trp TR Office Sports Office (in Memorial Park) 1315 E. Pikes Peak Ave. Colorado Springs, CO 80909 CONTACT NUMBERS TR Cell for Trips (719) 651-7704 Sports Office Front Desk (719) 385-5981 Fax (719) 385-6013 TR STAFF Felicia Barnhart, CTRS Program Coordinator (719) 385-6964 [email protected] Sarah Braun, CTRS Program Coordinator (719) 385-6855 [email protected] Allen Beauchamp Adaptive Cycling Specialist (719) 385-6855 [email protected] Jacki Mueller Recreation Assistant (719) 385-6964 [email protected] Diane Ridderhoff, CTRS Program Supervisor (719) 385-6958 [email protected] Hallie Worthington Winter/Spring Intern Georgia Southern University Watch the TRP Video HERE www.coloradosprings.gov/tr Therapeutic Recreation Program Winter/Spring 2015 ARTS & CULTURE MIXED EMOTIONS DANCE TROUPE Learn and practice dance steps and creative movement to many types of music! Increase self-confidence and poise by performing in public as a member of the Mixed Emotions Dance Troupe. Colorado Springs Senior Center 1514 N. Hancock Avenue Tuesdays/Thursdays; Jan. 6-May 7 3:30-4:30 p.m.; #5771 Limit: 12 (max.), 10 (min.) Fee: $120 Notes: There is no class on Tuesday, March 3, due to schedule conflict. The Mixed Emotions Dance Troupe will conduct its annual Spring Performance on Thursday, May 7, at 7:00 p.m. at the Colorado Springs Senior Center. Please note there will be no practice on that date. HEALTHY COOKING This cooking class is sure to be an adventure for your senses. Learn to prepare fun, nutritious meals and snacks. This class will teach you the basics of making any meal healthy while introducing you to new ingredients. Healthy can taste fabulous! Class meets the first and second Thursday of the month (except January). Hillside Community Center, 925 S. Institute Thursdays; Jan. 8, 15; Feb. 5, 12; March 5, 12, 9:30-11:30 a.m.; #5772 Limit: 10 (max.), 8 (min.) Fee: $60 DRAMA 101 SERIES Are you interested in learning the basics of drama? Join this 6 week class to learn the basic drama components to include vocal techniques, atmosphere, and expression of emotions. Information will be presented in lecture and interactive exercises with participants given the chance to prepare and present lines to peers and family members at the end of the series. Colorado Springs Senior Center 1514 N. Hancock Avenue Mondays; Feb. 23-March 30 3:00-4:00 p.m.; #5773 Limit: 12 (max.), 10 (min.) Fee: $25 NEW! DRUMMING CIRCLE Drums Alive ® is unique and different from every other workout you’ve tried before; it captures the essence of movement, rhythm and combines it with fun and delivers results. The class joins the dynamic movements of aerobic dance with the pulsating rhythms of the drum. This program is designed to give the mind and body instant feedback through continuous movement and rhythmical flow. Come grab some drumsticks and an exercise ball as we drum for some fun in Drums Alive ®. Colorado Springs Senior Center 1514 N. Hancock Avenue Thursdays; April 30; May 7, 14, 21 2:00-3:00 p.m.; #5774 Limit: 10 (max.), 8 (min.) Fee: $20 SOCIAL ENRICHMENT OUT ON THE TOWN DANCES (Ages 16 and older) Come and socialize with old friends and new while you dance the night away to a new theme each month. Dressing to the theme is encouraged, but not required. Sign up for one or all! Please do not arrive before 6:30 p.m. Colorado Springs Senior Center, 1514 N. Hancock Ave. 7:00-9:00 p.m. Jan. 16: Masquerade Party; #5775 Feb. 20: Pink Flamingo Party; #5776 March 20: Shaking Shamrock Shuffle; #5777 April 17: Crazy Socks Hop; #5778 May 15: Flip Flop Fling; #5779 Limit: 100 (max.), 80 (min.) Fee: $5/night COMMUNITY INTEGRATION / LEISURE EDUCATION NEW! SAFE AND STRONG C.O.S. CLUB Providing empowering, real-life strategies for personal safety, Creating Opportunities for Service The C.O.S Club is all about coming together to help people in need and having fun while doing it! Whether it is packaging a meal, cleaning a park, or covering up graffiti we will get the job done. Club meets first two Fridays of the month except for January. Colorado Springs Senior Center, 1514 N. Hancock Avenue Fridays; Jan 9; Feb 6, 13; March 6, 13; April 3, 10; May 1, 8 1:30-4:00 p.m.; #5780 Limit: 10 (max.), 8 (min.) Fee: $74 Safe and Strong can help reduce crime and victimization