin’DD, MLH, HIFall back into the kitchen with wSSrA! Program participants will enjoy making their own healthy creations and bringing recipes home.

Ages 15 and older ··· Thursdays, 7:30 – 9:00pm

Park District of Forest Park, Main Building




Sunny Side UpDD, MLH, HITurn the fun up to 350 degrees at our morning cooking program! we’ll learn to make different recipes and enjoy eating them too!

Ages 15 ··· Fridays, 11:00am – 12:30pm

Park District of Forest Park, Main Building




Food CriticsMI, DD, AUT, MLHWok and Roll with this season’s dishes at some of the most popular Asian restaurants in town! Lively discussion about what we liked best each week is all part of the fun. Participants must be able to sit for a meal with minimal interruptions to others. bring $25 to cover your food and share of the tip.

Ages 15 and older ··· Fridays, 6:30 – 9:15pm

Barrie recreation Center

pick up point trans trans fee: $2.75/week · wSSrA Office · Cicero McDonald’s


reg #datedestination

new Star restaurant 7444 w north Ave, Elmwood Park

Sept 25 461-01

No Food Critics tonightCheck out Saturday night Social Clubs and sign up for the nEDSrA Homecoming Dance!

Oct 2

Joy Yee noodle 1335 S Halsted St, Chicago

Oct 9 461-02

new China Buffet 8339 w north Ave, Melrose Park

Oct 16 461-03

Panda Expressnorth riverside Mall Food Court

Oct 23 461-04

noodles & Company7215 Lake St, river Forest

nov 13 461-05

reg #dateactivity

wSSrA will notify participants of the movie & times on the wednesday before the show.

October 30 460-01

High School Musical…The Musical! Take a break from the big screen and join us for a live stage production by the students at west Leyden High School. Cost of ticket is covered with this week’s registration fee.

november 66:00pm

460-02

wSSrA will notify participants of the movie & times on the wednesday before the show.

november 20 460-03

12 wssra.net

Broadway TourHI, VI, PI, MLH, DDSee a live Broadway production! Participants must be able to focus on a 2+ hour performance with minimal interruptions. This is to minimize disturbance to other audience members.

Ages 15 and older ··· Friday, December 18

meeting location: Barrie recreation Center

destination: Bank of America Theatre

time: 6:15pm registration #: 481 fee: $41.00

Gotta Dance Like the half-time performances at sporting events? Like musicals? Then Gotta Dance is for you! This Broadway bound musical is inspired by true events, this musical takes you through the first-ever senior dance team for a professional basketball team. See them make their journey towards busting a move on center court! Music by Emmy, Grammy, Tony, and Oscar winner Marvin Hamlisch. witness a true Tony Award-nominee performances by Matthew Sklar and nell Benjamin who have also starred in “The wedding Singer” and “Legally Blonde.”

wssra.net 13

AUT, DDwSSrA is pleased to partner with Community Support Services (CSS) in its offering of the Team Up program. wSSrA provides a fitness component once a week to individuals who are enrolled in the program.

This program is grant-funded through the Community Mental Health Board of Oak Park. Oak Park residents only.

22 and older ··· wednesdays and Thursdays, 8:30 – 1:30pm

dates: Ongoing now – March 2016

criteria: Participants must meet residency criteria, must be successful socially with a 1:4 staffing ratio, and must be independent in personal care.

to register or for more information: Contact Francisca Favela at Community Support Services, 708.354.4547

Team Up!

14 wssra.net



Giddy Up! we’re heading to Equestrian Connection, Lake Forest for horseback riding, hiking, art therapy and more! Please pack a lunch.

MondayDecember 21

483-01 $28.60

Hocus Pocus, AbracadabraHere comes Mark Doetsch to perform a mind-blowing live magic show! See cards be torn apart and put back together, cards jumping to the top of the deck, during this magic themed day!

TuesdayDecember 22

483-02 $28.60



483-03 $28.60


MondayDecember 28

483-04 $21.45

Crash Landing Into Splash Landing we'll visit the indoor water park at the Glenview Park District.

TuesdayDecember 29

483-05 $28.60

Missing That Summer Sun?Look no further than this in-house taste of summer activity filled day with “Summer in December!”


