Programs at a glance summer 2015 www.mnasr.org 2 The following schedule is for regular weekly programming only. Special Events for each group are listed at the end of each section in the brochure: Youth/Teen - pages 8-10; PI/VI Adults - pages 20-22; AWID - pages 28-31. Program Group Day Time Page Adapted Boccia-Competitive ..............PI/VI Adults .......................Tuesday ......................4:00 p.m. - 5:30 p.m. .................... 18 Adapted Boccia-Recreational .............PI/VI Adults .......................Wednesday .................4:00 p.m. - 5:30 p.m. .................... 18 Adventures in the Park ........................Youth ..................................Saturday .....................1:30 p.m. - 2:30 p.m. .................... 7 All Star Bowling League ....................AWID .................................Saturday .....................10:00 a.m. - 11:15 a.m. ................. 27 Aqua Dynamics ..................................PI/VI Adults .......................Thursday ....................1:00 p.m. - 2:00 p.m. .................... 19 Artist Studio ........................................AWID .................................Tuesday ......................6:00 p.m. - 7:00 p.m. .................... 24 Bowling Bonanza - League I ..............AWID .................................Saturday .....................12:15 p.m. - 1:30 p.m. .................. 27 Bowling Bonanza - League II .............AWID .................................Saturday .....................1:45 p.m. - 3:00 p.m.. ................... 27 Bowling Bonanza - League III ............AWID .................................Saturday .....................3:15 p.m. - 4:30 p.m. .................... 27 Community Crawlers ..........................AWID .................................Friday .........................6:30 p.m. - 8:30 p.m. .................... 26 Computer Tutors .................................PI/VI Adults .......................Wednesday .................1:00 p.m. - 2:30 p.m. .................... 18 Deaf Club ............................................Deaf/HoH Adults ...............Friday .........................6:30 p.m. - 8:30 p.m. .................... 20/26 Difference Makers...............................PI/VI Adults .......................Tuesday ......................1:30 p.m. - 3:00 p.m. .................... 17 Flag Football .......................................AWID .................................Thursday ....................6:30 p.m. - 8:00 p.m. .................... 25 Healthy Hearts I ..................................AWID .................................Monday ......................6:00 p.m. - 7:00 p.m. .................... 23 Healthy Hearts II .................................AWID .................................Monday ......................7:15 p.m. - 8:15 p.m. .................... 23 Incredi-Bowl Strikes ...........................PI/VI Adults .......................Friday .........................11:00 a.m. - 1:00 p.m. ................... 20 Low Impact Aerobics-Monday ...........PI/VI Adults .......................Monday ......................10:00 a.m. - 11:00 a.m. ................. 17 Low Impact Aerobics-Wednesday ......PI/VI Adults .......................Wednesday .................10:30 a.m. - 11:30 a.m. ................. 17 Low Impact Aerobics-Friday ..............PI/VI Adults .......................Friday .........................10:30 a.m. - 12:00 p.m. ................. 17 Movie Critics ......................................PI/VI Adults .......................Thursday ....................6:00 p.m. 8:30 p.m. ....................... 19 Music Therapy ....................................Youth ..................................Thursday ....................4:30 p.m. - 5:30 p.m. .................... 6 Out & About Social Club ...................PI/VI Adults .......................Wednesday .................6:00 p.m. - 8:00 p.m. .................... 19 PI/VI Self-Advocacy ...........................PI/VI Adults .......................Monday ......................1:30 p.m. - 3:00 p.m. .................... 17 Picnic Chefs ........................................PI/VI Adults .......................Tuesday ......................11:30 a.m. - 2:30 p.m. ................... 18 River Rand Bowl.................................AWID .................................Saturday .....................11:30 a.m. - 12:45 p.m. ................. 27 Saturday Splashers .............................Youth ..................................Saturday .....................3:15 p.m. - 4:15 p.m. .................... 7 Shifting to Lifting ...............................PI/VI Adults .......................Thursday ....................10:30 a.m. - 11:30 a.m. ................. 19 S.O. Young Athletes ...........................EC/Youth............................Monday ......................3:15 p.m. - 4:00 p.m. .................... 6 Splashtastic .........................................AWID .................................Wednesday .................6:00 p.m. - 7:00 p.m. .................... 24 Splishin’ & Splashin’ ..........................EC/Youth/Teens .................Tuesday ......................5:00 p.m. - 6:00 p.m. .................... 6 Stepping It Up .....................................AWID .................................Thursday ....................6:00 p.m. - 7:00 p.m. .................... 25 Strikes & Spares..................................Youth ..................................Saturday .....................12:00 p.m. - 1:00 p.m. .................. 7 Supper Club-Best Burgers ..................AWID .................................Wednesday .................6:00 p.m. - 7:15 p.m. .................... 25 Tee Time Golf-Skills ..........................AWID .................................Monday ......................6:00 p.m. - 7:00 p.m. .................... 23 Tee Time Golf-Course Play ...............AWID .................................Monday ......................6:00 p.m. - 7:00 p.m. .................... 23 Teen Bowl ...........................................Teens ..................................Saturday .....................1:00 p.m. - 2:00 p.m. .................... 8 Teen Scene ..........................................Teens ..................................Saturday .....................2:30 p.m. - 4:00 p.m. .................... 8 Town Travelers....................................AWID .................................Friday .........................6:30 p.m. - 8:30 p.m. .................... 26 Variety Voyagers .................................AWID .................................Friday .........................6:30 p.m. - 8:30 p.m. .................... 26 Wednesday Night Bowl ......................AWID .................................Wednesday .................5:30 p.m. - 6:45 p.m. .................... 24 Wildcat Volleyball ...............................AWID .................................Tuesday ......................6:30 p.m. - 8:00 p.m. .................... 24 Winners’ Circle ...................................PI/VI Adults .......................Friday .........................6:00 p.m. - 7:30 p.m. .................... 20 Zumba .................................................AWID .................................Thursday ....................7:15 p.m. - 8:15 p.m. .................... 25 about m-nasr A S N R M A one, a two, a three! We’re taking everyone out to the ballgame at M-NASR’s annual end-of-the-summer celebration! Whether you cheer for the Cubs or Sox, all participants, families, and friends are invited to this unBULLieveable event. Harrer Park will be transformed into a Chicago sports fan’s paradise with plenty of food, games, and music inspired by Chicago’s best athletes. Register today because missing out would be unBEARable! Note: There is no transportation for this program. Advise M-NASR in advance of any dietary restrictions. Special diets will be accommodated. Registrations received by all M-NASR participants by May 15, 2015, will be guaranteed a free t-shirt. Please indicate your size on the registration form. All registrations must be received by 5:00 p.m. on July 23. No registrations will be accepted after this date. Code#: Contact: Location: Due to the nature of this event, individual supervision of guests is not possible by M-NASR staff. Family members and/or group home staff are required to attend with their family member/residents. All people attending must be registered with the M-NASR office prior to the event. Summer 2015 Group: Ages: Min/Max: Time: Date: 3-520-01 Stephen Cozzi Harrer Park Morton Grove ALL ALL 50/300 5:00 - 7:30 p.m. Thursday, August 6 Contents Adult Programs—AWID............................. 23-27 Adult Special Events—AWID .................... 28-31 Family Registration Form ................................ 32 Participant Information Form ..................... 33-34 Registration Information .................................. 35 General Information .................................... 36-37 Fitness Waiver .................................................. 38 Facility List ...................................................... 39 Dates to Remember ........................... Back Cover (847) 966-5522 Programs at a Glance ......................................... 2 Board of Directors.............................................. 4 Staff Members .................................................... 4 About M-NASR ............................................. 3-5 Youth/Teen Programs ...................................... 6-8 Youth/Teen Special Events ........................... 8-10 Summer Camp Information ........................ 11-16 Adult Programs—PI/VI .............................. 17-20 Adult Special Events—PI/VI ...................... 20-22 3 about m-nasr M-NASR Recreation Staff M-NASR Administrative Staff Kelly Damron, Senior Operations Manager ...................... ext. 3017 [email protected] Tracy Gillingham, CTRS, Inclusion Manager ................... ext. 3018 [email protected] Kristine Kuester, CTRS, Support Staff Manager ............... ext. 3014 [email protected] Lauren Ruiz, CTRS, Program Manager ............................ ext. 3013 [email protected] Olivia Antosz, Recreation Specialist (Inclusion)................... ext. 3020 [email protected] Stephen Cozzi, Recreation Specialist (PI/VI) ...................... ext. 3026 [email protected] Cory Griffith, CTRS, Recreation Specialist (AWID) ........... ext. 3025 [email protected] Kevin Medema, Recreation Specialist (Youth/Teen) ............. ext. 3023 [email protected] Suzanne Bear, Executive Director .................... ext. 3012 [email protected] Jennifer Gebeck, CTRS, Superintendent of Rec. ..... ext. 3021 [email protected] Jean Gross, CPA, Business Manager ................ ext. 3022 [email protected] Stella LiPomi, Liponi Liaison ........................... ext. 3015 [email protected] Mary Ann Minelli, Front Office Assistant .. .......... ext. 3010 [email protected] Barbara Saunders, Public Info. Manager .......... ext. 3011 [email protected] Claudia Werner, Registrar/Admin. Asst. ........... ext. 3016 [email protected] SUMMER PROGRAM SCHEDULE Program Session: June 8 - August 2 Camp Session: June 8 - July 31 summer 2015 Registration Deadline/Triple Play Discount May 15, 2015 If program registration is not received by the registration deadline, May 15, 2015, transportation will be possible only if staff and vans are available. Late registrations will result in transportation being provided no earlier than the second week of the program or not at all. Registrations received after the registration deadline will only be accepted if there is space and appropriate staff. Registration is only complete when: 1. registration form is properly filled out and signed. 2. a minimum of 15% payment is included. 3. registration is received by deadline date. 4. up-to-date participant information form is properly filled out and signed. No registrations will be processed until all balances from previous seasons are paid in full. www.mnasr.org Staff are not allowed to accept any program registrations or payments outside of our administrative office. 4 REGISTRATION BEGINS UPON RECEIPT OF THIS BROCHURE. M-NASR is an extension of the following park districts: Des Plaines Park District Golf-Maine Park District Morton Grove Park District Niles Park District Park Ridge Park District Skokie Park District Village of Lincolnwood Parks & Recreation M-NASR’s Board of Directors John Ohrlund, President ............................. Skokie Park District TBA................................................Morton Grove Park District Donald J. Miletic, Treasurer.............. Des Plaines Park District John Jekot...........................................Golf-Maine Park District Jan Hincapie .......................................... Village of Lincolnwood Parks & Recreation Tom Elenz .................................................... Niles Park District Gayle Mountcastle ............................. Park Ridge Park District Administrative Office Office Hours 6820 W. Dempster Street Morton Grove, IL 60053-2631 Voice: (847) 966-5522 Fax: (847) 966-8340 Relay System: (800) 526-0844 www.mnasr.org Monday through Friday 9:00 a.m. to 5:00 p.m. 2015 Board of Directors Meeting Dates (10:00 a.m.): Monday, February 2 Monday, March 30 Monday, June 1 Monday, August 3 Thursday, September 10 Monday, October 5 Monday, November 2 Monday, December 7 Office will be closed: May 25, 2015 July 3, 2015 September 7, 2015 Emergency On Call # (224) 217-0618 The Maine-Niles Association of Special Recreation is dedicated to improving the quality of life and, through advocacy and awareness, promoting a successful leisure lifestyle for individuals with disabilities. The Americans with Disabilities Act - ADA Please keep this information in mind when registering: Services, programs and activities of the Maine-Niles Association of Special Recreation are subject to all applicable laws regarding nondiscrimination, including the Americans with Disabilities Act (ADA). Programs are provided through the Association by offering classes for individuals with similar impairments. However, classes are open to any individual as long as age and skill requirements are met. If you, a family member or friend has a disability and are interested in participating or attending member park district programs or activities, each park district will make reasonable accommodations to facilitate that opportunity. Reasonable Accommodations Member agencies may offer reasonable accommodations by: Providing communication aids and services, removing barriers, selecting available alternative activity sites or taking other appropriate actions. During overnight trips, accommodations may include a shared bed. To assist us in making reasonable accommodations, we urge you to contact M-NASR at (847) 966-5522 to provide for your individual needs. We employ and/or have a working relationship with individuals that speak Spanish and other languages. Staff is ready to assist with the communication process for any registration, transportation or other concerns. Please understand that the Agency will make every effort to get back to the resident in a timely manner with information translated into one’s native language. Augmentative Communication Devices M-NASR staff are interested in learning how to assist participants with communication aids at our recreational programs. We will work with you and your speech pathologist to train our staff on the proper and safe ways to use their devices. Please contact M-NASR at (847) 966-5522 for additional information. The Liponi Foundation for Special Recreation was formed in 1990 to facilitate participation by children and adults with disabilities in recreation programs. The Foundation was named after the late Sam Liponi, whose family has very generously donated to M-NASR since 1985. The Liponi Foundation for Special Recreation is a not-for-profit, tax exempt Foundation. The mission of the Foundation is to provide accessible vehicles for M-NASR to serve individuals with physical, mental and emotional disabilities who reside in the Maine and Niles Townships. The Foundation also grants support for other needs of the Association when possible. For additional information on the Liponi Foundation, volunteering or future events, please contact Stella LiPomi at (847) 966-5522 ext. 3015. Individuals Who are Deaf or Hard of Hearing Please use the Illinois Telecommunications Relay System by calling (800) 526-0844. For more information about this service please see: http://www.illinoisrelay711.com/content. htm. Agency Newsletter The M-NASR Marquee, our Agency Newsletter, is published each fall and is used primarily to inform Park District Commissioners, State Legislators and donors about our seasonal programming developments and fundraising information. If you would be interested in receiving the newsletter, please contact the M-NASR office at (847) 966-5522. (847) 966-5522 Seasonal Brochure on Audio Tape We offer audio tapes of the seasonal brochure for individuals Medical Assistance or Apparatus Needs with visual impairments. If you are interested in receiving Any and all participants are welcome to participate in our proan audio tape of this brochure, please contact the M-NASR grams, but if they have or need any type of medical assistance office at (847) 966-5522. or apparatus, they (the participant, participant’s family or group home) must provide a trained staff as a volunteer for each pro- Leisure Certificates gram for the entire duration of each program and have a criminal Have you run out of clever gift ideas for that special family background check completed. M-NASR will pay for any program member or friend? Give the gift of M-NASR’s “Certificate specific expenses for the volunteer (i.e., admission to a movie, of Leisure.” This gift certificate can be purchased at the dinner for an out-to-dinner program, ticket to a sporting event, M-NASR office for any M-NASR program or special event. etc.). M-NASR reserves the right to determine if a program is suitable for a participant. Summer 2015 Translation Services The Liponi Foundation about m-nasr M-NASR’S MiSSioN 5 Youth/teen Programs Come be a part of this exciting program through Special Olympics Illinois. The Young Athletes program is an innovative sports play program for children ages 2-7 with intellectual disabilities designed to introduce them to the world of sports. This program will help children improve physically, cognitively, and socially. We will focus on developing fundamental motor tracking and hand-eye coordination. In addition, we will incorporate the application of these physical activities through a sports skills activity program and develop skills consistent with Special Olympics sports play. Note: A separate Special Olympics waiver must be completed prior to the start of the program. Siblings and peers are welcome to participate in the program. (A complete registration is required for each individual.) Code#: Contact: Location: Group: Ages: Min/Max: 3-113-01 Kevin Medema TBA EC/Youth 2-7 5/10 Time: Day: Dates: 3:15 - 4:00 p.m. Monday June 8 - July 27 Resident: Non-Resident: $40.00 $80.00 Simply register for three (3) or more Triple Play programs by Discount2 May 15, 2015 and you will receive a $15 discount. Music Therapy Come and join us on a musical journey as you show each other how talented you are. This program is a great way to build your confidence, social skills, dance moves, and