1. education
2. school

Summer 2015
Teen Buddies
Reach for Resources
Board of Directors
Patrick Boley
Larson King, LLP President
Melissa Rahn
Fredrickson & Byron
Vice-President
Erin Kober
University of Minnesota
Secretary
Andy Weinstein
Minnesota Twins
Treasurer
Sharla Duerre
The Lacek Group
Gary Johnson
Wells Fargo
Renae Kimpel
Helena Family Supports
Autism Therapy Center
Jill Kaiyalethe
Fairview Health Services
Nicolas Montoya
Student
Dan Nelson
Student
Kari Schamber
U.S. Bank
Reach has worked with Minnetonka’s Be a
Buddy program over the past few summers.
The program involves recruiting volunteers from
the City of Minnetonka between the ages of 13
and 18 to be a mentor or “buddy” for a teen
with a disability enrolled in the summer Teen
Explorers program. The goal is for individuals is
to create a bond of friendship and learn from
one another as they attend and experience
recreational activities together. Other goals
include breaking down social barriers,
enhancing understanding between teens with
and without disabilities, and teaching teens that they are much more similar to than different from
their peers. The program has been well received and has proven beneficial for both those with and
without disabilities. Due to this success, Reach will expand and develop a mentor program to
enhance its impact on teens throughout the metro area. Since it began, Reach has expanded and
enhanced the Be a Buddy concept by marketing the opportunity to teens and developing a
formal teen mentor training program.
The Teen Buddies program started with one buddy,
has expanded to include over 30 buddies, and now
works with multiple cities and programs including
special events, bowling, basketball, and more. One
of the Buddies has described this opportunity as “…
Sign up to receive the Reach Reader through a fun way to meet new people and volunteer. It
email between April 10th and June 10th and does not feel like volunteering at all. I am there just
you could win one of two $25 Target Gift Cards! having fun with everyone else!” During the
basketball program, the teen buddies encourage
the players to stay active and engage with one
To sign up please visit our
another. One mother commented on how she nowebsite or send an email to
ticed
her basketball player has became more social
[email protected]
and motivated since the Teen Buddies started
attending the program.
Receive the Reach Reader through
email and you could WIN!
Help Us Save Costs
Reach welcomes volunteers of all ages! If you are interested in helping out at any of the exciting
recreation programs, no matter your age, please contact Reach at 952-988-4177.
ADAPTIVE RECREATION REGISTRATION DEADLINES - SEE PAGE 4
More Inside