483-06 $21.45

holiday hullaballoosLooking for something fun to do during the holidays? Look no further! Sign up for some of our Holiday Hullabaloo events! Space is limited so register today. Holiday Hullabaloo events are open to all abilities. Participants need to bring a lunch for each event. Snacks will be provided. Detailed information will be sent prior to the events in December.

wssra.net 15



Giddy Up! we’re heading to Equestrian Connection, Lake Forest for horseback riding, hiking, art therapy and more! Please pack a lunch.

MondayDecember 21

490-01 $28.60

Hocus Pocus, AbracadabraHere comes Mark Doetsch to perform a mind-blowing live magic show! See cards be torn apart and put back together, cards jumping to the top of the deck, during this magic themed day!

TuesdayDecember 22

490-02 $28.60



490-03 $21.45


MondayDecember 28

490-04 $28.60

Strike Out with a 300! Enjoy a day of pin clashing at Circle Lanes

TuesdayDecember 29

490-05 $28.60

Missing That Summer Sun?Look no further than this in-house taste of summer filled day with “Summer in December!”


490-06 $21.45

holiday hullaballoos

16 wssra.net

teens & young adults

reg #dateactivity

UrbaniteswEST LEYDEn TrAnSITIOn STUDEnTSThursdays, 3:00 - 5:00pm

Students will be picked up for program at wLHS by wSSrA

parent pick-up after program is the wssra office at 5:00

fee: $5.00/week

Home only transportation is available to students who live in wSSrA partner communities trans fee: $3.00/week

reg #dateactivity

Teen ScenewEST LEYDEn LIFE STUDEnTSMondays, 3:00 - 5:00pm

Students will be picked up for program at wLHS by wSSrA.

parent pick-up after program is the wssra office at 5:00

fee: $5.00/week

Home only transportation is available to students who live in wSSrA partner communities trans fee: $3.00/week

Last Days of Summer! Let’s enjoy the last days of summer outdoors! well play water games and enjoy the sun as summer melts away.

Sept 21 458-01

Ice Cream, You Scream! Let’s take a break and grab some ice cream with some friends!

Sept 28 458-02

Head on Down to the Alley! Come join us as we head down to the Brunswick Zone to see who’s got the best throw in town!

Oct 5 458-03

Grab a Book! we’re heading over to the Franklin Park Library to see what’s new on the shelf, and to research some neat topics!

Oct 19 458-04

Spooky Halloween! Put on your favorite Halloween costume and join us for some spooky fun!

Oct 26 458-05

Are You ready for Some Football?Football season is here and we're getting down and dirty with some flag football! we’ll be playing all different kinds of sports so bundle up and come ready!

nov 2 458-06

we All Fall Down! Let’s get outside and collect some leaves as we create some crazy fall crafts!

nov 9 458-07

Shop 'Til we Drop! Christmas is right around the corner and you can never start shopping too early! Let’s hit the HIP to see what we can find!

nov 16 458-08

Aye Aye CaptainCalling all Pirates! Come join us on a scavenger hunt for some long lost treasure at north Park!

Sept 24 446-01

All a-Board! Bring your favorite board games for some Trivia fun! we’ll have snack available too!

Oct 1 446-02

Fore! Grab your gold clubs as we hit the greens for some glow-in-the-dark fun at the Putting Edge! Bring extra money for arcades.

Oct 15 446-03

Spooky Halloween! Put on your favorite Halloween costume and join us for some spooky fun!

Oct 29 446-04

Shop 'Til we Drop! Christmas is right around the corner and you can never start shopping too early! Let’s hit the HIP to see what we can find!

nov 12 446-05

interested in joining the saturday night fun?Jump to the next page, we have tons of exciting programs for ages 15 and up!

Call the office and we'll help you get into the right group ··· 847.455.2100

join the saturday night fun!Join a club for some Saturday evening fun! we'll visit some of our favorite local attractions with friends while focusing on enhancement of social skills. Activities planned are intended for adults who want to venture out in the name of fun!

