PROVIDING QUALITY PROGRAMS FOR INDIVIDUALS WITH … · 2017. 8. 3. · Jameel Jones DIRECTOR OF RECREATION Jessica DeYoung CTRS ... and sports activities for all ages and abilities

CHAMPAIGN-URBANA SPECIAL RECREATION

www.cuspecialrecreation.com Find us at Facebook.com/CUSpecialRec

PROVIDING QUALITY PROGRAMS FOR INDIVIDUALS WITH SPECIAL NEEDS

Inclusive Programs Through CUSR CUSR and its member park districts believe that all individuals should be provided with leisure opportunities that allow for performance at their highest level of ability. We understand that not every person who has a special need desires CUSR programming. In cooperation with the Champaign Park District and the Urbana Park District, CUSR staff will be happy to assist and advise any resident who is interested in participating in local park district programs. CUSR will provide the type of support deemed nec-essary for successful participation. Support may include training with the park district staff members, consultation with the individual and the individual’s family members, and the assistance of a support staff member. CUSR provides all inclusion services at no cost to the individual. For more information, please contact CUSR.

Program History CUSR is an intergovernmental cooperative made up of the Champaign and Urbana Park Districts, founded in 1985. CUSR provides year-round leisure and recreation opportunities for children and adults with disabilities. Our mission is to enhance participants’ abilities in enjoyable recreational, leisure, and social settings. CUSR participants explore new areas of interest, make new acquaintances, and learn lifetime leisure skills. Our services include inclusive and cooperative programs, special events, after school programs, overnights, trips, Special Olympics, summer day camps, and much more.

Americans with Disabilities Act (ADA) CUSR complies with the Americans with Disabilities Act (ADA) which prohibits discrimination on the basis of a disability. CUSR will make reasonable accommodations in recreation programs to enable participation by an individual with a disability who meets essential eligibility requirements. The recreation programs offered by CUSR will be available in the most integrated setting appropriate for each individual. If you have any questions regarding the ADA, or believe you have been unfairly discriminated against by CUSR, please contact Caitlin Hitzeman at 217-239-1152.

OUR MISSION To provide quality recreational programs and services for Champaign-Urbana residents with disabilities.

OUR VISION To create a diverse, dynamic, and inclusive community that provides opportunities for people of all abilities.

INVITE US TO SPEAK CUSR staff members are knowledgeable in many disability-related issues and topics. Let us talk to your group about the Americans with Disabilities Act, integration, and the future of special recreation. An overview of CUSR’s mission, trends in recreation, and many other topics are available to you with a simple phone call. Call the CUSR office at 217-239-1152 to schedule.

CUSR CHAMPAIGN-URBANA SPECIAL RECREATION

CUSR Hays Recreation Center 1311 W. Church St. Champaign, IL 61821

Phone: 217-239-1152 Fax: 217-373-7951 | 711 Relay E-Mail: [email protected] Website: cuspecialrecreation.com

Office Hours: Mon-Fri, 8am-5pm Office Closed: Sept. 4, Nov. 11, Dec. 24 & 25

PLEASE VISIT cuspecialrecreation.com 36

what’s inside


Cupcake 5k, DSO Party & Pre School ........ 5Youth & Teen Programs ............................. 6Adult Programs .......................................... 8 Special Events ......................................... 14Adult Trips................................................ 21Special Olympics ..................................... 22Athletics ................................................... 24 Registration Form .................................... 25Waiver and Release ................................ 26Special Olympic Application .................... 27CUSR Information ................................... 29Fall Calendars ......................................... 32

*STAFF CELL PHONE POLICYCUSR cell phone numbers are to be used for emergencies only. Per our policy, these phones will only be on an hour before a program until the end of the program. If you need to reach a coordinator between the hours of 8:00am and 5:00pm, Monday thru Friday, please call the Hays Recreation Center.