Children’s Mental Health Case Management … page 3
Summer Programs … pages 3 - 9
Basketball Sponsors … page 11
Letter from the Executive Director
Hello,
Community Living Services/
Making A Difference
This past spring, our Board of Directors and employees
took a look at updating our strategic goals. Over the next
year and a half, we will continue to strive to make things
better for those who utilize our services as well as making
the work more efficient and enjoyable for our staff. Our
goals include technology upgrades, building awareness
of our services through marketing practices, assessing the
quality of our current services, developing a strong training
program, and a focus on engaging others in the valued
work Reach provides to individuals and families. These
goals will create stronger supports and services at Reach.
REACH has been working with a young lady
finding housing. She previously had section 8
housing and lost it a couple of years ago.
The Community Living Department was able
to first find her an apartment with a
roommate.
Many of our programs have seen significant increases in
the number of individuals and families supported through
Reach and we have therefore increased our staffing. Our
current space has been stretched beyond our capacity
and so we have started to look into different office space.
We plan to stay within the area and services and
programs will continue as planned. We will keep you
posted of this change in the near future.
Board Highlight
We hope you continue to enjoy your involvement with
Reach. Please feel free to reach out to us if you have
suggestions or want to get involved. We look forward to
seeing many of you at our summer fundraiser on July 21 in
Hopkins and our other summer events.
All my best,
Kate Bottiger
After living with the roommate REACH has
recently been able to find her an apartment
where she can live on her own! She is excited
to be able to have her own place again!
My name is Erin Kober and I have
been a Reach Board member
since 2009. I enjoy volunteering
with Reach because I think it is so
important to help all people get
involved in the community and
create a more meaningful life.
I work at the University of
Minnesota as the Marketing
Director for Student Unions & Activities. In my
spare time I enjoy camping, kayaking,
cooking, scuba diving, running, beer tasting
at local breweries and traveling whenever I
can.
Reach in Action
Marcus is an 10-year-old who has been a participant in Children’s Mental Health Case Management
Services at Reach for Resources Inc. for the past year. Marcus has had some tough times with school
and accessing services. In the past three months, Case Management Services
have helped Marcus in several ways. Marcus attended his first eye exam and
received his first pair of glasses after it was discovered his struggles in school were
related to poor eye sight. He has established weekly therapy appointments in a
convenient setting for him – at school! In the past, Marcus was not taking medications to help his mental
health symptoms. He has recently established care with a psychiatrist who started Marcus on a
medication routine to help address his needs. Marcus received his first wellness check in four years with
his primary doctor, and had his annual dental cleaning. Marcus used to miss school
once or twice a week because he did not have a way to wake up on time in the
morning. He has been given an alarm clock and is now attending school regularly!
Marcus’ Case Manager coordinates with Marcus' family, school, and mental health
professionals in order to monitor services and ensure he is functioning at his best in all
areas of life.
2
Did you know that REACH offers supported employment services?
Summer 2015
1001 Highway 7, #235
Hopkins, MN 55305
(952) 988-4177 Phone
REACH is an agency that serves individuals with developmental
disabilities and their families in the west and northwest metro area.
Services include counseling, therapy groups, community living,
training and support, therapeutic recreation and leisure, information
and referral.
www.reachforresources.org
Children’s Mental Health
Targeted Case
Management Services
Reach for Resources provides
Children’s Mental Health Targeted
Case Management services to children
who have emotional issues that affect
a child’s functioning at home, school
and the community. These mental
health services are aimed at supporting
and improving children's emotional
well-being and development, their
relationships with family and friends,
and their ability to get along with others
and function effectively at home, in
school, and in the community.
ARMHS
(Adults Rehabilitative Mental
Health Services)
Independent Living
Support
ARMHS is a rehabilitative program that
helps adults who have mental illness
live independently in their homes and /
or community by learning skills to help
manage their mental health symptoms.
For more information contact Jessica
Cermak, ARMHS Treatment Director at
(952) 224-7243 or
[email protected]
Referral Eligibility Criteria
Interested individuals must
meet the following.
Children’s Mental Health Case
Managers can assist a family with
 Have a Mental Health Diagnosis
resources for health insurance; assist
 Be 18 years or older
with school issues by arranging and
 Have Medical Assistance,
attending school meetings, such as IEP
MinnesotaCare, PMAP (prepaid
discussions; and make referrals for
Medical Assistance Program)
services that would be beneficial for
the child such as day treatment,
individual and family Therapy, PCA services and medication management.
The goals of Children’s Mental Health Case Management (CMHCM) include several
areas. This service enables the child to improve or maintain emotional/behavioral
functioning so that s/he can remain in the family home and community. It also
focuses on increasing family functioning through assisting the parent/child in
obtaining and maintaining medical, social, educational, and other services to
address mental health needs. Case Managers providing the service meet with
families a minimum of once a month to coordinate, monitor, and evaluate service
delivery for appropriateness, progress, and continued service need.
If you are interested in learning more about this service, please call Lisa Rivers
at 952-224-7234.
Help us save
costs!
Community Living
Services
Community Living Services is an
in-home support service for adults
with disabilities who want to live
independently, but have been
denied access to other public
assistance programs, or have been
placed on waiting lists.
Clients are assigned a skills trainer
who can provide on-going support
with:

Housing

Employment

Daily living skills

Managing finances

Physical and mental health issues

Socialization

Transportation

Government benefits
application

Regular phone check-ins
Community Living Services is
tailored to your individual needs.
Some fees may apply and will
vary depending on income,
personal situation, and eligibility
for other government assistance
programs.
Call Larissa Beck at (952) 988-4177
for more Information
Did You Know? Reach is also a
SILS and Waiver provider. If you
are looking for a worker who can
meet your needs, give us a call!
Receive the Reach Reader through Email and you could WIN!
You can win one of two $25 target gift cards by just signing up to receive the Reach Reader
through email. To sign up visit our website reachforrsources.org and enter your email to the stay
informed box or send an email to [email protected] and we will make sure you start receiving the Reach
Reader by email.
3
Adaptive Recreation Program
The Adaptive Recreation program is a cooperative effort between REACH for Resources and the Northwest Consortium and West
Consortium of cities. Participants from the cities below are considered “Residents” and given priority in registering according to
the registration deadlines at the bottom of this page.
Inclusion Services
The Northwest Consortium: Brooklyn Park, Brooklyn Center, Golden Valley,
Maple Grove, and Plymouth.
The West Consortium: Chanhassen, Chaska, Hopkins, Minnetonka,
St. Louis Park and Waconia.



Reach for Resources provides inclusion
services for individuals with disabilities
who would like to participate in their
Persons not living in one of the above communities and who have not purchased a
city park and recreation programs.
membership are considered “Non-Residents”. Persons with non-resident status will
Registration for these programs is done
not be allowed to register until after the Priority Registration deadline. Non-residents
through your park and recreation
also need to add $8 to the registration fee.
department. After registering, contact
Reach for Resources to discuss the
Do not sign up unless you will be able to attend! Some programs have waitlists.
needs/accommodation for yourself or
If you are concerned about your program filling up quickly, please feel free to call or
your child. We require a minimum of
stop by the Reach for Resources office to complete a registration form in person. The
two weeks notice for a successful
registration form is also available on our website: www.reachforresources.org on the
inclusion.
News and Schedules page.

You will receive a letter confirming your registration along with schedules for all
programs you have been registered for at least one week prior to the start of the
program.

REFUNDS ARE NOT GIVEN IF YOU CANCEL 1 WEEK OR LESS BEFORE THE PROGRAM
BEGINS!