Call Liz at the office and we'll help you get into the right group ··· 847.455.2100

MI, AUT, DDAges 15 and older ··· Saturdays, 6:00-9:00pm ··· Carroll Center, Oak Parkpick-up point: wSSrA Office or Cicero McDonald’s trans fee: $2.75 per week moonlighters reg #: 475 socialites reg #: 473

when Social Clubs are scheduled to attend sporting events, plays, concerts, etc, our return to the meeting locations is approximate. wSSrA will remain at these events until they end. If the group is going to be more than 15 minutes late, staff will attempt to contact families with updated information.

reg #date feeactivity

Octoberfest! Join us for some fall fun in Berwyn as they host their Oktoberfest with live bands, food vendors, and more entertainment all located in the Historic Depot District! bring money for food and tickets

September 19 475-01473-01

$14.30

Don your best dress, suit and tie! we’re heading to the nEDSrA Homecoming dance for a night of food, dancing, and fun with our friends from other SrA’s.Friday event! ··· Formal dress is recommended

FridayOctober 2

475-02473-02

$20.40

Bear Down and Gear Up! Football season is hear time to cheer on your favorite football team, enjoy some football party snacks, and enjoy some sports talk at our very own Football Party!

October 10 475-03473-03

$12.25

Boo at the Zoo! Come Join the Brookfield Zoo and celebrate Halloween with a variety of events featuring costume contest, costume parade, treats, and holiday animal exhibits!

October 17 475-04473-04

$14.30

Pumpkin Cravings and Carvings! Spend an evening of pumpkin carving and we’ll be the judge for the contest!Dress for a mess

October 24 475-05473-05

$14.30

Get Spooked at the Spook Shed! Enjoy a little scare or an evening of pumpkin picking, cotton candy, and harvest fun at Sonny Acres Farm in west Chicago!Dress for the weather ··· bring money for food and tickets

October 31 475-06473-06

$16.35

High School Musical…The Musical! Join us for a live stage production by the students at west Leyden High School.

Fridaynovember 6

475-07473-07

$14.30

Gobble Gobble Gobble! It’s a Thanksgiving soiree tonight and we are the chefs! Let’s celebrate the month of thanks by cooking up our own Thanksgiving dishes!

november 14 475-08473-08

$16.35

Evening wildlife Encounter! Ever wonder what zoo animals do at night? Tonight’s the opportunity to have a party with the animals at Lincoln Park Zoo!

november 21 475-09473-09

$16.35

moonlighters & socialites

wssra.net 17

18 wssra.net

hot shots & city sl ickersMI, AUT, DDAges 15 and older ··· Saturdays, 6:00-9:00pm ··· Park District of Forest Park, Building #4pick-up point: wSSrA Office or Cicero McDonald’s trans fee: $2.75 per week hot shots reg #: 472 city slickers reg #: 474

when Social Clubs are scheduled to attend sporting events, plays, concerts, etc, our return to the meeting locations is approximate. wSSrA will remain at these events until they end. If the group is going to be more than 15 minutes late, staff will attempt to contact families with updated information.

reg #date feeactivity

Octoberfest! Join us for some fall fun in Berwyn as they host their Oktoberfest with live bands, food vendors, and more entertainment all located in the Historic Depot District! bring money for food and tickets

September 19 472-01474-01

$14.30

Don your best dress, suit and tie! we’re heading to the nEDSrA Homecoming dance for a night of food, dancing, and fun with our friends from other SrA’s.Friday event! ··· Formal dress is recommended

FridayOctober 2

472-02474-02

$20.40

Get Spooked at the Spook Shed! Enjoy a little scare or an evening of pumpkin picking, cotton candy, and harvest fun at Sonny Acres Farm in west Chicago!Dress for the weather ··· bring money for food and tickets

October 10 472-03474-03

$16.35

Bear Down and Gear Up! Football season is hear time to cheer on your favorite football team, enjoy some football party snacks, and enjoy some sports talk at our very own Football Party!

October 17 472-04474-04

$12.25

Boo at the Zoo! Come Join the Brookfield Zoo and celebrate Halloween with a variety of events featuring costume contest, costume parade, treats, and holiday animal exhibits!

October 24 472-05474-05

$14.30

remember the Gh’oul Times! Enjoy some frightful finger foods and witches brew at tonight’s friendly good time Halloween themed social! Don’t forget your costume for a costume contest!

October 31 472-06474-06

$12.25

High School Musical…The Musical! Join us for a live stage production by the students at west Leyden High School.

Fridaynovember 6

472-07474-07

$14.30

Thanksgiving Soiree! It’s a Thanksgiving feast tonight and we are the chef’s! Let’s celebrate the month of thanks by cooking up our own Thanksgiving dishes!

november 14 472-08474-08

$16.35

Pumpkin Carving Contest! Spend an evening of pumpkin carving and we’ll be the judge for the contest!Dress for a mess

november 21 472-09474-09

$14.30

sports, f itness & special olympics

Aqua ExerciseMLH, MI, AUT, DDAqua exercise is one of the best exercises for the body with minimal gravitational pull, all muscle groups are worked out. workouts cover cardio and strength. while having fun in the pool with your friends to various-upbeat music, you will also improve your strength, flexibility, mobility, resting heart rate, and range of motion.

