C-U Special Recreation Winter/Spring 2011

8/8/2019 C-U Special Recreation Winter/Spring 2011

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Whats Inside...

Youth & Teen Programs.............3Adult Programs..........................6Special Events.........................12Trips.........................................14Athletics...................................15Special Olympics.....................15Registration Form....................19Waiver and Release................20Special Olympic Application....21CUSR Information...................23

CUSR StaffDawn Schaefer, MS, CTRS - Director

H h Sh t MA CTRS Athl ti C di t

Program Locations

ChampaignCUSR OfceHays Recreation Center Eisner Park1311 W. Church St. 217-239-1152

Arrowhead Lanes1401 N. McKinley 217-352-5288

Jupiters at the Crossing

2511 Village Green Pl. 217-366-8300Leonhard Recreation Center2212 W. Sangamon Dr. 217-398-2571

Mettler Athletics2906 Crossing Ct. 217-356-6543

Springer Cultural Center

301 N. Randolph 217-398-2376Spalding Recreation Center910 N. Harris 217-398-2577

Stratton Elementary School902 Randolph 217-373-7330

University of Illinois Armory

505 E. Armory 217-333-3418

Western Bowl917 Francis Dr. 217-359-1678

UrbanaAmbucs Park1100 E. University

Brookens Gymnasium1776 E. Washington 217-344-9583

Anita Purves Nature Center1505 N. Broadway 217-384-4062

Phillips Recreation Center


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Urbana After-School ProgramAges 4-22

Come join your friends at our great new locationin Urbana for after-school fun. In this amazingatmosphere we will laugh, play, learn new skillsand build on current ones. Activities include games,sports, cooking, eld trips and arts & crafts.

GOALS: To improve verbal and social skills, buildnew friendships and gain self-condence and

independence.

Date Time Program IDJan 2011-June 2011* 2:30-5:30pm 232103-A1

Day: Monday-FridayLocation: Thomas Paine Elementary SchoolFee (R/NR): $180/$270 monthlyMin/Max: 8/15

Deadline: One week prior to the month starting*No program March 21-25, 2011 and other dates setby the school district.

Champaign After-School ProgramAges 4-22

Come join your friends in this safe and fun after-school program. We will offer an amazing atmospherewhere we will laugh, play, and learn new skills.Activities include games & sports, arts & crafts,cooking, and eld trips.

GOALS: To improve verbal and social skills, buildnew friendships and gain self-condence andindependence.

Date Time Program IDJan 2011-June2011* 2:30-5:30pm 232104-A1

Day: Monday-FridayLocation: Spalding Recreation CenterFee (R/NR): $180/$270 monthly

All residents of Champaign-Urbana areimportant to us! If you are new to the area,

Champaign-Urbana Special Recreation invitesyou to come in and nd out what we have goingon for you and other members of your family.Throughout the year, we provide a large varietyof social, recreational, cultural and sportsactivities for all ages and abilities. To learn moreabout what we have to offer, give us a call at217-239-1152. We will be happy to explain anyprogram or service that is of interest to you. As

a potential program participant, we would like tomeet with you and your family!

Welcome

RegistrationA CUSR registration form must be used.You may register for CUSR programs at theselocations:

Hays Recreation Center

1311 West Church St, ChampaignBresnan Meeting Center706 Kenwood Road, Champaign

Douglass Community Center512 E. Grove St, Champaign

Springer Cultural Center301 N. Randolph, Champaign

Phillips Recreation Center505 West Stoughton, Urbana

Or register online at www.cuspecialrecreation.com*Please note: Online registration is not live, sodoes not guarantee entry into program

Full payment must be received upon registrationunless specic arrangements have been madewith the CUSR ofce. Registrations will not

be processed if a fee balance remains from aprevious season. Registrations are accepted inperson at the CUSR ofce, through mail, and byfax (217-373-7951). When faxing, please includecredit card information so we may process theregistration. Coordinators and program leadersMAY NOT receive payment or registration forms


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Youth & TeensFun Club

Ages 7-12During Fun Club participants will play activesports and games. Activities are planned toengage participants in physical activity and utilizetheir energy in a productive way. We will alsointeract with our peers while winding down fromour physical activity. We will explore variousactivities, arts, crafts, and cooking.

GOALS: Increase attention to activity and abilityto follow direction, increase physical activity andfitness, increase participation in new leisureactivities, increase self confidence and ability toexpress creativity through projects.