Please note that some programs have changed in pricing.
MEMBERSHIPS
Available in: Brooklyn Park, Brooklyn
Center, Chanhassen, Chaska, Crystal,
Golden Valley, Hopkins, Minnetonka,
Minneapolis, New Hope, St. Louis Park, and
Waconia.
Call Sarah at 952-988-4176 for more
information.
NON-RESIDENT MEMBERSHIP FORM
A Non-Resident Membership option is available
for $200 annually for those non-resident
participants who wish to receive guaranteed slots
in programs** priority registration, and reduced
program fees.
For residents of cities OTHER THAN: Brooklyn Park, Brooklyn Center,
Chanhassen, Chaska, Golden Valley, Hopkins, Maple Grove,
Minnetonka, Plymouth, St. Louis Park or Waconia. You may purchase
an annual REACH membership that will give you the same benefits as
residents of those cities including priority in registration and reduced
program fees. PLEASE NOTE: Members must still pay the resident
program fees in addition to their membership fee.
Scholarships: Reach has limited scholarship
To purchase an annual membership, please complete this form and
mail with your payment to REACH.
funds available to help cover the cost of this
membership fee. If you would like more
information regarding scholarships or to apply,
contact Sarah at 952-988-4176.
REGISTRATION DEADLINES
Guaranteed Registration 5/11/15 - 5/15/15: Residents of
consortium cities and Members are guaranteed a spot
in programs if registration and payment is received by
5:00p.m. on 5/15/15.
Priority Registration 5/18/15 - 5/22/15: Residents of
consortium cities and Members are given priority for
open program slots on a first-come, first-served basis.
Open Registration 5/26/15 - 5/29/15: Registration is
open to Non-Residents as well as Residents and Members who will be placed in any remaining open program slots on a first-come, first-served basis. Note: No
registrations will be accepted after 5:00pm on May 29,
except for “Special Programs” listed on page 8.
4
Name:
Address:
City
Zip
Phone
Payment Options:
Annual (1 payment of $200)
Bi-Annual, 2 payments of $100.
(REACH will bill you for the 2nd payment)
$
Amount enclosed today
Please contact Reach at 952-988-4177 if you would like to discuss
other payment options.
**Members/residents are guaranteed a spot in a program ONLY if they
register and pay by the Guaranteed Registration Deadline**
Bowling
Youth Bowling (5-17)
Adult Bowling (Ages 18+)
Join us for fun, noncompetitive bowling. You bowl two games each week.
West
North
WHERE:
Doyle’s Lanes
5000 W Broadway
Crystal
WHERE:
Park Tavern
3401 Louisiana Ave S
St. Louis Park
WHEN:
Tuesdays, Jun. 9th - July 28th
WHEN:
Mondays, Jun. 8th - July 27th
TIME:
6:30 - 8:30 p.m.
TIME:
6:30 - 8:30 p.m.
COST:
$40 - residents
$48 - non-residents
Plus $3.50 per week
COST:
$40 - residents
$48 - non-residents
Plus $4.25 per week
Yoga (Family & Adult)
Relax, get in shape, and improve flexibility! For the summer, we will be taking yoga outside! (Weather permitting) This is a
combination class for kids and adults with disabilities. Adults may sign up to participate independently. Children with
disabilities and their parents participate together. All children under 13 must be
accompanied by at least one adult.
WHERE:
Wolfe Park Pavilion
St. Louis Park Recreation Center
3700 Monterey Drive
St. Louis Park
WHEN:
Tuesdays, June 9th - June 30th
TIME:
6:15 - 7:15 p.m.
Adult Fee:
$32 - residents
$40- non-residents
Family Fee: $42 parent/child pair ($20 for each additional family member) (Resident)
$50 parent/child pair ($28 for each additional family member) (Non-Resident)
Inclusion Support
Reach for Resources provides inclusion support to children and adults with disabilities who would like to participate in their city park and recreation programs. Registration for these programs is done through your
Park and Recreation Department.
We require a minimum of two weeks’ notice for a successful inclusion.
Contact Sarah at 952-988-4176 for more information.
Available in: Brooklyn Park, Brooklyn
Center, Chanhassen, Chaska, Crystal, Golden Valley, Hopkins, Minnetonka,
Minneapolis, New Hope, St. Louis Park, and Waconia.
5
Challengers League
Take me out to the ball game…. Play baseball in this
great league that uses a buddy system to help youth
with disabilities learn the sport of baseball. Sponsored
by Hopkins Area Little League.
Move With Me
We will use the big exercise balls and play games to keep
our bodies moving. This program will provide an opportunity
for participants to have fun, make new friends, and
exercise their bodies and minds in a safe welcoming
environment. Program specifically designed for children
with autism spectrum disorder.
WHERE:
Chaska Community Center
1661 Park Ridge Drive
Chaska
WHEN:
TIME:
COST:
Wednesdays, June 24th - July 29th
6:00 - 7:00 p.m.
$50 per child
Call 952-988-4177 for more information.
Non-Competitive Softball
Teen Explorers
Get to know new friends while trying new activities! This is a
weekly social group that gives teens the opportunity to go
to restaurants, movies, plays, sporting events, shopping and