15 and older ··· Mondays, 8:15 – 9:00pm

OPrF Girl's Pool

dates: September 21 - november 16 no program october 12



ALL ABILITIESStart your week with a healthy dose of exercise! we’ll emphasize:

· Stretching · Flexibility · Moderate aerobics · Use of exercise equipment

Exercise routines will be monitored by staff to meet your individual needs.

21 and older ··· Mondays, 10:00 –11:30am

Franklin Park Community Center

dates: September 21 - november 16 no program october 12



Healthy Start

CrossFitALL ABILITIES

Come join us for our new fitness program, that will involve high-intensity interval training, Olympic weightlifting, plyometrics, powerlifting, cardio, and other exercising.

we ask that the participant be able to:

· Follow multi-step direction with minimal prompting · remain with the group with minimal prompting

13 and older ··· Thursdays, 6:30 - 7:30pm

O'Hare Cross Fit

dates: October 1 - november 12



Zumba®

ALL ABILITIESDance, dance, dance your way to a healthier you! we promise to keep moving in this Latin and international dance fitness program.

13 and older ··· wednesdays, 7:00 – 8:00pm

Cicero Community Center, Cicero




Saturday Bowling LeagueMI, AUT, DD, 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 NSSRA tournament!

Ages 13 and older ··· Saturdays, 1:00 – 3:00pm

Circle Lanes, Forest Park


pick up point trans trans fee: $24.75 · wSSrA Office · Harwood Heights Village Hall · Cicero McDonald’s · Elmwood Park recreation Center


NSSRA Bowling TournamentSaturday, December 5

Brunswick Zone, Deerfield ··· 10:00am – 1:00pm

pick up points

· wSSrA Office · Fox Park, Oak Park


wssra.net 19

Special Olympics Illinois 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, Bowling, Softball, Track & Field, Volleyball, and Gymnastics.

All 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:

· Athlete information

· Parent or Guardian Authorization & Medical Authorization

· Health Insurance and Emergency Information

· Medical Clearance (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 26 for the application.

Anyone interested in participating, starting a new sport, or

volunteering please contact the WSSRA Special

Olympic Coordinator.

we all share a responsibility in making the Special Olympics

training and competition program a positive experience that

promotes the growth & development of our athletes. with this

belief, we have identified expectations for our wSSrA Athletes,

Parents, & Spectators:

WSSRA’s Expectations of Athletes

· Demonstrate respect for the rules of the sport

· Demonstrate respect for coaches, teammates,

opponents, opposing coaches and officials. Failure to do

so may result in loss of playing time

· Come to practices and games ready to play with

a positive attitude.

WSSRA’s Expectations of Spectators

wSSrA spectators are asked to provide positive support during

practice and competition. negative comments are incredibly

detrimental to team morale. Spectators are expected to:

· Show respect & positive support for ALL wSSrA athletes

and our opponents.

· Show respect & positive support for ALL wSSrA coaches,

opposing coaches, officials, and other spectators

· Be a role model for proper behavior and demonstrate good

sportsmanship, and self-discipline.

Failure to do so will result in removal from the practice or

competition and may jeopardize your attendance

at future events.

Criteria for Participation Good Sportsmanship

20 wssra.net

SEASPAR Swim Meet Saturday, november 21

Downers Grove north High School

pick up points



FVSRA Swim Meet Saturday, December 5

norris recreation Center, St. Charles

pick up points



Stingray Swim TeamStingray Swim Team is a training and team building program for those who have excelled in wSSrA swim lessons and can now swim at least one length (25m) of the pool independently. Athletes are pushed and challenged to continually develop their competitive swimming skills further with our dedicated coaches and staff. Training consists of consecutive lap-swimming throughout the program along with technique refinement. Stingray members are encouraged to participate in Special Olympic Competition, but not obligated to do so. Swim team members are not eligible to register for wSSrA swim lessons.