Date Time Program IDJan 8 10am-12pm 422401-A1

Feb 5 10am-12pm 422401-A2March 5 10am-12pm 422401-A3April 2 10am-12pm 422401-A4

Day: SaturdayLocation: Hays Recreation CenterFee (R/NR): $26/$39Min/Max: 6/15Deadline: 1 week prior to program

Snack AttackAges 7-18

Dont miss out on this edible adventure! Join us as wework together to create some fun and yummy snacks.We will learn kitchen safety, the basics of measuring,

and kitchen etiquette all while having fun!Fee includes all dates of programs.

GOALS: To learn the basics of cooking, to learnkitchen safety, to create a recipe book of easy snacksto make, to increase social interaction with peers.

Date Time Program IDJan 3, 31; Feb 14, 28; 6:30-7:30pm 432606-A1

March 14, 28; April 11, 25Day: MondayLocation: Hays Recreation CenterFee (R/NR): $48/$72Min/Max: 4/10Deadline: 1 week prior to program

New!

New!

Arcade and GolfAges 16+

Enjoy miniature golf and arcade games with yourfriends at Arrowhead Lanes. We will pay the costof golf, bring money for extras.

GOALS: Enhance socialization with peers,increase money management skills.

Date Program ID Transportation IDJan 27 442506-A1 442506-T1March 24 442506-A2 442506-T2


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Youth & Teens

Spring Break CampAges 7-18

Searching for something fun to do over your Springbreak? Join us for days lled with activities, games,arts, crafts, cooking and a fabulous eld trip. Pleasebring a lunch everyday.

GOALS: To explore more leisure based activities, toimprove creativity through projects, to improve socialinteraction with peers, to promote independence.

New!

Computers 101Ages 16+Microsoft Word, Access, Excel, emaildoes thisall sound confusing to you but you would like tolearn more? If it does, come on over and learnhow its done. Please register for one session perdate. New learners take priority in registration.

GOALS: Enhance fine motor skills and increasecomputer knowledge.

Date Program ID Sess 1 Sess 2 SessJan 10 432607 A1 A2 A3Feb 14 432607 A4 A5 A6March 14 432607 A7 A8 A9April 11 432607 B1 B2 B3

Day: MondayTime: Session 1: 4-4:30pm

Session 2: 4:30-5pmSession 3: 5-5:30pm

Location: Hays Recreation CenterFee (R/NR): $6/$9Min/Max: 1/3Deadline: 1 week prior to program

Fun ClubAges 13-18

During Fun Club participants will play activesports and games. Activities are planned toengage participants in physical activity and utilizetheir energy in a productive way. We will alsointeract with our peers while exploring variousactivities, arts, crafts, and cooking.

GOALS: Increase attention to activity and ability

to follow direction, increase physical activity andfitness, increase participation in new leisureactivities, increase self confidence and ability toexpress creativity through projects.

Date Time Program IDJan 22 10am-12pm 432604-A1Feb 19 10am-12pm 432604-A2March 19 10am-12pm 432604-A3

April 16 10am-12pm 432604-A4

Day: SaturdayLocation: Hays Recreation CenterFee (R/NR): $26/$39Min/Max: 6/15Deadline: 1 week prior to program

New!

New!


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Anita Purves Nature CenterAges 7-12

Join us as one of the Nature Center Specialists

talks to us about animals. We will go on ascavenger hunt for animal tracks and have handson experience with the Nature Centers residentanimals.

GOALS: To gain knowledge about local animals,learn about the great outdoors and increase

Youth & TeenSpecial EventsCirque EloizeAges 13-18

Come enjoy the dancer-athletes of Cirque Eloizeas they combine comic book vividness, sciencefiction possibility, elastic bodies, and fearlessinnovation in a super-real vision of an urbanworld! Plunging leaps from building to building,

hip-hop trampoline twists, vertical dance battlesto techno pop music, and gravity thwartingacrobatics are just some of the things featured inthis production. Loud music and possible flashinglights will occur.

GOALS: To increase knowledge of the performingarts, to increase independence, to work onsocial etiquette, exposure to cultural arts in thecommunity within a theater setting.

Date Time Program IDMarch 15 7-9:15pm 432901-A1

Day: TuesdayLocation: Krannert Center for the Performing ArtsFee (R/NR): $34/$51Min/Max: 6/8

Deadline: February 18Transportation: Drop off at Hays at 6:15pm; Pickup at Hays at 9:30pm

New!

New!

