Enriching lives through recreation - WSSRA - WSSRA.net
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HABLAMOS
ESPAÑOL WSSRA
Spring 2022
WSSRA
Enriching lives through recreation
44
Have you ever wanted to try Wheelchair Basketball?
Wheelchair
Basketball Clinic
Wednesday, March 16, 2022
5:00-8:00PM
Grant Park Recreation Center, 44 W Golfview Dr, Northlake, IL 60164
During this clinic participants will practice wheelchair basketball, learn different rules, skills,
and techniques. The clinic will run from 5:00-6:30pm and then participants can stay to play
(or watch) a wheelchair basketball game. The clinic is open to anyone ages 3-22 with a
physical impairment, we encourage you to bring friends and to play with you.
*Sport chairs will be provided for all athletes.
Scan the Code to Register
Additional Clinics
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Summer Staff Positions Available!
Positions include:
• Day Camp Staff • Recreation Leaders • SO Coaches Scan Here
• Inclusion Aides • Lifeguards • Referees/Umpires to Apply
If you are energetic, creative, passionate and want to
make a difference in your career path and the lives of
others, you are likely a great fit for our team!
WSSRA Offers:
• Flexible Schedules
• Competitive Pay Contact Carla Pakenas
with questions at
• Rewarding Experiences WSSRA carlap@wssra.net
or (847) 455-2100
Who We Are
The West Suburban Special Recreation Association is part of your local park district or village
recreation department. We provide recreation programs for individuals who have any type
of disability. Your park district or village governs the operation of the Association.
WSSRA STAFF
Marianne Birko...................... 226................ executive director ...........................................................marianneb@wssra.net
Annie Hart............................ 230................ superintendent of safety & operations ................................ annieh@wssra.net
April Michalski.......................231................ superintendent of recreation.................................................aprilm@wssra.net
Carla Pakenas........................219................ staff manager ........................................................................carlap@wssra.net
Carlos Marroquin.................. 232................ program manager ................................................................. carlosm@wssra.net
Christopher Sturm................ 235................ inclusion manager .................................................................. chriss@wssra.net
Nikki Walsh........................... 240................ public relations coordinator ...............................................nicolew@wssra.net
Sylvia Dobbins...................... 238................ recreation coordinator ......................................................... sylviad@wssra.net
Bethany Pastrana................. 236................ recreation coordinator...................................................... bethanyp@wssra.net
Megan Foster........................ 239................ recreation specialist ............................................................meganf@wssra.net
Lisa Gershak..........................221................ finance manager........................................................................ lisag@wssra.net
Noelia Hernandez................. 222................ registrar.................................................................................. nolyh@wssra.net
Julia Harmon Bell................. 224................ fund development specialist/lekotek leader.......................... juliab@wssra.net
Luz Rocha-Serrano............... 224................ lekotek leader............................................................................luzs@wssra.net
Mike Zych.................................................... wssra driver
Frank Quaranta........................................... wssra driver
West Suburban
Board of Directors
Special
Recreation
BERWYN PARK DISTRICT ..................................... SANDY FEJT
VILLAGE OF ELMWOOD PARK...............................TED GRUBER
Foundation WSSRF
PARK DISTRICT OF FOREST PARK.................JACKIE IOVINELLI The West Suburban Special Recreation
Foundation (WSSRF) is an Illinois
PARK DISTRICT OF FRANKLIN PARK............. JOSEPH MODRICH
not-for-profit corporation that exists to
VILLAGE OF HARWOOD HEIGHTS...................ANNA WEGRECKI raise funds for WSSRA.
NORRIDGE PARK DISTRICT................. ANNEMARIE FLAHERTY
The funds raised by the WSSRF help expand programming and
NORTH BERWYN PARK DISTRICT.......................MARK SLADEK
support additional needs of WSSRA when necessary. To learn
PARK DISTRICT OF OAK PARK....................... KASSIE PORRECA more about WSSRF, call Marianne Birko at the WSSRA office.
RIVER FOREST PARK DISTRICT......................... MIKE SLETTEN The WSSRF needs you!
VILLAGE OF NORTH RIVERSIDE...................... TERESA MROZIK
VILLAGE OF RIVERSIDE..................................RON MALCHIODI New Members
The WSSRF welcomes new members. Please
VETERANS PARK DISTRICT........... CARLENE BUVAK GREIFELT
consider joining! No one on the Foundation is asked to do
more than they can handle, yet by working together, WSSRF
Board Meetings raises $40,000 each year to support WSSRA programs. At each
meeting, Foundation members have the opportunity to give
The Board of Directors of the Association meets on input and ideas about program offerings. So come join the fun
the second Tuesday of the month, 8 times per year at and help WSSRF improve and expand programs for persons of all
4:00pm. Call the office for a meeting schedule and ages with disabilities.
locations. The public is invited to attend.
4 WSSRA | 847-455-2100 | WSSRA.net
Table of Contents For more program information please contact....
SPRING CALENDAR..................................................... 8
FAMILY EVENTS......................................................9-10 Sylvia Dobbins
Social Clubs &
IN-PERSON PROGRAM GUIDELINES...................11-12 Children & Youth Programs
IN-PERSON SUMMER DAY CAMP.......................15-22
IN-PERSON CHILDREN & YOUTH PROGRAMS...23-24
IN-PERSON TEEN & ADULT PROGRAMS.............25-26
IN-PERSON SOCIAL CLUBS....................................... 27
IN-PERSON OLDER ADULT PROGRAMS................... 28 Megan Foster
IN-PERSON AQUATIC PROGRAMS........................... 29 Aquatics, Sports & Fitness
Programs
IN-PERSON SPORTS & FITNESS PROGRAMS........... 30
SPECIAL OLYMPICS..............................................31-32
VIRTUAL PROGRAMS...........................................33-34
REGISTRARION FORMS & POLICIES...................35-42
Chris Sturm
Special Olympics
Key to Abbreviations Inclusion Support
ADD Attention Deficit Disorder
ADHD Attention Deficit Hyperactivity Disorder
ALZ Alzheimer’s
AUT Autism
DD Developmental Disability
EC Early Childhood Bethany Pastrana
ED Emotional Disturbance School Collaborations &
HI Hearing Impairment Imaginarium Sensory Room
LD Learning Disability
MI Mental Impairment
MH Multiple Handicaps
MLH Mental Health
PI Physical Impairment
SL Speech and Language Delay Carlos Marroquin
SO Special Olympics Day Camp & Special Events
SP Severe and Profound Mental Impairment
VI Visual Impairment
Our Program Guide
A great effort has been made to assure the accuracy of the West Suburban Special
information provided in our Program Guide. Due to the large Recreation Association
amount of information, however, errors and changes may occur
related to program schedules, locations, transportation and fees. WSSRA 2915 maple street
franklin park, il 60131
WSSRA reserves the right to make adjustments as necessary. 847.455.2100 - voice or tty
WSSRA will make every effort to notify participants of changes and
corrections as quickly and efficiently as possible. office hours
monday through friday 8:30 am – 5:00 pm
We apologize for any inconvenience our errors may cause.