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

Mondays, 7:00 – 8:10pm

Oak Park river Forest High School, Girl's Pool dates: September 21 - november 16 no program october 12



Bobcat BasketballMI, AUT, DDThe wSSrA Bobcat Basketball philosophy emphasizes 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. Players will:

· Learn the fundamentals of basketball · Learn and play different positions · Be a part of a team and learn the importance of teamwork

Ages 15 and older ··· Tuesdays, 6:30 – 8:00pm

Locations TBD

You will be notified of practice and game locations once teams have been established.

fall practice season

September 22 – november 17

Registration Deadline: September 18

pick up point trans trans fee: $24.75 · wSSrA Office

Transportation fee cannot be adjusted to a weekly basis

registration #: 499

game season

november - February

registration #: 499

Fee: $112.20 / Program fee includes practice & game season

Weekly WorkoutMLH, MI, AUT, DDFinish your day with a great workout! Improve your physical condition with:

· Exercise stations · weight lifting · Low impact aerobics

13 and older ··· Tuesdays, 7:00 – 8:15pm





sports, f itness & special olympics

wssra.net 21

older adults

Shop & DineADULTS PI, VI, HI, MLHwe’ll hit the stores, stock up on necessities, and end each week with lunch. Participants must be independent in mobility. Participants will be responsible for their purchases and lunch.

Older adults ··· Tuesday, 9:30am-12:15pm

round trip trans trans fee: $6.05/week



Harlem & Irving Plaza, norridgeLunch at the food court

Oct 13 466-01

rosemont Outlet MallsLunch at Food Court

nov 10 466-02

Walk & DineADULTS PI, VI, HI, 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 purchasing their own lunch.

Older adults ··· Tuesdays, 9:30am – 12:15pm




Chicago Botanical GardensLunch at Jimmy Johns

September 22 467-01

Lindberg Park, Oak ParkLunch at Panera Bread

September 29 467-02

Proksa Park, BerwynLunch at Yia Yia’s

October 6 467-03

redman Park, BensenvilleLunch at Culver's Franklin Park

October 20 467-04

Dominican University, river ForestLunch at russell’s Barbeque

October 27 467-05

Garfield Park ConservatoryLunch at Tasty Dog

november 3 467-06

Commons Park north riversideLunch at Buffalo wild wings

november 17 467-07

don't miss a single week!On dates that walk & Dine doesn't meet, Shop & Dine does! Sign up for both programs so you don't miss any Fall fun!

Call the office and we'll help with any questions ··· 847.455.2100

22 wssra.net

wssra.net 23

older adults

ADULTS PI, VI, HI, CHrOnIC ILLnESSDid you know that yoga can help improve flexibility, balance, breathing and concentration? Plus, it can help decrease stress and improve your mood! Join wSSrA as we start the day with breathing exercises and gentle stretching and yoga.

Yoga poses will be taught in a seated position in chairs.

Can’t commit to every week? That’s okay! now you can register based on the number of classes you want to attend. Once you register, you will receive your punch card in the mail. Bring your card to class with you each time you attend. Cards will expire at the end of December, 2015.

Older adults ··· Tuesdays, 10:00 – 11:15am

Village of Harwood Heights

dates: October 6 – December 29 no program nov 3, nov 24, dec 1

Yoga for Wellness

reg # feepasses

10 Classes

8 Classes

5 Classes

3 Classes

469-01

469-02

469-03

469-04

$26.50

$21.20

$13.25

$7.95

Towers SocialADULTS PI, VI, MLHJoin us one Friday a month for socializing, games and trivia. we’ll enjoy coffee and a light snack while we play cards “Garbage” style.

Older adults ··· Fridays, 12:30 – 2:30pm

Franklin Towers, Franklin Park


program fee: FrEE

reg #date

September 18

October 23

november 20

December 11

479-01

479-02

479-03

479-04

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

Older Adults ··· wednesdays, 9:30 – 12:00pm




reg # reg #date date

September 23

September 30

October 7

October 14

October 21

465-01

465-02

465-03

465-04

465-05

October 28

november 4

november 11

november 18

465-06

465-07

465-08

465-09

Diner’s DelightADULTS PI, VI, MLHEnjoy an evening of food, games and socializing. Sign up for a 3-week session. The first two weeks, we’ll order dinner in to the wSSrA office and enjoy some gaming. we’ll go out to eat our third week. Supervisor will bring dinner choices for the first week of each session—after that—it’s up to the group to determine our following feasts! Participants are responsible for purchasing their own meal.