against people with developmental disabilities. Students have fun while experiencing the multi-level media workshop featuring class discussion and role-playing. We learn to recognize safe and unsafe situations, safe behavioral strategies and emergency responses to a variety of dangerous situations. Class topics will include safety in the community, what to do when you are home alone, and encounters with law enforcement. Class sessions will be presented by the of Safe and Strong team founder, Irene Lucas. Colorado Springs Senior Center, 1514 N. Hancock Ave. Tuesdays/Thursdays; March 31- April 23 1:30-3:00 p.m.; #5781 Limit: 12 (max.) 8 (min.) Fee: $25 Note: Parents and caregivers are encouraged to stay, learn the strategies presented in class, and rehearse and role play at home. DAYTIME JAUNTS for Adults Ages 18 and older Online registration is not available for trips; mail-in or drop-off only! All trips depart from the Colorado Springs Senior Center, 1514 N. Hancock Ave. unless noted. All trips are limited to four wheelchairs. TUBING AT FRISCO ADVENTURE PARK Join us at Frisco Adventure Park where adults can be kids again! The hill features lengthy 1200-foot tubing lanes with lift service up the hill. Enjoy one hour of tubing fun with lunch on site. A separate liability waiver will be required to participate. Tuesday, January 13; #5782 Limit: 12 (max.), 10 (min.) Fee: $45 Notes: This jaunt is from 7:30 a.m.-4:00 p.m. Please dress warm with hat, gloves, heavy jacket, and waterproof footwear. Bring a sack lunch and beverage. DENVER ART MUSEUM Come with us to see one of the largest art museums between the West Coast and Chicago. The Denver Art Museum is known for its collection of American Indian art and more than 68,000 pieces from across the world. Tuesday, March 17; #5783 Limit: 12 (max.), 10 (min.) Fee: $28 HISTORY OF COLORADO CENTER Take a tour designed to ignite imaginations of all ages about Colorado history. Come with us to create an experience you won’t forget! Tuesday, April 14; #5784 Limit: 12 (max.), 8 (min.) Fee: $26 Notes: This jaunt is from 10:00 a.m.-4:15 p.m. Please bring money for lunch prior to the tour. HUDSON GARDENS The Hudson Gardens has 30 acres of botanical gardens located along the bank of the South Platte River. Join us as we admire the wide variety of plants in beautiful Colorado. Tuesday, May 19; #5785 Limit: 12 (max), 8 (min) Fee: $20 Notes: This jaunt is from 8:30 p.m.-3:00 p.m. Please wear appropriate footwear for walking. Bring money for lunch at a restaurant in Denver. Notes: This jaunt is from 8:30 a.m.-3:15 p.m. Please wear appropriate footwear for walking. Bring money for lunch at a restaurant in Denver as well as money for the gift shop if desired. Winter/Spring registration begins Monday, December 8, 2014 OUTDOOR ADVENTURES All trips depart from the Colorado Springs Senior Center, 1514 N. Hancock Ave. unless noted. CROSS-COUNTRY SKIING/SNOW-SHOEING Picture yourself silently gliding on a cross-country trail or creating the first set of snowshoe tracks in fresh powder as you trek through the peaceful woods of the Frisco Nordic Center in the mountains near Breckenridge. Breckenridge Outdoor Education Center (BOEC) instructors will be on hand to assist participants at all levels of ability. Tuesday, Jan. 27; #5786 Limit: 8 (max.), 6 (min.) Fee: $68 Notes: This trip is from 7:00 a.m.-6:00 p.m. Bring a sack lunch. This is a strenuous activity and is only recommended for individuals that are in good physical condition. BOEC forms will be available upon registration. DOWNHILL SKIING (SITTING OR STANDING) Ages 12 and older Experience the hills and thrills of downhill skiing on the slopes of Summit County! The nationally recognized Breckenridge Outdoor Education Center (BOEC) provides individualized instruction targeted to all levels and abilities. Their trained personnel and adapted equipment make this a special experience. Tuesday, Feb. 10 - For veterans and persons with physical disabilities; #5787 Tuesday, Feb. 17 - For individuals with developmental/intellectual disabilities; #5788 Limit: 8 (max.), 6 (min.) Fee: $88 DOG-SLEDDING Always a popular trip, this exciting one-hour tour is designed to give each person the opportunity to ride on a dogsled and on a sleigh pulled by a snowmobile. Tuesday, March 3; #5789 Limit: 16 (max.), 13 (min.) Fee: $48 Notes: This trip is from 7:30 a.m.