more!
WHERE: Various metro locations
WHEN: Tuesdays, June 9th - July 28th
TIME: 6:30 - 8:30 pm
FEE: $45 - residents
$53 - non-residents
(Ages 13+)
A non-competitive softball league for teens and adults that
focuses on teamwork, improving skills, and having fun. Join
your friends each week to get outside and play some ball!
WHERE:
Harley Hopkins Fields
108 Jackson Ave S
Hopkins
WHEN:
Thursdays, June 11th - August 13th
(Makeup Day August 20th)
TIME:
6:30 - 8:00 p.m.
FEE:
$35 - residents
$43- non-resident
Club West (west metro) and Wednesday Night Social (northwest metro) are social
programs for adults age 18 and older. Meet new friends and visit with old friends
while enjoying games, dances, movies, bingo, and other fun events.
Club West
6
Wednesday Night Social
WHERE:
Various west metro locations
WHERE:
Various north metro locations
WHEN:
Wednesdays,
June 10th- July 29th
WHEN:
Wednesdays,
June10th - July 29th
TIME:
6:30 - 8:30p.m.
TIME:
6:30 - 8:30p.m.
FEE:
$45.00 Resident
$53.00 Non-resident
Plus additional activity fees
FEE:
$45.00 Resident
$53.00 Non-resident
Plus additional activity fees
Friday Night Dances
Bingo Night
(No pre-registration required)
All dances are from 7 - 9 p.m.
$5 at the door
Call Danielle at 952.988-4178 for more information
ST. LOUIS PARK
MAPLE GROVE
WHERE: Maple Grove Junior
High School
7000 Hemlock Ln N
Maple Grove
WHEN:
May 22nd
WHERE: St. Louis Park High School
6425 W. 33rd St.
St. Louis Park
WHEN: June 19th
July 17th
Aug. 21st
ages 13+
(Pre-registration required)
Join your friends to play everyone’s favorite game!
WHERE: Brooklyn Park Community
Activity Center
5600 85th Ave N,
Brooklyn Park
WHEN: Friday, May 1st
TIME:
6:30-8:00 pm
FEE:
$7– pre-registration is required
Adult Fitness
Non-Competitive Softball
(Ages 13+)
A non-competitive softball league for adults and teens that focuses on teamwork, improving skills, and having fun. Join
your friends each week to get outside and play some ball!
WHERE:
Harley Hopkins Fields
108 Jackson Ave S
Hopkins
WHEN:
Thursdays, June 11th - August 13th
(Makeup Day August 20th)
TIME:
6:30 - 8:00 p.m.
FEE:
$35 - residents
$43- non-resident
Competitive League also available on Monday evenings. Call Molly at 952-582-8264 for more information.
Zumba Fitness
Have fun while learning the popular dance moves! Join the sensation!
WHERE:
WHEN:
TIME:
FEE:
St. Louis Park Rec. Center
3700 Monterey Drive
St. Louis Park
Mondays, June 8th - July 27th
6:30 - 7:30 p.m.
$55 - residents
$63 - non-residents
7
Social Seekers
Intake Required
This is a program for teens and young adults with high functioning Autism Spectrum Disorder.
We meet once a week for fun and social interaction. Intake is required for all new participants.
Call 952.988.4176 for more information
High School Group (Ages 15-18)
Young Adult Group (Ages 19+)
WHERE: The Depot Coffee Shop, Hopkins
WHEN: Mondays, June 15th - August 17th
TIME:
5:45 - 7:15 p.m.
FEE:
$200
WHERE: Living Waters
WHEN: Wednesdays, June 17th - August 19th
TIME:
5:00 - 6:30 p.m.
FEE:
$200
Weekend Ventures
(Ages 16+)
Need a mini-vacation? Join us for this great weekend respite program! Call Kirsten at 952-988-5321 for more information.
Valleyfair Weekend
Stay at a great hotel in Bloomington and spend all day
Saturday at Valleyfair! Ride the roller coasters, see a show,
hang out in the water park, and so much more!
WHEN: Friday, Jun. 5 at 6:00 p.m. to
Sunday, Jun. 7 at 11:00 a.m.
COST:
$400
Upcoming: Weekend Ventures
WHEN: Friday, Sept. 4 to
Sunday, Sept. 6
WHERE: Camp Eden Wood
Eden Prairie
2015 Empowerment Conference
Finding your purpose - using your challenges to build opportunity
Speakers: Liz Kulp & Sam Guerrido
Please
RSVP!
Call
952.988.4177
WHEN : May 12th, 2015
WHERE: Vescio’s Restaurant
TIME: 6:00– 8:00
COST: Free due to co-sponsorship funds; up to 75 participants
Dinner will be provided. Drinks will be on your own.
Thank you to the Minnesota Governor’s Council on Developmental Disabilities for their co-sponsorship.
8
E
AK
INT IRED
U
REQ
Summer 2015
On the Town is open to adults 18 and older who have done an intake and been accepted into the program. Individuals may sign up for each On the
Town activity separately. Each activity costs $5 to register plus any additional fees (such as tickets, transportation, etc.) There will be other costs
associated with each activity, which are noted below and on your schedule. You are welcome to sign up for as many activities as you’d like, as long as
space is available. Each quarter, at least 1 activity will combine all 3 groups. Limited transportation is available for On The Town North and West at a
flat fee of $40. Transportation is not provided for On The Town Friday.
To register for an On the Town activity check the box next the event(s) you will be attending. Send in this sheet along with your payment and a
completed registration form found on page 10 of the newsletter. Signing up for an event is considered your RSVP. Call Danielle Liebl at 952-988-4178
for more information or if you have any questions.
On the Town Friday
$5