Skateland Party

Ages 7-12

Spend a winter afternoon at the skating rink inSavoy with CUSR. Siblings ages 7-12, withoutdisabilities are welcome to register for thisprogram as well. Wheelchairs welcome!

GOALS: Increase gross motor coordination andbalance, and improve peer interaction.

Date Time Program IDFeb 6 1:30-3:30pm 442524-A1

Day: SundayLocation: SkatelandFee (R/NR): $16/$24Min/Max: 12/20Deadline: January 28No Transportation

Music and MovementAges 5-12

Experience the joy of moving to dynamic livemusic. Creative dance professional Kate Kuperand percussionist Rocky Maffit will lead participantsthrough expressive rhythm, rhyme, song andmovement activities guaranteed to put a smile on yourface!

GOALS: Demonstrate rhythms, follow directions,increase ability to express creativity throughmovement.

Date Time Program IDMarch 12 1-2pm 422201-A1Day: SaturdayLocation: Hays Recreation Center

New!

New!


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Bake the Night AwayAges 18+

Join your other CUSR friends to bake the nightaway. CUSR will come up with the recipes andbuy the ingredients. You will help prepare and eatall of the wonderful food that we bake together.

GOALS: Increase baking skills, socialization skills,and dining etiquette.

Date Program ID Transportation IDJan 4 442512-A1 442512-T1

Feb 1 442512-A2 442512-T2March 1 442512-A3 442512-T3April 5 442512-A4 442512-T4

Day: TuesdayTime: 6:30-8:30pmLocation: Hays Recreation Center

Movie NightAges 18+

We will be choosing movies to watch at the HaysCenter, or feel free to bring your own movies fromhome. Come spend an evening with your friends.Snacks are on CUSR.

GOALS: Enhance socialization with peers, moneymanaging skills.


Feb 4 442508-A2 442508-T2March 4 442508-A3 442508-T3April 1 442508-A4 442508-T4

Day: FridayTime: 6:30-9pmLocation: Hays Recreation Center

Adults


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10/27

Diners Club

Ages 18+

Join us as we go out in the community to differentrestaurants for dinner. CUSR will be picking upyour dinner tab! You will socialize with your friendsand enjoy a GREAT dinner.

GOALS: Enhance socialization with peers,increase money management skills, and dining

etiquette.

Date Restaurant Program ID TransportationJan 13 Old Chicago 442503-A1 442503-T1Feb 10 El Toro 442503-A2 442503-A2March 10 Ko-Fusion 442503-A3 442503-A3April 14 OCharleys 442503-A4 442503-A4

Day: Thursday

Time: 6-7:30pmLocation: Meet at restaurantFee (R/NR): $100/$150 for all four venues

$41/$61.50 for each individual venueMin/Max: 4/12Deadline: 1 week prior to programDoor to Door Transportation Fee: $10

Adults

Dancing in DecaturAges 21+

CUSR will be heading out to enjoy an evening ofdance at the Knights of Columbus in Decatur, Illinois.Decatur SRA will be providing a light snack at thedance.

GOALS: Enhance socialization with peers, meet newpeople.

Date Program ID Transportation IDJan 5 443002-A1 443002-T1Feb 2 443002-A2 443002-T2


11/27

AdultsDinner and

Cosmic BowlingAges 18+

We will be going out for dinner at a localrestaurant of the groups choice and then headingto Arrowhead Lanes for Cosmic Bowling. CUSRwill pay for your dinner and bowling. NOTE:*STROBE LIGHTS MAY CAUSE SEIZURE

ACTIVITYGOALS: Improve gross motor coordination, turntaking, and socialization with peers.


Day: Saturday

Time: 7-11pmLocation: Meet at Hays Recreation CenterFee (R/NR): $38/$57 per sessionMin/Max: 4/12Deadline: 1 week prior to programDoor to Door Transportation Fee: $10

Health and Wellness

Ages 18+

During Health and Wellness we will be learningways to make healthy life style choices that willreflect our mind and body. We will learn about stressmanagement, the food pyramid, and how to makehealthy snacks. We will also be going for walks andvisiting a gym. Fee includes all 8 dates.

GOALS: Demonstrate ability to plan a healthy diet,reduce stress, and make healthy life choices.

Date Time Program IDJan 6,20; Feb 3,17; 4:30-5:30pm 442806-A1March 3,17; April 7, 21

Day: ThursdayLocation: Hays Recreation Center

Fee (R/NR): $23/$34.50Min/Max: 6/12Deadline: 1 week prior to programTransportation ID: 442806-T1Door to Door Transportation Fee: $10

New!

