Therapeutic Recreation Program FALL 2018 / WINTER see many of you again this fall and...

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Therapeutic Recreation Program FALL 2018 / WINTER 2019 EasterSeals Western and Central Pennsylvania Presented in Part by
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  • TherapeuticRecreationProgram FALL 2018 /WINTER 2019eastersealswcpenna.orgEasterSeals Western and Central Pennsylvania

    Presented in Part by

  • Mack Madness Inc.

    York Community Foundation

    Ambassador Foundation

    Thank You to our recreation program donors:

    Utz Quality Foods

    Baltimore Life

    Wells Fargo

    The Stabler Foundation

    Donna Deerin Ward

    Damian Salvi

    Glatfelter Insurance Group

    DOCEO Office Solutions


    Gamler’s Boatyard and Campground

    Pequea Water Ski Club

    The McAllister Foundation

    United Concordia

    Jan Kevern MemorialGolf Tournament

    Sageworth Trust Company(Arlene Utz Hollinger Foundation)

    Chris and Angela Ferro

  • 383 Rolling Ridge Dr. State College, PA 16801 888-372-7280 (toll-free)

    Corporate OfficeSix Parkway Center, Suite 150, 875 Greentree Road, Pittsburgh, PA 15220Phone: 412-281-7244

    2550 Kingston Rd. Suite 219, York, PA 17402Phone: 717-741-3891 / Fax: 717-741-5359


    EasterSeals Locations

    Matthew B. Ernst; CTRSVice President, Programs & Business Development, Central [email protected]

    James G. BennettPresident and [email protected]

    Allison ScottTherapeutic Recreation Program Specialist – Camping and Respite [email protected]

    Virginia Anderson; CTRSDirector of Therapeutic [email protected]

    Elizabeth Bunting; CTRSTherapeutic Recreation Program Coordinator – Camping and Respite [email protected]


    We would Love FOR YOU TO JOIN US!

  • TABLE OF CONTENTSWelcome & Mission Statement 4










    Waivers 15-16

    ACES - Achieving Community Experiences & Skills

    Recreational Horseback Riding


    “Splash It Up” Aquatics

    SaturDay Camp

    Adapted Snow Sports

    Club Lily Adult Respite Weekend

    Project Beacon Military Respite Weekend

    Registration Form



    Many adventures and new leisure experiences await you during the fall and winter of 2018/2019! We are excited to continue offering a wide variety of community-based programs throughout the region including aquatics, horseback riding, bowling and a variety of social groups. Adventure programs such as snow skiing will also be offered while preparing for our spring and summer programs and camps.

    We continue to offer camp experiences like no other. Whether it is our Club Lily Weekend Retreat or Project Beacon, we are expecting to see many of you again this fall and winter!

    We look forward to having you join us in activities where you can learn, have fun and make new friends.

    Matt Ernst; CTRSVice President, Programs &

    Business Development, Central [email protected]

    Easterseals is changing the way

    the world defines and views

    disability by making profound,

    positive differences in people's

    lives every day.


  • RECREATIONAl horseback ridingEasterseals Recreational Horseback Riding is a six-week program providingchildren and adults with special needs the opportunity to enjoy horses whileriding and learning new skills. As the weeks progress, riders will become morecomfortable, sit higher in their saddle, participate in activities, and learn to controltheir horses through reins work and other activities. Volunteers and staff workwith riders to make recreational riding both fun and therapeutic. Benefits includeimproved self esteem, enhanced balance, improvement in both fine and gross motorskills and increased strength.

    A doctor’s note is required for participation in this program.

    Star Stables Sessions:(York County - Red Lion)

    Tuesday EveningsOct. 30 - Dec. 4, 2018 5:00 PM – 5:35 PM

    5:40 PM – 6:15 PMCost: $240.00 per 6:20 PM – 6:55 PMsix weeks 7:00 PM – 7:35 PM

    7:40 PM – 8:15 PM



    ABC West Friday EveningsOct. 5 - Dec. 14, 2018

    (OFF Nov. 23rd)Jan. 11 - March 15, 2019

    Oct. 4 - Dec. 13, 2018(OFF Nov. 22nd)

    (Location TBD)Jan. 10 - March 14, 2019


    Strike up new friendships while having fun! Proper bowling techniques will be taught along with an explanation of rules and scoring. Participants will improve hand-eye coordination, socialization, and range of motion. Adaptive ramps and other modifications are available for those with special needs.