-5:30 p.m. Bring money for lunch at a Breckenridge restaurant. Participants must have the ability to sit and hold on independently. Please dress warmly as the activity takes place at an elevation between 9,000-10,000 feet. A liability release form must be signed prior to the activity. Notes: This trip is from 7:00 a.m.-6:00 p.m. Bring a sack lunch. BOEC forms will be available upon registration. SPORTS, FITNESS & AQUATICS FOR ADULTS WITH DEVELOPMENTAL DISABILITIES YOGA Join us for an integrative approach to wellness while enjoying movement, physical stimulation, and awareness relaxation techniques. Class will focus on introductory yoga poses, total body stretches, relaxation, and aromatherapy elements. This class will be offered at two different locations. Wednesdays; 4:15-5:00 p.m. Session 1: Jan. 21-Feb. 25; #5790 Colorado Springs Senior Center 1514 N. Hancock Ave. Session 2: March 4-April 8; #5791 Cottonwood Creek Recreation Center, 3920 Dublin Blvd. Limit: 10 (max.), 8 (min.) Fee: $25/session Notes: Sessions are six week series; please plan to attend each class. Wear comfortable workout clothes and bring a water bottle. Exercise mats are provided or you may bring your own. RUN TO THE SHRINE TRAINING & EVENT Have you ever participated in a 5K? Join the TRP as we train for the “Run to the Shrine 5K” at the Cheyenne Mountain Zoo. Runners and walkers alike will witness some of the most stunning mountain scenery and be able to walk in areas normally closed off to pedestrians. Although you don’t have to be a world class athlete to participate, keep in mind that the course is an 8.5% grade increase and 1,300 foot elevation gain. We will work on Hill Training during our training sessions, both inside and outside, to get ready for the race. All proceeds for the event benefit the Cheyenne Mountain Zoo. Cottonwood Creek Recreation Center, 3920 Dublin Blvd. Mondays; April 6- May 11; Race event on Saturday, May 16. 3:00-4:00 p.m.; #5792 Limit: 12 (max.), 10 (min.) Fee: $65( includes registration fee for the 5k and race T-shirt) FITNESS FRENZY! Join the TRP staff as we experience a variety of fitness activities and have fun getting into shape! Class will include activities such as kickboxing, step aerobics, tai chi, dance fitness Zumba, hula hoop fitness and so much more. You will not want to miss out on the fun! Colorado Springs Senior Center 1514 N Hancock Ave Thursdays; Feb 5- March 26 2:00-3:00 p.m.; #5793 Limit: 12 (max.), 10 (min.) Fee: $25 See next page for BRAND NEW Snorkeling Class! SPORTS, FITNESS & AQUATICS FOR ADULTS WITH PHYSICAL DISABILITIES Classes in this and the Paralympic Sport section are specifically designed for individuals with physical disabilities, e.g., stroke, spinal cord injury, multiple sclerosis, brain injury, etc. AQUA-REHAB proudly sponsored by BJ’s Velvet Freez check out their website at www.bjsvelvetfreez.com Challenge yourself to a stretching and strengthening water workout three times a week at Memorial Park Pool. Activities will be geared to gradually improve stamina, increase flexibility, and strengthen muscles. The class will be adapted to the ability level of the participants, including opportunities for water walking and deeper-water aerobic workouts. Memorial Park Swimming Pool, 280 S. Union Blvd. Mondays/Wednesdays/Fridays; 10:00-11:00 a.m. Jan. 5-30; #5796 Feb. 2-27; #5797 March 2-27; #5798 March 30-April 24; #5799 April 27-May 22; #5800 Limit: 15 (max.), 12 (min.) Fee: $40/session YOGA Join us for an integrative approach to wellness while enjoying movement, physical stimulation, and awareness relaxation techniques. Class will focus on introductory yoga poses, total body stretches, relaxation, and aromatherapy elements. Exercise can be performed sitting, standing, in a wheelchair, or on the floor. Staff assistance for transferring is available, if desired. This class will be offered at two different locations. Wednesdays; 3:15-4:00 p.m. Session 1: Jan 21-Feb 25; #5801 Colorado Springs Senior Center 1514 N. Hancock Ave. Session 2: March 4-April 8; #5802 Cottonwood Creek Recreation Center 3920 Dublin Blvd. Limit: 10 (max.), 8 (min.) Fee: $25 Notes: This session consists