Older adults ··· Thursdays, 6:30 – 8:30pm, meets at wSSrA Office


SESSIOn OnE

dates: September 24, October 1 & October 8


SESSIOn TwO

dates: October 15, October 22, & October 29


SESSIOn THrEE

dates: november 5, november 12, & november 19


thank you for generously donating

the 2015 derby gala dessert buffet

west suburban special recreation association

FALL 2015 REGISTRATION FORMmail to: wssra, 2915 maple street, franklin park, il 60131 ··· fax to: 847.455.2157 ··· signed registration must be received by september 11, 2015

participant’s name: ______________________________________________________________________________birth date: ______________________

address: ________________________________________________________________city/state: _____________ zip: ____________________________

home phone: ___________________________________ park district/village: ____________________________________________________________

parent or guardian name: ________________________________________________________________________________________________________

email address:

parent/guardian work phone: ____________________________________________parent/guardian cell phone: _____________________________

who should be contacted if parent/guardian is unavailable? name: __________________________________phone: _________________________

present school/workshop/other: ________________________________________teacher/supervisor name: ________________________________

participant disability: ____________________________________________________________________________________________________________

does participant use wheelchair/walker? specify: _________________________________________________ can participant transfer? *yes *no

is participant subject to seizures? *yes *no if yes, please complete and return seizure information form

is medication taken at program? *yes *no list any medication: _____________________________________________________________________

list any allergies: _______________________________________________________________________________________________________________

does participant have a communicable disease? *yes *no if yes, please explain: _____________________________________________________

program # program name day fee trans program & trans fee subtotal

total due:FEE PAYMEnT OPTIOn ··· PLEASE 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 bob foster

* credit card * visa * master card

card number: expiration date: _____ / _____

i have read the waiver release of all claims and hold harmless agreement on the reverse side and unless i have checked no under the three authorizations, i approve them.

_________________________________________________ __________________________parent/participant/guardian signature date

HOLD HArMLESS rELEASE On

rEVErSE SIDE

west Suburban Special recreation Association

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

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

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

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

I further agree to indemnify, hold harmless and defend, the west Suburban Special recreation Association and any and all other parties from any and all

claims resulting from injuries, damages and losses sustained by anyone, and arising out of, connected with, or in any way associated with my conduct and the activities of these programs.

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

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

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

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

to communicate with school / health care personnel*I authorize counsellors, teachers, case workers, therapists, or physicians to communicate with wSSrA about the participant’s needs as they relate to wSSrA’s provision of recreation services to the participant. wSSrA will keep confidential all information obtained through such communications. 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.

we welcome your input!we invite you to share with us your program ideas and comments about our services:_______________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

you can also email us your input at [email protected] | support wssra by following us on /wssra @wssra

28 wssra.net


SEIZURE INFORMATIONdate: ___________________________Please complete this form if the participant experiences seizures, or return a copy of your child’s seizure plan from his/her school. Please update this form whenever there is a change in the seizure plan and submit it with your registration. You will be asked to review this once a year and provide any necessary updates.

COnTACT InFOrMATIOnparticipant name: ________________________________________________________________________________________________________________

person completing form: ________________________________________________________________________________________________________

parent/guardian: ________________________________________________________________________________________________________________

parent/guardian home phone: __________________________________ work: ___________________________cell: ___________________________

emergency contact: _____________________________________________________________________________________________________________

emergency contact home phone: _______________________________ work: ___________________________cell: ___________________________

emergency contact relationship: _________________________________________________________________________________________________

email address:

what is the best way to communicate with you about the participant's seizure?: _______________________________________________________

________________________________________________________________________________________________________________________________

current seizure related medication:

medication name dosage time of intake

1. Seizure Type (please check):

* Generalized tonic-clonic seizures (grand mal seizures) are the most common and best known type of generalized seizure. They begin with stiffening of the limbs (the tonic phase), followed by jerking of the limbs and face (the clonic phase).

* Myoclonic seizures are rapid, brief contractions of bodily muscles, which usually occur at the same time on both sides of the body. Occasionally, they involve one arm or a foot. People usually think of them as sudden jerks or clumsiness.

* Atonic seizures produce an abrupt loss of muscle tone. They produce head drops, loss of posture, or sudden collapse. Because they are so abrupt, without any warning, and because the people who experience them fall with force, atonic seizures can result in injuries to the head and face. Protective headgear is sometimes used by children and adults.