    (Mechanicsburg) 5:30 PM – 7:00 PM(Cumberland County)

    Includes 2 games,

    shoes, pizza or

    Includes 2 gamesand shoes.

    Cost: $125.00 per hot dog, chips andten weeks

    Cost: $125.00 perten weeks

    Cost: $125.00 perten weeks

    a drink.

    ABC East Thursday Evenings

    Oct. 4, 2018 - Jan. 3, 2019

    Nov. 22 and Dec. 27)(OFF Oct. 25, Nov. 15,

    (OFF Jan. 31)Jan. 10 - March 21, 2019

    Thursday Evenings

    Sessions:(Dauphin County) 5:00 PM – 6:30 PM

    Includes 2 games,

    shoes, pizza or

    hot dog, chips and

    a drink.

    Laser Alleys(York County)

    Sessions: 6:00 PM – 7:30 PM


  • "SPLASh it up” Aquatics - New Night in York!Nothing says fun and excitement like swimming! Our “SPLASH IT UP” AQUATICS program has been designed to accommodate the needs and abilities of each individual participant with a disability or special needs. Lessons will be conducted with a 1:1 or 1:2 instructor to participant ratio. In addition to teaching water safety skills and swimming techniques, this program seeks to enhance the development of physical fitness and appropriate social interaction skills. Please Note: Participants will be placed into time slots and notified of the schedule after the registration deadline.

    York YMCA (

    Thursday Evenings (NEW NIGHT) Sessions:(York County) Nov. 8, 2018 - Jan. 10, 2019

    (OFF Nov. 22 and Dec. 27)Jan. 24 - March 14, 2019March 28 - May 16, 2019

    Friday EveningsOct. 26 - Dec. 21, 2018

    (OFF Nov. 23)

    (OFF April 19)

    Jan. 11 - March 1, 2019March 22 - May 17, 2019

    5:45 PM – 6:15 PM

    Cost: $120.00 pereight weeks

    Cost: $120.00 pereight weeks

    Cost: $120.00 pereight weeks

    6:15 PM – 6:45 PM

    6:45 PM – 7:15 PM

    East Shore YMCA Sessions:(Dauphin County)

    (OFF Nov. 22 & Dec. 27)Jan. 31 - March 21, 2019April 4 - May 23, 2019

    5:30 PM – 6:00 PM

    6:00 PM – 6:30 PM

    6:30 PM – 7:00 PM

    The Carlisle Family YMCA Thursday Evenings Sessions:(Cumberland County) Nov. 15, 2018 - Jan. 17, 2019 5:00 PM – 5:30 PM 5:30 PM – 6:00 PM

    6:00 PM – 6:30 PM


  • SaturDAY CAMP - NEW!


    SaturDay Camp

    Locations: Varied


    November 10, 2018 - Church of the Open Door (York County)

    December 15, 2018 - Under the Horizon Pottery Studio (Adams County)

    January 26, 2019 - Church of the Open Door (York County)

    February 2019 (Date TBD) - Baughman Memorial United Methodist Church (Cumberland County)

    Ages: 5-22

    Cost: $75.00 per day

    Our SaturDay Camp is an extension of our summer day camp program. It is specifi-cally designed for individuals with disabilities. There will be four, one-day camps throughout the fall and winter. Each day of camp will operate from 9-5. It is intended to be both fun and educational for all who participate. It is also intended to provide caregivers an extended period of time on a weekend once a month to freely engage in activities of their choosing. The SaturDay camps will be held at various locations and will have themes for each session that will engage campers of all levels in activities such as arts and crafts, group games, sensory activities, snack time, STEM activities, and there will be special guests.

    20 registrations will be accepted for each session. Please be sure to register early to guarantee your spot. Please note that campers are expected to be able to follow verbal cues and directions. Campers needing 1:1 behavioral support as well as those that may have a fragile medical condition will be required to have a non-parental support person, over the age of 18, at each day of camp. Easterseals provides an overall staff to camper ratio of 1:3/1:4.