of a six week series. Please plan to attend each class. Wear comfortable workout clothes and bring a water bottle. Exercise mats are provided or you may bring your own. Notes: Participants must have a current year physician prescription. No program on January 19 and February 16 due to holidays. NEW CLASSES TO TRY Don’t delay - Register early! FOR ADULTS WITH DEVELOPMENTAL DISABILITIES FOR ADULTS WITH PHYSICAL DISABILITIES NEW! SNORKELING NEW! INTRO TO SCUBA Snorkeling is a great way to see amazing things while having the Have you ever wondered what it is like to breathe under water? comfort of the surface with you at all times. Whether you’ve never been before and you want to learn the proper way to snorkel, or you’ve been a number of times and you want to learn how to dive with your snorkel, join us at Underwater Connection for this small group lesson designed for individuals with developmental/ intellectual disabilities. Sign up for one or two dates; please note the same material will be covered on both dates. Meet at Underwater Connection, 4940 Rusina Road Wednesday, April 29; 1:00-2:00 p.m.; #5794 Wednesday, May 6; 1:00-2:00 p.m.; #5795 Limit: 8 (max.), 6 (min.) Fees: $5; bring $20 on day of activity to be paid directly to Underwater Connection Note: Please note that additional Underwater Connections paperwork will be provided after registration. Join us for this introductory SCUBA session with Underwater Connection designed for individuals with physical disabilities. Sign up for one or two dates; please note the same material will be covered both dates. Meet at Underwater Connection, 4940 Rusina Road Wednesday, April 29; 2:30-4:00 p.m.; #5803 Wednesday, May 6; 2:30-4:00 p.m.; #5804 Limit: 4 (max.), 2 (min.) Fees: $5; bring $20 on day of activity to be paid directly to Underwater Connection Notes: Additional Underwater Connections paperwork will be provided after registration. A Medical Questionnaire and Medical Release must be signed by a physician prior to getting into the water. Winter/Spring registration begins Monday, December 8, 2014 SPORTS, FITNESS & AQUATICS BOCCIA FOR ADULTS WITH PHYSICAL DISABILITIES CONTINUED This specialized sport of dedication and precision is open to youth and adults ages 6 and older with cerebral palsy, brain injury, muscular dystrophy, stroke and multiple sclerosis. There will be opportunity for match play and in-house competition. Due to popular demand, two sessions will be offered. Sign up for one or both sessions! Colorado Springs Senior Center 1514 N. Hancock Avenue Tuesdays; 3:30-4:30 p.m. Session 1: Jan. 20-March 17; #5805 Session 2: March 24-May 12; #5806 Limit: 6 (max.), 4 (min.) Fee: $36 Note: No class on March 3 due to schedule conflict. BOCCIA TOURNAMENT Interested in more boccia competitions? Join us for the second Colorado Front Range Boccia Tournament to be held in Fort Collins! The tournament will provide an opportunity for participants to compete against individuals from other Paralympic Sport Clubs along the Front Range. The tournament is open to youth and adults ages 6 and older with cerebral palsy, brain injury, muscular dystrophy, stroke and multiple sclerosis. More details to come! ADAPTIVE CYCLING RIDES Incentive for Cycling Participate in ten rides in 2015/2016 and you will earn an exclusive cycling shirt from the TRP! The TR Program is again partnering with local bike specialist, Cycle Different ANGLETECH to host weekend cycling rides on the area bike trail system for individuals with a physical disability. Please bring your own cycle if you have one. If you need a bike, Cycle Different - ANGLETECH will have cycles available for sign-out prior to each date, including recumbent trikes, handcycles, and upright bikes. Pre-registration is required for each single ride date below. Beginner or veteran riders are welcome! 1483 Garden of the Gods Rd. Saturdays; 1:00-3:30 p.m. April 4; #5807 April 18; #5808 Saturdays; 9:00 a.m.