(BACK ROW: LEFT TO RIGHT)

Caitlin Hitzeman | CELL: 217.369.3496* MBA, CTRS, CPRP, ACTCP – ADULT COORDINATOR

Jameel Jones DIRECTOR OF RECREATION

Jessica DeYoung CTRS – MANAGER Kyle Shartzer | CELL: 217.369.8758* ATHLETICS & VOLUNTEER COORDINATOR Grace Rolnicki | CELL: 217.369.9185* CTRS – INCLUSION COORDINATOR (FRONT)

Rachel Voss RECEPTIONIST

TABLE OF CONTENTS

CUSR FALL GUIDE

2017

CHAMPAIGN CUSR Office Hays Recreation Center Eisner Park / 1311 W. Church St. / 217-239-1152

Dexter Field Kenwood Dr.

Hessel Park1400 Grandview Dr.

Jupiter’s at the Crossing 2511 Village Green Pl. / 217-366-8300

Leaders for Life Martial Arts 2413 Village Green Pl.

Leonhard Recreation Center 2307 Sangamon Dr. / 217-398-2550

The Pottery Place 1808 Round Barn Rd.

Spalding Recreation Center 910 N. Harris / 217-398-2577

Western Bowl 917 Francis Dr. / 217-359-1678

PESOTUM Healing Horse Stables 378 County Road 700 E.

URBANA Brookens Park 1776 E Washington, Urbana

PROGRAM LOCATIONS

CUSR STAFF

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REGISTRATION A CUSR registration form must be used. You may register for CUSR programs at these locations: Hays Recreation Center 1311 West Church Street, Champaign Douglass Community Center 512 E. Grove Street, Champaign Leonhard Recreation Center 2307 Sangamon Drive, Champaign Springer Cultural Center 301 N. Randolph Street, Champaign Or register online at cuspecialrecreation.com

Full payment must be received upon registration unless specific arrangements have been made with the CUSR office. Registrations will not be processed if a fee balance remains from a previous season. Registrations are accepted in person at the locations listed to the left, through mail, online, and by fax (217-373-7951). When faxing, please include credit card information so we may process the registration. Coordinators and program leaders MAY NOT receive payment or registration forms at programs. CUSR does not prorate for late registration. Exceptions may be made for people who are new to the community.

NON-RESIDENT POLICY

PAYMENT

To ensure more individuals have access to the CUSR programs of their choice, there is a new policy for all those non-residents whom do not pay taxes into Champaign or Urbana Park District. Non-residents now have the option to pay $50 for a year’s privilege to register at resident rate. This charge is yearly starting from the time initially paid. This fee does not include access to scholarships, those are reserved for tax-paying residents of the Champaign and Urbana Park District.

CTRS-Certified Therapeutic Recreation Specialist The CUSR full-time program staff are all Certified Therapeutic Recreation Specialists. This certification demonstrates that each of these individuals, through education, experience, and passing a knowledge-based examination, has met the minimum requirements for practice in therapeutic recreation. The national exam for Therapeutic Recreation Specialists is based on knowledge from the National Job Analysis Study for Therapeutic Recreation which defines the important skills and knowledge necessary for minimum competency in the therapeutic recreation practice.

CUSR employs experienced professionals who understand the level of skill, both physical and mental, needed to participate fully and safely in the programs they plan.

CUSR Transportation PolicyOur door–to–door routes need to have a minimum of two registrants to run. If a route is canceled, a phone call will be made to the participant and their caregiver, and a full refund will be issued to the participant’s account.

Therefore, CUSR reserves the right to determine if a program is suitable for an individual. Staff may serve as a resource to suggest alternate programming.

Medication At times, participants may require assistance taking medication during programs. If the participant is unable to self-medicate or take the medication prior to or after the program, CUSR requires additional paperwork, and pre-packaged medication must be delivered to our office prior to the program.