  • ACES - Achieving communityexperiences & Skills

    ACES - Social Group Monday Evenings

    Ages 14+Fall Session: Oct. 1 - Dec. 17, 2018 (OFF Oct. 8th and Nov. 26th)

    Winter Session: Jan. 7 - March 18, 2019 (OFF Feb. 18th)

    Time and locations will vary.A schedule of locations and activities will be sentcloser to the start.

    (York County)

    Cost: $150.00 per 10-weeks

    Our ACES (Achieving Community Experiences and Skills) program has been created for individuals with high-functioning autism. Get in on the fun and adventure of these social groups where interactive experiences will be positive and memorable! Social interaction and participation is encouraged in a relaxed and comfortable environment. Become part of the ACES group today.







    Camp Victory (Millville, PA) and Camp Joy El (Greencastle, PA - Franklin County)

    18–101 years old

    Friday, Oct. 12 (6pm) - Sunday, Oct. 14, 2018 (1pm) Camp VictoryFriday, Nov. 16 (6pm) - Sunday, Nov. 18, 2018 (1pm) Camp VictoryFriday, April 12 (6pm) - Sunday, April 14, 2019 (1pm) Camp Victory


    (Includes snack on Friday, 3 meals on Saturday, andbreakfast and lunch onSunday)

    Our Club Lily Weekend Retreat is a great way to take a break from your everyday activities and enjoy nature, games, friends, and fun! Activities will include arts and crafts, group games, a climbing wall, bonfires and more! You don’t want to miss out on this great weekend!

    Our fall weekends will be held at Camp Victory. It is a fully accessible camp that offers us the opportunity to enjoy nature and exciting program that can accommodate everyone.

    Our weekend retreats are for adults of all functioning levels. We staff the weekend at a 1:3 counselor-to-camper ratio. There will be certified/licensed Health Staff at camp to assist with medication administration and basic health concerns. Our exceptional staff goes through training and is dedicated to providing the best care possible for all of our campers. In order to maintain the highest quality of care with our ratio we ask that campers needing one-on-one behavioral support as well as those with fragile medical conditions bring a non-parent support person, over the age of 18, to camp with them (we handle these circumstances on a case-by-case basis and ask that you contact us if you feel that your camper may fall into this category).



    Location: East - Camp Victory (Millville, PA – Columbia County)

    Dates: Friday, Oct. 19 (6pm) - Sunday, Oct. 21, 2018 (1pm) Friday, April 5 (6pm) - Sunday, April 7, 2019 (1pm)

    Ages: 5–17 years old

    Cost: FREE (Includes snack on Friday, 3 meals on Saturday, andbreakfast and lunch on Sunday)

    This weekend, subsidized by in part by Highmark, United Concordia and the PA National Guard is specifically for the children (with and without special needs) of active military members and veterans. The camp is an opportunity for Easterseals to serve our military families and it’s a great chance for the kids to get away and enjoy some time at camp. We will be playing games, doing arts and crafts, trying out the climbing wall and zip line, eating s’mores and so much more! Join us for one of these fun weekends!


  • Ski Liberty (Adams County)

    Ages: 6+

    Dates: 2 Weekends in January/February 2019 Morning and afternoon lessons are available each day

    Cost: $100.00 per lesson (Includes equipment and lift tickets)


    This is an exceptional program for children and adults of all abilities. Adaptive equipment is available for individuals who are non-ambulatory. Each individual will have a minimum of 1:1 instruction. The basics of snowskiing or snowboarding will be covered while having a great time on the slopes. Be sure to register immediately if interested!




    ____________________________________ Sex: M F _____


    First and Last Name










    _________ _________________________




    Phone (with area code)

    ____________________________________________________________Email Address

    ______________________________ _____________________________

    Work Phone

    Cell Phone

    ____________________________________________________________Emergency Contact (other than parent or guardian)

    ______________________________ _____________________________

    Relationship to Participant Phone Number(s)

    Please return the registration form with payment to:Easterseals Therapeutic Recreation, 2550 Kingston Rd. Suite 219,York, PA 17402. It is the participants (parents and guardians) responsibility to provide Easterseals with the most up-to-date information on allergies, medications, behaviors, etc.

    Please check here if the parent/guardian is an active member of the military or a veteran.