relaxation skills. Making music is a wonderful way to explore your creativity, release stress, and build friendships. Be a part of this exciting program where we will create music and memories. Note: M-NASR reserves the right to determine if this program is appropriate for an individual. Appropriate behavior must be demonstrated during the program so as not to detract from the other participants’ experience. A certified music therapist will be leading this program. Code#: Contact: Location: Group: Ages: Min/Max: 3-110-37 Kevin Medema Feldman Park Niles Youth 6-12 5/10 Time: Day: Dates: 4:30 - 5:30 p.m. Thursday June 11 - July 30 Resident: Non-Resident: $50.00 $100.00 summer 2015 Splishin’ & Splashin’ What’s better than an evening swim? Join us as we cool off at M-NASR’s outdoor recreational swimming program. Swimming is a great way to socialize with peers, meet new friends in the community, and maintain and improve those essential swimming skills. Note: In the case of inclement weather, the decision to cancel this program will not be made until 4:00 p.m. If a group does not meet the minimum of five participants, age groups may be combined so that we can serve all interested individuals. All children who are not toilet trained must wear a tight-fitting plastic swim diaper. Each child under two years of age must be accompanied in the pool by a parent or guardian. This adult must complete a registration form but no additional fee will be charged. Bring a labeled towel, bathing suit, sunscreen, and bug spray. All participants must be signed in and out with M-NASR staff. Splashin’ - EC www.mnasr.org Code#: Contact: Location: 6 Group: Ages: Min/Max: Time: Day: Dates: Resident: Non-Resident: 3-110-02.1 Kevin Medema Oasis Water Park Niles EC Birth-5 5/10 5:00 - 6:00 p.m. Tuesday June 9 - July 28 $81.00 $162.00 Splashin’ - Youth Splashin’ - Teens Code#: Contact: Location: Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: Resident: Non-Resident: 3-110-02.2 Kevin Medema Oasis Water Park Niles Youth 6 - 12 5/10 5:00 - 6:00 p.m. Tuesday June 9 - July 28 $81.00 $162.00 Group: Ages: Min/Max: Time: Day: Dates: Resident: Non-Resident: 3-110-02.3 Kevin Medema Oasis Water Park Niles Teens 13-22 5/10 5:00 - 6:00 p.m. Tuesday June 9 - July 28 $81.00 $162.00 Be a part of M-NASR’s Super Saturdays! We will transport your child to each program and back to M-NASR’s office following Saturday Splashers, but you must sign up for back-to-back programs to qualify for this transportation. Strikes & Spares Three strikes won’t have you sitting on the side lines of this Saturday afternoon program! At our bowling program, we will work on following directions, positive sportsmanship, focus, and having fun! This program will help your child develop their gross motor skills as well as develop social skills with their peers. All ability levels are encouraged to participate. See you on the lanes! Note: Balls, shoes and bowling ramps are provided for this program. Transportation will be available from Strikes & Spares to Snack Attack for those registered for it. This program may not be appropriate for individuals who become easily overstimulated or are sensitive to loud sounds. Due to a scheduling conflict, the location for this program will change for August 1 ONLY. (TBA) Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: $120.00 $240.00 Saturday Splashers It’s summer time, and we are going on an adventure! Every week, we will head to Devonshire Cultural Center to play interactive sports, playground games, and team building activities, all while enjoying the beautiful summer sun. Don’t miss your chance to have some outdoor time! Note: A healthy snack will be provided, so advise M-NASR in advance of any dietary restrictions. In the case of inclement weather, we will play structured indoor activities at Devonshire Cultural Center. Please wear sunscreen. Transportation will be available from Adventures in the Park to Saturday Splashers for those registered for it. Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: Put on a swim suit, grab your towel, and get ready to swim! This popular recreational swimming program will give you the opportunity to socialize with your friends in a relaxing and interactive environment. Swimming offers countless benefits for kids, such as improving physical strength and flexibility, as well as enhancing mental and emotional health. Note: Transportation is offered from this program back to the M-NASR office for those registered for it. Please wear sunscreen and bring a labeled towel and swimsuit. All children who are not toilet-trained must wear a tightfitting plastic swim diaper. In the case of inclement weather, we will swim indoors at the Park Ridge Community Center Pool which is adjacent to the Centennial Aquatics Center. 3-110-07 Kevin Medema Devonshire Cultural Center, Skokie Youth 6-12 5/10 1:30 - 2:30 p.m. Saturday June 20 - August 8 No program July 4 Resident: Non-Resident: Code#: Contact: Location: 3-110-09 Kevin Medema Centennial Aquatics Ctr. Park Ridge Group: Youth Ages: 6-12 Min/Max: 5/10 Time: 3:15 - 4:15 p.m. Day: Saturday Dates: June 20 - August 8 No program July 4 $107.00 $214.00 Resident: Non-Resident: Please note late starting and ending dates for these three programs. Carnival e e r F Friday, July 24, 2015 1:30 - 3:30 p.m. Where: Hinkley Park 25 Busse Hwy. Park Ridge What: Carnival rides! Games and food available for purchase. Who: For participants of all ages with special needs along with their families, friends and staff members. Hosted by Park Ridge Park District and All Around Amusements Questions? Contact Tracy Gillingham at (847) 966-5522. (847) 966-5522 When: $120.00 $240.00 Summer 2015 Resident: Non-Resident: 3-110-08 Kevin Medema Classic Bowl Morton Grove Youth 6-12 5/10 12:00 - 1:00 p.m. Saturday June 20 - August 8 No program July 4 Adventures in the Park Youth/teen Programs Super Saturdays 7 Youth/teen Programs & sPecial events Teens!! Sign up for these back-to-back programs! Teen Bowl Do you want to avoid your weekend chores at home? Come clean out the gutters with your M-NASR bowling friends! Bowling is a great way to work on community integration, peer socialization, and initiation of conversations. Note: Balls, shoes, and bowling ramps will be provided. Transportation will be available from Teen Bowl to Teen Scene for those who are registered for it. This program may not be appropriate for individuals who become easily over-stimulated or are sensitive to loud sounds. Due to a scheduling conflict, the location for this program will change for August 1 ONLY. (TBA) Code#: Contact: Location: 3-110-15 Kevin Medema Classic Bowl Morton Grove Teens 13-22 5/10 1:00 - 2:00 p.m. Saturday June 20 - August 8 No program July 4 Group: Ages: Min/Max: Time: Day: Dates: Resident: Non-Resident: Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: $120.00 $240.00 Teen Scene Movies, food, games, crafts, friends, and much more! Do we have your attention? Join us as we engage in many structured games and activities while socializing in-house for four of the Saturdays at Teen Scene. During the other three Saturdays of the program, we will explore a variety of exciting field trips out in the community. At this favorite leisure resource program, you will have the opportunity to expand your social network, strengthen your psychological well-being, reduce stress, learn appropriate community behaviors, and, most of all, have fun! Note: Program will end at 5:30 p.m. on the three Saturdays (TBA) spent out in the community. A schedule of activities will be sent to participants after all registrations are received. Transportation time is included in the program time. A snack will be provided, so advise M-NASR in advance of any dietary restrictions. 3-110-16 Kevin Medema TBA Des Plaines Teens 13-22 5/10 2:30 - 4:00 p.m. Saturday June 20 - August 8 No program July 4 Resident: Non-Resident: $182.00 $364.00 www.mnasr.org summer 2015 Please note late starting and ending dates for these programs. 8 Movie in the Park Have you ever wanted to see a movie outdoors? Here is your chance. M-NASR will be traveling to Lorel Park in Skokie to watch Despicable Me 2. We will set up blankets, have a snack, and enjoy the movie on the big screen. Don’t miss the chance to experience a movie outdoors with your friends! Note: Program time may change slightly based on movie time. Families will be contacted with time confirmations. A snack will be provided, but eat dinner prior to the program. Advise M-NASR in advance of any dietary restrictions. Please wear bug spray. Code#: 3-120-74 Resident: Contact: Kevin Medema Non-Resident: Location: Meet @ M-NASR/ Lorel Park, Skokie Group: Teen Ages: 13-22 Min/Max: 4/10 Time: 7:45 - 10:15 p.m. Date: Friday, June 12 $10.00 $20.00 Pancake Breakfast Breakfast is the first meal of the day, so why not make it enjoyable? Learn new recipes, prepare your own meal, and fill up on a variety of breakfast foods at this Sunday program. Why scramble for a meal when you can catch up with friends? Sign up today for a delicious start to your morning with all-you-can-eat pancakes! Note: Breakfast will be provided. Friends and family are welcome and encouraged to attend. A registration is required for each individual who is attending. Advise M-NASR in advance of any dietary restrictions. No transportation will be available. Code#: 3-520-13 Contact: Olivia Antosz Location: Prairie View Comm. Ctr., Comm. Rm. Morton Grove Group: ALL Ages: ALL Min/Max: 10/20 Time: 9:00 - 10:30 a.m. Date: Sunday, June 7 Resident: Non-Resident: $12.00 $24.00 iPad™ Picture Perfect consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Transportation time is not included in the program time. Centralized pick up points will be used. Code#: Contact: Location: Group: Ages: Min/Max: Time: Date: The great Babe Ruth once said, “Baseball was, is, and always will be to me the best game in the world.” Join M-NASR as we cheer on the Chicago White Sox at U.S. Cellular Field as they take on the Detroit Tigers. Don’t forget to wear your baseball cap and put on your glove as we make memories! Note: Please bring money for lunch or eat prior to the program. Advise M-NASR in advance of any dietary restrictions. This program may not be appropriate for individuals who become easily overstimulated, are sensitive to loud sounds, or have a fear of heights. Please wear sunscreen. If you are over the age of 21 and plan to Code#: 3-520-14 Contact: Olivia Antosz Location: Meet @ M-NASR/ U.S. Cellular Field, Chicago Group: ALL Ages: 12 & older Min/Max: 10/30 Time: 1:00 - 4:00 p.m. Date: Sunday, June 7 Resident: Non-Resident: $60.00 $120.00 $40.00 $80.00 Resident: Non-Resident: $35.00 $70.00 Are you ready for fun in the sun in Wisconsin Dells? This summer we are heading to Baraboo Hills Campground where we will swim in a lake or take a dip in the pool, play outdoor games, go on a wagon ride, relax at a campfire, play minigolf, sleep in a yurt, and more! After an exciting day at the campground, we will go see a 4D interactive movie and play some arcade games. So, join the fun and gain some independence and confidence! Note: A packing list and trip itinerary will be sent after all registrations are received. A high-risk waiver must be signed as well as all trip medical forms. Transportation is included in the program times. Meals, lodging, and admission fees are included in the program fee. M-NASR reserves the right to determine if this program is appropriate for an individual. Advise M-NASR in advance of any dietary restrictions. Bring extra money for souvenirs. Code#: Contact: Location: 3-130-01 Kevin Medema Meet @ M-NASR/ Wisconsin Dells Group: Teen Ages: 13-22 Min/Max: 4/5 Time: 1:00 p.m. (Friday) 12:00 p.m. (Sunday) Date: August 14-16 Resident: $350.00 Non-Resident: $700.00 (847) 966-5522 Group: Ages: Min/Max: Time: Date: Resident: Non-Resident: Summer 2015 Are you ready for an amazing day at a great water park? Come to Rainbow Falls with M-NASR and enjoy a hot day in a cool pool. So, bring some sunscreen, and get ready for a splashtastic water park. Note: Eat prior to the program; a snack will be provided on the van ride back to M-NASR, so advise M-NASR in advance of any dietary restrictions. Bring money for extra snacks or souvenirs. Please wear sunscreen and bring a labeled towel and swimsuit. All children who are not toilet-trained must wear a tight-fitting plastic swim diaper. Transportation is included in the program time. 3-120-34 Kevin Medema Meet @ M-NASR/ Rainbow Falls Elk Grove Village Youth 6-12 4/10 12:30 - 3:30 p.m. Sunday, July 26 3-120-71 Kevin Medema Meet @ M-NASR Teen 13-22 4/5 12:00 - 3:00 p.m. Sunday, July 19 Vacation Connection Rainbow Falls Code#: Contact: Location: Join us at iPad™ Picture Perfect as we visit downtown Chicago. Let’s explore Lincoln Park Zoo and the Lincoln Park Conservatory. We will walk through the zoo taking pictures, visiting the animals, and exploring the conservatory. So, put on your walking shoes and start picturing a perfect day. Note: M-NASR will supply the iPads™. Our Staff will collect pictures and send them out to all participants after the program ends. Program time does not include driving time. Lunch is included in the program fee so advise M-NASR in advance of any dietary restrictions. Bring money for snacks and souvenirs. Please wear sunscreen. This program may not be appropriate for individuals who become easily overstimulated, are sensitive to loud sounds, or have a fear of or allergies to animals. Youth/teen sPecial events Take Me Out to the Ballgame 9 Youth/teen sPecial events Brookfield Zoo Brown bear, brown bear, what do you see? I see M-NASR participants having a wonderful day at the zoo! Join us on an adventure to Brookfield Zoo as we meet a variety of animals, critters, and creatures. From big cats to bears, sea creatures to birds, Brookfield Zoo has it all! Be a part of this summer Sunday extravaganza for a day to remember! Note: Bring a sack lunch or money to purchase it, and advise M-NASR in advance of any dietary restrictions. Wear sunscreen and bug spray. This program may not be appropriate for individuals with outdoor allergies, who might be afraid of animals, or cannot endure prolonged periods of walking. Bring extra money for snacks and souvenirs. Zoo admission is included in the program fee. Transportation time is not included in the program time. Centralized pick up points will be used. Code#: 3-520-12 Resident: Contact: Olivia Antosz Non-Resident: Location: Meet @ M-NASR/ Brookfield Zoo Group: ALL Ages: ALL Min/Max: 10/20 Time: 11:00 a.m. - 2:30 p.m. Date: Sunday, July 12 summer 2015 Farming Around Town Eating healthy is within reach this summer season! To start the day off right, we will visit Wagner Farm and Museum in Glenview to learn about farming. Originating in 1920, this fully-functional farm is a great resource in our own backyard. After visiting the farm, we will explore the Skokie Farmers’ Market and see what seasonal local food is available. Even if your fridge is already full, come along for a wonderful day outside. Sign up for this healthy and fun event today! Note: Please dress appropriately for the weather and wear sunscreen. Eat prior to the program. Bring money to purchase snacks and souvenirs, and advise M-NASR in advance of any dietary restrictions. This program may not be appropriate for individuals with outdoor allergies or who might be afraid of animals. www.mnasr.org Code#: Contact: Location: 10 $54.00 $108.00 3-520-11 Olivia Antosz Wagner Farm in Glenview/Skokie Farmers’ Market Group: ALL Ages: ALL Min/Max: 10/20 Time: 9:00 a.m. - 12:00 p.m. Date: Sunday, August 2 Resident: Non-Resident: $22.00 $44.00 Chicago Fire Join M-NASR, once again, as we cheer on the Chicago Fire men’s soccer team as they battle FC Dallas! Whether you call the sport soccer or football, you are sure to have a memorable night! Sign up today to ensure your seat at the game. Note: Bring money for snacks and souvenirs and advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This event may not be appropriate for individuals who become easily overstimulated, are sensitive to loud sounds, or may demonstrate disruptive behaviors. Please wear bug spray. Transportation time is not included in the program time. Centralized pick up points will be used. Code#: 3-520-15 Contact: Olivia Antosz Location: Meet @ M-NASR/ Toyota Park, Bridgeview Group: ALL Ages: ALL Min/Max: 10/20 Time: 6:00 - 9:30 p.m. Date: Saturday, July 25 Resident: Non-Resident: $72.00 $144.00 A S N R M A one, a two, a three! We’re taking everyone out to the ballgame at M-NASR’s annual end-of-thesummer celebration! Whether you cheer for the Cubs or Sox, all participants, families, and friends are invited to this unBULLieveable event. Harrer Park will be transformed into a Chicago sports fan’s paradise with plenty of food, games, and music inspired by Chicago’s best athletes. Register today because missing out would be unBEARable! Note: There is no transportation for this program. Advise M-NASR in advance of any dietary restrictions. Special diets will be accommodated. Registrations received by all M-NASR participants by May 15, 2015, will be guaranteed a free t-shirt. Please indicate your size on the registration form. All registrations must be received by 5:00 p.m. on July 23. No registrations will be accepted after this date. Code#: Contact: Location: Group: Ages: Min/Max: Time: Date: 3-520-01 Stephen Cozzi Harrer Park Morton Grove ALL ALL 50/300 5:00 - 7:30 p.m. Thursday, August 6 Due to the nature of this event, individual supervision of guests is not possible by M-NASR staff. Family members and/or group home staff are required to attend with their family member/residents. All people attending must be registered with the M-NASR office prior to the event. W e will have a great time this summer at C.A.M.P. (Connecting And Making Progress) M-NASR! Campers’ abilities and strengths will shine while participating in activities such as games, sports, arts & crafts, drama, nature, science, and swimming. Therapeutic Recreation is a safe opportunity for your child to increase independence, self- esteem, peer and social skills, and community integration. Camp Information What are the drop-off and pick-up procedures for the camp programs? Campers who are not taking M-NASR transportation must be dropped off at the classroom door with acknowledgment by staff and signed in by a guardian. It is each family’s responsibility to get participants to and from camp. Campers may not be dropped off prior to the designated start time of camp. Pick-up will be conducted promptly at the designated conclusion of camp. Each camper must be signed out of camp every day by a guardian. To eliminate additional staff costs, please pick up participants at the designated time. A late fee will be assessed if pick-up is not on time. A fee of $10.00 will be charged for the first 15 minutes and $1.00 each minute thereafter. Who should I notify if my child will miss a day of camp? If your child will be missing a day of camp, please contact the M-NASR office at (847) 966-5522 to leave a message in the general voice mail by pressing 0. This message must be left no later than 7:00 a.m. if your child is taking M-NASR transportation. Camp Dates Registration Begins ...................................... Upon receipt of brochure Registration Deadline/Triple Play Discount ............................ May 15 Financial Aid Application Deadline ........................................... June 1 Camp Begins .............................................................................. June 8 No Camp ................................................................ July 3 (All Camps) July 2 & 3 (Discovering Abilities Camp) Last Day of Camp ..................................................................... July 31 Camp Sessions Session I......... June 8 - June 12 Session II ..... June 15 - June 19 Session III ... June 22 - June 26 Session IV....... June 29 - July 2 (All camps off July 3) (Discovering Abilities off July 2 & 3) Who are camp staff? Day Camp Director: Full time staff member responsible for overall day camp programming and operations; works closely with the Recreation Specialist and the Site Directors to develop and coordinate the program. Recreation Specialist: Full time staff member responsible for supervising day camp locations; works closely with the Site Directors to develop and coordinate daily activities and special events. Session V .........July 6 - July 10 Session VI ......July 13 - July 17 Session VII ....July 20 - July 24 Session VIII...July 27 - July 31 What forms does M-NASR need to dispense medication? If your child will be taking medication during camp hours, please indicate that on the registration form and medical forms and envelopes will be mailed directly to you. All medications must be delivered to the M-NASR office in the appropriate envelope with the completed medical forms. Medications are not allowed to be brought to camp or in a child’s backpack. All medication forms and envelopes for each camp session must be completed and submitted to the M-NASR office by 4:30 p.m. on the Thursday before the start of a session. All campers must have a Participant Information Form (PI Form) on file regardless of medicine usage. Where can I meet staff and ask questions? Parents or guardians can schedule an appointment to visit their campsite (or a designated location depending on facility availability) with their children the week before camp begins. Specific appointment time slots will be provided after registrations are received. This is the perfect time for introductions and those last-minute questions. What kind of transportation does M-NASR offer? For a fee, M-NASR offers door-to-door transportation services for campers who reside within the boundaries of the M-NASR district. Transportation is limited to 24 individuals per session on a first-come, first-served basis. Transportation is provided to and from camp at 9:00 a.m. and 3:00 p.m. only. Transportation home from Sun Setters at 6:00 p.m. is not available. Transportation is available from all M-NASR camps to Sun Setters for a fee (except Teen Connections Camp). Transportation is not provided for non-residents (except if you are registered for Sun Setters). Remember that you must have your child registered for camp no later than May 22 in order to receive transportation services for the first week. To register for transportation for following weeks, it must be completed the Monday prior to the start of the next session. M-NASR will contact you with your child’s pick-up time no later than the Thursday prior to the start of the session. M-NASR transportation policies will apply. These policies are outlined in the M-NASR seasonal brochure on page 36. What should my child wear to camp? All campers should wear comfortable clothing and closed-toe shoes to camp. We recommend that campers wear clothing that can get dirty during hands-on activities. Campers should wear their 2015 camp shirt for all off-site camp activities. Camp shirts will be given to campers during their first week of camp. If your child is coming to camp from a summer school program, it is the parent’s responsibility to contact the school to make transportation arrangements. Due to safety and consistency purposes, M-NASR will only be able to provide door-to-door transportation for one specific location. We are not able to provide transportation to more than one location. Site Director: Responsible for the general development of the camp program; supervises and assists Counselors; works directly with campers. Counselor: Responsible for implementing daily lesson plans; works directly with campers. 11 What are M-NASR’s policies regarding behavior and wellness? Code of Conduct Policy All participants are expected to exhibit appropriate behavior at all times while participating, spectating or attending any program or activity sponsored by M-NASR. This includes participation in programs which may or may not require an admission fee. For the purpose of the Code of Conduct, the term “program” refers to all recreational events you may attend as a participant, spectator or visitor which are sponsored by M-NASR. Participants shall: 1. Show respect to all participants and program staff and/or supervisors. 2. Take direction from program staff/supervisors. 3. Refrain from using abusive or foul language. 4 Refrain from causing bodily harm to self, other participants or program staff/supervisors. 5. Show respect to equipment, supplies and facilities. Discipline Policy A positive approach is used when disciplining. Program staff will discuss the Code of Conduct with all program participants prior to the start of the program and will periodically review the Code of Conduct. If inappropriate behavior occurs, staff will develop a solution specific to each situation as it arises. M-NASR reserves the right to dismiss participants whose behavior endangers themselves or others. summer 2015 Wellness Policy In consideration of other participants and the M-NASR staff, to prevent the spread of contagious illnesses, it is requested that participants refrain from attending programs when any of the following conditions exist: fever of 100 degrees or higher (when this occurs, participants must stay home for one whole program day—24 hours from time sent home), vomiting within the last 24 hours, persistent diarrhea in conjunction with other symptoms, contagious rash or rash of unknown origin, persistent cough and/or cold symptoms, “Pink eye” (conjunctivitis) or discharge from eye, symptoms of mumps, measles, chicken pox, strep throat, flu, impetigo or coxsackle virus, runny nose with yellow or green discharge, lice/mites present, or fatigue due to illness that will hinder participation and enjoyment in the program. www.mnasr.org Are the group ages strictly adhered to? The age groups within each camp will be a separate entity within each camp. Unless the minimum of four campers is met, age groups may be combined so that we can serve all interested individuals. “Age” refers to the age of the child at the start of the session. Your child must be within the age range by the time the camp session begins. What are M-NASR’s policies if my child attends summer school? M-NASR will attempt to accommodate summer school schedules. Camp sessions can be adjusted by the week for educational purposes only. Please notify M-NASR of school schedule at the time of camp registration. 12 12 Continuing Summer Goals C.A.M.P. M-NASR will continue to keep the goals from home and school improving throughout the summer. Please complete a “Camp Goal Sheet” for your camper so they may continue to grow and develop. Do I qualify for financial aid? Participants who need financial aid may request an application by contacting Jean Gross at the M-NASR office at (847) 966-5522. You must mark on the registration form that you are requesting financial assistance. This assistance is evaluated and granted on a first-come, first-served basis. Registration Information Please read the following information carefully to help ensure that your child’s registration is properly completed: M-NASR registration begins upon receipt of this brochure. All registrations will be processed according to the date received (i.e., mail, fax, e-mail or drop-off) at our office. M-NASR registration policies will apply. These policies are outlined in the seasonal M-NASR brochures. In-district participant registrations (anyone residing within the boundaries of our seven member districts: Des Plaines Park District, Golf-Maine Park District, Lincolnwood Parks and Recreation, Morton Grove Park District, Niles Park District, Park Ridge Recreation and Park District and Skokie Park District) receive priority in processing and are eligible for the triple play discount or regular fee. For anyone who would like assistance with the registration process, please call Lauren Ruiz at (847) 966-5522 ext. 3013. Any balance due from a previous season must be paid in full before any registration is accepted for the current season. 1. Please fill out the Summer Camp Registration form completely. 2. Sign the back of the registration form (bottom of page). 3. Include payment: cash, check, credit card (Visa, MasterCard or Discover). At time of registration, 15% of total payment is due. 4. Please complete and sign the Participant Information Form. 5. Please mark transportation locations at bottom of form. Credit card information is required on all faxed and e-mailed registrations. If you sign up for three (3) or more summer camp sessions or M-NASR programs before May 15, you will receive a $15 triple play discount. Transportation is not included as one of the three programs. 10% discount for all new campers! 5% discount if you refer a friend to M-NASR camps! Austin Park, 8336 Marmora, Morton Grove (Sun Setters, Quest to Shine, and Discovering Abilities for Session I) Madison School, 5100 Madison Street, Skokie (Play Days) Chippewa School, 123 N. 8th Avenue, Des Plaines (Discovering Abilities for Sessions 2 - 8) Play Days Our summer days will be filled with fun at Play Days camp! This camp is specially designed for 3-7 year olds and will provide opportunities to continue developing early childhood skills. With a Therapeutic Recreation focus, we’ll improve social skills, increase confidence, learn new recreation skills, and develop independent thinking skills. Through games, art, music, sports, science, swimming, and much more, your child’s abilities will shine brighter than ever before! Note: Half-day and transportation options are available. Group......................................................................................All Ages ...................................................................................... 3-7 Min/Max............................................................................. 4/20 Time .......................................................... 9:00 a.m. - 3:00 p.m. 9:00 a.m. - 12:00 p.m. or 12:00 p.m. - 3:00 p.m. Days ................................................................ Monday - Friday Location ........................................................... Madison School Skokie No camp July 3 Door-to-door transportation is not available for nonresidents. Please see registration form on page 15 for all pricing information. Des Plaines Leisure Center, 2222 Birch Street, Des Plaines (Teen Connections) Sun Setters Community outings are the name of the game at this after-camp program! With a Therapeutic Recreation focus and three field trips per week, your child will be able to experience our community as they increase their social skills, self-awareness, and independence. From local parks and pools to a variety of new recreation activities, campers will find their favorite places to go and gain confidence and comfort with each new experience! These field trips combined with games, art, music, sports, and science activities on our in-house days will enable your child’s abilities to shine brighter than ever before. Note: Transportation is available to this camp from Play Days and Discovering Abilities camps. Group................................................................................. All Ages ............................................................. 3-7, 8-14, 15-22 Min/Max......................................................................... 4/20 Time ..................................................... 3:00 p.m. - 6:00 p.m. Days ............................................................Monday - Friday Location .............................................................. Austin Park Morton Grove No camp July 3 13 Discovering Abilities Teen Connections Group .................................................... All Ages ............................................. 8-14, 15-22 Min/Max ............................................... 4/20 Time ....................................9:00 a.m. - 3:00 p.m. Days ........................................Monday - Friday Location (Session 1) .......................... Austin Park Morton Grove Location (Sessions 2-8) ................Chippewa School Des Plaines No camp July 2 & 3 Group ................................................ All Ages ............................................... 13-22 Min/Max ............................................ 4/10 Time ................................12:30 p.m. - 5:30 p.m. Days .....................................Monday - Friday Location ......................................... Des Plaines Leisure Center No camp July 3 C Discovering abilities is our focus at this camp as we participate in games, art, music, sports, science, swimming, and much more! With a Therapeutic Recreation emphasis, we’ll improve social skills, increase self-awareness, develop new recreation skills, and increase independence. Your child’s abilities will shine brighter than ever before! Note: Half-day and transportation options are available for this camp. “On the Brink” This summer, M-NASR will offer weekly Therapeutic Recreation sessions within our camps which will engage campers in developing the life skills associated with successful recreation participation. For campers who are 18 and older or “on the brink” of becoming adults, topics will focus in depth on developing these strengths for the future! With emphasis on developing independence, our weekly focus will include safety, money management, using technology in recreation, healthy living, and more! These sessions will be centered on the abilities of the participants. Campers will receive a weekly progress note detailing the activities they participated in and suggestions for further skill development. Note: “On the Brink” programming will be provided for campers ages 18 and older and will be offered for one hour weekly at “Teen Connections,” Discovering Abilities,” and “Quest to Shine” camps. There is no additional fee for this programming. Please see registration form on page 15 for all pricing information. 14 C Making connections is a big part of being a teen, and at this camp we’ll assist our teens at connecting with their peers and the community! With field trips focused on fun and trying new recreational activities as well as outings that will emphasize increasing social skills, self-awareness, and independence in the community, your teen’s abilities will shine brighter than ever before! This camp will have a Therapeutic Recreation focus and will also enable growth through games, art, music, sports, science, swimming and much more! Note: No transportation is available for this camp. Quest to Shine We’re on a quest to shine through art, games, music, sports, science, swimming, and so much more! This afternoon camp will bring a Therapeutic Recreation focus to every day fun while increasing your child’s social skills, self-awareness, and independent thinking skills. Your child’s abilities will shine brighter than ever before at Quest to Shine camp! Note: 3 p.m. transportation is available for this camp. Group .................................................All Ages .......................................... 8-14, 15-22 Min/Max ............................................ 4/20 Time ................................ 12:00 p.m. - 3:00 p.m. Days ..................................... Monday - Friday Location ......................................Austin Park Morton Grove No camp July 3 C Summer Camp regiStration Form - 2015 You must fill out the front and back of this form in order to be registered. Registration will be completed upon receipt of the camp fee. A minimum of 15% of total camp fees are due at the time of registration. Contact M-NASR to set up a payment plan if necessary. Camp registration will be processed on a first-come, first-serve basis. Please mail to: M-NASR, 6820 W. Dempster Street, Morton Grove, Illinois 60053. Questions? Voice: (847) 966-5522, Relay System: (800) 526-0844, FAX: (847) 966-8340. If you fax your registration, please call M-NASR or e-mail [email protected] to confirm that it has been received. Birthdate: City: Emergency Contact: Work Phone #: Home Phone #: Cell/Pager #: Sex: M F _ _ Zip Code: E-mail: Camper’s shirt size: youth or adult: Child is under custodial care of (circle): Both Parents Mother Only Father Only Other Does your child have seizures? Yes No Date of last seizure? ________________________________________________ Does your child use a wheelchair? Yes No What type of wheelchair? _________________________________________ Does your child need a bus harness? Yes No _Please detail: ________________________________________________ Does your child need 1:1 staff ratio at camp? Yes No _Please detail: _________________________________________ Does your child attend summer school? Yes No _If so, which school_ Dates School phone number and contact person (if known) Will your child need medication dispensed at camp? Yes No _ (*See medication section in M-NASR’s Summer brochure for details). Is your child: taking M-NASR transportation_ walking to/from camp_ being dropped off/picked up by parent/guardian __ in need of financial aid information Who else is allowed to pick up your child? Please Circle MasterCard VISA One Account #: ________________________________ Card Security Code:_________________________ Exp. Date: _________ $ Amount: _____________ Signature: _________________________________ R As a participant in the M-NASR program, I recognize and acknowledge that there are certain risks of physical injury to participants in these programs 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 that I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in these programs/activities against M-NASR, including its officials, agents, volunteers and employees. I do hereby fully release and forever discharge M-NASR 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 associated with these programs. I understand that unless specifically stated in writing at the time of registration, photographs of participants may be taken. I realize that our rights to privacy will be protected in all photographs and publications of M-NASR activities. I have been made to understand that no personal information other than first names and hometowns will be released under any circumstances and this meets with my approval. In the event of an emergency, I understand and authorize M-NASR officials to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my immediate care and agree that I will be responsible for payment of any and all medical services rendered. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering via fax, your facsimile signature shall substitute for and have the same legal effect as an original form signature. SIGN HERE PLEASE! Important Information Maine-Niles Association of Special Recreation (hereinafter collectively referred to as “M-NASR”) is committed to conducting its recreation programs in a safe manner and hold the safety of participants in high regard. M-NASR 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 an inherent risk of injury when choosing to participate in recreational programs. You are solely responsible for determining if you or your minor child/ward are physically fit and/or skilled enough for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. Warning of Risk Recreational programs are intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when participating in any recreational program. Understandably, not all hazards and dangers can be foreseen. Depending on the particular activity, participants must understand that certain risks, dangers and injuries due to inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to indoor and outdoor recreational programs exist. In this regard, it must be recognized that it is impossible for M-NASR 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 M-NASR programs 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 said programs (including transportation services/vehicle operation, when provided). What is your child’s swimming ability? Non-swimmer Some swimming skills Good swimmer Camper’s Name: Address: Parent’s Name: Work Phone #: Home Phone #: Cell/Pager #: X _______________________________________________________________________ (Participant’s signature 18 years or older or parent/guardian) X _______________________________________________________________________ Date _________________________________________________________________ Office Use Only 1) ______________ CK# ________ Date: ______ 2) ______________ CK# ________ Date: ______ Financial Aid Requested: Yes _______ Required Documents on File: Yes _______ No No 15 $23 $113 $113 Res $105 $21 $57 $11 $162 $162 $21 $57 $11 $162 $162 $46 $226 $452 $105 $23 $46 $226 $21 $46 $113 $226 $113 $23 3 $23 $162 $162 $11 $57 $21 $105 $21 $180 $180 NR $136 $136 $180 $360 $180 $21 $105 $21 $57 $11 $162 $162 Not Available $84 Not Available $46 Not Available $130 $130 $46 $226 $452 $226 $46 $46 $226 $226 $46 $46 $226 $226 NR $105 $23 $113 $226 $113 $23 $23 $113 $113 $23 $23 $113 $113 Res 5 Session July 6-10 $84 Not Available $90 $180 $90 Not Available Not Available $68 $68 Not Available Not Available $90 $90 Res (Discovering Abilities No July 2 & 3) (No July 3) $23 $162 $162 $11 $57 $21 $105 $21 $46 $226 $452 $226 $46 $46 $226 $226 $46 $46 $226 $226 $105 $113 $226 $113 $23 $23 $113 $113 $23 $23 $113 $113 6 7 $23 $162 $162 $11 $57 $21 $105 $21 Please complete payment information and registration on other side. $23 $113 $226 $113 $23 $23 $113 $113 $23 $23 $113 $113 Res $162 $162 $11 $57 $21 $105 $21 $105 Total: $46 $226 $452 $226 $46 $46 $226 $226 $46 $46 $226 $226 NR 8 Session July 27 - July 31 15%: GRAND TOTAL: Triple Play Discount: New Camper Discount: $46 $226 $452 $226 $46 $46 $226 $226 $46 $46 $226 $226 $105 $113 $226 $113 $23 $23 $113 $113 $23 $23 $113 $113 Session Session July 13-17 July 20-24 (Please circle all that apply) Res NR Res NR Only ONE drop-off point allowed for PM transportation $46 $226 $452 $226 $46 $46 $226 $226 $46 $46 $226 $226 $105 $113 $226 $113 $23 $23 $113 $113 $23 $23 $113 $113 4 Session June 29 - July 2 Pick-up Point: _____________________________________________ Drop-Off Point: ____________________________________________ Phone: ___________________________________________________ Phone: ___________________________________________________ Only ONE pick-up point allowed for AM transportation 3-210-21 Trans. AM/After Camp 3-210-20 Trans. Round Trip 3-210-19 To Sunsetters Fri. Only 3-210-15 To Sunsetters 3-210-14 Trans. PM Fri. Only 3-210-13 Trans. PM 3-210-12 Trans. AM Fri. Only 3-210-11 Trans. AM 3-210-18 $226 $452 $226 $46 $46 $226 $226 $46 $46 $226 $226 $21 $23 Sunsetters Friday 3-210-10 $113 $226 $23 $113 $226 $46 $23 $23 $113 $113 $46 $46 $226 $226 $105 $113 Sunsetters 3-210-09 2 Session Session June 22-26 June 15-19 (Please circle all that apply) NR Res NR Res NR $105 $226 Teen Connection 3-210-08 $113 $23 $23 Quest to Shine 3-210-17 Fridays Only PM 3-210-16 Fridays Only AM $23 3-210-04 Discovering Abilities AM $113 3-210-06 Discovering Abilities PM $113 3-210-07 Fridays Only PM 3-210-03 Fridays Only AM 3-210-02 Play Days PM 3-210-01 Play Days AM 1 Session June 8-12 Birthdate:_________________________________________________ M-NASR SuMMeR CAMp RegiStRAtioN FoRM - 2015 Camper’s Name: ___________________________________________ Resident/Non-Res. 16 Total Low Impact Staying fit not only benefits your physical health but also your mental, social, and emotional well-being. At Low Impact Aerobics, M-NASR will help you reach a new level of fitness and achieve your goals in a friendly, social atmosphere. During our Monday and Wednesday programs, you will have the option to concentrate on walking, which not only provides great exercise, but also increases stamina and improves cardio-vascular function. Exercise equipment will also be available to utilize on these days. On Fridays, we will focus on stretching, seated aerobics, and light weight exercises. Our dedicated staff will work with you to set weekly goals and make sure you get the most out of our customdesigned programs. Get ready to see and feel a big change in the new you! Together we’ll achieve new levels of fitness! Note: We encourage you to sign up for all three sessions to help you maintain your fitness. Bring a water bottle. If you sign up for the Friday session, please bring a sack lunch (no lunch on Mondays and Wednesdays). Wednesday Low Impact Code#: 3-410-01.2 Contact: Stephen Cozzi Location: Feldman Park Niles Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 10:00 - 11:00 a.m. Monday June 8 - July 27 Resident: Res. W/Trans: Non-Resident: Time: Day: Dates: 10:30 - 11:30 a.m. Wednesday June 10 - July 29 Resident: Res. W/Trans: Non-Resident: Day: Dates: $97.00 $153.00 $194.00 $97.00 $153.00 $194.00 Friday June 12 - July 31 No prgoram July 3 Resident: Res. W/Trans: Non-Resident: $85.00 $134.00 $170.00 PI/VI Self-Advocacy Self-advocates are people who speak up for themselves and others, take responsibility for their own lives, and want to increase the opportunities available for those with disabilities. In this program, you’ll join a group of individuals dedicated to acting out this definition by sharing your personal experiences and developing assertiveness and confidence. Together we’ll decide on a project that will enable us to share these skills with the community while educating others about our abilities. Don’t miss this chance to empower others, learn more about yourself, and create meaningful friendships. Code#: 3-410-06 Contact: Stephen Cozzi Location: Prairie View Comm. Ctr., Comm. Room Morton Grove Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: Day: Dates: 1:30 - 3:00 p.m. Monday June 8 - July 27 Resident: Res. W/Trans: Non-Resident: $70.00 $126.00 $140.00 Difference Makers Special Season “Only a life lived for others is a life worthwhile.” –– Albert Einstein. M-NASR’s Difference Makers are definitely a perfect example of living for others. Sign up for this amazing program, and you will be part of a group of caring and inspirational individuals that truly make a difference for others. We’ll complete hands-on projects to donate to organizations chosen by you and the other participants each session. Don’t miss your chance to create new friendships and be an impactful member of yo ur community. Note: All supplies are included in the program fee. Code#: 3-410-04 Contact: Stephen Cozzi Location: Oakton Comm. Center, Second Fl.,Skokie Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: 1:30 - 3:00 p.m. Day: Dates: Resident: Res. W/Trans: Non-Resident: Tuesday June 9, 23 July 7 & 21 $44.00 $72.00 $88.00 (847) 966-5522 Friday Low Impact Code#: 3-410-01.3 Contact: Stephen Cozzi Location: Howard Leisure Center, Niles Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: 10:30 a.m. - 12:00 p.m. Time: Day: Dates: Times refer to actual program times and do not include transportation. Summer 2015 Monday Low Impact Code#: 3-410-01.1 Contact: Stephen Cozzi Location: Feldman Park Niles Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Registration begins upon receipt of this brochure Pi/vi adult Programs Simply register for three (3) Triple Play or more programs by May 15, 2015 and you will Discount2 receive a $15 discount. 17 Pi/vi adult Programs Adapted Boccia — Competitive The Metro Cup tournament season may be over, but Boccia Nationals is right around the corner. Join M-NASR’s top athletes as we work on your strategy, technique, self-control, focus, and teamwork. With drills to help you nail down your moves, activities to test you physically and mentally, and Paralympicstyle games each week, you’ll have a medal around your neck in no time! Note: Sign up for both Competitive and Recreational days to get double the practice. Adapted equipment will be provided to make everyone’s experience successful. Transportation is provided for M-NASR residents only. If the Competitive or Recreational groups do not meet the minimum of four participants, we may combine programs so that we can serve all interested individuals. Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: 3-412-01.1 Resident: $47.00 Stephen Cozzi Res. W/Trans: $103.00 Feldman Park Non-Resident: $94.00 Niles PI/VI Adults 18 & older 4/8 4:00 - 5:30 p.m. Tuesday June 9 - July 28 www.mnasr.org summer 2015 Picnic Chefs 18 Special Season Blue skies, the warm sun on your face, and birds chirping nearby…in the summertime, what could be better than relaxing outdoors with friends? How about creating a delicious picnic to enjoy together? In this program, we’ll combine the PI/VI area’s love of cooking with your love of the summer sun! With the start of each program, we’ll create a light meal that will include everyone’s favorite summer treats. After packing up our picnic, we’ll head to a local park to bask in the sun, socialize, and enjoy our tasty lunches. Join us and you’ll see—this program is the best thing since sliced bread! Note: In the case of inclement weather, the second half of the program will remain indoors. All supplies are included in the program fee. Advise M-NASR in advance of any dietary restrictions. Please wear sunscreen. Code#: 3-410-14 Contact: Stephen Cozzi Location: TBA Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: 11:30 a.m. - 2:30 p.m. Day: Tuesday Dates: June 16, 30, July 14 & 28 Adapted Boccia — Recreational Did you know the word Boccia comes from the Latin word bottia, which means ball? You’ll learn about the best balls to use and more at Adapted Boccia! Whether you’re looking for a more relaxed, social atmosphere or are brand new to the game, this program is for you. Each week we’ll work on learning the rules of this unique game and developing our strategy, focus, and control. Increase your confidence, socialize with friends, and learn one of the fastest-growing sports in the area! Note: Sign up for both Competitive and Recreational days to get double the practice. Adapted equipment will be provided to make everyone’s experience successful. Transportation is provided for M-NASR residents only. If the Competitive or Recreational groups do not meet the minimum of four participants, we may combine programs so that we can serve all interested individuals. Code#: Contact: Location: 3-412-01.2 Stephen Cozzi Feldman Park Niles Group: PI/VI Youth/Teens/Adults Ages: 8 & older Min/Max: 4/8 Time: 4:00 - 5:30 p.m. Day: Wednesday Dates: June 10 - July 29 Resident: $47.00 Res. W/Trans: $103.00 Non-Resident: $94.00 Computer Tutors New!! “Personal computers have become the most empowering tool we’ve ever created. They’re tools of communication, they’re tools of creativity, and they can be shaped by their user.” —Bill Gates. If you’re struggling to learn all the empowering tools your computer has to offer, then this program is for you! We’ll teach you the basics of Microsoft Office programs like Word and Excel, as well as tips and tricks for the Internet, e-mail, and ways to adapt your computer to your needs! Note: Computers will be available for everyone. Adapted equipment will be provided to make everyone’s experience successful. Code#: Contact: Location: Group: Ages: Min/Max: Time: 3-410-17 Stephen Cozzi TBA PI/VI Adults 18 & older 4/8 1:00 - 2:30 p.m. Day: Dates: Wednesday June 10 - July 29 Resident: Res. W/Trans: Non-Resident: Free Carnival When: Friday, July 24, 2015, 1:30 - 3:30 p.m. Where: Hinkley Park, 25 Busse Hwy., Park Ridge What: Carnival rides! Games and food available for purchase. Who: For participants of all ages with special needs along with their families, friends and staff members. $54.00 $110.00 $108.00 Sponsored by Park Ridge Park District and All Around Amusements Questions? Contact Tracy Gillingham at (847) 966-5522. Make memories this summer and sign up for Out & About! Dive into a delicious meal at Hackney’s in Glenview, listen to the local singers at the Skokie Idol final performance, and experience something new while going on a geocaching extravaganza. Geocaching is a worldwide outdoor treasure hunting experience. We will locate items in the community using GPS and leave behind our own treasure for someone to find! Make sure you sign up today to reconnect with friends, meet new people, and get out into the community. Note: All activity costs are included in the program fee with the exception of any adult beverages. A schedule of activities will be sent to participants after all registrations are received. A snack will be provided so advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Program time may vary slightly for Skokie Idol night. Code#: 3-411-05 Contact: Olivia Antosz Location: Various Group: PI/VI Adults Ages: 18 & older Min/Max: 4/12 Time: 6:00 - 8:00 p.m. Day: Wednesday Dates: June 17, July 8 & 29 Resident: Res. W/Trans: Non-Resident: $82.00 $103.00 $164.00 Movie Critics 3-410-13 Stephen Cozzi Various PI/VI Adults 18 & older 4/8 6:00 - 8:30 p.m. Day: Dates: Thursday June 11, 25 July 9 & 23 Resident: $60.00 Res. W/Trans: $88.00 Non-Resident: $120.00 3-410-02 Stephen Cozzi Park Ridge Community Center Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: 1:00 - 2:00 p.m. Day: Thursday Dates: June 11 - July 30 Resident: $80.00 Res. W/Trans: $136.00 Non-Resident: $160.00 Shifting to Lifting New!! Have you ever wanted to start a weight training routine but had no idea where to begin? If you answered yes, then sign up for M-NASR’s newest fitness program! Weight training helps burn calories, protects bone health, improves body mechanics, increases disease prevention, and boosts energy levels. At Shifting to Lifting, our dedicated staff will help you achieve all this by teaching you everything you need to know to get started. We’ll introduce you to equipment, exercises, and proper form in addition to assisting with any transfers needed to make sure you safely reach your fitness goals. Note: Bring a water bottle. Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: Resident: Res. W/Trans: Non-Resident: 3-410-16 Stephen Cozzi Weber Center Skokie PI/VI Adults 18 & older 4/8 10:30 - 11:30 a.m. Thursday June 11 - July 30 $97.00 $153.00 $194.00 (847) 966-5522 Code#: Contact: Location: Group: Ages: Min/Max: Time: Code#: Contact: Location: Summer 2015 Special Season Join us to cool off from the summer heat with Hollywood’s hottest blockbusters! Each night, we’ll enjoy a relaxing evening out of the house while viewing a new release. Whether you’re craving the next Avengers movie or ready to sing along to some aca-awesome tunes in Pitch Perfect 2, you’re guaranteed to have a four-star night. Don’t miss out on the summer’s biggest films and exciting nights out with friends! Note: Movie admission is included in the program fee. Bring extra money for snacks or refreshments at the theater, and advise M-NASR in advance of any dietary restrictions. Program times may vary based on movie selections. Make a splash in your fitness routine with our water aerobics program! Join us to enhance your physical strength and endurance with minimal impact on your body. Choose a lower-intensity routine to stretch your joints or cardio-based exercises that will keep your heart rate up. We are confident that you will discover a water workout that’s right for you. Our motivating staff will assist you throughout your workout, and a chair lift is available to enter and exit the pool Note: Assistance is available in the locker room for individuals who need it. This pool is fullyaccessible, however, it is not a therapy pool. Bring a labeled towel, swimsuit, and water bottle. M-NASR Recreation Specialists lead this program. Pi/vi adult Programs Aqua Dynamics Out & About 19 Pi/vi adult Programs/sPecial events Special Season Spare a few Friday afternoons with some friendly competition at M-NASR’s adapted bowling program! Join us this summer to socialize with friends and try to top your best bowling scores. We’ll assist you in finding adaptive equipment that will enable you to be successful so every shot is your best. During the game, we’ll split for lunch and refuel for another round. In addition to having lots of fun, you’ll be able to improve your coordination and motor skills. No matter how many pins you knock down, you’re sure to have a perfect game with friends and fun at Incredi-Bowl Strikes! Note: Equipment rental and bowling cost is included in the program fee. Bring a sack lunch or money for food and snacks. Advise M-NASR in advance of any dietary restrictions. Incredi-Bowl Strikes Code#: 3-410-05 Contact: Stephen Cozzi Location: Classic Bowl ` Morton Grove Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: 11:00 a.m. - 1:00 p.m. Day: Friday Dates: June 19, July 17 & 31 Resident: Res. W/Trans: Non-Resident: $53.00 $74.00 $106.00 summer 2015 www.mnasr.org Code#: 3-410-15 Contact: Stephen Cozzi Location: Prairie View Comm. Ctr., Comm. Rm. Morton Grove Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: Day: Dates: 6:00 - 7:30 p.m. Friday June 12, 26 July 10 & 24 Resident: Res. W/Trans: Non-Resident: $31.00 $59.00 $62.00 Deaf Club The summer weather is here at last! Join your friends as we travel around town for three fun Friday nights. This season we will visit the Taste of Park Ridge for a fantastic festival, we’ll splish and splash at a local outdoor swimming pool, and, lastly, we’ll round out the season with a Latin meal at Libertad in Skokie. This is a specialized program for individuals who are deaf or hard of hearing. Note: All activity costs are included in the program fee. A schedule of activities will be sent to participants after all registrations are received. Advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This program may not be appropriate for individuals who become easily over-stimulated. Code#: Contact: Location: Group: Ages: 20 Special Season Game night is back! Round up your friends and join us for our Friday night social program. We’ll chat, laugh, and contend for first place as we play a great variety of games. Each week, we’ll try out a new theme from cards to classic board games. You’ll have the chance to learn about adaptive equipment used with these types of activities, sharpen your strategy and concentration, and socialize with friends. Note: Please eat prior to the program. A snack will be provided so advise M-NASR in advance of any dietary restrictions. Winners’ Circle 3-311-10 Olivia Antosz Various Deaf/HoH 18 & older Pancake Breakfast Breakfast is the first meal of the day, so why not make it enjoyable? Learn new recipes, prepare your own meal, and fill up on a variety of breakfast foods at this Sunday program. Why scramble for a meal when you can catch up with friends? Sign up today for a delicious start to your morning with all-you-can-eat pancakes! Note: Breakfast will be provided. Friends and family are welcome and encouraged to attend. A registration is required for each individual who is attending. Advise M-NASR in advance of any dietary restrictions. No transportation will be available. Code#: 3-520-13 Resident: Contact: Olivia Antosz Non-Resident: Location: Prairie View Comm. Ctr., Comm. Room Morton Grove Group: ALL Ages: ALL Min/Max: 10/20 Time: 9:00 - 10:30 a.m. Date: Sunday, June 7 $12.00 $24.00 Min/Max: 5/15 Resident: Time: 6:30 - 8:30 p.m. Non-Resident: Day: Friday Dates: June 12, July 10 & 31 $82.00 $164.00 Take Me Out to the Ballgame The great Babe Ruth once said, “Baseball was, is, and always will be to me the best game in the world.” Join M-NASR as we cheer on the Chicago White Sox at U.S. Cellular Field as they take on the Detroit Tigers. Don’t forget to wear your baseball cap and put on your glove as we make memories! Note: Please bring money for lunch or eat prior to the program. Advise M-NASR in advance of any dietary restrictions. This program may not be appropriate for individuals who become easily over-stimulated, are sensitive to loud sounds, or have a fear of heights. Please wear sunscreen. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Transportation time is not included in the program time. Centralized pick up points will be used. Code#: 3-520-14 Contact: Olivia Antosz Location: Meet @ M-NASR/ U.S. Cellular Field, Chicago Group: ALL Ages: 12 & older Min/Max: Time: Date: 10/30 1:00 - 4:00 p.m. Sunday, June 7 Resident: Non-Resident: $60.00 $120.00 Code#: 3-420-21 Contact: Stephen Cozzi Location: LaSalle, IL Group: PI/VI Adults Ages: 18 & older Min/Max: 4/8 Time: 9:00 a.m. - 5:00 p.m. Date: Saturday, June 27 Resident: Res. W/Trans: Non-Resident: $68.00 $76.00 $136.00 Brookfield Zoo Brown bear, brown bear, what do you see? I see M-NASR participants having a wonderful day at the zoo! Join us on an adventure to Brookfield Zoo as we meet a variety of animals, critters, and creatures. From big cats to bears, sea creatures to birds, Brookfield Zoo has it all! Be a part of this summer Sunday morning for a day to remember! Note: Bring a sack lunch or money to purchase it, and advise M-NASR in advance of any dietary restrictions. Wear sunscreen and bug spray. This program may not be appropriate for individuals with outdoor allergies, who might be afraid of animals, or cannot endure prolonged periods of walking. Bring extra money for snacks and souvenirs. Zoo admission is included in the program fee. Transportation time is not included in the program time. Centralized pick up points will be used Code#: 3-520-12 Contact: Olivia Antosz Location: Meet @ M-NASR/ Brookfield Zoo Group: ALL Ages: ALL Harrer Park Classic Car Show Code#: Contact: Location: 3-420-19 Stephen Cozzi Harrer Park Morton Grove Group: PI/VI Adult Ages: ALL Min/Max: 4/8 Time: 6:00 - 8:00 p.m. Date: Thursday, July 23 Resident: Non-Resident: Resident: Res. W/Trans: Non-Resident: $54.00 $108.00 $20.00 $28.00 $40.00 Summer 2015 We’re going back in time! Join us for the 6th annual Harrer Park Classic Car Show right here in Morton Grove. Make sure you bring a pencil because you’re the judge! The cars will compete in one of six categories: Antique, Classic, Muscle Car, Sports Car, Modified, or Import. In addition to the vintage rides, there will be a concert and plenty of good food to enjoy. Sign up today for a fun and entertaining summer night out with friends. Note: Eat prior to the program, but bring money for snacks and souvenirs. Advise M-NASR in advance of any dietary restrictions. Please wear bug spray. Min/Max: 10/20 Time: 11:00 a.m. - 2:30 p.m. Date: Sunday, July 12 Pi/vi adult sPecial events LaSalle Canal Boat & Hiking Tour Join us for an historical journey to LaSalle, Illinois! First, we’ll hop aboard a mule-pulled, full-size replica canal boat that will take us on the same hand-dug waterway that 19th century pioneers traveled. Our guides, dressed as Canal Era crew and passengers, will take us back in time to life on the American frontier and the Illinois prairie. After our hour-long boat tour, we’ll explore the area and enjoy a relaxing hike along the accessible trails that line the canal. Once we’ve worked up an appetite, we’ll head back to town for lunch at the Lock 16 Café which provides a quaint, vintage setting with a focus on Illinois history and American heritage. Don’t miss out on this fun and educational day trip to LaSalle! Note: Advise M-NASR in advance of any dietary restrictions. Lunch is included in the program fee, but bring money for extra snacks and souvenirs. Bring a water bottle and wear sunscreen. Disability Pride Parade Code#: Contact: Location: 3-420-04 Stephen Cozzi Daley Plaza Downtown Chicago Group: PI/VI Adult Ages: 18 & older Min/Max: 4/8 Time: 10:30 a.m. - 3:00 p.m. Date: Saturday, July 18 Resident: Res. W/Trans: Non-Resident: $39.00 $47.00 $78.00 (847) 966-5522 Show your support and participate in Chicago’s Disability Pride Parade! M-NASR will be partaking in the annual event with signs and smiles as we march through the streets of downtown Chicago. We’ll display our pride, advocate for all who live with disabilities, and help change the way people think about the word “disability.” After the parade, we will grab a quick lunch and visit the celebration at Daley Plaza with performances and a resource fair before heading home. Note: Bring a sack lunch or money to purchase lunch as well as snacks and souvenirs. Advise M-NASR in advance of any dietary restrictions. Bring a water bottle and wear sunscreen along with appropriate clothes and shoes. The parade route is one mile long and will involve about an hour of walking. This program may not be appropriate for those individuals who are extremely sensitive to the heat and/or sun. 21 Pi/vi adult Programs/sPecial events summer 2015 www.mnasr.org 22 Chicago River Architecture Tour Enjoy a summer afternoon on the Chicago River in style, class, and comfort. We’ll board a stunning accessible cruise ship and take in the sights as our tour guide from the Chicago Architecture Foundation showcases Chicago’s world renowned city architecture. During the 90-minute tour, we’ll learn about the architecture and design of over 50 buildings while enjoying the open-air or air-conditioned seating. Don’t miss out on this exciting outing to the city! Note: Wear sunscreen and bring sunglasses, a visor, or a hat. Please eat prior to the program. Bring money to buy snacks and souvenirs and advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Code#: Contact: Location: 3-420-18 Resident: Stephen Cozzi Res. W/Trans: Chicago’s First Non-Resident: Lady Cruises Downtown Chicago Group: PI/VI Adult Ages: ALL Min/Max: 4/8 Time: 1:30 - 4:00 p.m. Date: Tuesday, July 28 $75.00 $83.00 $150.00 Chicago Fire Join M-NASR, once again, as we cheer on the Chicago Fire men’s soccer team as they battle FC Dallas! Whether you call the sport soccer or football, you are sure to have a memorable night! Sign up today to ensure your seat at the game. Note: Bring money for snacks and souvenirs and advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This event may not be appropriate for individuals who become easily overstimulated, are sensitive to loud sounds, or may demonstrate disruptive behaviors. Please wear bug spray. Transportation time is not included in the program time. Centralized pick up points will be used. Code#: Contact: Location: Group: Ages: 3-520-15 Olivia Antosz Toyota Park Bridgeview ALL ALL Min/Max: 10/20 Time: 6:00 - 9:30 p.m. Date: Saturday, July 25 Resident: Non-Resident: $72.00 $144.00 A S N R M Eating healthy is within reach this summer season! To start the day off right, we will visit Wagner Farm and Museum in Glenview to learn about farming. Originating in 1920, this fully-functional farm is a great resource in our own backyard. After visiting the farm, we will explore the Skokie Farmers’ Market and see what seasonal local food is available. Even if your fridge is already full, come along for a wonderful day outside. Sign up for this healthy and fun event today! Note: Please dress appropriately for the weather and wear sunscreen. Eat prior to the program. Bring money to purchase snacks and souvenirs, and advise M-NASR in advance of any dietary restrictions. This program may not be appropriate for individuals with outdoor allergies or who might be afraid of animals. A one, a two, a three! We’re taking everyone out to the ballgame at M-NASR’s annual end-of-thesummer celebration! Whether you cheer for the Cubs or Sox, all participants, families, and friends are invited to this unBULLieveable event. Harrer Park will be transformed into a Chicago sports fan’s paradise with plenty of food, games, and music inspired by Chicago’s best athletes. Register today because missing out would be unBEARable! Note: There is no transportation for this program. Advise M-NASR in advance of any dietary restrictions. Special diets will be accommodated. Registrations received by all M-NASR participants by May 15, 2015, will be guaranteed a free t-shirt. Please indicate your size on the registration form. All registrations must be received by 5:00 p.m. on July 23. No registrations will be accepted after this date. Code#: Contact: Location: Code#: Contact: Location: Farming Around Town 3-520-11 Olivia Antosz Wagner Farm in Glenview/ Skokie Farmers’ Market Group: ALL Ages: ALL Min/Max: 10/20 Time: 9:00 a.m. - 12:00 p.m. Date: Sunday, August 2 Resident: Non-Resident: $22.00 $44.00 Group: Ages: Min/Max: Time: Date: 3-520-01 Stephen Cozzi Harrer Park Morton Grove ALL ALL 50/300 5:00 - 7:30 p.m. Thursday, August 6 Due to the nature of this event, individual supervision of guests is not possible by M-NASR staff. Family members and/or group home staff are required to attend with their family member/residents. All people attending must be registered with the M-NASR office prior to the event. Tee Time Golf FORE!! Watch out, here comes another great season of Tee Time Golf! Whether you are back for more after the previous season or this is your first whack at it, M-NASR will help you work on your back swing among other useful golf skills. If you plan to compete in the Special Olympics Golf Qualifier, you will need to submit three 9-hole golf scores by June 24. This is a great opportunity to practice before the skills competition on July 22 or the 9-Hole Competition on August 3. Note: All equipment will be provided, but you are encouraged to bring your own clubs if you have them. M-NASR reserves the right to determine if this program is appropriate for an individual. Mastery of skills must be determined by M-NASR staff if you are choosing to sign up for the Course Play section. This will be demonstrated by either repeatedly taking Tee Time Golf in the past or performing well on the first night of the Skills section. Appropriate behavior must be demonstrated so as not to detract from other golfers’ experience. A Special Olympics Waiver must be completed and submitted to the office by June 24. Code#: Contact: Location: 3-310-10.1 Cory Griffith Golf Center of Des Plaines AWID 18 & older 6/12 Group: Ages: Min/Max: Time: Day: Dates: 6:00 - 7:00 p.m. Monday June 22 - July 27 Resident: Non-Resident: $60.00 $120.00 New Day! Get fit and healthy with M-NASR’s exercise regime. Learn how to use different weight equipment and find the perfect workout just for you. Try a little lifting, crank out some cardio, and maybe even ease yourself onto the elliptical machine. Workouts are no longer boring with our energetic exercise ensemble. Join us for an hour of fitness and fun. Note: Wear fitness clothes and gym shoes and bring a water bottle. Appropriate behavior must be demonstrated so as not to detract from other participants’ experience. M-NASR reserves the right to determine if this program is appropriate for an individual. Healthy Hearts I Code#: Contact: Location: Group: Ages: Min/Max: 3-310-05.1 Cory Griffith Weber Center Skokie AWID 18 & older 4/8 Time: Day: Date: 6:00 - 7:00 p.m. Monday June 8 - July 27 Resident: Non-Resident: $68.00 $136.00 3-310-10.2 Cory Griffith Golf Center of Des Plaines AWID 18 & older 6/12 Time: Day: Dates: 6:00 - 7:00 p.m. Monday June 22 - July 27 Resident: Non-Resident: Please note late starting date for these two programs. $60.00 $120.00 Code#: Contact: Location: Group: Ages: Min/Max: 3-310-05.2 Cory Griffith Weber Center Skokie AWID 18 & older 4/8 Time: Day: Date: 7:15 - 8:15 p.m. Monday June 8 - July 27 Resident: Non-Resident: $68.00 $136.00 (847) 966-5522 Group: Ages: Min/Max: Healthy Hearts I & II Healthy Hearts II Course Play Code#: Contact: Location: F o r a l l AW I D P r o g r a m s , u n l e s s otherwise noted, pick-up and dropoff locations will be determined when all registrations are received. Remember to mark transportation on the registration form. A minimum of three people is needed at each location. Summer 2015 Skills Registration begins upon receipt of this brochure aWid Programs Triple Play Discount2 Simply register for three (3) or more programs by May 15, 2015 and you will receive a $15 discount. 23 aWid Programs Artist Studio Please note late ending date. Art is something that is created with imagination and skill that is beautiful or that expresses important ideas or feelings (according to Merriam-Webster). Let your inner artist out and join us for some summer-inspired crafts. Artist Studio is a great opportunity to express your ideas and feelings through creativity and skills! Whether you have participated in Artist Studio before or this is your first time, we have something for all ability levels with a curriculum that keeps each artists’ needs in mind. Note: Appropriate behavior must be demonstrated during the program so as not to detract from the other artists’ experience. M-NASR reserves the right to determine if this program is appropriate for an individual. All supplies will be provided, but bring an old shirt or smock as this program may be messy. Code#: 3-310-01 Resident: $94.00 Contact: Cory Griffith Non-Resident: $188.00 Location: Prairie View Comm. Ctr., Activity Rm. Morton Grove Group: AWID Ages: 18 & older Min/Max: 6/12 Time: 6:00 - 7:00 p.m. Day: Tuesday Dates: June 9 - August 4 No program July 21 summer 2015 Get your swimsuit and towel ready for some splashtastically good times this summer! We will have swimmin’ summer fun at the Skokie Water Playground. Whether you want to hit up their water slides or bring your goggles and brush up on your swim strokes, this is the program for you. Note: Bring a labeled towel and swimsuit. In the case of inclement weather, the decision to cancel this program will not be made until after 4:00 p.m. Participants must sign in and out with M-NASR staff. www.mnasr.org 24 Group: Ages: Min/Max: Time: Day: Date: Resident: Non-Resident: Bump, set, spike! Are you ready for another season of Wildcat Volleyball? Grab your knee pads and get ready to learn all of the basics of this fun sport. A Special Olympics waiver must be completed and returned to the M-NASR office no later than August 10 in order to participate in this program. We will also participate in the Special Olympics Tournament on Sunday, September 20, where we will try to win gold and make it downstate! We also will play weekly games against other area volleyball teams as well as participate in the 2015 ITRS Tournament on Sunday, October 4. Note: Bring a water bottle and wear athletic attire including gym shoes. Code#: Contact: Location: 4-313-01 Cory Griffith Weber Ctr. Gym Skokie Group: AWID Ages: 16 & older Min/Max: 10/25 Time: 6:30 - 8:00 p.m. Day: Tuesday Dates: August 4 - October 6 No program August 25 & Sept. 22 Resident: $92.00 Non-Resident: $184.00 Please note late starting and ending dates. Wednesday Night Bowl Splashtastic Code#: Contact: Location: Wildcat Volleyball 3-310-11 Cory Griffith Skokie Water Playground AWID 18 & older 8/20 6:00 - 7:00 p.m. Wednesday June 10 - July 29 $67.00 $134.00 Can’t wait all the way to the weekend to get your bowling in? Or, maybe you just want some extra practice to keep your skills sharp. This is the perfect program to tide you over. Get in some valuable bowling practice and quality time with friends. Weekdays don’t have to be all about work when you’re enrolled in Wednesday Night Bowl! Note: Balls, shoes, and ramps are included in the cost of the program. Code#: Contact: Location: Group: Ages: Min/Max: 3-310-14 Cory Griffith Brunswick Zone Niles AWID 18 & older 10/24 A N M SR Time: Day: Dates: 5:30 - 6:45 p.m. Wednesday June 10 - July 29 Resident: Non-Resident: $112.00 $224.00 Don’t Miss M-NASR’s End-of-the-Summer Celebration! Details on page 3. Food enthusiasts and burger connoisseurs…it’s time to pick your favorite burger joint! These burgers can be dressed up for a more adventurous palate or can be made very simple for the pickier eater. Hamburgers or veggie burgers are the perfect food to please all appetities. Supper Club will be checking out the following restaurants in this order: Red Robin at Village Crossing, Meatheads in Lincolnwood, Epic Burger at Old Orchard Mall, and TGI Fridays in Rosemont. Note: The cost of your meal and a soft drink are included in the program fee. Advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Code#: Contact: Location: Group: Ages: Min/Max: Time: 3-310-15 Cory Griffith Various AWID 18 & older 6/12 6:00 - 7:15 p.m. Day: Dates: Wednesday June 10, 24, July 15 & 22 Resident: Non-Resident: $94.00 $188.00 It might be approaching the end of summer, but it’s the beginning of another season everyone can enjoy…football season! Come be a part of this brand new flag football program as we learn the rules and practice the skills needed to dominate out on the field. Note: Wear athletic attire and bugspray and bring a water bottle. M-NASR reserves the right to determine if this program is appropriate for an individual. Please meet by the pavillion. $65.00 4-313-03 Resident: Cory Griffith Non-Resident: $130.00 Harrer Park Please note late Morton Grove starting and Group: AWID ending dates. Ages: 18 & older Min/Max: 8/20 Time: 6:30 - 8:00 p.m. Day: Thursday Dates: August 13 - Oct. 1 Code#: Contact: Location: aWid Programs New!! Flag Football mmer Nights Supper Club—Best Burgers Sign up for both of these exciting, back-to-back programs! Stepping It Up Join the party! Zumba™ is an energetic cardio-fitness program that will keep your pulse rate up and help you realize that working out can be so much fun! This Latin-inspired dance workout is great for guys and girls looking to kick their cardio into high gear. Note: This program will be taught by a certified Zumba™ instructor. Wear comfortable workout clothes and shoes and bring a water bottle. Due to the nature of this cardiovascular workout, do not eat a large meal less than 60 minutes prior to the program. $54.00 3-310-13 Resident: Cory Griffith Non-Resident: $108.00 Feldman Park Niles Group: AWID Ages: 18 & older Min/Max: 6/25 Time: 7:15 - 8:15 p.m. Day: Thursday Dates: June 11 - July 23 Code#: Contact: Location: (847) 966-5522 $59.00 3-310-16 Resident: Cory Griffith Non-Resident: $118.00 Feldman Park Niles Group: AWID Ages: 18 & older Min/Max: 6/25 Time: 6:00 - 7:00 p.m. Day: Thursday Dates: June 11 - July 23 Code#: Contact: Location: Zumba™ Summer 2015 It’s time to beat the heat and work out indoors with Stepping It Up! This low-impact walking program lets you pick your pace based on your individual goals. What better way is there to work toward your goals than with a buddy? Stepping It Up is a great way to work on your beach body this summer! Note: Appropriate behavior must be demonstrated so as not to detract from other participants’ experience. M-NASR reserves the right to determine if this program is appropriate for an individual. Wear athletic clothes and gym shoes and bring a water bottle. Please note early ending date for both of these programs. 