All residents of Champaign-Urbana are important to us! If you are new to the area, Champaign-Urbana Special Recreation invites you to come discover the programs and events for you and your family. Throughout the year, we provide a large variety of educational, social, recreational, and sports activities for all ages and abilities. To learn more about what we have to offer, call 217-239-1152 and we will be happy to explain any program or service. As a potential program participant, we would like to meet with you and your family!

FALL into fun


CUSR Cupcake 5K All AgesJoin us for the 5th Annual CUSR Cupcake 5K! This is a timed, accessible race ending with a delicious cupcake. Funds raised will go into CUSR’s Scholarship Fund, which supports individuals who need financial assistance to access CUSR programs and services. Runners, walkers, and registrants who use a wheel chair are welcome. All registrants must provide a valid email address in order to receive crucial pre-race information. Updated information will also be posted on the CUSR’s Facebook page. Register early for this sweet race!

DSO 45th Annual Holiday Party & Open House Ages 18 and younger Santa is coming to town! This party is hosted by Delta Sigma Omicron for children with a disability and their families. Enjoy activities, games, crafts, and a visit from Santa. Children must be registered in order to receive a gift from Santa. CUSR is proud to be a sponsor of this event! Register online at disability.illinois.edu/holidayparty-registration, or by phone with the form from the website at 217-333-4607, or email to [email protected].

Date TimeSaturday, December 9 1-3:30pm Location: Leonhard Recreation Center Fee(R/NR): Free Deadline: Wednesday, November 29

The event will go on rain or shine unless unsafe weather con-ditions exist. No refunds if cancellation due to unsafe weather conditions. All proceeds go directly to CUSR’s scholarship fund. Category Max Fee Program IDRunners 75 $25 217501-01Walkers 75 $25 217501-02Rollers 75 $25 217501-03Date: Sunday, November 5Time: Check-in from 8-8:45am; Race starts at 9amLocation: Parkland College CampusDeadline: Friday, October 20 to receive a t-shirt *Registration accepted after deadline, but a shirt will not be provided.On-site registration, 8-8:30am (no t-shirt provided)

Sunday, November 5

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into fun

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PRESCHOOL SPECIAL EVENTTiny Tots PlaygroupAges 0-5 with a parentJoin us for the CUSR playgroup. At playgroup, we will sing songs, enjoy a light snack, play games, and enjoy structured free time. Parents/guardians must be present.

GOALS: Learn new skills, increase peer interaction, socialization, motor functioning, and development.

Date Program ID Sep 14–Nov 16 217549-01 Day: Thursday Time: 9-10:15am Location: Spalding Recreation Center Fee(R/NR): $20/$30 Min/Max: 4/12 Deadline: September 7 No Door-to-Door Transportation

https://registration.champaignparks.com/webtrac/wbwsc/webtrac.wsc/search.html?SessionID=<?VSI-SessionID?>&module=AR&primarycode=217501


CUSR | PROVIDING QUALITY PROGRAMS FOR INDIVIDUALS WITH SPECIAL NEEDS6

YOUTH & TEENMartial ArtsAges 16-35

Experience the art of Taekwondo and gain overall exposure to the martial arts. CUSR has partnered with Tina and Jeff Newberry of Leader’s for Life/Newberry’s Martial Arts in order to provide a comprehensive curric-ulum. This class will be taught by instructors who have years of experience teaching martial arts to individuals with and without disabilities. This program will offer a balanced physical and mental workout. NOTE: A uniform is required to participate. The fee does not include a uniform. The cost for a uniform is $45 pay-able to Central Illinois Taekwondo. Uniform sizes will be determined at the first class. Promotion tests are part of the curriculum (at an additional cost of $50). Other costs will occur and you will receive a letter upon registration.