WSSRA | 847-455-2100 | WSSRA.net 5
WSSRA Spolight
Meet WSSRA’s New
Recreation Specialist!
We are excited for Megan Foster to join
our team as a Recreation Specialist.
Megan will be overseeing our aquatics and
sports and fitness programming. She has been a
part-time staff with WSSRA for nearly 16 years!
Megan is passionate about Therapeutic Recreation
and is thrilled to have this amazing opportunity.
In her free time she likes to go on walks with
her dog, practice violin and guitar, exercise,
and play racquetball.
She is looking forward to meeting new people and
coaching all the talented athletes at WSSRA!
Help us welcome Megan to the WSSRA Team!
Andrew Effgen
ITRS Outstanding Participant
WSSRA would like to congratulate
Andrew Effgen for being recognized as an
ITRS Outstanding Participant!
Andrew has been a part of WSSRA for many years
and has always maintained participation whether it be
in person or virtually. He is always the loudest in the
room and his cheerfulness and positive energy in
programs is contagious. Andrew is always very
thoughtful and encouraging to others.
Most of all, Andrew’s enthusiasm for WSSRA
programs is what we hope for, for all our
participants, and we love having him around!
Congratulations Andrew!
6 WSSRA | 847-455-2100 | WSSRA.net
Facilities
BENSENVILLE MELROSE PARK
White Pines Golf Course Bulger Park Community Center
500 W. Jefferson St.................... 630.766.0304 1601 Hirsch St............................ 708.731.5290
George A. Leoni Complex
BERWYN 800 N. 17th Ave......................... 708.716.4822
Havlicek School Imaginarium Sensory Room RIVER FOREST
6401 15th St.............................. 708.795.2450 800 N. 17th Ave......................... 708.716.4822
Michael Cimbalo Fitness Center and Museum Keystone Center
Jefferson School 7920 Central Avenue................. 708.366.6660
7035 16th St.............................. 708.795.2454 1203 N. 24th Ave....................... 708.343.5151
Liberty Recreation Center RIVER GROVE
6445 W 27th Pl.......................... 708.795.2891
NORRIDGE
Morton West High School Leigh School Oak Park Country Club
2400 Home Ave......................... 708.222.5700 8151 W. Lawrence Ave.............. 708.456.8848 2001 Thatcher Ave.................... 708.453.5554
North Berwyn Park District Community Center Norridge Park District Trumbull Park
1619 Wesley Ave ...................... 708.749.4900 4631 N Overhill Ave................... 708.457.1244 2311 N. Leyden . ....................... 708.731.5290
PAV Berwyn YMCA
2947 S Oak Park Ave.................. 708.749.0606 NORTHLAKE RIVERSIDE
Proksa Park Grant Park Recreation Center Historic Water Tower
3001 Wisconsin Ave.................. 708.795.2892 44 W. Golfview Drive................. 708.343.5270 10 Pine Avenue.......................... 708.442.7025
Riverside Recreation Center
ELMWOOD PARK NORTH RIVERSIDE 43 East Quincy St....................... 708.442.7025
Centennial Park Riverside Swim Club
Komarek School 100 Bloomingbank Rd............... 708.447.6134
7600 W Armitage Ave................ 708.452.3935 8940 W 24th St.......................... 708.447.8030
Elmwood Park Recreation Center North Riverside Community Room
2 Conti Pkwy.............................. 708.452.3935 2359 S. DesPlaines Ave.............. 708.442.5515
Elmwood Park Family Aquatic Center North Riverside Recreation Cennter
2 Conti Pkwy.............................. 708.452.3935
Elmwood Park High School
2401 S. DesPlaines Ave.............. 708.442.5515 EMER GENCY P H O N E
8201 W Fullerton Ave................ 708.452.7272 OAK PARK
The purpose of
FOREST PARK Andersen Center
820 Hayes Ave .......................... 708.725.2000 this phone number
Circle Lanes
7244 Circle Ave ......................... 708.366.2810
Barrie Recreation Center is to allow access to
1011 S Lombard Ave ................. 708.725.2000
Field Stevenson School Carroll Recreation Center
WSSRA for emergencies
925 Beloit Ave .......................... 708.366.5703 1125 S Kenilworth Ave.............. 708.725.2000 only during non-office hours.
Park District of Forest Park Cheney Mansion
7501 Harrison St ....................... 708.366.7500 220 N Euclid Ave........................ 708.725.2500 1. The phone may be called Monday
Forest Park Middle School Dole Center
925 Beloit Ave .......................... 708.366.5703
through Friday, from 5:00pm to 11:00pm,
255 Augusta St . ........................ 708.725.2000
Grant White School Dynamic Lynks
Saturday, 7:00am to 11:00pm when
147 Circle Ave ........................... 708.366.5704 1100 Lake St #LL65 ...................708-620-2373 programs are in session only.
Roos Recreation Center Field Recreation Center
7329 Harrison St ....................... 708.366.7500 935 Woodbine Ave ................... 708.725.2000
Fox Recreation Center 2. Leave a message with your phone
FRANKLIN PARK 624 S Oak Park Ave.................... 708.725.2000 number at 708.491.3779 and a WSSRA
Centre at North Park Gymnastics & Recreation Center (GRC) staff will return your call if necessary.
10040 Addison St...................... 847.928.8478 21 Lake St ................................. 708.725.2000
Franklin Park Community Center Irving School
9560 Franklin Ave ..................... 847.455.2852 1125 S Cuyler Ave ..................... 708.524.3090 3. The emergency phone should not be
Franklin Park Ice Arena Longfellow Recreation Center a substitute for calling the office for
9711 Waveland Ave .................. 847.671.4268 610 S Ridgeland Ave ................. 708.725.2000
Franklin Towers Longfellow School non-emergency questions, such as pick
9535 Franklin Ave ..................... 847.455.0189 715 S Highland Ave.................... 708.524.3060 up times.
Gouin Park Pool and Water Slide Oak Park Conservatory
2400 Scott St . ........................... 847.451.9396 615 Garfield St........................... 708.725.2400
Pool on Pacific Oak Park River Forest High School
9715 Pacific Ave . ...................... 847.455.2858 201 N Scoville Ave .................... 708.383.0700
WSSRA Office Rehm Park WWW.WSSRA.NET
2915 Maple St........................... 847.455.2100 515 Garfield St........................... 708.848.9661
Ridgeland Commons Rec Complex Check out WSSRA on the web for
HARWOOD HEIGHTS 415 Lake St................................ 708.725.2300 directions to program locations and up
Stevenson Recreation Center to date program information.