BilliardsAges 18+

Come join us play some pool, hang out withfriends, enjoy the arcade games and win someprizes. One game of pool is included in the price.Please bring money for snacks or arcade games.

GOALS: Increase money management skills,enhance social skills with peers and communitymembers.

Date Program ID Transportation IDJan 18 442507-A1 442507-T1F b 15 442507 A2 442507 T2


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Arcade and GolfAges 16+

Enjoy miniature golf and arcade games with yourfriends at Arrowhead Lanes. We will pay the cost ofgolf, bring money for extras.

GOALS: Enhance socialization with peers, increasemoney management skills.


March 24 442506-A2 442506-T2

Day: ThursdayTime: 6:30-8pmLocation: Meet at Hays Recreation CenterFee (R/NR): $17/$25.50Min/Max: 4/12Deadline: 1 week prior to program

Door to Door Transportation Fee: $10

Hays HangoutAges 18+

Join us as we hangout at the Hays Center for a nightof cards, Wii, board games and more. Snacks areincluded.

GOALS:Enhance socialization with peers and turn-taking skills.

Date Program ID Transportation IDMarch 7 442532-A1 442532-T1April 4 442532-A2 442532-T2

Day: MondayTime: 6:30-8pmLocation: Hays Recreation CenterFee (R/NR): $6/$9Min/Max: 4/25D dli 1 k i t

Karaoke and DancingAges 18+

CUSR will bust out the karaoke machine forthe evening. Come socialize and sing with yourfriends. Lots of music to choose fromits sure tobe a good time. Snacks will be provided.

GOALS: Increase social skills and turn-takingskills.


Day: FridayTime: 6:30-8pmLocation: Hays Recreation CenterFee (R/NR): $6/$9Min/Max: 4/25

Deadline: 1 week prior to programDoor to Door Transportation Fee: $10

Cookin CrewAges 18+

Join us as we prepare recipes from across theworld. We will have themed dinners where we canlearn about different cultures and how they preparetheir meals. Themes will include Italian, Mexican,and German.

GOALS: Demonstrate ability to plan and preparea well balanced meal, develop appropriate diningetiquette, and improve cooking skills.

Date Day Program ID TransportationJan 26 Wed 442502-A1 442502-T1Feb 23 Wed 442502-A2 442502-T2March 22 Tues 442502-A3 442502-T3April 26 Tues 442502-A4 442502-T4

Adults


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Chili and Bingo Night

in DecaturAges 18+Join us as we travel to Decatur to play BINGO and eatsome delicious chili. There will also be BINGO prizes!

Date Program ID Transportation ID

Ladies Day with Mary KayAges 18+

Enjoy a day with the girls as we pamper ourselveswith Mary Kay make-up. We will have a Mary Kay

consultant come in and demonstrate differenttechniques for make-up application.

Date Program ID Transportation IDFeb 12 442505-A1 442505-T1

Day: SaturdayTime: 12-2pmLocation: Hays Recreation Center

Fee (R/NR): $11/$16.50Min/Max: 4/12Deadline: 1 week prior to programDoor to door transportation Fee: $10

New!

FebruarySpecial EventsSOARs Valentines Day

DanceAges 21+

Come join us as we head over to Bloomington forSOARs Valentines Day Dance. Be sure to wear

your pink and red for this special celebration.Snacks will be provided.

GOALS: Enhance socialization with peers, meetnew people.

Date Program ID Transportation IDFeb 11 443004-A1 443004-T1

Day: FridayTime: 5:30-9:30pmLocation: Meet at Hays Recreation CenterFee (R/NR): $17/$25.50Min/Max: 6/24Deadline: 1 week prior to programDoor to Door Transportation Fee: $10

Once Upon a MattressAges 21+

Once Upon a Mattress is the play we will beseeing at Parkland College Theatre. Come outand enjoy a night with your friends as we watch a

hilariously nutty retelling of the beloved fairy taleThe Princess and the Pea.

GOALS: Enhance socialization with peers,increase cultural experience

Date Program ID Transportation ID

New!

New!

New!


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MarchSpecial Events

GordyvilleAges 18+

Join CUSR as we head over to Gordyville, nearRantoul, Illinois. We will stop to eat dinner that CUSRwill pay for and then off to shop. Please bring moneyfor your purchases at the ea market.