-1:00 p.m. May 2; #5809 May 16; #5810 May 30; #5811 Limit: 12 (max.), 9 (min.) Fee: $ 9/date WHEELCHAIR BASKETBALL Interested in learning to play wheelchair basketball? Join us this season on select dates for wheelchair basketball skills sessions. Sessions are open to youth and adults with a physical disability ages 10 and older who are able to move independently in a wheelchair; you do not have to be a wheelchair user to participate. Panorama Middle School 2145 S. Chelton Rd. Mondays; 6:30-7:30 p.m. March 2 & 16; Apr. 6 & 20; May 4 & 18; #5812 Limit: 8 (max.), 4 (min.) Fee: $25 Note: A limited number of sport chairs are available; if you have your own chair, please bring it with you. INDOOR SHOOTING This program will introduce participants to the competitive sport of shooting at the indoor range of the Olympic Training Center. Participants will learn the basics of air rifle and air pistol use, proper shooting form, scoring, and opportunities for in-house competitions. Coaches from USA Shooting and the National Training Center Shooting Club will be on hand to provide instruction. Equipment will be provided. Olympic Training Center Shooting Range (lower range), 1 Olympic Plaza Wednesdays; March 4-25 7:00-9:00 p.m.; #5813 Limit: 8 (max.), 6 (min.) Fee: $75 Note: Fee includes a one-year membership to USA Shooting and the National Training Center Shooting Club. SWIMMING Paralympic Sport Club Colorado Springs and the YMCA have teamed up to provide this unique opportunity for introductory lessons for aspiring swimmers ages 5 and older. This program is a “learn to swim” series, and designed for individuals to learn basic swimming and floating skills. Memorial Park Swimming Pool Mondays & Wednesdays; Jan. 5-Feb. 11 4:30-5:30 p.m. #5814 Limit: 6 (max.), 4 (min.) Fee: $90 Note: Participants are responsible for bringing their own swim attire and towel to the center. No program Jan. 19 due to Martin Luther King holiday. GOALBALL CLINIC Join us for an introductory session to the sport of goalball, a Paralympic sport played by athletes who are blind and visually impaired! This is a fast paced, physically challenging, strategic, and exciting game. Location TBD Wednesday; Apr. 22 9:00 a.m.-12:00 p.m.; #5815 Limit: 18 (max.), 6 (min.) Fee: $5 Note: Wear comfortable workout clothes and tennis shoes. Equipment and protective padding will be provided. THERAPEUTIC RECREATION PROGRAM POLICIES It is the goal of the Therapeutic Recreation Program to provide a positive, safe, and fun recreation experience for all individuals. To provide you with the best possible experience, we have developed the following policies: 1 Appropriate social behavior is stressed during all programs. The staff and volunteers will do their best to ensure each participant’s success in the programs. If a participant’s behavior is detrimental to the group or self (kicking, biting, hitting, self-abusing, refusal to stay with the group, etc.), a parent or guardian will be called to pick up the participant immediately. Please call the TR Office if you have any questions. 2 3 4 Please note specific trip arrival and departure times. All trips will wait a maximum of 15 minutes before departing. Upon return, all participants must be picked up within 15 minutes. If you know you will be late, call the cell phone at 651-7704. Please be considerate of the group. Note that each program activity has a list of maximum and minimum numbers for enrollment. If the maximum numbers have been reached, a wait list will be initiated and those individuals will be contacted when there is an opening. If the minimum numbers are not reached, the class will be canceled. Because we attempt to accommodate as many people as possible, if you cannot participate in a scheduled program, please call to cancel as soon as possible so we can contact the participants on the wait list. Your consideration is appreciated. REGISTRATION INFORMATION HOW TO REGISTER 1. Complete the information for each class on the Therapeutic Recreation Program Participant Information/Registration Form. 2. We’re GREEN! Please provide an email address, so we can send your receipt to you! WHERE TO REGISTER Mail your registration form to or register in-person at: Sports Office Therapeutic Recreation Program 1315 East Pikes Peak Avenue Colorado Springs, CO 80909 I. WHEN TO REGISTER - MAIL-IN/DROP-OFF/FAX Monday, December 8, 2014; 8:00 a.m.