Harwood Heights Village Hall
7300 Wilson Ave . ..................... 708.867.7200 49 Lake St.................................. 708.725.2300 Email your comments to us:
Ridgemoor Country Club West Cook YMCA wssra@wssra.net
6601 W Gunnison St ................. 708.867.8400 255 S Marion St #3103.............. 708.383.5200
Whittier School
715 N Harvey Ave...................... 708.524.3080
WSSRA | 847-455-2100 | WSSRA.net
7
S P R I N G 2 02 2 P R O G R A M C A L E N D A R
SPECIAL
S P R I N G A p r i l 4 T H – M ay 1 4 T H
EVENTS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
BUNNY BONANZA CARE WALK-N-TALK MORNING MIXER CLUB WELLNESS BRUNCH BUNCH LITTLE SPORTS GYMNASTICS
APRIL 2, 2022 9:30-11:00am 10:00-11:30am 10:00-10:45am 10:00-11:30am 9:30-11:30am 9:00–10:15am 1:20-2:05
Roos Recreation Ctr, Proksa Park, Berwyn
NORTH RIVERSIDE Ridgewood High School Locations vary Elmwood Park 2:10-2:55
RECREATION Forest Park Recreation Center STEAM GRC, OAK PARK
WINDY CITY 10:00am-11:30am No program 4/17
EXPLORERS Park District of Forest
SENSORY SENSITIVE HEALTHY START SEASONAL 10:30-2:00pm VIRTUAL YOGA Park Bldg. #4 *
TREATS WITH 10:00am-11:30am SHOPPERS 4:30-5:00pm VIRTUAL
THE BUNNY Park District of 9:30-11:30am ADVENTURES SIBSHOPS
APRIL 3, 2022 Franklin Park Locations vary AQUA EXERCISE 10:30-11:00am 10:00am-12:00pm
Proksa Park, Berwyn
CHENEY MANSION 12:15- 1:00pm MUSIC MAKERS
PAV YMCA, Berwyn 4:30-5:15pm SENSORY
ART PARTY MINDFUL MONDAYS YOGA FOR Dynamic Lynks, SWIM LESSONS EXPLORERS
APRIL 22, 2022 1:00-1:30pm WELLNESS Oak Park 4:00-4:30pm 10:15-11:30am
BERWYN Proksa Park, Berwyn
CREATIVITA 10:00–11:15am 4:30-5:00pm
EXCURSIONS GOLF
Village of Pav YMCA, Berwyn DICE BOWLING
3:15-5:15pm 5:30-6:30pm 10:30- 11:15AM
SO REGION C URBANITES Harwood Heights Morton West HS Location: TBD
SPRING GAME 2:30–5:00pm HORSEBACK RIDING
APRIL 30- MAY 1 West Leyden HS, VIRTUAL 12:00- 2:45pm
MARMION Elmwood Park HS ICE SKATING SO POWERLIFTING STORY BOOK SOCIAL CLUB Hanson Center,
ACADEMY, 4:10–4:40pm 4:30-5:45pm CREATIVITY 7:00- 8:00pm Burr Ridge
AURORA Ridgeland Commons, Roos Recreation Ctr, 6:00-6:45pm SATURDAY
DISCOVERY Oak Park Forest Park Riverside Recreation, BOWLING LEAGUE
DERBY GALA AFTERSCHOOL Quincy Building 12:45-2:00pm
MAY 7, 2022 CLUB 2:15pm-3:30pm
SENSORY YOGA Circle Bowling Lanes,
D’AGOSTINO’S 3:00-4:30pm BOBCATS SOFTBALL 5:00-6:00pm NOW WE’RE Forest Park
PIZZA AND PUB, Komarek School 6:30-8:00pm Imaginarium COOKING
RIVER GROVE White - Longfellow Field SWIM LESSONS
Sensory Room 6:00-7:30pm 3:15–3:45pm
Gold - Birch Park Park District of OPRFHS-East Pool
NINJAS ASSEMBLE Forest Park,
MAY 14, 2022 SO TRACK & 2nd floor BOBCATS SWIM TEAM
WINDY CITY NINJA WEEKLY WORKOUT FIELD CLINIC 4:00-4:45pm
6:30-7:45pm OPRFHS East Pool
6:30-7:00pm
Morton West SOCIAL CLUB
30 & OLDER
6:00-9:00pm
Park District of Forest
Park, Bldg. #4*
PROGRAM KEY:
SOCIAL CLUB 15-29
IN-PERSON PROGRAMS 6:00-9:00pm
VIRTUAL PROGRAMS Village of North Riverside
Community Room
Family Events
B o n a n z a
Bu nn y
Age: All Ages, Siblings
SATURDAY
Hop on over to help us find all the
APRIL 2 eggs the bunny hid in the park!
10am - 12pm
• Games
• Face Painting
(egg hunts will be • Pictures with the Bunny
at 10:30am and • Egg Hunt
11:30am) • Sensory Egg Coloring
Location: This event will be held indoors and
North Riverside outdoors, please dress for the weather.
Recreation Center
Please note: Preregistration is
required, all participants must be
Fee: $3/person accompanied by an adult.
Sensory Sensitive
Treats
with the Bunny
Sunday, April 3, 2022
at the Cheney Mansion
The Park District of Oak Park and West Suburban Special Recreation
Association welcome families with sensory issues to Cheney Mansion for
a visit with the Bunny! Bring your camera for your photo with the Bunny
and fun crafts provided by WSSRA. Representatives will have appropriate
activities available while you wait along with yummy treats! All ages!
Two time slots: 10-11am or 11am-12pm
Fee: $8/Oak Park Resident $11/Non Resident
Register through the Park District of Oak Park at www.pdop.org
WSSRA | 847-455-2100 | WSSRA.net 9
Family Events
Arty Party!
Age: All Ages, Family Event We will be making beautiful mosaics and
getting creative with some pottery!
Friday, April 22 Preregistration is required and participants
must be accompanied by an adult.
6:30-8:00pm Location: Creativita,
Enjoy a family night at 2655 N Harlem Ave, Chicago
Creativita for some art fun!
Fee: $10.00/person
Ninjas Assemble!
Age: All Ages, Family Event Calling all Ninjas!
Bring the whole family out for some
Friday, May 13 ninja challenges and fun.
Preregistration is required and participants
6:00 – 7:30pm must be accompanied by an adult.
Location: Windy City Ninja, 684 W Lake St, Elmhurst
Fee: $15/person
10 WSSRA | 847-455-2100 | WSSRA.netIn-Person Programs: Guidelines & Protocols
The safety of our participants, families and staff is our top priority.
WSSRA will be monitoring state and federal regulations closely and will make adjustments as
guidelines are updated. Visit our website for updated information at WSSRA.NET
WSSRA UPDATED COVID-19 PROCEDURES
STARTING MONDAY, FEBRUARY 28
WSSRA updated Covid-19 procedures starting Monday, February 28 to align with the states transition and
allow mask optional participation in all WSSRA programs. We will encourage masking and social distancing,
however, it will not be required. Please note we will support everyone’s individual comfort and decisions.