On the Town North
Como Zoo
WHEN: Friday, June 12th
WHERE: Como Zoo, St. Paul
TIME: 4:00 - 6:00 p.m.
ADDITION COST: Spending $$
$16
WHEN:
WHERE:
TIME:
I would like to receive On The Town transportation for the FLAT RATE of $40
Out to Eat
$5
Play at Stages Theater
Title: The Little Mermaid Jr.
Friday, June 26th
Stages Theater, Hopkins
$5
$5
Twin Cities Jazz Festival
WHEN:
Saturday, June 27th
Earle Brown Days Festival
COST INCLUDED IN REGISTRATION: $11 ticket fee
$5
$10
WHEN:
WHERE:
TIME:
WHEN:
WHERE:
Friday, July 10th
Maple Grove Community Center
6:30 - 8:30 p.m.
$40
Fishing
Saturday, July 11th
Fish Lake Regional Park, Maple Grove
TIME:
6:00 - 8:00 p.m.
COST INCLUDED IN REGISTRATION: $5 Equipment
WHERE: Mears Park, St. Paul
TIME:
6:30 - 8:30 p.m.
ADDITIONAL COST: Spending $$
$5
Out to Eat
WHEN:
WHERE:
TIME:
Saturday, July 11th
Olive Garden, St. Louis Park
6:30 - 8:30 p.m.
ADDITIONAL COST: $10 - $20 per meal + tip
Fee
ADDITIONAL COST: Spending $$
Movie in the Park
WHEN: Saturday, June 13th
WHERE: TBA
TIME:
8:30 - 11:15 p.m.
ADDITIONAL COST: $0
Saturday, June 27th
Centennial Park, Brooklyn Park
6:30 - 8:30 p.m.
ADDITIONAL COST: Spending $$
Maple Grove Days
$5
WHEN: Saturday, June 13th
WHERE: Dave and Buster’s, Maple Grove
TIME:
6:30 - 8:30 p.m.
ADDITION COST: $15 - $20 per meal + tip
WHEN:
WHERE:
TIME:
7:00 p.m. Show
On the Town West
ADDITIONAL COST: $0
Sa
t
Twins Baseball Game urd
ay
!
$40
Twins Baseball Game
WHEN:
Saturday, July 25th
WHERE: Meet at Eisenhower Comm. Center
TIME:
Meet at 5:15pm 6:10pm Game
COST INCLUDED IN REGISTRATION: Ticket fee +
WHEN:
Saturday, July 25th
WHERE: Meet at Eisenhower Comm. Center
TIME:
Meet at 5:15pm 6:10pm Game
COST INCLUDED IN REGISTRATION: Ticket fee +
Transportation
Transportation
ADDITIONAL COST: Spending $$
ADDITIONAL COST: Spending $$
$5
$5
Out to Eat
WHEN: Friday, August 7th
WHERE: Big 10, Hopkins
TIME:
6:30 - 8:30 p.m.
ADDITIONAL COST: $10 - $20 per meal + tip
WHEN:
Concert in the Park
Saturday, August 8th
Lake Harriet Band Shell, Minneapolis
TIME:
7:30 - 9:30 p.m.
ADDITIONAL COST: $0
WHERE:
$40
Twins Baseball Game
WHEN:
Saturday, July 25th
WHERE: Meet at Eisenhower Comm. Center
TIME:
Meet at 5:15pm 6:10pm Game
COST INCLUDED IN REGISTRATION: Ticket fee +
Transportation
ADDITIONAL COST: Spending $$
$5 St. Louis Park Aquatic Center
WHEN:
Saturday, August 8th
WHERE: St. Louis Park Aquatic Center
TIME:
5:00 - 7:00 p.m.
ADDITIONAL COST: $5 entry fee + Spending $$
Name: ______________________________ Total # of events chosen: ________ = ________ Total
9
Registration Form—Summer 2015
Advance payment is required for all programs. NO REGISTRATION AT PROGRAMS OR BY PHONE. Residents of the West & Northwest consortium of
cities and Members receive priority registration up to the deadline. Registration is then open to non-residents (unless program is full).
Guaranteed Rgstn for residents/members 5/11-5/15. Priority Rgstn 5/18-5/22. Open Rgstn 5/26-5/29.
Name:
_____
Gender:_________ Soc. Sec. #_____-____-_______Birth date:
Address:
City:
Alt. Phone:
____ Zip:__________ Home Phone:____________________
Email
___ _______________________  I have a Waiver  I have SILS
DISABILITY/DIAGNOSIS(ES): (Please check ALL that apply) ___Developmental Disability ___Autism
___Blindness
___ADD/ADHD
___ Down Syndrome
RACE/ ETHNICITY: ___Hispanic/ Latino
___White
___________
___ Cerebral Palsy
__Multi-Racial
___Seizures
___Asperger’s/PDD
___TBI
___Deafness
___Emotional/Behavior Disorder ____ Uses Wheelchair
__Black or African American
____Asian
___Am. Indian ____Other
Other Disability or Mental Health Conditions: __________________________Allergies/Medical Concerns/Diet: _______________________
Function Level of Client: ____Borderline ____Mild
____Moderate
____ Severe
____ Other: ___________________
Photo Waiver:
To photograph my son/daughter/individual for use in the agency's publicity by using printed material, photographs, videos, website
images, photo displays, newsletters, TV, radio, internet, brochures, and social networking media.
If photographed, my son/daughter/individual may be identified by name.
Photo: Yes__ No___ Name: Yes__No__
Emergency Contact:
Emergency Phone:__________________________________
Social Worker: _______________________________________________________________ Social Worker’s Phone : ____________________________________
Parent(s)/Guardian(s): _______________________________________________________ Parent(s) Email: ___________________________________________
Home Address: _____________________________________________________
City: ___________________________________ Zip : _____________________
Parent(s) Primary Phone: _____________________________________________
Secondary Phone:
Annual Household Income:
 $0 - $24,999
 $100,000 - $124,999
 $25,000 - $49,999
 $125,000 - $149,999
 $50,000 - $74,999
 $150,000 - $174,999
 $75,000 - 99,999
 $175,000 - $199,999
 $200,000+
I, the undersigned, certify that the above information is accurate. I understand that participation in this activity is completely voluntary and the activity is being offered
for the benefit of the participant. Reach for Resources shall not be liable for any claims, injuries, or damages of whatever nature, incurred by the participant arising out
of, or connected with, the activity. On behalf of myself and the participant, I expressly forever release and discharge Reach for Resources, its agents or employees,
from any such claims, injuries or damages. I have received a copy of Notice of Privacy as required by HIPAA. I have read, understood and agree to these privacy
practices.
Legal Guardian: _________________________________________________________ Date: ____________________________
Resident/Non-Res
 Youth & Special Programs
$40.00 / $48.00
 Youth Bowling Doyle’s
$40.00/ $48.00
 Youth Bowling Park Tav.
$42.00/ $50.00(+$20/$28)
 Family Yoga #Attending__
$50.00
 Move with Me
$35.00/$43.00
 Teen Softball T-shirt size_____
Send Me Info
 Challenger League
$7.00
 Bingo
$45.00/$53.00
 Teen Explorers
 Social Seekers (teens & adults) Send Me Info