GOALS: Enhance socialization with peers, increasemoney management skills.

Date Time Program IDMarch 11 4:30-9:30pm 443016-A1

D F id

Guys NightAges 18+

ATTENTION GUYS! Have you been looking for anight where you can all get together? Well the timehas come! We will be heading to Bloomington with a

U of I fraternity for a Bloomington Prairie Thunder IceHockey game. Please dress appropriately as it will becold inside. Ticket price included. Bring extra money ifyou would like snacks.

Date Program ID Transportation IDMarch 6 443001-A1 443001-T1

Day: Sunday

Time: 1:30-7pmLocation: Meet at Hays Recreation CenterFee (R/NR): $36/$54Min/Max: 6/12Deadline: 2 weeks prior to programDoor to Door Transportation fee: $10

New!

Race DayAges 16+

ATTENTION RACE FANS! Would you like toget the chance to see and hear a real race car?Come on out to the Hays Center and meet Joeand Tony Brutti. Get a chance to sit in the race

car and ask all the questions you like. The car is astock car sponsored by McDonalds.

Date Time Program IDApril 22 6-7pm 432902-A1

Day: FridayTime: 6-7pmLocation: Hays Recreation Center

Fee (R/NR): $6/$9Min/Max: 4/25Deadline: 1 week prior to program

New!

AprilSpecial Events


16/27

A Weekend in Iowa CityAges 21+

Hawkeyes here we come! We will travel to Iowa Cityfor a Hawkeye baseball game and also shop forsome Hawkeye sports apparel. The Hawkeyes will beplaying Michigan State! Cost of all meals, hotel, andadmissions is included. Bring money for extras.

GOALS: Enhance money management skills and

socialization with peers.

Date Program ID Transportation IDApril 2-3 442902-A1 442902-T1

Day: Saturday-SundayTime: 7:30am-4pmLocation: Meet at Hays Recreation CenterFee (R/NR): $200/$300Min/Max: 4/12Deadline: 3 weeks prior to program

Trips

Las VegasAges 25+

Enjoy 3 nights and 4 days seeing the bright lightsof Vegas. We will attend The Tournament ofKings Dinner and Show, Hoover Dam, shop, visitrestaurants, and gamble. Cost for all meals, tickets,and hotel, and airfare is included. Bring money forextras. (Must put down security deposit by July 1st:payment of $685.00.)

GOALS: Enhance socialization with peers, increase

money management skills.

Date Program ID Transportation IDOct 3-6, 2011 442903-A1 442903-T1

Day: Monday-ThursdayLocation: Meet at Hays Recreation Center

Conklins Barn TheaterAges 21+

Run for Your Wife is the play we will be headingto see in Goodfield, Illinois. There you will enjoy awonderful buffet dinner followed by the play. Costof meal and play included.

GOALS: Enhance socialization with peers,

cultural experience.

Date Program ID Transportation IDApril 28 443010-A1 443010-T1

Day: ThursdayTime: 4:30-11:30pm

Spring FormalAges 18+

Dance the night away at CUSRs Spring Formal.It will be a Vegas Night theme, so come dressedup in your favorite flashy formal clothes. We willbe having a dj, snacks, and plenty of dancingto last the whole night. Our friends from SOAR,HISRA, IRVSRA, RVSRA are all joining us.

GOALS: Enhance socialization with peers. Meetnew people.

Date Program ID Transportation IDApril 9 422504-A1 422504-T1

Day: Saturday

Time: 7-9:30pmLocation: Phillips Recreation CenterFee (R/NR): $16/$24Min/Max: 4/25Deadline: 1 week prior to programDoor to Door Transportation fee: $10

AprilSpecial Events


17/27

Mustang BocceAges 8+

Bocce is a sport similar to bowling but played in

the grass. This is a great activity for people of allability levels and can be played as an individual,2 person team, or 4 person team. Participantswill get the opportunity to compete at the SpecialOlympics Illinois District Competition in April.

GOALS: Become familiar with the rules of bocce

Athletics

Important DatesSpecial Olympics

January 23: Mens District Team BasketballMarch 12-13: State Basketball, Bloomington-

Normal

April 2: Power Lifting Qualifier, Decatur

April 3: District Swimming, Urbana(tentative)

April 23: Bocce Districts, Champaign

April 30 or May 7: District Track & Field Meet

Criteria for ParticipationAll Special Olympics athletes must have a current,completed Application for Participation in IllinoisSpecial Olympics form on file with the AthleticsCoordinator at CUSR. This form has four sections:

1. Athlete Information

2. Parent / Guardian Authorization & MedicalAuthorization

3. Health Insurance and Emergency Information

CUSR Special Olympics

Sports Banquet

CUSRs annual Sports Banquet will be held inmid-April. There will be some new and exciting

changes to this years sport banquet! The first willbe mailed invitations sent to your home. Watchthe mail for yours!