WSSRA Transportation: Masks will continue to be required by all while riding the WSSRA vehicles.
WSSRA Participants & Staff: Masks will be optional.
Personal Care: When staff are assisting with personal care they must wear a mask as well as the
participant who is receiving the personal care must wear a mask.
As always safety is always our TOP priority. Thank you for all for your support throughout this pandemic.
We are so grateful to continue to serve you safely.
Regards,
Marianne Birko
WSSRA Executive Director
Safety Protocols
WSSRA has put the following safety protocols in place in order to ensure the safety of participants, staff and family members:
1. Certain programs or facilicities may still require masking. 6. If WSSRA becomes aware that someone has been exposed
WSSRA will inform you in advance when this information is to COVID-19, we will take the appropriate steps as directed
needed. by local health officials.
2. Participants must be dropped off to WSSRA staff at the 7. If a participant becomes sick while at program, a guardian
facility entrance, parents and guardians will not be allowed or emergency contact will be notified and asked to pick up
inside facilities. the participant.
3. Staff will incorporate frequent hand washing breaks.
8. All Participants will be added to programs as staffing is
4. All program spaces and equipment will be cleaned available. This may delay the start of their participation as
between uses. the proper staffing is needed for everyone’s safe keeping.
WSSRA will pro-rate the program fee accordingly.
5. WSSRA will take measures to promote physical distancing
between participants and staff.
WSSRA | 847-455-2100 | WSSRA.net 11In-Person Programs: Guidelines & Protocols
Participant COVID-19 Health Screening
In order to protect the health and safety of participants and staff, all WSSRA
participants and staff must complete a COVID-19 health screening, on their own,
prior to arriving to program each day.
Having symptoms?
Regardless of vaccination status, you should refrain from attending program when you
have signs or symptoms of COVID-19, including:
• Fever or chills
• Cough
• Shortness of breath or difficulty breathing
• Fatigue
• Muscle or body aches
• Headache
• New loss of taste or smell
• Sore throat
• Congestion or runny nose
• Nausea or vomiting, or diarrhea
What to do If You’ve had a known exposure to COVID-19
If a participant has been in close contact with someone who tested positive for
COVID-19, or is currently waiting on the results of a COVID-19 test, please
refrain from going to program and contact Annie Hart for further guidance at
annieh@wssra.net or (847) 455-2100 ext. 230.
If you have any questions or concerns,
please contact Annie Hart at (847) 455-2100 ext. 230.
12 WSSRA | 847-455-2100 | WSSRA.netWS S R A ’ s
WSSRA OFFERS
PRI VATE PLAY SESSIONS! Features of WSSRA’s Imaginarium
Sensory Room include:
We have put safety protocols in place to
• Bubble tube
ensure the safety of participants, staff and
• Illuminated cabin
family members. A list of frequently asked
questions, including safety protocols, will be • Animated Sparkle Wall panel
• The Gesturetek Cube (an interactive floor
sent upon registration.
projection with over 75 special effects)
Participants will get private use of our sensory room for • Essential aromatherapy oils
45 minutes. Sign up for a time slot that is most convenient for • Calming music
you! Schedule your play session at WSSRA.net. • Sensory toys
Age: All Ages, All Abilities & Siblings
Benefits Include:
Location: WSSRA’s Imaginarium Sensory Room in the • Decreased anxiety
George A. Leoni Complex • Fewer disruptive behaviors
800 N 17th Ave, Melrose Park, IL 60160 • Promote mental and physical relaxation
Hours: Appointment times vary. • Increase concentration
Participants must reserve their 45 -minute time slot in advance.
• Enhance learning through play
Fee: $10 per visit • Improve coordination & motor development
For more information contact WSSRA at (847) 455-2100.
WSSRA | 847-455-2100 | WSSRA.net 13Lekotek: Toy Lending Library
What is Lekotek? What does a play session look like?
WSSRA Lekotek Toy Lending Library is a resource center for All play sessions are conducted once a month for one hour
families with children who have special needs. each session. Play sessions are led by our
Our trained Lekotek leaders offer play session for your experienced Lekotek Leaders. Each session children
entire family and will help you choose the toys you think are introduced to a variety of adapted toys making play
your child will most enjoy for the following month. It oper- possible for ALL children. Participants can take home up to
ates very much like a traditional library and eight toys monthly, new toys will be exchanged each visit.
having new toys in your home each month will delight your Siblings, family members, and caregivers are encouraged to
children! participate.
Our Toys Where are play sessions held?
WSSRA’s Toy Lending Library houses over 2000 toys, games Locations vary, play sessions are typically held at a local
and play equipment. Some of our toys are highly specialized library or park district facility.
to meet the needs of children who are non-verbal and love
toys that light up, play music and are easy to operate. Toy Delivery- NEW!
WSSRA is now offering a contactless toy delivery option
Why Play? which includes a virtual assessment and tour of or our Le-
• Play helps build self-esteem and self-confidence kotek Library. Toys will be delivered monthly and our Lekotek
• Play develops fine and gross motor skills Leaders will be available via phone or Zoom to answer any
• Play helps stimulate the mind and boosts creativity questions about the toys. All toys are properly sanitized be-
and problem-solving skills fore and after each use with EPA approved disinfectants.
• Play helps children use their imagination while
developing their cognitive and language skills Schools and Therapists
• Play helps improve social skills by demonstrating Any special education teacher or therapist serving
positive social interactions among the child, children with special needs in our partner communities are
parents and siblings eligible to borrow toys from our Lekotek Library.
Who can participate?
Children ages birth-8 and family members are Registration
welcome to participate. Play sessions are scheduled monthly Registration is ongoing throughout the year.
based on the family’s availability. Participants must be able Call the WSSRA office for more information
to meet participation eligibility guidelines. (847) 455-2100.
14 WSSRA | 847-455-2100 | WSSRA.netELIGIBILITY DAY CAMP REGISTRATION
Day camp registration will open on Monday, March 7.
Anyone who has a documented diagnosis of disability and Registration is taken on a first come, first served basis.
who is 3 years to 22 years (on the first day of camp) and See registration procedures for additional information.
resides within boundaries of the Village of Harwood Heights,
Village of Elmwood Park, Village of North Riverside, Village
of Riverside, Berwyn Park District, Park District of Forest REGISTRATION PROCEDURES
1. Registration will open on March 7 and will be taken on
Park, Park District Franklin Park, Norridge Park District, North
a first come, first served basis.
Berwyn Park District, Park District of Oak Park, River Forest
2. Registration and scholarship forms can be requested via
Park District and Veterans Park District. phone at 847.455.2100 or found online at www.wssra.net
3. All forms must be completed, signed, dated, and returned
to WSSRA to secure a day camp spot.