Weekend Ventures Valleyfair
Send Me Info
Weekend Ventures Camp Eden
Send Me Info
Empowerment Conference
See page 10.
_____ Approved by __________
Date
Initials
_____ Registered by __________
Date
Initials
_____ Pymt Rec’d by _________
Summer
2015
Amt Pd $_______ Ck#___________
_____ Schedule Sent by________
Initials
 I have made arrangements with the County for Reach to bill my Waiver
directly for recreation programs. (If not, you must pay for programs when registering)
10
Adult Programs
Resident/Non-Res
Adult Bowling Doyle’s
$40.00 / $48.00
Adult Bowling Park Tav.
$40.00/$48.00
Adult Yoga
$32.00/$40.00
Adult Softball T-shirt size ____ $35.00/$43.00
Zumba Fitness
$55.00/$63.00
Club West
$45.00 / $53.00



Wednesday Night Social
$45.00/$53.00
On the Town Friday
See pg. 8
On the Town North/West
See pg. 8

OTTN/OTTW Transportation
$40.00
Please mail completed form with payment to:
Reach for Resources 1001 Highway 7 #235 Hopkins, MN 55305
Cash ____ Waiver Exp___________
Date







Program Total:
$
Donation to support REACH
programs (optional):
$
Total Enclosed:
$
Thank you to our Basketball Sponsors!
The Barbetta Family
The Brooklyn Park Lions
George Daum
Physical Electronics USA
Randy Rhein Construction
V.F.W. Post 494
If you are interested in
sponsoring our 2015 Softball
League please
contact Kirsten at
952-988-5321 or
[email protected]
11
Address Service Requested
1001 Highway 7 #235
Hopkins, MN 55305
(952) 988-4177
www.reachforresources.org
Help Us Save Costs
Sign up to receive the
Reach Reader through
email between April 10th
and June 10th and you
could win one of two
$25 Target Gift Cards!
Summer Fundraiser
All ages welcome
Tuesday, July 21st, 2015
WHEN:
WHERE: LTD Brewery, 8 8th Ave. N. Hopkins, MN 55343
More information to come
Reach For Resources Staff
Kate Bottiger
Executive Director
Lisa Rivers, MA, LP
Director of Mental Health
Sarah Thorsen, CTRS
Director of Recreation &
Inclusion Services
Community Living Services
Thuy Tran, Community Living Specialist
Cassie Keller, Designated Coordinator
Alexander Varner, Community Living Specialist
Brittany Brouillette, Community Living Specialist
Makenzie Walker, GRH Demo Coordinator
Hannah Dolloff, Community Living Specialist
Chance York, Community Living Specialist
Carolyn Fenne, Community Living Specialist
Jeremy Garrigan, Community Living Specialist
Mental Health Services
Thanh Glasco, Community Living Specialist
Jessica Cermak, Assistant Director of Mental Health
Lorraine Gurley, SES Coordinator
Marnie Fest-Wilson, Mental Health Practitioner
Kristen Hamilton, Community Living Specialist
Angie Dierks, Mental Health Practitioner
Roseanne Lent
Office & Business Manager
Don Horsman, Community Living Specialist
Allison Henderson, Mental Health Practitioner
Colleen Monahan
Marketing Specialist
Malachi Ireland-Covington, Community Living
Brianna Johnson, Mental Health Rehabilitation Worker
Specialist
Jane Mcaleese-Schrupp, Parenting Skills Trainer
Larissa Beck, MS
Community Living
Program Manager
Kara Marell, Community Living Specialist
Chelsie Moreno, Community Living Specialist
Irene Neal, Community Living Specialist
Kristen Ryan, Community Living Specialist
Marcus Skallman, Community Living Specialist
Riawa Thomas– Smith, Homemaker
Melanie Miller, Mental Health Case Manager
Kimberly Quamme, Parenting Development Specialist
Sarah Selseth, Mental Health Case Manager
Therapeutic Recreation
Kirsten Oster, Asst. Director of Recreation
Danielle Liebl, Recreation Program Assistant