    PLEASE NOTE: Annual Registration Fee (payable once per calendar year)

    $20.00 - one participant $35.00 - two participants $45.00 - family


  • Bowling:

    ABC West – Jan. 11 - March 15, 2019 ($125.00)

    ABC East – Oct. 4 - Dec. 13, 2018 (OFF Nov. 22nd) ($125.00)

    ABC West – Oct. 5 - Dec. 14, 2018 (OFF Nov. 23rd) ($125.00)


    Recreational Horseback Riding:Star Stables – Oct. 30 - Dec. 4, 2018 ($240.00)

    Fall Session – Oct. 1 - Dec. 17, 2018 (OFF Oct. 8th & Nov. 26th) ($150.00)

    “Splash it Up” Aquatics:York YMCA – Nov. 8, 2018 - Jan. 10, 2019 (OFF Nov. 22nd & Dec. 27th) ($120.00)

    York YMCA – Jan. 24 - March 14, 2019 ($120.00)

    York YMCA – March 28 - May 16, 2019 ($120.00)

    East Shore YMCA – Oct. 26 - Dec. 21, 2018 (OFF Nov. 23rd) ($120.00)

    East Shore YMCA – Jan. 11 - March 1, 2019 ($120.00)

    East Shore YMCA – March 22 - May 17, 2019 (OFF April 19th) ($120.00)

    Carlisle YMCA – Nov. 15, 2018 - Jan. 17, 2019 (OFF Nov. 22nd & Dec. 27th) ($120.00)

    Carlisle YMCA – Jan. 31 - March 21, 2019 ($120.00)

    Carlisle YMCA – April 4 - May 23, 2019 ($120.00)

    SaturDay CampChurch of the Open Door (York Co.) – Nov. 10, 2018 ($75.00)

    Under the Horizon Pottery Studio (Adams Co.) – Dec. 15, 2018 ($75.00)

    Church of the Open Door (York Co.) – Jan. 26, 2019 ($75.00)

    ACES Achieving Community Experiences & Skills:

    ABC East – Jan. 10 - March 14, 2019 (Location TBD) ($125.00)

    Laser Alleys – Oct. 4, 2018 - Jan. 3, 2019 (OFF Oct. 25, Nov. 15 & 22, Dec. 27) ($125.00)

    Laser Alleys – Jan. 10 - March 21, 2019 (OFF Jan. 31st) ($125.00)

    Baughman Memorial United Methodist Church (Cumberland Co.) – Feb. 2019 (TBD) ($75.00)

    Club Lily Respite – Oct. 12 - Oct. 14, 2018 (Camp Victory) ($375.00)

    Club Lily Respite – Nov. 16 - Nov. 18, 2018 (Camp Victory) ($375.00)

    Club Lily Respite – April 12 - April 14, 2019 (Camp Victory) ($375.00)

    PB Military Respite – Oct. 19 - Oct. 21, 2018 (Camp Victory) (FREE)

    PB Military Respite – April 5 - April 7, 2019 (Camp Victory) (FREE)

    Ski Liberty – January/February 2019 - TBD (Weekend 1 - AM) ($100.00)

    Ski Liberty – January/February 2019 - TBD (Weekend 1 - PM) ($100.00)

    Ski Liberty – January/February 2019 - TBD (Weekend 2 - AM) ($100.00)

    Ski Liberty – January/February 2019 - TBD (Weekend 2 - PM) ($100.00)

    Respite Programs:

    Winter Session – Jan. 7 - March 18, 2019 (OFF Feb. 18th) ($150.00)

    Adapted Snow Sports


  • PARTICIPANt information form

    Name ___________________________________________________________________________

    Address _________________________________________________________________________

    City __________________________State ____________________ Zip ______________________

    Male ___________ Female ____________ Birth date ___________________________________

    Race ________________________________________

    Home Phone or TTY (717) __________________________________________________________

    E-mail __________________________________________________________________________

    Parent or Guardian Name __________________________________________________________


    Relationship to Participant ___________________________________________________________

    Address _________________________________________________________________________

    City __________________________State ____________________ Zip ______________________

    Home Phone or TTY (717) __________________________________________________________

    Work Phone (717) ________________________ Cellular Phone (717) _______________________

    Work Phone (717) ________________________ Cellular Phone (717) _______________________

    Emergency Contact (other than parent)