COVID-19 GUIDELINES 4. Day Camp scholarship award, and your payment
information and schedule will be mailed out upon
WSSRA will be monitoring state and
federal regulations closely and will registration.
make adjustments as guidelines are 5. Anyone Registering after May 27 will not start camp on time.
updated. Detailed camp information
and safety protocols will be sent PAYMENT SCHEDULE
closer to the start of camp. Visit our Upon registration 1/3 of your total payment due
website for updated information at wssra.net.
May 27 Final 2/3 of your total payment due
Payments not made by May 27 will risk losing camp placement
WSSRA UPDATED COVID-19 PROCEDURES
updated February 28, 2022 CANCELLATION POLICY
Cancellations made prior to May 27 will receive a refund
• WSSRA Transportation: Masks will continue to be required less a $25 processing fee. No refunds will be granted for
by all while riding the WSSRA vehicles. cancellations made after May 27. In the event WSSRA must
change plans or cancel camp due to state guidelines, a
• WSSRA Participants & Staff: Masks will be optional. refund will be issued.
Please note: we will support everyone’s individual comfort and
decisions.
• Personal Care: When staff are assisting with personal care
they must wear a mask as well as the participant who is
receiving the personal care must wear a mask.
15CAMP DATES CAMP LOCATIONS
June 13 – July 29, Monday-Friday At this time, the 2022 campsites are not confirmed.
Typically, sites are in Berwyn, Oak Park, Franklin Park,
Session 1: 6/13 – 7/1 (3 weeks) Forest Park, and Northlake.
Session 2: 7/5 – 7/29 (4 weeks) All campers are assigned by WSSRA to a site
No camp on July 4th based upon their age and individual needs.
CAMP TIMES & FEES
Preschool Camp (ages 3-6) (ages 23-40)
Choose one or both sessions:
Session 1 Dates Time Fee Participants will enjoy fun recreational activities and will have
Morning Camp 6/13 – 7/1 9:00-11:45am $139.50 the opportunity to increase social skills and make new friends.
Afternoon Camp 6/13 – 7/1 12:15-3:00pm $139.50 This program also emphasizes independence through money
management and use of public transportation. Participants will
Session 2 Dates Time Fee enjoy community outings and volunteer opportunities as well.
Morning Camp 7/5 – 7/29 9:00-11:45am $176.70
Afternoon Camp 7/5 – 7/29 12:15-3:00pm $176.70 Choose one, two or all three days
Mondays Wednesdays Fridays
6/13 – 7/25* 6/15 – 7/27 6/17 – 7/29
Full-day Camp (ages 7-22) 9:00am-3:00pm 9:00am-3:00pm 9:00am-3:00pm
If your child will attend summer school, you must register for half-day $115.50 $134.75 $134.75
Choose one or both sessions:
Session 1 Dates Time Fee HOME-ONLY TRANSPORTATION
6/13 – 7/1 9:00am-3:00pm $279.00 Mondays Wednesdays Fridays
$49.50* $57.75 $57.75
Session 2 Dates Time Fee *No camp on July 4th
7/5 – 7/29 9:00am-3:00pm $353.40
Half-day Camp (ages 7-22) TRANSPORTATION
Half-day registration will not be adjusted for participants attending summer school Door to door transportation is available for an additional
Choose one or both sessions: fee. Limited spots are available, due to COVID-19 guidelines,
Session 1 Dates Time Fee therefore transportation requests must be made at the time of
6/13 – 7/1 12:15-3:00pm $139.50 camp registration and included on the day camp registration
form. WSSRA will not provide midday transportation for
Session 2 Dates Time Fee summer school students. Transportation will not be provided
7/5 – 7/29 12:15-3:00pm $176.70 for participants who live within 8 blocks of their assigned
campsite unless they have a physical disability. Not all buses
are air-conditioned.
DAY CAMP TRANSPORTATION FEES
Session 1 SCHOLARSHIPS
One-way transportation $123.75 Scholarships may be awarded for a percentage of camp
Round-trip transportation $247.50 and transportation fees. Scholarship applications must
Session 2
be submitted at least one week prior to registering for
One-way transportation $156.75 day camp. You will be notified by mail if you receive a
Round-trip transportation $313.50 scholarship and the amount of assistance granted. Proof
16 of income required.WEST SUBURBAN SPECIAL RECREATION ASSOCIATION
2022 DAY CAMP REGISTRATION FORM
WSSRA Camper T-shirt size (check one) o YS o YM o YL o S o M o L o XL o 2X o 3X
Email: nolyh@wssra.net Fax To: (847)455-2157 Mail To: 2915 Maple Street, Franklin Park, Il 60131
Participant Name:_______________________________________________________________ Date of Birth:________________________________
Disability:__________________________________________________________________________________________________________________
Address: _______________________________________________ City/State:__________________________________ Zip: _________________
Park District/Village: ________________________________ Parent/Guardian Name:_____________________________________________________
Home Phone: _________________________________________________ Cell Phone: ____________________________________________________
Email:
Emergency Contact: ____________________________________________ Emergency Contact Phone: _______________________________________
Present School/Workshop: _______________________________________ Teacher/supervisor name:_________________________________________
Does participant use a wheelchair? o Y o N Specify:______________________________________________________________________________
Is participant subject to seizures? o Y o N IF YES, FILL OUT SEIZURE FORM
Will medication be taken at program? o Y o N List any medications: ________________________________________________________________
Allergies: ___________________________________________________________________________________________________________________
Does participant have a communicable disease? o Y oN If yes, please explain:______________________________________________________
Did you child attend camp last year? o Y o N If yes, where: _______________________________________________________________________
If using WSSRA transportation, is the pick up/drop off location different from above? o Y o N
If yes, address:_______________________________________________________________________________________________________________
Session 1 (6/15 - 7/10) Ages Time Fee Payment Information:
o AM Preschool 3-6 9:00am-11:45am $139.50 * TOTAL PAYMENT ENCLOSED
o PM Preschool 3-6 12:15pm-3:00pm $139.50
* FIRST PAYMENT ENCLOSED
o Half Day 7-22 12:15pm-3:00pm $139.50
o Full Day 7-22 9:00am-3:00pm $279.00 * TOTAL PAYMENT TO FOLLOW (IF FAXED)
o Transport Self Trans $0 * REQUEST SCHOLARSHIP
o WSSRA Round Trip Trans $247.50
o WSSRA Home Only Trans $123.75
o WSSRA to Camp Trans $123.75 * CREDIT CARD * VISA * MASTER CARD
Session 2 (7/13 - 7/31) Ages Time Fee * Total Amount Paid:__________
o AM Preschool 3-6 9:00am-11:45am $176.70
o PM Preschool 3-6 12:15pm-3:00pm $176.70
CARD NUMBER:
o Half Day 7-22 12:15pm-3:00pm $176.70
o Full Day 7-22 9:00am-3:00pm $353.40
o Transport Self Trans $0
o WSSRA Round Trip Trans $313.50 expiration date: _____ / _____
o WSSRA Home Only Trans $156.75
o WSSRA to Camp Trans $156.75 V code:________(located on back - 3 digits)
Community Cruisers Ages Time Fee I have read the waiver release of all claims and hold harmless
(6/17 – 7/26) agreement on the reverse side and unless I have checked no
o Community Cruisers Monday 23-40 9:00am-3:00pm $115.50 under the three authorizations, I approve them.