25 aWid Programs Deaf Club The summer weather is here at last! Join your friends as we travel around town for three fun Friday nights. This season we will visit the Taste of Park Ridge for a fantastic festival, we’ll splish and splash at a local outdoor swimming pool, and, lastly, we’ll round out the season with a Latin meal at Libertad in Skokie. This is a specialized program for individuals who are deaf or hard of hearing. Note: All activity costs are included in the program fee. A schedule of activities will be sent to participants after all registrations are received. Advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This program may not be appropriate for individuals who become easily overstimulated. Code#: 3-311-10 Resident: $82.00 Contact: Olivia Antosz Non-Resident: $164.00 Location: Various Group: Deaf/HoH Ages: 18 & older Min/Max: 5/15 Time: 6:30 - 8:30 p.m. Day: Friday Dates: June 12, July 10 & 31 Town Travelers Summer has arrived at last! Whether you are joining old friends or looking to spice up your Friday nights with a new activity, Town Travelers is for you! We will enjoy a meal at Lalo’s Mexican Restaurant in Glenview, dive into the water at a local outdoor pool, and learn new relaxation tools during a beginner’s yoga and stretching class. Note: All activity costs are included in the program fee. A schedule of activities will be sent to participants after all registrations are received. A snack will be provided so advise M-NASR in advance of any dietary restrictions. If you plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Bring a labeled towel and swimsuit for the pool evening. Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: Triple Play Discount2 www.mnasr.org summer 2015 Community Crawlers 26 Get out of the house this summer and get moving! Sign up today for Community Crawlers to fill up your Fridays with fun. We will chow down on a meal at Red Robin Restaurant in Skokie, explore new outdoor leisure sports, and visit The Art Station Studio in Niles for a creative adventure! This is an excellent opportunity for adults living in group homes to strengthen social skills. Don’t miss out on the fun; sign up today! Note: All activity costs are included in the program fee. A schedule of activities will be sent to participants after all registrations are received. A snack will be provided so advise M-NASR in advance of any dietary restrictions. Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: 3-311-13 Olivia Antosz Various AWID 23 & older 10/20 6:30 - 8:30 p.m. Friday June 19, July 17 & 31 Resident: $82.00 Non-Resident: $164.00 Resident: $82.00 Non-Resident: $164.00 3-311-11 Olivia Antosz Various AWID 23 & older 10/20 6:30 - 8:30 p.m. Friday June 19, 26 & July 24 Simply register for three (3) or more programs by May 15, 2015 and you will receive a $15 discount. Variety Voyagers Get up and moving this summer as we venture out into the community. We will be dining at Graziano’s Restaurant in Skokie, working on staying active with a light exercise night, and visiting The Art Station Studio in Niles. This is an excellent opportunity for adults living in group homes to strengthen social skills and develop community independence. Note: All activity costs are included in the program fee. A schedule of activities will be sent to participants after all registrations are received. A snack will be provided so advise M-NASR in advance of any dietary restrictions. Code#: Contact: Location: Group: Ages: Min/Max: Time: Day: Dates: 3-311-14 Olivia Antosz Various AWID 23 & older 10/20 6:30 - 8:30 p.m. Friday June 26, July 10 & 24 Resident: $82.00 Non-Resident: $164.00 aWid Programs All Star Bowling League Whether you’re a star or a starter, this competitive bowling league will give you the challenge you’re looking for! All Star Bowling League offers a more competitive bowling environment for those interested in focusing on upping their game and developing the skills needed to rise to the top. Note: Balls, shoes, and ramps are provided. No transportation is available. M-NASR reserves the right to determine if this program is appropriate for an individual. Code#: Contact: Location: 3-310-02 Cory Griffith River Rand Bowl, Des Plaines AWID 18 & older 10/25 Group: Ages: Min/Max: Time: Day: Dates: 10:00 - 11:15 a.m. Saturday June 13 - August 1 No program July 4 Resident: Non-Resident: $98.00 $196.00 River Rand Bowl Interested in bowling during your “spare” time? Let’s get the ball rolling by signing up for River Rand Bowl. This non-competitive bowling program is a great opportunity to socialize with friends while working on your basic bowling skills! Note: Balls, shoes, and ramps are provided. No transportation is available. Code#: Contact: Location: Group: Ages: Min/Max: 3-310-07 Cory Griffith River Rand Bowl, Des Plaines AWID 18 & older 10/25 Time: Day: Dates: 11:30 a.m. - 12:45 p.m. Saturday June 13 - August 1 No program July 4 Resident: Non-Resident: $98.00 $196.00 Come out and roll with us on Saturdays at our Bowling Bonanza program. Whether you want to work on collecting some spares or just want to spend some spare time with your M-NASR friends, join us at the alley! Note: All participants must be signed in and out with M-NASR staff. Balls, shoes, and ramps are provided. No transportation is available. The cosmic bowling atmosphere may be overstimulating for some individuals. Please note new times! Bonanza I Bonanza II Please note new times! Bonanza III Code#: Contact: Location: 3-310-08.1 Cory Griffith Brunswick Zone Niles Group: AWID Ages: 18 & older Min/Max: 8/15 Time: 12:15 - 1:30 p.m. Day: Saturday Dates: June 13 - August 1 No program July 4 Code#: Contact: Location: 3-310-08.2 Cory Griffith Brunswick Zone Niles Group: AWID Ages: 18 & older Min/Max: 8/15 Time: 11:45 - 3:00 p.m. Day: Saturday Dates: June 13 - August 1 No program July 4 Code#: Contact: Location: Resident: Non-Resident: Resident: Non-Resident: Resident: Non-Resident: $98.00 $196.00 $98.00 $196.00 3-310-08.3 Cory Griffith Brunswick Zone Niles Group: AWID Ages: 18 & older Min/Max: 8/15 Time: 3:15 - 4:30 p.m. Day: Saturday Dates: June 13 - August 1 No program July 4 (847) 966-5522 Please note new times! Summer 2015 Bowling Bonanza I, II, & III $98.00 $196.00 27 aWid sPecial events Special Olympics Bowling Tournament Attention all M-NASR bowlers!!! After all of your practice and participation in M-NASR’s bowling programs, it’s time to show off your continuously-improving bowling skills! This is your opportunity to compete in the Special Olympics District Bowling Tournament. You must compete and qualify in this event to be eligible to register and advance to the Special Olympics Sectionals Tournament. To compete in this awesome event, you must have an up-to-date Special Olympics Medical Application on file and registration must be received with 15 documented bowling scores by April 24. Note: The cost of this program will only cover the Special Olympics District Bowling Tournment. If you qualify to advance, you will be required to register and pay an additional program fee for each tournament you attend with M-NASR. Advise M-NASR in advance of any dietary restrictions. Code#: 3-323-01 Contact: Cory Griffith Location: Elk Grove Bowl Group: AWID Ages: 16 & older Min/Max: 4/25 Time: 8:00 a.m. - 4:00 p.m. Date: Saturday, June 6 Resident: Non-Resident: $41.00 $82.00 www.mnasr.org summer 2015 Never the Bridesmaid 28 Never the Bridesmaid is a comedy about Maria and Anthony who are twins who have been damaged by love. Widowed once and divorced twice, Maria longs for a relationship but feels the stigma of a “three-time loser.” Dumped by his fiancé four years earlier, Anthony hasn’t dated since. Each has a lot to say about the other’s love life, but both are floundering in their own—while preparing for the 40th anniversary of their parents’ perfect marriage. Join us for this fun afternoon with your M-NASR friends. Note: Eat prior to the program, but bring money for snacks and souvenirs. Advise M-NASR in advance of any dietary restrictions. M-NASR reserves the right to determine if this program is appropriate for an individual. Appropriate behavior must be demonstrated during the program so as not to detract from others’ experience. Code#: 3-320-27 Contact: Cory Griffith Location: Oil Lamp Theater Glenview Group: AWID Ages: 18 & older Min/Max: 6/12 Time: 3:00 - 5:30 p.m. Date: Saturday, June 27 Resident: $74.00 Non-Resident: $148.00 Friday Night Fever This Friday Night Fever is going to be one to remember! We will be going to Austin’s Fuel Room in Libertyville, one of the only venues in the area that can give you a perfect night out by combining Austin’s Saloon & Eatery with a state-of-the-art music venue. The Fuel Room has hosted major music acts, and we are sure to rock out with the band in this modern-day music oasis! Note: Appetizers, soft drinks, and admission to the concert are included in the cost of the program. Eat dinner prior to the program and advise M-NASR in advance of any dietary restrictions. If you plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This event may not be appropriate for individuals who become easily overstimulated, are sensitive to loud sounds, or may demonstrate disruptive behaviors. M-NASR reserves the right to determine if this program is appropriate for an individual. Code#: Contact: Location: 3-320-04 Cory Griffith Austin’s Fuel Room, Libertyville Group: AWID Ages: 21 & older Min/Max: 6/12 Time: 9:30 - 11:30 p.m. Date: Friday, June 19 Resident: Non-Resident: $35.00 $70.00 Pizza & Bingo “There is a Sunday that has an awesome program planned and Pizza & Bingo is its name-o, B-I-N-G-O! B-I-N-G-O!” Don’t miss one of the most popular special events we have to offer! There will be pizza, prizes, and, of course, bingo! Note: Lunch will be served so advise M-NASR in advance of any dietary restrictions. Code#: 3-320-01 Contact: Cory Griffith Location: Prairie View Community Center Morton Grove Group: AWID Ages: 18 & older Min/Max: 10/30 Time: 11:00 a.m - 1:00 p.m. Date: Sunday, June 28 Resident: Non-Resident: Triple Play Discount2 $30.00 $60.00 Simply register for three (3) or more programs by May 15, 2015 and you will receive a $15 discount. Move over guys, it’s time for the ladies to show you what they can do! The Chicago Bandits are two-time National Pro Fastpitch champions, and they are ready for another championship season. They will be taking on the Pennsylvania Rebellion, and these ladies can flat-out play! So, come out and show your support for our hometown team. Note: Eat dinner prior to the program and advise M-NASR in advance of any dietary restrictions. Bring extra money for snacks and souvenirs. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This event may not be appropriate for individuals who become easily overstimulated, are sensitive to loud sounds, or display disruptive behaviors. Code#: Contact: Location: Group: Ages: 3-320-24 Cory Griffith The Ballpark at Rosemont AWID 18 & older Min/Max: Time: Date: 6/12 6:30 - 9:30 p.m. Monday, July 6 Resident: Non-Resident: $35.00 $70.00 Guys’ Day Out “Agility. Speed. Strength. None of these qualities will be of any use in the highly-competitive world of WhirlyBall.” A combination of lacrosse, hockey, and basketball with bumper cars, WhirlyBall is a challenge to even the best athletes. If you choose to accept the challenge, you’ll use hand-held scoops to propel whiffle balls at your scoring target. And, what would a sporting competition be without a little pizza to celebrate your victory? We will enjoy gourmet pizza with our friends to finish out the evening. Note: Advise M-NASR in advance of any dietary restrictions. Bring extra money for snacks and souvenirs. If you are over the age of 21 and plan to consume for individuals who become easily overstimulated or are sensitive to loud sounds, M-NASR reserves the right to determine if this program is appropriate for an individual. Code#: Contact: Location: Group: Ages: 3-320-06 Cory Griffith WhirlyBall Vernon Hills AWID 18 & older Resident: Non-Resident: $45.00 $90.00 individuals who become easily overstimulated, are sensitive to loud sounds, or display disruptive behaviors. M-NASR reserves the right to determine if this program is appropriate for an individual. Code#: 3-320-26 Contact: Cory Griffith Location: Allstate Arena Rosemont Group: AWID Ages: 18 & older Min/Max: 6/20 Time: 7:00 - 10:30 p.m. Date: Friday, July 10 Resident: Non-Resident: $45.00 $90.00 Illinois Railway Museum Come out and visit America’s largest railway museum! Vintage diesels will pass in review at the outdoor museum depot. Take a ride on a coach train and a caboose train pulled by one of these powerful giants. We will enjoy a picnic at the museum as well. Note: Bring a sack lunch or money to buy lunch and advise M-NASR in advance of any dietary restrictions. Bring extra money for snacks and souvenirs. This event may not be appropriate for individuals who become easily overstimulated, or are sensitive to loud sounds. Please wear sunscreen. Code#: 3-320-23 Contact: Cory Griffith Location: Illinois Railway Museum, Union Group: AWID Ages: 18 & older Brown bear, brown bear, what do you see? I see M-NASR participants having a wonderful day at the zoo! Join us on an adventure to Brookfield Zoo as we meet a variety of animals, critters, and creatures. From big cats to bears, sea creatures to birds, Brookfield Zoo has it all! Be a part of this summer Sunday morning for a day to remember! Note: Bring a sack lunch or money to purchase it, and advise M-NASR in advance of any dietary restrictions. Wear sunscreen and bug spray. This program may not be appropriate for individuals with outdoor allergies, who might be afraid of animals, or cannot endure prolonged periods of walking. Bring extra money for snacks and souvenirs. Zoo admission is included in the program fee. Transportation time is not included in the program time. Centralized pick up points will be used. Min/Max: 6/12 Time: 11:00 a.m. - 2:00 p.m. Date: Sunday, July 19 Resident: Non-Resident: $45.00 $90.00 Code#: 3-520-12 Contact: Olivia Antosz Location: Meet @ M-NASR/ Brookfield Zoo Group: ALL Ages: ALL Min/Max: 10/20 Time: 11:00 a.m. - 2:30 p.m. Date: Sunday, July 12 Resident: Non-Resident: $54.00 $108.00 (847) 966-5522 Brookfield Zoo Min/Max: 8/20 Time: 4:00 - 6:00 p.m. Date: Saturday, July 11 of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This event may not be appropriate for Summer 2015 adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Participants must sign a WhirlyBall waiver as well as a M-NASR high risk waiver. This event may not be appropriate The Sky is back in action after winning the 2014 WNBA Eastern Conference Championship! Cheer on Elena Delle Donne and the rest of the team as they work their way toward a league title for the 2015 season. We will sit courtside before the game and get our pictures taken with a Chicago Sky player! There is sure to be a lot of action and fun as they take on the Minnesota Lynx at the Allstate Arena! Note: Eat dinner prior to the program and advise M-NASR in advance of any dietary restrictions. Bring extra money for snacks and souvenirs. If you are over the age aWid sPecial events Chicago Sky Chicago Bandits 29 aWid sPecial events Chicago Fire Join M-NASR, once again, as we cheer on the Chicago Fire men’s soccer team as they battle FC Dallas! Whether you call the sport soccer or football, you are sure to have a memorable night! Sign up today to ensure your seat at the game. Note: Bring money for snacks and souvenirs and advise M-NASR in advance of any dietary restrictions. If you are over the age of 21 and Code#: Contact: Location: who become easily overstimulated, are sensitive to loud sounds, or may demonstrate disruptive behaviors. Please wear bug spray. Transportation time Resident: Non-Resident: plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. This event may not be appropriate for individuals is not included in the program time. Centralized pick up points will be used. Rainbow Falls Cool off this summer at Rainbow Falls Waterpark and enjoy the excitement of this tropical paradise. With a variety of attractions like a lazy river, water slides, and a water playground, this oasis surely has something for everyone to enjoy. Note: A snack will be provided so advise M-NASR in advance of any dietary restrictions. Bring money for extra snacks or souvenirs. Please wear sunscreen and bring a labeled towel and swimsuit. www.mnasr.org summer 2015 Code#: Contact: Location: 30 Group: Ages: 3-320-25 Cory Griffith Rainbow Falls Elk Grove Village AWID 18 & older Min/Max: 6/18 Time: 2:00 - 5:00 p.m. Date: Saturday, July 25 Resident: Non-Resident: $45.00 $90.00 Girls’ Day Out Summer is an excellent time to view what nature has to offer. If nature is what you seek, then look no further than the Morton Arboretum! The Morton Arboretum spans 1,700 acres and contains over 222,000 live plants from all over the world. We will walk through some of their extensive gardens and also drive along the path to view the beautiful forests and plant life in their natural growing environments. It wouldn’t be a summer day without a picnic, so we will also have our own picnic on the scenic grounds. Note: Lunch will be provided so advise M-NASR in advance of any dietary restrictions. Please wear sunscreen. This program may not be appropriate for individuals who have outdoor allergies. Code#: 3-320-02 Contact: Cory Griffith Location: Morton Arboretum Lisle Group: AWID Ages: 18 & older Min/Max: 6/12 Time: 11:00 a.m. - 1:30 p.m. Date: Sunday, July 26 Resident: Non-Resident: $45.00 $90.00 3-520-15 Olivia Antosz Meet @ M-NASR/ Toyota Park, Bridgeview Group: ALL Ages: ALL Min/Max: 10/20 Time: 6:00 - 9:30 p.m. Date: Saturday, July 25 $72.00 $144.00 Take Me Out to the Ballgame The great Babe Ruth once said, “Baseball was, is, and always will be to me the best game in the world.” Join M-NASR as we cheer on the Chicago White Sox at U.S. Cellular Field as they take on the Detroit Tigers. Don’t forget to wear your baseball cap and put on your glove as we make memories! Note: Please bring money for lunch or eat prior to the program. Advise M-NASR in advance of any dietary restrictions. This program may not be appropriate for individuals who become easily over-stimulated, are sensitive to loud sounds, or have a fear of heights. Please wear sunscreen. If you are over the age of 21 and plan to consume adult beverages, “yes” must be checked on the back of your current Participant Information Form, and you must bring a photo ID and money to purchase them. Transportation time is not included in the program time. Centralized pick up points will be used. Code#: 3-520-14 Contact: Olivia Antosz Location: Meet @ M-NASR/ U.S. Cellular Field, Chicago Group: ALL Ages: 12 & older Min/Max: Time: Date: 10/30 1:00 - 4:00 p.m. Sunday, June 7 Resident: Non-Resident: $60.00 $120.00 Pancake Breakfast Breakfast is the first meal of the day, so why not make it enjoyable? Learn new recipes, prepare your own meal, and fill up on a variety of breakfast foods at this Sunday program. Why scramble for a meal when you can catch up with friends? Sign up today for a delicious start to your morning with all-you-can-eat pancakes! Note: Breakfast will be provided. Friends and family are welcome and encouraged to attend. A registration is required for each individual who is attending. Advise M-NASR in advance of any dietary restrictions. No transportation will be available. Code#: 3-520-13 Contact: Olivia Antosz Location: Prairie View Comm. Ctr., Comm. Rm. Morton Grove Group: ALL Ages: ALL Min/Max: Time: Date: 10/20 9:00 - 10:30 a.m. Sunday, June 7 Resident: Non-Resident: $12.00 $24.00 Code#: Contact: Location: Group: Ages: Min/Max: Time: Date: 3-520-01 Stephen Cozzi Harrer Park Morton Grove ALL ALL 50/300 5:00 - 7:30 p.m. Thursday, August 6 Farming Around Town Eating healthy is within reach this summer season! To start the day off right, we will visit Wagner Farm and Museum in Glenview to learn about farming. Originating in 1920, this fully-functional farm is a great resource in our own backyard. After visiting the farm, we will explore the Skokie Farmers’ Market and see what seasonal local food is available. Even if your fridge is already full, come along for a wonderful day outside. Sign up for this healthy and fun event today! Note: Please dress appropriately for the weather and wear sunscreen. Eat prior to the program. Bring money to purchase snacks and souvenirs, and advise M-NASR in advance of any dietary restrictions. This program may not be appropriate for individuals with outdoor allergies or who might be afraid of animals. Code#: Contact: Location: Group: Ages: Min/Max: Time: Date: Due to the nature of this event, individual supervision of guests is not possible by M-NASR staff. Family members and/or group home staff are required to attend with their family member/residents. All people attending must be registered with the M-NASR office prior to the event. 