GOALS: Increase concentration and balance and improve coor-dination, gross motor skills, endurance, and flexibility. The class will also focus on self-confident and self-defense. Date Time Program IDSep 5–Dec 19 4-4:45pm 217503-01Day: TuesdayLocation: Leaders for Life Martial ArtsFee(R/NR): $171/$256.50Min/Max: 4/18Deadline: August 29No Door-to-Door Transportation

SCHOLARSHIPS AVAILABLE FOR IN-DISTRICT RESIDENTS

CUSR provides a scholarship policy to reduce certain fees and charges.

Scholarship applications are not guaranteed and are based on available

funds, program registration, or choice of program location. Early applications are given priority. Please apply 3-4 weeks before the program start date. Applications are available at the CUSR

office and can be mailed upon request. Need is the primary criteria upon which

scholarship applicants are considered.

NUT FREE

CUSR IS NUT FREE

“I am passionately providing a place where children and adults will never be made fun of or criticized…where everyone will be made to feel like champions.” –Master Tina Newberry

CUSR After School Program Ages 6-22Fill your afternoon with games, sports, arts and crafts, cooking, field trips, and hanging out with friends! We will offer an amazing and safe atmosphere where we will laugh, play, grow, and learn new skills.

Goals: To improve verbal and social skills, build new friendships and gain self-confidence and independence. To expand knowledge of leisure activities.

Date: Monthly Fee(R/NR) Program ID Aug 16-31 $101/$151.50 217502-01 Sept 1-29 $201/$301.50 217502-02 Oct 2-31 $201/$301.50 217502-03 Nov 1-30 $201/$301.50 217502-04 Dec 1-21 $201/$301.50 217502-05 Days: Monday-Friday Times: 2:30pm-5:30pm Min/Max: 8/15 Location: Spalding Recreation Center No Door-to-Door Transportation

CUSR Winter Break Camp Ages 6-High School GraduateBreak is never boring when spent with friends! Let CUSR keep your students active and learning by playing games, cooking, trying creative projects, and enjoying field trips. Please pack your child a sack lunch. All CUSR Camps and programs are NUT FREE.Goals: To enhance social skills, learn new leisure activities, and increase independence. Date Day Program ID 12/27-12/29 Wed-Fri 217548-01 1/3-1/5 Wed-Fri 217548-02 Time: 8:00am-5:00pm Fee(R/NR): $108/$162 Min/Max: 6/12 Deadline: 12/15 Location: Spalding Recreation Center No Door-to-Door Transportation





YOUTH & TEENTherapeutic Horseback RidingAges 5-35

Have you ever dreamed of riding horses beyond a mere pony ride? At Healing Horse Stables you will learn riding skills through an hour-long lesson including various exercises and activities from a P.A.T.H. (Professional Association of Therapeutic Horsemanship) certified instructor. You will also have a ground lesson where you will learn how to groom and saddle a horse.

NOTE: Closed-toed gym shoes are required and no high heels. Due to safety concerns, you will not be able to participate in improper footwear. Cowboy boots are welcome! Long pants are highly recommended to protect your legs from the saddle and horse. Bring a water bottle each week! **There is a weight limit of 250 lbs. GOALS: Increase in concentration and balance, improved coordination, gross motor skills, improve overall orientation and body awareness, muscle tone, posture, flexibility, increase of knowledge about horses and riding, improved emotional well-being, and forming a connection with a judgment-free being.

Date Program ID September 16–October 21 217504-01 Day: Saturday Time: 10am-12pm Location: Healing Horse Stables, Pesotum Fee(R/NR): $191/$286.50 Min/Max: 4/8 Deadline: September 8 Transportation: Meet at the Hays Recreation Center at 9:20am and pick-up at the Hays Recreation Center at 12:30pm or meet at the stables by 9:45am and be picked up from stables at 12pm. No Door-to-Door Transportation

Stay connected with CUSR online: Facebook.com/CUSpecialRec

Halloween Boo-Nanza Ages 12 & UnderHave a ball at the CUSR Halloween Boo-Nanza! Please come dressed in your favorite costume. We will play games, create crafts, enjoy treats, and most importantly, have FUN with our friends!