Special Olympics Illinois provides year around sportstraining in a variety of Olympic-type sports for youth,teens and adults with intellectual disabilities who are8 years of age or older. CUSR supports the missionof Special Olympics Illinois through participation in thefollowing sports:

* Volleyball

* Basketball

* Basketball Skills

* Aquatics* Power Lifting

* Bocce

* Track & Field

* Softball

* Bowling

Special Olympics


18/27

Mustang Track & FieldAges 8+

There is something for everyone at Track & Field.You can train for eld events, running or walkingevents, sprints or long distance, motorized ornon-motorized wheelchair races and eld events.Athletes have the opportunity to compete at thedistrict Special Olympics Illinois Track & FieldMeet in May. Please wear appropriate athleticclothing to practice athletic shorts or sweats,

tennis shoes, etc. Jeans and sandals of any kindare not allowed at practice.

GOALS: Increase gross motor coordination,improve athletic abilities, and improvecommunication and listening skills.

Date Time Program IDMarch 2-May 4* 6-7pm 472802-A1

* No program March 24Day: WednesdayLocation: U of I ArmoryFee (R/NR): $41/$61.50Min/Max: 6/25Transportation ID: 472802-T1Door to Door Transportation Fee: $90

Mustang AquaticsAges 8+

Make your Mustang way into the water andjoin us for swim practice. Athletes will have the

opportunity to compete at the Special OlympicsArea 8 Time Trials meet and the Special OlympicsDistrict meet.

You must be able to swim the length of the poolunassisted to register for this program. One pieceswim suits are required for female swimmers.Swim trunks or jammers are required for maleswimmers.

GOALS: Increase cardiovascular fitness and grossmotor coordination, improve goal setting abilities,and improve swimming stroke.

Date Time Program IDJan 30-April 3* 7-8pm 472804-A1

Athletics

Mustang Power LiftingAges 16+

Bench this! Come work out with Mack and hellget you into shape. Training takes place twicea week in preparation for the Special OlympicsMeet in April.

GOALS: Improve overall strength and gross motor

coordination, learn and practice weight roomsafety and etiquette, improve goal setting abilities.

Date Day Time Program IDJan 13-April 3 Thurs 7:30-8:30pm 442801-A1

Sun 6-7pmLocation: Mettler AthleticMin/Max: 4/10Fee (R/NR): $41/$61.50No Transportation


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Teen PinsAges 13-21

Bring your friends to the bowling alley for some fun.Learn how to bowl while socializing with your friendsand meeting new ones. Participants will be assignedto lanes and can bowl up to two games. Note:Participants arriving late will bowl 2 games or as longas time allows.

GOALS: Improve ability to interact with others,

improve bowling skills, and increase gross motorcoordination.

Date Day Time Program IDJan 10-April 11* Mon 4-5pm 432610-A1Jan 12-April 13 Wed 4-5pm 432610-A2*No program Jan. 17

Location: Western BowlFee (R/NR): $71/$106.50

Min/Max: 3/20Transportation ID: 432610-T1; 432610-T2Home Only Transportation Fee: $65

Strikes and Spares

Ages 21+

Bring your friends to the bowling alley for somefun. Perfect your skills while socializing with yourfriends and meeting new ones. Participants willbe assigned to lanes and can bowl up to twogames. Note: Participants arriving late will bowl 2games or as long as time allows.

GOALS: Improve social skills and ability tointeract with others, learn and practice bowlingetiquette, and increase gross motor coordination.

Date Day Time Program IDJan 10-April 11* Mon 4-5pm 472803-A1Jan 12-April 13 Wed 4-5pm 472803-A2*No program Jan 17

Location: Western BowlFee (R/NR): $71/$106.50Min/Max: 4/32Transportation ID: 472803-T1; 472803-T2Home Only Transportation Fee: $65

Athletics

Wheelchair Athletics

Open GymAges 8+

Come to wheelchair athletics open gym onThursdays to shoot hoops, practice skills or learn

new ones. For Champaign-Urbana residents thecost is $2 at the door.