    Home Phone or TTY (717) __________________________________________________________

    Work Phone (717) ________________________ Cellular Phone (717) _______________________

    Participant’s Weight _______________________ Height ___________________________________

    Primary Disability __________________________________________________________________


    Secondary Disability _______________________________________________________________


    School/Agency ____________________________________________________________________

    Allergies _________________________________________________________________________


    Medications ______________________________________________________________________



    Major accidents or injuries in past years that could affect activity. ____________________________



    ________________________________________________________________________________Does the participant need assistance with eating, toileting and/or dressing? Please explain, attach sheets as needed. _________________________________________________________________


    Does the participant have problems with communicating, behavior management, etc?Please describe and attach any current behavior management plans being used. _______________


    Is participant subject to seizures? Yes No

    Yes No

    (If yes, what type, frequency, duration, after care/rest needed)



    Easterseals requests that the following information be updated yearly. The information form must be returned with the registration. Return the forms to Easterseals, Attention Therapeutic Recreation, 2550 Kingston Rd., Suite 219, York, PA 17402. Please remember to sign the second page of this form.


  • Date: ______________________ Participant’s Name: _____________________________________

    Signature: _________________________________________________________________________

    Please Print Name: __________________________________________________________________(If under 18, parent/guardian signature)

    Relationship to Participant: ____________________________________________________________

    Participant Waiver - Easterseals Western and Central Pennsylvania is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard. Easterseals continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However, participants and parents/ guardians of minors registering for programs must recognize that there is inherent risk of injury when choosing to participate in recreational activities.

    You are solely responsible for determining if you or your minor child/ward are physically fit and/or skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way or recently suffered any illness, injury or impairment, to consult a physician before undertaking any physical activity.

    Warning of Risk - Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when participating in any recreational activities. Not all hazards and dangers can be foreseen. Participants must understand that certain risks, dangers and injuries due to acts of God, inclement weather, slipping, falling, equipment failure, failure in supervision, premises defects and all other circumstances inherent to recreational activities exist. In this regard, it must be recognized that it is impossible for Easterseals Western and Central PA to guarantee absolute safety.

    Waiver and Release of All Claims and Assumption of Risk - Please read this form carefully and be aware that in signing up and participating in this program, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program (including transportation services, when provided). When registering by fax, it is understood that the facsimile registration document (including the waiver and release of all claims) shall substitute for and have the same legal effect as the original form.

    Permission to Treat - In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by Easterseals Western and Central Pennsylvania to secure and administer treatment, including, but not limited to x-rays, hospitalization and surgical interventions. I also give permission to Easterseals Western and Central Pennsylvania to obtain related transportation.

    I recognize and acknowledge that there are certain risks of physical injury to participants in this program, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program against Easterseals Western and Central Pennsylvania, including its officials, agents, volunteers and employees (hereinafter collectively referred as “Easterseals Western and Central Pennsylvania”).

    I do hereby fully release and forever discharge Easterseals Western and Central Pennsylvania from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associate with this program.

    Photos/Video Authorization and Consent - I hereby authorize and give my consent to Easterseals Western and Central Pennsylvania to photograph/video me or my child/ward, and without limitation, to use such photographs/video in connection with promoting/advertising the services, programs, and facilities of Easterseals Western and Central Pennsylvania without consideration of any kind. I understand that photos and/or video usage could include, among other outlets, Easterseals Western and Central Pennsylvania’s website, Facebook, and/or other social media outlets.

    Personal Information Authorization Consent - I further authorize Easterseals Western and Central Pennsylvania to release personal contact information to other parents/participants when deemed appropriate including names, addresses and phone numbers. I have read and fully understand the above important information, warning and assumption of risk, waiver and release of all claims and photo/video and personal information authorization and consent and agree to all terms and conditions as set forth above.

    Does the participant use a wheelchair? Yes No Manual _______ Electric _______

    Does participant have Down Syndrome? Yes No

    If yes, have x-rays of the vertebrae been taken? Yes No If yes, is participant clear of Atlantoaxial Dislocation Condition? Yes No – If yes, please attach copy of medical exam.

    Has the participant or his/her parent/guardian served in the military (active duty, national guard, reserves, veteran)? Yes No


  • We would Love for you tojoin Us!

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