3-520-11 Olivia Antosz Wagner Farm in Glenview/ Skokie Farmers’ Market ALL ALL 10/20 9:00 a.m. - 12:00 p.m. Sunday, August 2 Free Carnival See page 7 for details! Summer 2015 Wisconsin Dells Code#: 3-330-01 Contact: Cory Griffith Location: Wisconsin Dells Group: AWID Ages: 21 & older Min/Max: 8/15 Dates: Monday - Thursday August 24 - 27 Resident: Non-Resident: $675.00 $1,350.00 All participants must have independent self-help skills. M-NASR reserves the right to determine if this trip is appropriate for an individual. If you plan to consume adult beverages, “yes” must be checked on the back of your current Participation Information form, and you must bring a photo ID and money to purchase them. Advise M-NASR in advance of any dietary restrictions. Any additional monetary responsibilities due to unforeseen events may be passed on to families. (847) 966-5522 It’s summertime…and it’s hot outside. What better way to cool off than to head to the waterpark capital of the world? We will be staying at the Mt. Olympus Resort in beautiful Wisconsin Dells, and we will have a blast visiting their waterpark and theme park. But, the fun doesn’t stop there for this four-day, three-night adventure.We will see the worldfamous Tommy Bartlett Show, the magic and mystery of the Rick Wilcox Magic Show, and experience Noah’s Ark, America’s largest waterpark! That isn’t all we have planned, as we will experience the local food favorites like Moose Jaw Pizza and Buffalo Phil’s Pizza and Grille. We will also make time to experience the wonderful shopping that the Dells has to offer, so make sure to bring your walking shoes and wallet for the one-of-a-kind souvenir shops. Note: A packing list and itinerary will be sent after all registrations are received. Trip medical forms must be completed and turned in prior to August 10. aWid sPecial events A S N R M A one, a two, a three! We’re taking everyone out to the ballgame at M-NASR’s annual end-of-the-summer celebration! Whether you cheer for the Cubs or Sox, all participants, families, and friends are invited to this unBULLieveable event. Harrer Park will be transformed into a Chicago sports fan’s paradise with plenty of food, games, and music inspired by Chicago’s best athletes. Register today because missing out would be unBEARable! Note: There is no transportation for this program. Advise M-NASR in advance of any dietary restrictions. Special diets will be accommodated. Registrations received by all M-NASR participants by May 15, 2015, will be guaranteed a free t-shirt. Please indicate your size on the registration form. All registrations must be received by 5:00 p.m. on July 23. No registrations will be accepted after this date. 31 Family Registration Form - Summmer 2015 Maine-Niles Association of Special Recreation, 6820 W. Dempster Street, Morton Grove, IL 60053-2631 Phone: (847) 966-5522 Relay System: (800) 526-0844 Fax: (847) 966-8340 Please use blue or black ballpoint pen. Are you a new participant? Yes No Will the participant be taking any medications during program time? Yes Family Name (Last Name): e-mail address: Address: City: Home Phone: ( ) Participant Name Zip: Business Day Phone: ( Emergency Contact: Participant’s shirt size: No ) Relationship: Youth M Youth S Birthdate Adult S Prog. Code # Adult M Phone: ( Adult L ) Adult XL Program Name Adult 2X Adult 3X Trans. Fee (Required) Yes No __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Triple Play Discount <$15.00> 15% payment is required to hold a place in programs. Registration will not be processed without this payment. Please Circle One MasterCard VISA R Account #: _____________________________ Card Security Code: Exp. Date: $ Amount: __________ Signature: _____________________________ 32 Yes _______ No Required Documents on File: Yes _______ No Office Use Only 1) ___________ 2) ___________ CK# _________ Date: ______ CK# _________ Date: ______ As a participant in the M-NASR program, I recognize and acknowledge that there are certain risks of physical injury to participants in these programs 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 that I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in these programs/activities against M-NASR, including its officials, agents, volunteers and employees. I do hereby fully release and forever discharge M-NASR 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 associated with these programs. I understand that unless specifically stated in writing at the time of registration, photographs of participants may be taken. I realize that our rights to privacy will be protected in all photographs and publications of M-NASR activities. I have been made to understand that no personal information other than first names and hometowns will be released under any circumstances and this meets with my approval. In the event of an emergency, I understand and authorize M-NASR officials to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my immediate care and agree that I will be responsible for payment of any and all medical services rendered. I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering via fax, your facsimile signature shall substitute for and have the same legal effect as an original form signature. X _______________________________________________________________________ (Participant’s signature if own guardian or parent/guardian signature) X _________________________ Is participant their own guardian? Date Yes No SIGN HERE PLEASE! Important Information Maine-Niles Association of Special Recreation (hereinafter collectively referred to as “M-NASR”) is committed to conducting its recreation programs in a safe manner and hold the safety of participants in high regard. M-NASR 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 an inherent risk of injury when choosing to participate in recreational programs. You are solely responsible for determining if you or your minor child/ward are physically fit and/or skilled enough for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way or recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity. Warning of Risk Recreational programs are intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when participating in any recreational program. Understandably, not all hazards and dangers can be foreseen. Depending on the particular activity, participants must understand that certain risks, dangers and injuries due to inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to indoor and outdoor recreational programs exist. In this regard, it must be recognized that it is impossible for M-NASR 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 M-NASR programs 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 said programs (including transportation services/vehicle operation, when provided). Financial Aid Requested: Total: M-NASR ANNUAL PARTICIPANT INFORMATION FORM This form is to be filled out annually or if you are a new participant. Contact M-NASR at (847) 966-5522 if any information changes throughout the year. Participant Name: New Participant? Yes _____ No _____ Date of Birth: ___/___/___ Age: ___ Gender: ___ Height: _____ Weight: _____ lbs. T-shirt size: ___ Shoe Size: ______ Participant Home Address: Phones: Home: Work: Cell: Participant Email: Group Home Name (if applicable): Father/Guardian: Email: Address, if different from above: Phones: Home: Work: Cell: Mother/Guardian: Email: Address, if different from above: Phones: Home: Work: Cell: Emergency Contact Name: Relationship: Phones: Home: Work: Cell: DoctorÕ s Name: Phone: Medical Insurance Company: Policy #: Group Home Contact Name/Title: Phone: School or Workshop: Contact Name: Contact Information: Work: Cell: Email: DISABILITIES (Please circle all that apply and provide details if applicable.) ADD/ADHD AlzheimerÕ s/Dementia Autism Spectrum Disorder Behavior Disorder Cerebral Palsy Down Syndrome Emotional Disorder Hard of Hearing /Deaf Intellectual Disability Learning Disability Multiple Sclerosis Oppositional Defiant Disorder Physical Disability Seizure Disorder/Epilepsy Sensory Processing Disorder Stroke Traumatic Brain Injury Visual Impairment/Blind Other:___________________ HEALTH CONDITIONS Diabetes Heart Condition Respiratory Condition Other: __________________ MENTAL ILLNESS Anxiety Bipolar Disorder Depression PTSD Schizophrenia Comments/details bout ahe bove t aircledc tem(s):i MEDICAL INFORMATION Does participant receive any medications:? Yes ___ No ___ If yes, please attach a list with Name of medication, Dosage/milligrams, How many times a day. Please include any other information that would be helpful in case of an emergency. List any allergies: List any accidents, injuries or surgeries that may affect participation: List any doctorÕ s restriction(s). If participant is subject to seizures, list type of seizure, symptoms, frequency, duration. Specify seizure plan on a separate sheet of paper and attach to this form. 33 COMMUNICATION AND BEHAVIOR Does participant require assistance with the following? (“x” means yes) If necessary, please attach explanation. Communication ____ People ____ Time ____ Protect self ____ Recognize danger ___ Anticipate safety needs ____ Does participant display unusual fears of, or concerns for any of the following? (“x” means yes) People Spaces/Places Animals/Insects Height Water Other Does participant (over age 21) have permission to consume alcoholic beverages? ____ Yes ____ No Are there limitations? Is the participant his/her own guardian? Will the participant stay with the group? Will the participant wander or run from the group? Can the participant say his/her name? Can participant say his/her phone number? Can participant manage money for small purchases? Can participant be held responsible for his/her belongings? Yes Yes Yes Yes Yes Yes Yes ________________________ No No No No No No No Please check appropriate answer. If “Yes,” please provide additional information. Does participant: Comply with/Respond to verbal/nonverbal requests/directions? Respond to specific verbal or nonverbal directions? Respond to other reinforcement devices? (ex.: food, etc.) Respond to behavior techniques? (If yes, please attach copy of the plan) • Require assistance with transfer? Yes Yes Yes Yes Yes • • • • Does participant use any of the following? Manual Wheelchair Walker Hearing Aides Dentures COMMENTS No No No No No Electric Wheelchair Crutches Glasses Prosthetics (please list): Stroller Cane Contacts Amigo Vehicle Harness Orthotics PERSONAL AND COMMUNITY SKILLS Please check appropriate answer. If “Yes,” please provide additional information. Does participant: Require one-on-one assistance Require an interpreter (ASL) Tested for Atlanto Axial Atlanto Axial instability diagnosed Yes Yes Yes Yes No No No No Does participant have special needs with any of the following? Eating/Drinking Yes Special dietary needs? Yes Toileting Yes Dressing/Undressing Yes No No No No COMMENTS Does participant require assistance with swimming in the following skills? Pool entry ______ Floating ______ Other ______ _______________________________________ Does participant require any adapted recreation equipment? Yes No (If “Yes,” please provide information.) The above information is current, up-to-date and complete to the best of my knowledge. X (Participant’s signature if Own Guardian or parent/guardian) Date Entered Form Updated 01/30/14 34 / / Relationship to Participant By _______ Date Form Expires 4 / 1 / 2016 1. Be sure that you are using the correct family registration form. 2. Fill out the top portion of the registration form with your name, address and phone number. 3. Fill out the middle portion with the participant name, birthdate, program number, name, etc., of the program(s) in which you would like to participate. If the program has a pick-up point, don’t forget to fill in that information in the space provided. 4. Determine the cost of the program(s) you selected and attach a check or money order payable to M-NASR. If you are paying by Visa, MasterCard or Discover, please fill in the box with your account information. Registration will not be processed without at least a 15% payment of fees. If this presents a problem, please contact M-NASR at (847) 966-5522. 5. Please read the “Important Information” waiver and sign at the lower right hand corner of the registration form. Registration will not be processed if the waiver is not signed by the participant, 18 years or older, or the parent or legal guardian. 6. You may drop-off your registration form during office hours (Monday through Friday, 9:00 a.m. to 5:00 p.m.), fax* or mail to: M-NASR Registration 6820 W. Dempster Street Morton Grove, IL 60053-2631 Remember: A current Participant Information form must be on file at M-NASR. Please see pages 33-34. (P.I. forms are valid for one year.) * Please see “Fax Your Registration” below, and if you have any questions please call M-NASR. Voice: (847) 966-5522 Relay System: (800) 526-0844 FAX: (847) 966-8340 Registration Process M-NASR registration begins upon delivery of the brochure. All registrations will be processed according to the date received at our office. M-NASR cannot be responsible for the timeliness of the brochure delivery to your home. Please allow a full week for delivery. Brochures are also available at M-NASR as well as our member Park District offices. Fax Your Registration Refund Policy • Program refunds are issued on a monthly basis. • Refunds for credit card transactions will only be issued in the form of a credit back to the original credit card. • Refunds will only be issued to the entity that originally paid for the program. Please read the following information to see if a refund is due... 1. If the Association cancels a program, a refund will be issued or the program will be rescheduled unless it is weather-related. M-NASR 3. Satisfaction Guaranteed Program Participants will receive a full refund if there is dissatisfaction for any reason, with the program, after the first class session, but before the second class session. 4. After a program or activity has started, a pro-rated refund will be issued for medical or unavoidable circumstances such as transfer of job, moving, death in the family, etc. Proof may be required in writing. 5. For one-day classes, workshops and special events, if a participant cancels out of a program with two full business days’ notice prior to the start of the program, a refund will be issued, less $5.00 cancellation fee and any overhead cost items which the Association cannot retrieve.(i.e., tickets purchased in advance, airfare, hotel cost, etc.). If the reason is for medical or an unavoidable circumstance, proof may be required in writing prior to a refund being given. Important Registration Information Please recognize that M-NASR does not carry medical accident insurance for injuries sustained in its programs or at its facilities. The cost of such could make program fees prohibitive and could result in the reduction or elimination of certain programs and facilities. Therefore, each person registering themselves or a family member should review their own health insurance policy for coverage. Participants and parents of participants must recognize that there is an inherent risk of injury when choosing to participate in recreation activities. M-NASR continually strives to reduce such risks and hold the safety of participants in the highest regard. Certain programs offered by M-NASR will require a high risk waiver to be filled out and signed by participants or legal guardian prior to the start of a program. Programs requiring this waiver include but are not limited to: gymnastics, overnight trips, sledding, skiing, ice skating, canoeing, martial arts and paddling. Program staff will provide all registrants with a waiver after registration. Due to the difficulty and high cost of obtaining liability coverage and to continue our commitment to provide recreational services, M-NASR requires the execution of the Waiver and Release found in the registration form. Your cooperation is greatly appreciated. M-NASR employs experienced professionals who understand the level of skill, both physical and mental, needed to participate fully and safely in the programs they plan. Therefore, M-NASR reserves the right to determine if a program is suitable for an individual. Staff may serve as a resource to suggest alternate programming. Extreme Temperature Policy Hot temperatures (for outdoor programs) at program time: 94° actual temperature; heat index of 98° or more constitutes cancelling program due to unsafe conditions. Extra consideration will be made for outdoor programs that require physical activity. Cold temperatures (for all programs) at program time: 2° actual temperature; -30° or below wind chill constitutes cancelling program due to unsafe conditions. (847) 966-5522 Registration will be accepted by mail or fax. Fax to (847) 966-8340. When registering by Fax, it is mutually understood that the Fax registration document shall substitute for and have the same legal effect as the original form. Payment is required when faxing the registration form. Please provide credit card information in order for your registration to be processed. 