GOALS: Develop athletic ability, encourage variousathletic interests and improve peer interaction.

Date Time Program ID

C-U Kiwanis Tom Jones

Challenger Little LeagueAges: 6-21The Challenger League is a cooperative programbetween the C-U Kiwanis Club and CUSR.Challenger baseball gives the opportunity forplayers with physical and/or intellectual disabilitiesto play the game of basketball. Uniforms, capsand equipment are provided for the games.Players either hit from a tee or swing at a pitchedball and are assisted by coaches, volunteers, andbuddies.

Date Time Program IDMay & June TBA 132801-A1


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Swim Lessons in UrbanaAges 5+

Learn to swim with lessons from UPD instructors andhelp from CUSR staff! This program is for beginningswimmers of any age! Swimmers skill levels will beassessed during the rst lesson and swimmers will beplaced in small groups according to skill and age.

* If you are too skilled for these lessons, please checkout UPDs more advanced swim lessons or join us

for our Special Olympics aquatics program.GOALS: Develop beginner-intermediate swimmingskills, improve ability to listen and follow directions,and increase gross motor coordination.

Date Time Program IDFeb. 6-April 17 7-8pm 422803-A1*No program on April 3

Day: SundayLocation: Urbana Indoor Aquatic CenterFee (R/NR): $56/$84Min/Max: 6/12No Transportation

Cardio Kickboxing

Ages 16+

This program combines the basic skills ofkickboxing into a super stimulating cardio workout. Come try basic athletic drills, punchesand kicks that will progress into easy-to-followcombinations and cardio exercise. Please dressappropriately for indoor tness activity shortsleeve shirts, shorts or workout pants, and

tennis shoes. Come ready to work hard, sweatand have fun!

GOALS: Improve overall physical fitness andincrease gross motor coordination.

Date Time Program IDJan 6-Feb 24 6-7pm 432801-A1

Day: ThursdayTime: 6-7pmLocation: Phillips Recreation CenterFee (R/NR): $36/$54Min/Max: 4/12No Transportation

Frunner ClubAges 16+

Get excited for our rst spring session of FrunnerClub! Returning and new runners are welcome.We will begin training mid-March for a 5K nearthe end of May. Get outside and celebrate thewarm weather by working towards your runninggoals. Please wear shoes with proper support and

weather appropriate clothing.GOALS: Improve cardiovascular fitness andability to interact with others, and increase selfconfidence.

Date Day Time Program ID

Athletics


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PARTICIPANT NAME

ADDRESS PHONE (H)

PHONE (W)

CITY ZIP

BIRTHDATE AGE SEX SHIRT SIZE

PRIMARY DISABILITY

PARENT/GUARDIAN PHONE (H) PHONE (C)

EMERGENCY NAME PHONE (H) PHONE (C)

DOCTORS NAME PHONE

PREFERRED HOSPITAL

ALL INFORMATION BELOW MUST BE COMPLETED FOR FORM TO BE PROCESSED.ANY FORM NOT COMPLETELY FILLED OUT WILL BE RETURNED TO PARTICIPANT.

MAIL CUSR 1311 W. Church St., Champaign, IL 61821FAX 217-373-7951 QUESTIONS: (phone) 217-239-1152 711 Relay

PROGRAM NAME CODE PICK UP POINT TRANSPORT CODE FEE

1.

2.

3.

4.

5.

Would you like to make a donation to the CUSR scholarship fund? $5.00 $10.00 Other

Fee Waiver/Scholarship applied for? ________ NO ________ YES (If yes, please attach)

CUSR may use pictures and videos taken at programs for publicity purposes. Is this okay? __________ Yes __________ No

List Medications:

List Allergies:

List Dietary Restrictions:

List Special Needs/Assistance Necessary:

Please circle all that apply: Wheelchair: manual/electric Nonverbal Sign Lanuage Close Supervision