-5:00 p.m. All mail-in and drop-off registrations will be placed in a box. At the end of each day, registrations will be randomly drawn until the classes are filled or all registrations are drawn. A receipt will be sent to you in the mail to confirm your enrollment in the class. SAVE TIME REGISTER ONLINE! How to Register Online Never registered online before? It’s easy! 1. Go to www.coloradosprings.gov/tr 2. Click the blue button - REGISTER HERE 3. Click on MY ACCOUNT 4. Enter (LOGIN and PASSWORD) 5. Click on REGISTER FOR ACTIVITIES- Sort by location, activity category, Activity name… 6. Select the ACTIVITY #, then click ADD TO MY CART 7. In the drop down box, select the participant who will be taking the class. 8. When finished click CONTINUE. 9. Follow the steps for payment. VISA, MC, American Express, or Discover accepted. Be sure to complete your order and click CONTINUE. 10. Print receipt or go green! II. PAYMENT To reserve a spot in the program, one-half of each class fee must accompany the registration form. Payment-in-full must be made by the first day of class. Make checks payable to Recreation Services. REFUND POLICY A refund or credit for classes/activities will not be issued once registration has occurred. If withdrawal from the class/activity is for a medical reason or due to a move from the Pikes Peak region, a pro-rated credit or refund will be issued from the start date up to the mid-point of the class/activity. No refund or credit will be issued after 50% of the class/activity has been completed. A full refund or credit will be issued if Parks, Recreation & Cultural Services cancels a class/activity. When requesting a refund, please specify refund check or credit to your account. Allow 2 weeks for a refund check. ADJUSTED FEES Payment Plans and Adjusted Fees are available. Adjusted Fees are available for classes exceeding a registration cost of $25. Trip fees do not qualify. Please contact the Therapeutic Recreation Program Supervisor for additional information. CANCELLATIONS If a class is canceled due to lack of registration, you will be notified and may choose to: • enroll in another activity • obtain credit toward other activities • receive a full refund TRP REGISTRATION FORM Participant Name:Age: Birthdate:Gender: mMale mFemale Address:City: Other Phone: Zip: Primary Phone: Email: Active Military: Veteran:Disability: Parent/Guardian Name: Type of Living Situation (choose one): mFamily mIndependent Living mGroup Home mSupervised Apt. mOther Emergency Contact/Relationship:Phone: Does participant need supervision/assistance with taking medications? mYes mNo List Medications: Diet Restrictions (list): Check those that apply: mAsthma mDiabetes mTube Feeding mAllergies (type:) Epi Pen required: mYes mNo Is the participant subject to seizures? mYes mNoType:Frequency: Doctor’s Name:Phone: Assistive equipment and/or physical restrictions: Other pertinent information in regards to safety and behavioral concerns: Other information that may enhance the quality and safety of recreation participation: a Activity Name # Fee a Activity Name # Fee Tubing at Frisco Adventure Park 5782 $45 Denver Art Museum 5783 $28 DAYTIME JAUNTS ARTS & CULTURE a Activity Name # Fee SPORTS, FITNESS, AQUATICS PHYSICAL Mixed Emotions Dance Troupe 5771 $120 Aqua-Rehab: Jan. 5-30 5796 $40 Healthy Cooking 5772 $60 History of Colorado Center 5784 $26 Aqua-Rehab: Feb. 2-27 5797 $40 Hudson Gardens 5785 $20 Aqua-Rehab: Mar. 2-27 5798 $40 Aqua-Rehab: Mar. 30-April 24 5799 $40 Aqua-Rehab: April 27-May22 5800 $40 Yoga: Jan. 21-Feb. 25 5801 $25 Yoga: March 4-April 8 5802 $25 Intro to Scuba: April 29 5803 $5 Intro to Scuba: May 6 5804 $5 Boccia: Jan. 20-Mar. 17 5805 $36 Boccia: Mar. 24-May 12 5806 $36 Adaptive Cycling: April 4 5807 $9 Adaptive Cycling: April 18 5808 $9 Adaptive Cycling: May 2 5809 $9 Adaptive Cycling: May 16 5810 $9 Adaptive Cycling: May 30 5811 $9 Wheelchair Basketball 5812 $25 Drama 101 Series 5773 $25 Drumming Circle 5774 $20 SOCIAL ENRICHMENT Out on Town Dance: Jan. 16 5775 $5 Out on Town Dance: Feb. 20 5776 $5 Out on Town Dance: Mar. 20 5777 $5 Out on Town Dance: April 17 5778 Out on Town Dance: May 15 5779 5780 Safe and Strong 5781 XC Skiing/Snow-Shoeing 5786 $68 Downhill Skiing (Sit or Stand) for physical disabilities 5787 $88 5788 $88 $5 Downhill Skiing (Sit or Stand) for developmental/intellectual disabilities $5 Dog-Sledding 5789 $48 COMMUNITY INTEGRATION COS Club OUTDOOR ADVENTURES $74 $25 SPORTS, FITNESS, AQUATICS