2. If a participant cancels out of a weekly program with two full business days’ notice prior to the start of the program, a refund will be issued (less $5.00 cancellation fee). Summer 2015 In-district participant registrations (anyone residing within the boundaries of our seven member districts: Des Plaines Park District, Golf Maine Park District, Village of Lincolnwood Parks and Recreation, Morton Grove Park District, Niles Park District, Park Ridge Park District and Skokie Park District) receive priority in processing and are eligible for the triple play discount or regular fee. Non-resident registrations will be processed after the registration deadline and after all resident registrations have been processed. Any balance due from a previous season must be paid in full before a registration is accepted for the current season unless you have made previous arrangements with the Business Manager. weekly programs and special events may be cancelled due to inclement weather. When a program is cancelled, each participant will be notified by phone. Weekly programs cancelled due to inclement weather are not rescheduled. Refunds will be issued for weather cancellations of two or more times per season. Special events and social clubs that are cancelled due to inclement weather will be rescheduled or refunded. registration information How to Register 35 general information Door-to-Door Transportation Procedures M-NASR has developed nine easy steps that must be followed in order to assure safety while riding in our vehicles: 1. The driver is instructed not to proceed until all passengers are sitting in seats or wheelchairs with seatbelts securely fastened. 2. All participants using a wheelchair must have a seatbelt on their wheelchair. 3. All wheelchairs must have brakes that are in good working order and can stop the chair from moving. 4. The M-NASR driver will assist participants to and from their homes, but driveways and walks must be clear. 5. M-NASR drivers are responsible for determining whether or not a participant can be transported safely. If it is determined that it would be dangerous to transport an individual, the driver may refuse to transport that person. 6. Please be prompt. 7. M-NASR drivers are not responsible for lifting or carrying participants and their wheelchairs. 8. Transportation services cannot be guaranteed for those who sign up after the registration deadline. 9. Please remember, riding time in M-NASR vehicles may be up to one hour and thirty minutes. Routes begin farthest from the location of the program. The driver may reverse the route on return. summer 2015 Wellness Policy In consideration of other participants and the M-NASR staff, to prevent the spread of contagious illnesses, it is requested that participants refrain from attending programs when any of the following conditions exist: fever of 100 degrees or higher (when this occurs, participants must stay home for one whole program day—24 hours from time sent home), vomiting within the last 24 hours, persistent diarrhea in conjunction with other symptoms, contagious rash or rash of unknown origin, persistent cough and/or cold symptoms, “Pink eye” (conjunctivitis) or discharge from eye, symptoms of mumps, measles, chicken pox, strep throat, flu, impetigo or coxsackle virus, runny nose with yellow or green discharge, lice/mites present or fatigue due to illness that will hinder participation and enjoyment in the program. Translation Services We employ and/or have a working relationship with individuals that speak Spanish and other languages. Staff is ready to assist with the communication process for any registration, transportation or other concern. Please understand that the Agency will make every effort to get back to the resident in a timely manner with information translated into one’s native language. Errors and Adjustments While we try to be accurate in presenting information in our brochure, some unavoidable errors or changes to the programs, fees, schedules and other information may occur. M-NASR apologizes for any inconvenience. www.mnasr.org Phone-In Registration Not Available 36 M-NASR does not accept any phone-in registration. However, you may check on class availability over the phone. M-NASR Volunteers We welcome volunteers to be a part of our programs. Become a part of this diverse community and enjoy the personal satisfaction of improving the quality of life for people with disabilities. For more information about volunteering at M-NASR, please contact Kristine Kuester at (847) 966-5522 ext. 3014. For the safety of our participants, all volunteers age 18 and over are required to complete a volunteer service application and a successful criminal background check prior to attending any program. Code of Conduct Policy Equal Access No eligible participant shall, on the basis of race, creed, national origin or disability, be denied equal access to programs, activities, services or benefits or be limited in the exercise of any right, privilege, advantage or opportunity. If any special accommodations are necessary for participation in any program or to receive any service provided by M-NASR, please notify the staff upon registration. Behavior All participants are expected to exhibit appropriate behavior at all times while participating, spectating or attending any program or activity sponsored by M-NASR. This includes participation in programs which may or may not require an admission fee. For the purpose of the Code of Conduct, the term “program” refers to all recreational events you may attend as a participant, spectator or visitor which are sponsored by M-NASR. Participants shall: 1. Show respect to all participants and program staff and/or supervisors. 2. Take direction from program staff/supervisors. 3. Refrain from using abusive or foul language. 4 Refrain from causing bodily harm to self, other participants or program staff/supervisors. 5. Show respect to equipment, supplies and facilities. Discipline Policy A positive approach is used when disciplining. Program staff may discuss the Code of Conduct with all program participants prior to the start of the program and will periodically review the Code of Conduct. If inappropriate behavior occurs, staff will develop a solution specific to each situation as it arises. M-NASR reserves the right to dismiss a participant whose behavior endangers them or others. Participant Expectations 1. Clean, dry clothing. 2. No bowel/bladder problems upon arrival at the transportation location or program. If this is a concern, extra clean clothing, clean-up supplies and Depends™ garments or similar items must be sent with the participant. 3. Attention to body odor (should smell clean). 4. Clean hair, face, teeth, hands, nails, etc. (overall appearance should be clean). 5. Appropriate attire for program participation (i.e. tennis shoes, warm ups or loose/comfortable fitting clothing for athletic/sports/exercise programs). If you have questions about the type of attire participants should wear for a particular programs, please contact our office. 6. M-NASR staff will also be consistent in stressing personal hygiene while participants are in our programs and will not return participant(s) in an unclean manner at the end of a program. Family Attendance at Special Events Family members may attend special events if space is available. M-NASR staff will inform you if guests cannot be accommodated 3 days after regular registration closes. In-district individuals who have disabilities must be accommodated before a spouse or a child can be included. Financial Aid Participants in need of financial aid for M-NASR programs may request an annual application by contacting the M-NASR office at (847) 966-5522. The Executive Director will review your application and you will be advised based on available funds. Financial aid is not available for special events, trips or for participants residing out of M-NASR’s service district. Free Recreational In-Take M-NASR staff are available to conduct half-hour private meetings to discuss recreation and leisure opportunities for individuals with special needs. Those interested should contact Lauren Ruiz at (847) 966-5522 ext. 3013. Inclusion Policy M-NASR and our Member Districts believe that all individuals should be provided with leisure opportunities that allow for performance at their highest level of ability. Although many people achieve this through participation in a M-NASR program, others may have greater success in an activity held in their home recreation agency. M-NASR and the member agencies adhere to the following basic principles when providing accommodations to allow for successful inclusion of individuals with disabilities in the activities of member recreation agencies. As a courtesy to families and all participants enrolled in a program, M-NASR is asking all participants to be punctual in respect to scheduled pick-up and drop-off times. For pick-up and drop-offs, M-NASR vehicles will remain at the points for five minutes after the scheduled time. After that time, the vehicle will proceed to the next point or its final destination. Participants remaining at a drop-off point for an extended period of time after the scheduled time will be brought to the M-NASR office for pick-up at the completion of the drop-off route. 3. The member agency staff will be given support by M-NASR. Principles of Inclusion 1. The interests and needs of an individual participant will be addressed. 2. The concerns of the family will be taken into account. general information Transportation Policy M-NASR can provide transportation for many of the programs it offers. Transportation for programs will utilize pick-up and drop-off points unless otherwise indicated (door-to-door transportation is available to select programs). When pick-up and drop-off points are used, convenient points will be determined after registrations are received. The pick-up and drop-off points will be public areas (whenever possible they will be member agency facilities) that are conveniently accessible to all in that area. It is each participant’s responsibility to get to and from designated pick-up and drop-off locations. Each pick-up and drop-off point must have a minimum of three participants at that point for it to be utilized. 4. Options and choices will be made available to individuals with disabilities. Please contact Tracy Gillingham at (847) 966-5522 ext. 3018 to discuss an individual’s options and participation in the program of choice. Pick-up and Drop-off Points Pick-up and drop-off points will be used unless otherwise noted. Please remember to mark “transportation” on the registration form. Times refer to actual program times and do not include transportation. Dietary Restrictions For activities where food is consumed, please advise M-NASR of any dietary restrictions prior to programs. (847) 966-5522 Fitness Program Waiver All fitness-themed programs offered by M-NASR will require a Fitness Program Waiver to be completed on each participant registered. The waiver will be effective for two (2) years, unless there is a change to an individual’s ability to participate, at which time a new waiver would be required. The Fitness Program Waiver must be completed by the participant as well as the participant’s physician. A completed and current Special Olympics Medical Application is a suitable substitution for the Fitness Program Waiver. Any program with this symbol will require the Fitness Program Waiver. Summer 2015 Parent/Guardian Pick-Up/Drop-Off Policy To eliminate additional staff costs, please pick up participants at the designated time. A late fee will be assessed if pick-up is not on time. A fee of $10.00 for the first 15 minutes and $1.00 each minute thereafter will be charged. 37 Please use blue or black ballpoint pen. FitNeSS pRogRAM WAiveR (Participants that have a current Special Olympics Medical Form on file need not complete this fitness program waiver.) TO: Physician FROM: Maine-Niles Association of Special Recreation (M-NASR) RE: Physician Recommendation for Participation Your patient (name below) desires to register to participate in a M-NASR fitness program. These programs involve physical exercise through the use of aerobics, treadmill, weights and/or resistance equipment. A typical fitness program meets one (1) or two (2) times per week for up to one (1) hour. M-NASR provides a close staff-to-participant ratio and the exercises are chosen based upon the participant’s ability level. In order for your patient to participate in this type of program, we are requesting a medical clearance. Please complete the following information and return it to the M-NASR office no later than one (1) week prior to the start of the Program Session. Part 1: For M-NASR Participant to complete. Print Name: I give permission for Dr. Date: to complete this Physician Medical Clearance form. Participant signature: Part 2: For Physician to complete. Please check: I give this patient medical clearance for participation in an Aerobics, Resistance or Weight Training Program (please circle the ones that apply) with no restrictions. I give this patient medical clearance for participation in an Aerobics, Resistance or Weight Training Program (please circle the ones that apply) with the following restrictions: I do not recommend my patient’s participation in Aerobics, Resistance or Weight Training Program (please circle the ones that apply). Date: Physician’s signature: Physician’s address and phone number: Please return this form to: Maine-Niles Association of Special Recreation Attention: Registrar 6820 West Dempster Street Morton Grove, IL 60053-2631 Fax: (847) 966-8340* * A facsimile (FAX) signature shall substitute for and have the same effect as an original signature. This form will be valid for two (2) years from the date of the Physician’s signature. As a result of this waiver being renewed every two (2) years, M-NASR requests that any change to a participant’s ability to safely participate in fitness programming be communicated to M-NASR as soon as possible. A participant may be asked to have a new waiver completed by a physician in such cases. Updated 03/25/13 38 Hinkley Park 283 Busse Highway Park Ridge 60068 (847) 692-5127 Maine South High School 1111 S. Dee Road Park Ridge 60068 (847) 825-7711 Oakton Community Ctr. 470l Oakton Street Skokie 60076 (847) 933-4960 Brunswick Zone Niles 7333 Milwaukee Avenue Niles 60714 (847) 647-9433 Holy Family Hospital 100 N. River Road Des Plaines 60016 (847) 297-1800 Maine Township Office 1131 S. Dee Road Park Ridge 60068 (847) 297-2510 Oketo Park 8950 Oketo Morton Grove 60053 (847) 966-1073 Centennial Aquatic Ctr. 100 S. Western Avenue Park Ridge 60068 (847) 692-5044 Iroquois Pool 1836 E. Touhy Avenue Des Plaines 60018 (847) 391-5724 M-NASR Office 6820 W. Dempster Street Morton Grove 60053 (847) 966-5522 Park Ridge Comm. Ctr. 1515 Touhy Avenue Park Ridge 60068 (847) 692-5129 Chippewa School 123 N. 8th Avenue Des Plaines 60016 (847) 824-1388 Jane Stenson School 9201 Lockwood Skokie 60077 (847) 967-9380 Park Ridge Park District 2701 Sibley Park Ridge 60068 (847) 692-5127 Classic Bowl 8530 Waukegan Road Morton Grove 60053 (847) 965-5300 Jeanine Schultz School 2101 Oakton Street Park Ridge 60068 (847) 696-3315 Maine Park Leisure Center 2701 Sibley Avenue Park Ridge 60068 (847) 692-5127 Leisure Ctr. (847) 692-3570 Nature Ctr. Dee Park 9273 W. Emerson Street Des Plaines 60016 Latoff YMCA 300 E. Northwest Hwy. Des Plaines 60016 (847) 296-3376 Des Plaines Leisure Ctr. & Administration Ctr. 2222 Birch Street Des Plaines 60018 (847) 391-5700 Lincoln Middle School 200 S. Lincoln Avenue Park Ridge 60068 (847) 318-4215 Lincolnwood Comm. Ctr. 6900 N. Lincoln Avenue Lincolnwood 60712 (847) 677-9740 Emily Oaks Nature Ctr. 4650 Brummel Street Skokie 60076 (847) 677-7001 Village of Lincolnwood Parks & Recreation 6900 N. Lincoln Avenue Lincolnwood 60712 (847) 677-9740 Golf Ctr. of Des Plaines 353 N. River Road Des Plaines 60018 (847) 803-4653 Harrer Park & Pool 6250 Dempster Street Morton Grove 60053 (847) 965-7447 Lorel Park 8135 Lorel Avenue Skokie 60077 Madison School 5100 Madison Street Skokie 60077 (847) 675-3048 Maine East High School 2601 Dempster Street Park Ridge 60068 (847) 825-4484 Mystic Waters/Rand Pool 2050 Miner/Dempster Street Des Plaines 60016 (847) 391-5700 Niles Park District Howard Leisure Ctr. 6676 Howard Street Niles 60714 (847) 967-6633 Niles North High School 9800 Lawler Skokie 60077 (847) 626-2000 Niles West High School 5701 Oakton Street Skokie 60077 (847) 626-2500 North School 1789 Rand Road Des Plaines 60016 (847) 824-1399 Oasis Water Park 7877 N. Milwaukee Avenue Niles 60714 (847) 967-6648 Prairie Lakes Comm. Ctr. 515 E. Thacker Street Des Plaines 60018 (847) 391-5711 Prairie View Comm. Ctr. 6834 W. Dempster Street Morton Grove 60053 (847) 965-1200 River Rand Bowl 191 N. River Road Des Plaines 60018 (847) 299-1001 Skokie Park District Weber Ctr. & Skatium 9300 Weber Park Place Skokie 60077 (847) 674-1500 Skokie Public Library 5215 Oakton Street Skokie 60077 (847) 678-7774 Skokie Sports Park 3459 Oakton Street Skokie 60076 (847) 674-1500 Skokie Water Playground 470l Oakton Street Skokie 60076 (847) 674-1500 (847) 966-5522 Feldman Park/ Golf-Maine Park District 8800 Kathy Lane Niles 60714 (847) 297-3000 Morton Grove Park District 6834 W. Dempster Street Morton Grove 60053 (847) 965-1200 Park View School 6200 Lake Street Morton Grove 60053 (847) 965-6200 Summer 2015 Devonshire Cultural Ctr. 4400 Greenwood Skokie 60076 (847) 674-1500 ex. 2400 Mansfield Park 5830 Church Street Morton Grove 60053 (847) 696-1380 facilitY list Austin Park 8336 Marmora Avenue Morton Grove 60053 (847) 966-0931 39 D February DAteS AteS to to R ReMeMbeR eMeMbeR May 21 Chicago Wolves AWID 22 Early Bird Registration Deadline 12 Brookfield Zoo --ALL Registration Deadline/Triple Play Discount 15 24 Notebaert Pride NatureParade Center- PI/VI - PI/VI 18 Disability 24 March M-NASR Office Closed-Memorial Day 26 Spring Flower Show AWID 19 iPad™ Picture Perfect - Y/T 1 Regular Registration Deadline 28 Wolff’sRailway Flea Market - AWID 19 Illinois Museum - AWID June 2 Liponi Foundation Dinner Dance 28 “Dirty Rotten Scoundrels” - PI/VI 23 Harrer Park Classic Car Show - PI/VI 6 S.O. Bowling Tournament - AWID 16 Beauty and the Beast - AWID 24 Park Ridge Free Carnival ALL 7 Chicago White Sox - ALL May 25-29 M-NASR Spring Break Camp - Y/T 25 Chicago Fire - ALL 7 Pancake Breakfast - ALL 3 Guys’ Day Out - AWID 25 Rainbow Falls - AWID 12 April Movie in the Park - Teen 3 Improv Night at Laugh Out Loud - PI/VI 26 Girls’ Day Out - AWID 19 Friday Night Fever - AWID 6 The Comedy Bar - AWID 5 Explore North Park Nature Ctr. - ALL 28 Chicago River Architectural Tour - PI/VI 27 LaSalle Canal BoatSpectacular & Hiking Tour - PI/VI 7 M-NASR Spring - ALL 5 Pizza & Bingo - AWID 27 Never theYou Bridesmaid - AWID 9 Shop Til Drop - PI/VI 8 AugustRecognition Night - ALL 28 Pizza & Bingo AWID 11 The M-NASR Project - EC NSSRA Formal - AWID 210 Farming Around Town - ALL 13 SEASPAR Bowling Tournament - AWID 17 Gone Fishin’ PI/VI 6 M-NASR All Stars - ALL July 14 South Pacific - AWID 17 Schaumburg Flyers -Mini AWID 13 Liponi Foundation Golf - ALL 4 M-NASR Office Closed-Independence Day 19 Friday Night Fever - AWID 18 Girls’ Night Out AWID 14-16 Vacation Connection - Teen 6 Chicago Bandits - AWID 20 I Love the ‘80s - AWID 18-19 Wisconsin The Dells -Dells T Trip - AWID 24-27 10 Chicago Sky - AWID 21 Go Green for Earth Day - ALL 19 Castle Constructions - Y 11 Guys’ Day Out - AWID Look forfor M-NASR’s Summer brochure April! Look M-NASR’s Fall brochure in in July!
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