Seizures Cane/Walker Atlantoaxial Subluxation Condition

I t t i f ti W i d l f ll l i d


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Important information

CUSR is committed to conducting its recre-ation programs and activities in a safe mannerand holds the safety of participants in high re-gard. CUSR continually strives to reduce such

risks and insists that all participants followsafety rules and instructions that are designedto protect the participants safety. However,participants and parents/guardians of minorsregistering for the CUSR programs/activitiesmust recognize that there is an inherent riskof injury when choosing to participate in rec-reational activities/ programs. You are solely

responsible for determining if you or your mi-nor child/ward are physically t and/or skilledfor the activities contemplated by this agree-ment. It is always advisable, especially if theparticipant is pregnant, disabled in any way, orrecently suffered illness, injury, or impairment,to consult a physician before undertaking any

physical activity.Warning of riskRecreational activities/programs are intendedto challenge and engage the physical, mentaland emotional resources of each participant.Despite careful and proper preparation, in-struction, medical advice, conditioning and

equipment, there is still a risk of serious injurywhen participating in any recreational activ-ity/program. Understandably, not all hazardsand dangers can be foreseen. Depending onthe particular activity, participants must under-stand that certain risks, dangers and injuriesdue to inclement weather, slipping, falling,poor skill level or conditioning, carelessness,

horseplay, unsportsmanlike conduct, premisesdefects, inadequate or defective equipment,inadequate supervision, instruction or ofci-ating, and all other circumstances inherentto indoor and outdoor recreational activities/

Waiver and release of all claims and

assumption of riskPlease read this form carefully and be awarethat in signing up and participating in CUSRprograms/activities, you will be expressly as-

suming the risk and legal liability and waivingand releasing all claims for injuries, damages orloss which you or your minor child/ward mightsustain as a result of participating in any and allactivities connected with and associated withsaid programs/activities (including transportationservices/vehicle operation, when provided).

I recognize and acknowledge that there arecertain risks of physical injury to participants inthese programs/activities, and I voluntarily agreeto assume the full risk of any and all injuries,damages or loss, regardless of severity, that myminor child/ward or I may sustain as a result ofsaid participation. I further agree to waive and

relinquish all claims I or my minor child/wardmay have (or accrue to me or my child/ward) asa result of participating in these program/activi-ties against CUSR and Champaign and UrbanaPark Districts, including their respected ofcials,ofcers, employees, and volunteers (hereinaftercollectively referred as CUSR). I do herebyfully release and forever discharge CUSR from

any and all claims for injuries, damages, or lossthat my minor child/ward or I may have or whichmay accrue to me or my minor child/ward andarising out of, connected with, or in any way as-sociated with these programs/activities. I haveread and understand the above important infor-mation, warning of risk, assumption of risk and

waiver and release of all claims.


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T t ti P li /S f t


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Transportation Policy/SafetyProcedures1. Transportation must be requested at least

48 hours prior to the program date. If

transportation is requested with less than48 hours from program date, there is noguarantee transportation will be available.NO transportation request at the time of theprogram will be accepted.

2. A minimum of three participants must registerfor transportation in order for it to run.

3. Transportation is provided from YOUR home

back to YOUR home. We will not pick up ordrop off at any other sites.

4. CUSR staff will wait a maximum of 5 minutespast your pickup time due to a demandingvan schedule. If you miss your pickup time,we will not return to pick you up. It is yourresponsibility to nd transportation to theprogram if you miss your pickup time.

5. CUSR transports in-district participants only.

6. Transportation will only be provided for thosewho sign up and pay for the service at thebeginning of the program. We will not providetransportation for anyone mid-season thatis not on the transportation roster at thebeginning of the program.

7. Persons unable to be in a house aloneshould have someone meet the van at thedesignated time of return.

8. If needed, the CUSR driver will assistparticipants to and from their homes, butdriveways and walkways must be clear ofdebris and obstacles.

9. All passengers must be sitting in seats orwheelchairs with belts securely fastened inthe correct manner or the driver will not movethe vehicle.

10. CUSR staff is responsible for determining

Behavior CodeCUSR promotes the concept of Equal Fun ForEveryone and strives to accomplish this beliefthrough our program goals. However, certain rulesare necessary to ensure everyones safety andenjoyment.

CUSR participants are expected to exhibitappropriate behavior at all times. The CUSR

behavior code states that participants shallshow respect to all participants and staff, refrainfrom using foul language, refrain from causingbodily harm, and show respect to equipment,supplies, and facilities. Additional policies maybe developed for specic programs, camps, andintegrated programs.

DisciplineA caring, positive approach will be used regardingdiscipline. CUSR reserves the right to dismissparticipants. Each situation will be evaluated onits own merit.

InsuranceIndividual accident liability insurance is notprovided by CUSR.

Dishonored ChecksA $25 service charge will be assessed on allchecks returned by the bank for any reason.

CUSR

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Documents

C-U Special Recreation Winter/Spring 2011