DEVELOPMENTAL Yoga: Jan. 21-Feb. 25 5790 $25 Yoga: Mar. 4-April 8 5791 $25 Run to the Shrine (Training & Event) 5792 $65 Fitness Frenzy 5793 $25 Indoor Shooting 5813 $75 Snorkeling: April 29 5794 $5 Swimming 5814 $90 Snorkeling: May 6 5795 $5 Goalball Clinic 5815 $5 m Yes m No I hereby consent to the use of yourself/your child’s image by the City of Colorado Springs and/or their agents, and consent to the use of these images singularly or in conjunction with other photographs, video recordings, social media outlets for Parks, Recreation and Cultural Services marketing purposes without any compensation. m Yes m No Registrant has authorization to ride the PR&CS buses for TR field trips. m Yes m No CONSENT TO CONTACT AND RELEASE INFORMATION: I grant permission to the TRP contact school, teacher, physician, employer and/or provider for the purpose of gathering or releasing information regarding the participant. The information will be used to implement the most effective plan in providing therapeutic recreation and inclusion services. All information will be kept confidential. CONTINUE WITH REGISTRATION FORM ON REVERSE SIDE CONTINUATION OF REGISTRATION FORM WAIVER OF LIABILITY AND RELEASE OF ALL CLAIMS: Please read this form carefully and be aware in registering yourself or your minor child/ward for participation in the City of Colorado Springs Therapeutic Recreation Program, you will be waiving and releasing all claims for injuries you or your minor child/ ward might sustain arising out of said program(s). I recognize and acknowledge that there are certain risks of physical injury to participants in a program, and I agree to assume the full risk of any injuries, damages or loss regardless of severity which I or my minor child/ward may sustain as a result of participating in any and all activities connected with or associated with such program. I agree to waive and relinquish all claims I or my child/ward may have as a result of participating in the program against the City of Colorado Springs Therapeutic Recreation Program and its officers, agents, servants and employees. I do hereby fully release and discharge the City of Colorado Springs Therapeutic Recreation Program and its officers, agents, servants, and employees from any and all claims from injuries, damage, or loss which I or my minor child/ward 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 the activities of the program. I further agree to indemnify and hold harmless and defend the City of Colorado Springs Therapeutic Recreation Program and its officers, agents, servants, and employees from any and all claims resulting from injuries, damages, and losses sustained by me or my minor child/ward arising out of, connected with, or in any way associated with the activities of the program. In the event of any emergency, I authorize the City of Colorado Springs Therapeutic Recreation Program to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for me or my minor child/ward’s 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 Program Details, Waiver and Release of All Claims and Permission to Secure Treatment. PLEASE SIGN. EACH REGISTRATION FORM MUST BE SIGNED. Participant/Parent/Guardian:Date: TRP wants to take an opportunity to acknowledge and thank a great group of people who gave time and energy to programs in 2014. Cheers to TRP Volunteer Honor Roll! Don Allred Jan Altman Gary Archuleta Cris Barnhart Greg (Bear) Aten Al Brody Jay Burns Bev Carver Luke Cammack Kelly Casebere Mark Clauss Charleen Colvin Geri Cook Gary Dean Joe Doyle Eydie Elkins Jeanne Gizzi ADULT VOLUNTEERS Lamont Gizzi Alma Grandpre’ Rylan Grandpre’ Deb Hemmann Susan Hirst Larry Judy Gail Labosky Caroline Lamz Corey Lamz Larry Lamz Franki Lang Jim Lathrop Linda Love Mary Ann Luers Gerardo Medrano Jania Meinzer Jenica Miller Jimmy Osborne Hannah Pelican Wayne ProvinVictor Rameros Pat Reeves Alisa Rendon Dan Ridderhoff Jake Ridderhoff Jeff Ringling Ken Ringling Joni Stephens Alan Severn Mike Smith Terry Smith Sherry Somers Lynn Stringham TRP Interns Heather Kohl Emily Krug Lauren Lee Youth Volunteers Jennifer Alafat Jessica DeRemer Mary Egan Josie Farmer Hannah Popa Caleb Robinson Kymberlee Robinson Trent Ward
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