* Absence seizures (petit mal seizures) are lapses of awareness, sometimes with staring, that begin and end abruptly, lasting only a few seconds. There is no warning and no after-effect.

* Simple partial show no loss of consciousness. Sudden jerking, sensory phenomena. Lasts about 90 seconds.

* Complex partial last about 1-2 minutes in which consciousness is impaired or lost. May have an aura. Symptoms include: Automatisms such as lip smacking, picking at clothes, fumbling. They may be unaware of the environment and may wander. Following the seizure they are often unaware of the seizure event and can be confused and sleepy.

* Status epilepticus If seizures are prolonged, or occur in a series, there is an increased risk of status epilepticus. The term literally means a continuous state of seizure.

2. when was your/the participant’s last seizure? _____ /_____ /______ How long does the seizure last? _____________________________________

How long was the longest seizure? ______________________________________________________________________________________________

3. Describe what a typical seizure looks like (be specific) : ____________________________________________________________________________

______________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________

wssra.net 29


SEIZURE INFORMATION continued 4. Are you/the participant aware that they are about to have or have just had a seizure? yes no

5. Are there any symptoms or triggers prior to the onset of your/the participant’s seizure? (i.e. stomach pain, fear, smells, sounds, lights)

Explain: ________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

6. Has there been any recent change in your/the participant’s seizure pattern? yes no

Explain: ________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

7. Have you/the participant ever been hospitalized for continuous seizures? (Status epilepticus) yes no

Explain: ________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

8. Please list below the necessary steps you would like wSSrA to take in the event of a seizure:

1. Call 911 for a seizure over ______ minute(s). WSSRA will call 911 if a seizure lasts 5 minutes

2. ___________________________________________________________________________________________________________________________

3. ___________________________________________________________________________________________________________________________

9. Please describe what constitutes an emergency for you/ the participant: ____________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

10. Do you/the participant have a VnS (vagal nerve stimulator)? yes no If yes, contact wSSrA at 847.455.2100 to discuss further.

11. Is there any other information that wSSrA should know? __________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________

30 wssra.net

rEGISTrATIOnIn order to participate in Fall programs, your completed AnD signed registration form must be received in the wSSrA office by Friday, September 11. wSSrA registration is taken on a first-come, first-served basis.

rEGISTrATIOn OPTIOnSA phone-in registration will only hold a spot in program. A completed AnD signed registration form is still required in order to start participation. The form can be returned to the wSSrA office using the mail, drop-off, fax, or email options above. The registration form MUST be received by Friday, September 11. If your signed form is not received by this date, you will lose your spot in any of your selected programs that have a wait list.

CLOSED PrOGrAMS/wAIT LISTSIf a program closes because we have reached its maximum enrolment, your participant will be placed on a wait List once we receive your completed and signed registration form. wait Lists are reviewed on a weekly basis. You will be notified if additional space in the program becomes available.

wSSrA OUTrEACHIf you are new to wSSrA and need assistance selecting programs or completing your registration form, please contact an Outreach Specialist at the wSSrA office.

PAYMEnTPayment of program fees is due upon registration unless other arrangements have been made. Billing statements are mailed out once a month. Call the Finance Manager to arrange for a payment plan, Monday – Thursday, 8:30am – noon. A participant may not register for the next season until a balance from previous season is paid. wSSrA Program Supervisors MAY nOT accept payment or registration forms at program.

rETUrnED CHECKSA $20.00 fee will be charged for any checks returned to wSSrA. The $20.00, as well as the balance, will need to be paid before registering for future programs.

rEFUnDSrefunds will only be issued when the registrant cannot participate for extended medical reasons and/or hospitalization verified by a physician.

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.

CAnCELLED PrOGrAMS · If there is low enrolment, a program may be cancelled. · A program refund or credit will be issued. · If a program is cancelled due to unforeseen circumstances you will be contacted at the soonest possible time. · A program credit will not be issued for weather-related cancellations. Programs will be made up at the end of a season whenever possible. · no program credits will be issued for sports tournament cancellations.

PArEnT DrOP-OFF & PICK-UPwSSrA programs are staffed according to the needs of the participants who are registered. If your participant does not show up to program, we will send staff home for the day. Please help wSSrA keep programs running safely with the necessary number of staff by making sure that your participant arrives for program at the start time of program. Please do not drop your participant off prior to the stated program start time. For the safety of your participant, at drop off & pick up, be sure to make contact with a wSSrA staff person.

when a program is scheduled to travel (i.e. Saturday nights, outdoor adventures, etc.), The wSSrA vehicles will leave the meeting location promptly at 5 minutes past the program’s listed start time.