o Community Cruisers Wednesday 23-40 9:00am-3:00pm $134.75
o Community Cruisers Friday 23-40 9:00am-3:00pm $134.75
o Transport Self Trans $0 _________________________________________
Trans $49.50 parent/participant/guardian signature
o WSSRA Monday Home Only
o WSSRA Wednesday Home Only Trans $57.75
HOLD HARMLESS
o WSSRA Friday Home Only Trans $57.75 ______________________ RELEASE ON
Total Due $ date REVERSE SIDEWest Suburban Special Recreation Association
WAIVER RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT
Please read this form carefully and be aware that in signing up and claims resulting from injuries, damages and losses sustained by anyone, and
participating in West Suburban Special Recreation Association programs, arising out of, connected with, or in any way associated with my conduct and
you will be waiving and releasing all claims for injuries arising out of these the activities of these programs.
programs that you or the named participant might sustain. The terms “I”,
“me” and “my” also refer to parents or guardians as well as participants in the I further understand and agree that the terms such as “participation”, and
programs. In registering for these programs, you are agreeing as follows: “activities”, referred to in this Agreement, include all exercises and physical
movements of any nature while I am participating in these programs and
As a participant in these programs, I recognize and acknowledge that there are further include the provision, of or failure to provide proper instructions or
certain risks of physical injury, and I agree to assume the full risk of any injuries, supervision, the use and adjustment of any and all machinery, equipment,
damages or loss which I may sustain as a result of participating in any manner, and apparatus, and anything related to my use of the services, facilities, or
in any and all activities connected with or associated with such activities and premises, involved in these programs, and transportation to and from events.
involve substantial risks of injury.
I understand the nature of these programs for which I am registering, and have
I agree to waive and relinquish any and all claims I may have as a result of read and fully understand this Waiver, Release and Hold Harmless Agreement.
participating in these programs against the West Suburban Special Recreation I further understand that any advisement or warnings of the particular risks of
Association, any and all participating governmental units, any and all these programs that I subsequently receive will be incorporated by reference
independent contractors, officers, agents, servants and employees of the into and become a part of this Agreement.
governmental bodies and independent contractors, and any and all other
persons and entities of whatever nature that might be directly or indirectly liable In case of emergency, I give my permission for the participant to receive any
for any injuries, that I might sustain while participating in these programs. first aid, transportation or medical attention that may be required.
I do hereby fully release and discharge the West Suburban Special Recreation You may return this waiver and release of all claims by mail or fax. You may
Association and the other released parties from any and all claims for injuries, mail this release to 2915 Maple St., Franklin Park, IL 60131 or send by facsimile
damages or loss, which I may have or which may accrue to me on account of transmission to 847.455.2157. When forwarding by fax, it is mutually understood
my participation in these programs. that the facsimile document shall substitute for and have the same legal effect as
the original form.
I further agree to indemnify, hold harmless and defend, the West Suburban
Special Recreation Association and any and all other parties from any and all
TO COMMUNICATE WITH SCHOOL/ HEALTH CARE PERSONNEL*
I authorize counsellors, teachers, case workers, therapists, or physicians to communicate with WSSRA about the participant’s needs
as they relate to WSSRA’s provision of recreation services to the participant. WSSRA will keep confidential all information obtained
through such communications.
0 YES 0NO
TO DISCLOSE INFORMATION TO WSSRA MEMBER PARTNERS*
WSSRA may disclose to my home park district or municipality information about the participant’s and my involvement in WSSRA programs
or activities, including our names, telephone number, address, program registrations, and the participant’s age and disability, provided that
my home park district or municipality shall not redisclose that information without my express written consent.
0 YES 0NO
DAILY COVID-19 HEALTH SCREENING
This is to acknowledge that in attending program, you or a parent or guardian will complete a daily COVID-19 Health Screening, on
your own, prior to arriving to program each day. Regardless of vaccination status, you will refrain from attending program when you
have signs or symptoms of COVID-19, including fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or
body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea.
0 YES 0NO
*I understand that I can change my decisions regarding the statements above at any time for any reason by delivering a written notice to WSSRA, prohibiting further
disclosure information.
we welcome your input!
We invite you to share with us your program ideas and comments about our services: email us your input at wssra@wssra.net
follow us on /wssra @wssra @w.s.s.r.aQUIEN ES ELEGIBLE? REGISTRO DE CAMPAMENTO
La inscripción al campamento diurno se abrirá el Lunes 7 de
Cualquiera que tenga un diagnóstico documentado de Marzo. La inscripción se realiza por orden de llegada. Consulte los
discapacidad y que tenga 3 años a 22 años (en el primer procedimientos de registro para obtener información adicional.
día de campamento) y reside en estas comunidades: Los
Municipios de Harwood Heights, Riverside, North Riverside y PROCEDIMIENTOS DE INSCRIPCIÓN
Elmwood Park y el Distrito de Parque de Berwyn, Distrito de 1. La inscripción se abrirá el 27 de Marzo y se aceptará por
Parque de Forest Park, Distrito de Parque de Franklin Park, orden de llegada.
Distrito de Parque de Norridge, Distrito de Parque de North 2. El registro y las formas de la beca se pueden solicitar por el
Berwyn, Distrito de Parque de Oak Park, Distrito de Parque teléfono a 847-455-2100 o en la página de internet wssra.net
3. Todas las formas deben ser completas, firmadas, fechadas,
de River Forest y Distrito de Parque de Veterans. y devuelto a la oficina de WSSRA para asegurar un lugar de
campamento.
4. Cartas se enviará con información de la beca, plan de pago, y
DIRECTRICES DE COVID-19 transportación sobre el registro.
WSSRA monitoreará de cerca las regulaciones estatales y 5. Cualquiera que se registre después del 27 de Marzo no
federales y hará ajustes a medida que se actualicen las pautas. comenzará el campamento a tiempo.
La información detallada del campamento y los protocolos de
seguridad se enviarán más cerca del inicio del campamento. HORARIO DE PAGOS
Visite nuestro sitio web para obtener información actualizada Dia de registracion.................. 1/3 de su balance total se debe
en wssra.net. 27 de Marz.................................. 2/3 de su pago final se debe
Pagos no hechos antes de el 27 de Marzo arriesgaran de perder
WSSRA ACTUALIZÓ LOS PROCEDIMIENTOS su lugar en el campamento.
COVID-19 actualizado el 28 de Febrero de 2022 PÓLIZA DE CANCELACIÓN
• Transportacion: Las máscaras continuarán siendo requeridas
Cancelaciones antes de el 27 de Marzorecibirá un reembolso
por todos mientras viajan en los vehículos de WSSRA. menos una tarifa de procesamiento de $ 25. No hay
reembolso después del 27 de Marzo. En caso de que WSSRA
• Participantes y personal de WSSRA: Será opcional la deba cambiar de plan o cancelar el campamento debido a las
máscara. Tenga en cuenta: apoyaremos la comodidad y las pautas estatales, se emitirá un reembolso.
decisiones individuales de todos.
• Cuidado personal: Cuando el personal está ayudando con
el cuidado personal, deben usar una máscara, así como el
participante que recibe el cuidado personal debe usar una
máscara.
19FECHAS SITIOS
13 de Junio – 29 de Julio, Lunes – Viernes En este momento, los Campamentos de 2022 no están
Sesión 1: 6/13 – 7/1 ( 3 semanas) confirmados. Típicamente los sitios se localizan en Berwyn,
Sesión 2: 7/5 – 7/29 (4 semanas) Forest Park, Franklin Park, Oak Park Y Northlake. Todos los
No ay campamento el 4 de Julio. campistas son asignados por WSSRA a un sitio basado en
su edad y necesidades individuales.
HORARIO Y COSTOS
Campamento de Preschool (ages 3-6) (edades 23-40)
Elija una o ambas sesiones
Sesión 1 Dates Time Fee Community Cruisers es un programa para participantes de
Campamento de la Manana 6/13-7/1 9:00-11:45am $139.50 edades 23-40. Los participantes disfrutarán de actividades
Campamento de la Tarde 6/13-7/1 12:15-3:00pm $139.50 recreativas y tendrán la oportunidad de mejorar sus habilidades
sociales y conocer nuevos amigos. Este programa también
Sesión 2 Dates Time Fee enfatiza la independencia a través de la administración del
Campamento de la Manana 7/5-7/29 9:00-11:45am $176.70 dinero y el uso del transporte público. Los participantes podrán
Campamento de la Tarde 7/5-7/29 12:15-3:00pm $176.70 disfrutar de salidas comunitarias y oportunidades para ser
voluntarios.
Elija una, dos o los tres días
Full-day Camp (ages 7-22) Lunes
6/13 – 7/25*
Miércoles
6/15 – 7/27
Viernes
6/17 – 7/29
Si su hijo/a va a asistir a la escuela de verano, debe registrarse por medio
día. Elija una o ambas sesiones: 9:00am-3:00pm 9:00am-3:00pm 9:00am-3:00pm
Sesión 1 Dates Time Fee $115.50 $134.75 $134.75
6/13-7/1 9:00am-3:00pm $279.00
HOME-ONLY TRANSPORTATION
Sesión 2 Dates Time Fee Lunes Miércoles Viernes
7/5-7/29 9:00am-3:00pm $353.40 $49.50* $57.75 $57.75
*No ay campamento el 4 de Julio.
Half-day Camp (ages 7-22)
El registro de medio día no se ajustará para los participantes que asistan a la escuela TRANSPORTACIÓN
de verano. Elija una o ambas sesiones: Transportación de puerta-a-puerta para el campamento es
Session 1 Dates Time Fee disponible. Hay espacios limitados de transportación debido a
6/13-7/1 12:15-3:00pm $139.50 las pautas de covid 19, por lo cual si requiere transporte, debe
inscribirse para la transportación cuando complete su forma de
Session 2 Dates Time Fee inscripción.
7/5-7/29 12:15-3:00pm $176.70 No se le ofrecerá transportación de medio día para estudiantes
que asisten escuela de verano. O si vive dentro de 8 cuadras del
sitio del campamento, a menos que tengan una discapacidad
física. No todos los autobuses tienen aire-acondicionado.
COSTO DE TRANSPORTACIÓN
Sesión 1
Transportación de ida $123.75 BECAS
Transportación de ida y vuelta $247.50 Las becas pueden cubrir un porcentaje del campamento
y gastos de transporte. Las solicitudes de becas deben
Sesión 2 enviarse al menos una semana antes de registrarse para el
Transportación de ida $156.75 campamento. Se le notificará por correo si usted recibirá
Transportación de ida y vuelta $313.50 una beca y la cantidad de ayuda concedida. Comprobante
20 de ingresos necesaria.WEST SUBURBAN SPECIAL RECREATION ASSOCIATION
FORMA DE REGISTRACIÓN DE CAMPAMENTO DE VERANO 2022
WSSRA MEDIDA DE CAMISETA DEL CAMPISTA o YS o YM o YL o S o M o L o XL o 2X o 3X
Email: nolyh@wssra.net Fax To: (847)455-2157 ENVíE A: 2915 Maple Street, Franklin Park, Il 60131
Nombre de participante:____________________________________________________ Fecha de nacimiento del participante:________________
Discapacidad: ____________________________________________________________________________________________________________
Dirección:__________________________________________________ Ciudad/Estado: ____________________ Código postal:______________
Teléfono de casa:____________________________________ Distrito de parque/Municipalidad: _______________________________________
Padre/guarda legal: ___________________________________________________________ Teléfono Celular:_____________________________
Correo electrónico:
¿Contacto de Emergencia? Nombre: ____________________________________________ Teléfono:_____________________________________
Escuela: _____________________________________________________ Nombre del maestro/a:________________________________________
o Si o No, Especifica: _____________________________________________________________
¿Usa el participante silla de ruedas/andador?