LATE PICK-UP/DrOP-OFF Please make sure that you are on time picking up your participant from program, as well as, home to greet your participant when the wSSrA vehicle drops them off after program.

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

DrOP OFF AT THE wSSrA OFFICE Or MAIL TO

wSSrA2915 Maple St.

Franklin Park, IL 60131

SCAn & EMAIL [email protected]

FAx TO847.455.2157

PHOnE TO:847.455.2100

wssra.net 31

wssra registration & policies

PArTICIPAnT ILLnESSFor the protection of all of the participants in program, your participant must be kept at home or will be sent home if he/she shows any of the following symptoms: · A temperature over 100.3. · 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 at home. · Have a highly contagious condition such as chicken pox, measles, lice, etc.

PArTICIPAnT ABSEnCE If your participant is not going to attend a program for which you are registered, please notify the wSSrA office as soon as possible. Make sure you leave a voice mail if you call after our office has closed for the day.

SAFETY PrECAUTIOnSSome participants in wSSrA programs and special events may be carriers of infectious disease(s). Staff and volunteers have been provided in-service training concerning proper hygienic procedures. wSSrA seeks to provide a safe environment for all of our participants, staff, volunteers, and the public. If you have specific questions, please call the wSSrA executive director or superintendent of safety & operations.

wSSrA TrAnSPOrTATIOnTransportation by wSSrA is available for some programs and with an additional fee. when offered, transportation information and fees are noted in a program’s registration information in this program guide. All riders must abide by the following wSSrA guidelines. Failure to do so will result in suspension from transportation. repeat offenders will not be transported by wSSrA. · riders must stay in their seat with a seatbelt on at all times. · riders must not deface the vehicle. · riders must keep their hands and feet to themselves. · Eating is not permitted on wSSrA vehicles. · Parents or participants must notify wSSrA in regard to any change in transportation. · Any registration received after September 11 may result in a late program start or no transportation. · Parents are requested to notify their child’s school on days the child will be picked up by wSSrA. · A participant under the age of 16 must be taken off of the wSSrA vehicle by a responsible person over the age of 12.

CAr SEATSDue to state legislation, car seats or boosters must be provided for all children ages seven and under. For more information contact the superintendent of safety & operations.

MEDICATIOnIt is the parent/guardian and participant’s responsibility to inform wSSrA of any medication a participant is taking. This information is important in case of an emergency. Medication information should be noted ion the registration forms, as well as the annual information form. Any changes in medication should be communication to wSSrA.

SEIZUrESParticipants who have had a seizure must complete a seizure information form prior to beginning programs. Please see page 31 for this form. Forms can be found on the wSSrA website, scanned & emailed, or mailed to you. Forms need to be updated as changes with the seizures or medication occurs.

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

wAIVEr OF LIABILITYwSSrA is insured through a self-insurance pool with other special recreation associations and park districts. Our pool is known as the park district risk management agency (pdrma). As a loss prevention measure, pdrma is requiring participants to execute a release of liability for programs. The reverse side of the registration forms contains the wSSrA waiver release form. This must be signed and returned to the wSSrA office before a participant can be in programs each season.

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

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

nOn-rESIDEnT POLICYwSSrA programs are limited to people who live in the wSSrA partner districts and villages. If you live outside of the wSSrA communities and are interested in participating in a special recreation program, call your park district or village recreation department. Call the wSSrA executive director for more information.

32 wssra.net

registration & policies

September 12, 2015Concordia University Chicago

8:00am

REGISTRATION IS OPEN! Go to www.signmeup.com/106242 to learn more

This race is presented by the Community Bank of Oak Park River Forest, the River Forest Park District,

Concordia University Chicago, and Fenwick High School. The race is a 3.1 mile USATF-certified and

CARA Certified Green Race course through the flat, tree-lined streets of River Forest

race proceeds go to benefit WSSRa

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

Sponsored by

Seats are limited! Only 5 tickets per family are availablewheelchair seating is availableAll children must be accompanied by an adult

Saturday, December 12 Reg #: 491Fee: $15.00 - 11 years and older ··· $8.00 - 11 years and youngerTrain times to be determined

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