¿Es el participante sujeto a ataques? o Si o No, Si tiene, Por favor de llenar plan de tratamiento para ataques
¿Se toma el medicamento durante el programa? o Si o No , Liste el medicamento:_______________________________________________
Liste sus alergias:_________________________________________________________________________________________________________
¿Tiene el participante una enfermedad comunicable? o Si o o No Si tiene, por favor explique: _____________________________________
Asistió su hijo el campamento el año pasado? o Si o o No, Dónde:____________________________________________________________
Si usa transporte de WSSRA, se recoge en la dirección de arriba? o Si o o No,
dirección diferente: _______________________________________________________________________________________________________
Sesión 1 (6/15 – 7/10) Edad Tiempo Costo Información De Pago:
o AM (mañana) Preescolar 3-6 9:00am-11:45am $139.50 * PRIMER PAGO ADJUNTO
o PM (tarde) Preescolar 3-6 12:15pm-3:00pm $139.50 * PAGO TOTAL ADJUNTO
o Medio Día 7-22 12:15pm-3:00pm $139.50
7-22 9:00am-3:00pm $279.00 * PAGO TOTAL SERÁ ENVIADO (SI SE MANDA POR FAX)
o Día Completo
o Transportación Propia Trans $0 * SOLICITA BECA
o WSSRA Ida y Vuelta Trans $247.50
o WSSRA A La Casa Solamente Trans $123.75
* TARJETA DE CRÉDITO: * VISA * MASTER CARD
o WSSRA Al Campamento Trans $123.75
Sesión 2 (7/13 – 7/31) Edad Tiempo Fee * PAGO TOTAL:__________
o AM (mañana) Preescolar 3-6 9:00am-11:45am $176.70
o PM (tarde) Preescolar 3-6 12:15pm-3:00pm $176.70 NUMERO DE TARJETA:
o Medio Día 7-22 12:15pm-3:00pm $176.70
o Día Completo 7-22 9:00am-3:00pm $353.40
o Transportación Propia Trans $0
Trans $313.50 Fecha de caducidad: _____ / _____
o WSSRA Ida y Vuelta
o WSSRA A La Casa Solamente Trans $156.75
o WSSRA Al Campamento Trans $156.75 V code:________(3 números en la parte posterior de la tarjeta)
Community Cruisers Edad Tiempo Costo He leído la Liberación de Renuncia Voluntaria de Todas las
(6/15 – 7/31) Reclamaciones y Sostengo el Acuerdo Inocuo en el revés y a
o Community Cruisers Lunes 23-40 9:00am-3:00pm $115.50 menos que yo no haya comprobado bajo las tres autorizaciones,
o Community Cruisers Miércoles 23-40 9:00am-3:00pm $134.75 los apruebo.
o Community Cruisers Viernes 23-40 9:00am-3:00pm $134.75
o Transportacion Propia Trans $0 _________________________________________
o WSSRA Lunes a la casa solamente Trans $49.50 Padre/Participante/Tutor Firma
o WSSRA Miercoles a la casa solamente Trans $57.75 ACUERDO
o WSSRA Viernes a la casa solamente Trans $57.75 INOCUO AL
______________________ LADO REVERSO
Total Due $
FechaWest Suburban Special Recreation Association
EXENCION DE TODAS LAS RECLAMACIONES Y ACUERDO
DE MANTENER INDEMNE
Lea por favor esta forma con cuidado y esté enterado que en si firma y participa en Concuerdo aún más indemnizar, tener inocuo y defender, a la Asociación West
el programa de la Asociación West Suburban de Recreación Especial, usted estará Suburban de Recreación Especial y cualquier y todos los otros partidos de cualquier
liberando y renunciando de todo reclamo de por heridas que surgieran de estos y todo reclamo que resulte en heridas, daños y pérdidas sostenidas por cualquiera,
programas que usted o el participante denominado quizás sostenga. Los términos y surgiendo fuera de, conectado con, o en cualquier manera asociada con mi
“yo”, “mí” y “mío” también se refieren a padres o tutores así como participantes en conducto y las actividades de estos programas.
los programas. Al registrar para estos programas, usted concuerda de la siguiente
manera: Comprendo aún más y concuerdo que los términos como “participación”, y
las “actividades”, se refirieron a en este Acuerdo, incluye todos ejercicios y los
Como participante en estos programas, yo reconozco que hay ciertos riesgos movimientos físicos de cualquier naturaleza mientras tomo parte en estos
de heridas físicas, y yo concuerdo en asumir el riesgo total de cualquier herida, programas e incluye aún más la provisión, de o fracaso para proporcionar las
daños o pérdida que pueda sostener a consecuencia de tomar parte de cualquier instrucciones o la supervisión apropiadas, el uso y el ajuste de cualquier y toda
manera, en cualquier y todas las actividades conectadas con o asociado de tales maquinaria,
actividades que implique riesgos substanciales de alguna herida. equipo, y aparato, y algo relacionado con mi uso de los servicios, las facilidades, o
Implicado en estos programas, y en el transporte a y de acontecimientos.
Concuerdo en renunciar y abandonar cualquier y todo reclamo que pueda
tener a consecuencia de tomar parte en estos programas contra la Asociación Comprendo la naturaleza de estos programas para el cual me inscrito, y he leído
West Suburban de Recreación Especial, cualquier y toda unidad gubernamental y comprendo completamente esta Renuncia, Liberación y Acuerdo Inocuo.
participante, cualquier y todos los contratistas independientes, oficiales, Comprendo aún más que cualquier deliberación o advertencias de los riesgos
agentes, sirvientes, empleados de los cuerpos gubernamentales y contratistas particulares de estos programas que recibo subsiguientemente serán integradas
independientes, y cualquier y todas las otras personas y entidades de cualquier por la referencia en y llegan a ser una parte de este Acuerdo.
naturaleza que quizás sea directamente o indirectamente responsable de
cualquier herida que yo quizás sostenga al tomar parte en estos programas. En caso de emergencia, yo doy mi permiso para que el participante reciba
primeros auxilios, transporte o atención médica que pueda ser requerida.
Yo por la presente renuncio y completamente y libero a la Asociación West
Suburban de Recreación Especial y libero a otros partidarios de cualquier y todo
reclamo por heridas, daños o pérdida, que puedan incurrirme por motivo de mi
participación en estos programas.
PARA COMUNICARSE CON LOS TRABAJADORES DE ESCUELA/DOCTOR
Yo autorizo a los maestras, trabajadores sociales, terapistas o doctores a comunicarse con WSSRA acerca de las necesidades del
participante en relación a los programas de WSSRA. WSSRA guardara toda la información confidencial que recibimos.
o Si o No
PARA COMUNICARSE CON LOS ACOMPANIEROS/MIEMBROS DE WSSRA
Yo autorizo que WSSRA les puede dar información acerca del participante y su participación en programas y actividades a mi distrito
de parque o municipalidad de mi ciudad, incluyendo nombre, dirección, numero de teléfono edad. discapacidad o registraciones, si no los
revelar de nuevo sin mi firma de concento.
o Si o No
*Yo entiendo que puedo cambiar a las declaraciones encima en cualquier momento entregando un aviso escrito a la oficina de WSSRA,
para prohibir revelación adicional del información.
UN EXAMEN DE SALUD DIARIO DE COVID-19
Esto es para reconocer que al asistir al programa, usted o un padre o tutor completará un examen de salud diario de COVID-19, por su
cuenta, antes de llegar al programa cada día. Independientemente del estado de vacunación, se abstendrá de asistir al programa cuando
tenga síntomas de COVID-19, incluyendo fiebre o escalofríos, tos, dificultad para respirar, fatiga, dolores musculares o corporales,
dolor de cabeza, nueva pérdida del gusto u olfato, dolor de garganta, congestión o secreción nasal, náuseas o vómitos, o diarrea.
o Si o No
envíenos un correo electrónico con su opinión a wssra@wssra.net
follow us on /wssra @wssra @w.s.s.r.aYou can also read