GOALS: Enhance socialization with peers, increase turn-taking skills, and enhance creativity. Date Program ID October 26 217505-01 Day: Thursday Time: 6-7:30pm Location: Hays Recreation Center Fee(R/NR): $2/$3 Min/Max: 6/25 Deadline: October 20 No Door-to-Door Transportation

Parents’ Night Out Ages 5-22Parents, take a night off while the kids enjoy a fun night with friends from CUSR. Participants will enjoy a pizza dinner, make crafts, play games, and watch a movie. Pizza, snacks, and fun will be provided.

GOALS: Improve verbal and social skills, build new friendships, and gain self-confidence and independence.

Date Program ID September 23 217506-01 November 4 217506-02 Day: Saturday Time: 5-8pm Location: Spalding Recreation Center Fee(R/NR): $20/$30 Min/Max: 4/12 Deadline: 1 week prior to program No Door-to-Door Transportation

YOUTH & TEEN SPECIAL EVENT

SCHOLARSHIPS & PAYMENT PLANS AVAILABLE


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ADULTSMONDAYJumpin’ @ Jupiter’s Ages 18+Have you and your friends been looking for a night where you can play pool, enjoy arcade games, and win prizes? Meet us at Jupiter’s at the Crossing for a night of all that and much more! CUSR will pay for one game of pool. Please bring money for food and arcade games.

GOALS: Increase money management skills and enhance social skills with peers and community needs.

Date Program ID Transportation ID September 25 217508-01 217508-T1 October 30 217508-02 217508-T2 November 27 217508-03 217508-T3 December 18 217508-04 217508-T4 Day: Monday Time: 7-9pm Location: Jupiter’s @ the Crossing Fee(R/NR): $16/$24 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

Crafting: Halloween Crafts Ages 14+Join CUSR as we prepare for the spookiest time of the year, Halloween! We will be crafting some Halloween decorations for your home. Be sure to bring your imagination and creativity.

GOALS: Enhance socialization with peers and fine motor skills.

Date Program ID Transportation ID October 16 217507-01 217507-T1 Day: Monday Time: 6-7pm Location: Hays Recreation Center Fee(R/NR): $18/$27 Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10





ADULTSMONDAY

ADULTSWEDNESDAY

ADULTSWEDNESDAY

Dancing in Decatur Ages 21+CUSR will be venturing out to enjoy an evening of dancing and snacks at the Knights of Columbus in Decatur, Illinois. Join us as we dance the night away and meet new friends. Admission is included; just bring your dancing shoes!

GOALS: Enhance socialization with peers and meet new people.

Date Program ID Transportation ID September 6 217511-01 217511-T1 October 4 217511-02 217511-T2 November 1 217511-03 217511-T3 December 6 217511-04 217511-T4 Day: Wednesday Time: 5:15-9pm Location: Meet at the Hays Recreation Center Fee(R/NR): $30/$45 Min/Max: 6/24 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

Theatre 101 Ages 22+CUSR is teaming up with Theatre Director, Brian Hagy, of Prompting Theater to offer our first theater class! Whether you’re a seasoned veteran on stage or just starting out, this course is perfect for you! Actors will meet twice a week to learn the basics, write their scripts, rehearse their roles, and much more! At the end of this 8-week course, all actors will perform in a cabaret-style show.

GOALS: Enhance socialization with peers and increase knowledge of theatre and acting, enhancing theatrical skills

Date Program ID Transportation ID Sept 26–Nov 18 217512-01 217512-T1 Day: Tuesday & Saturday Time: Tuesday: 6:30-8:30pm; Saturday: 11am-1pm Location: Hays Recreation Center Fee(R/NR): $120/$180 Min/Max: 6/24 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

BINGO Ages 14+Come one, come all for a night of Bingo! In the true holiday spirit, we’ll be celebrating with October, Thanksgiving, and Holiday-themed Bingo! You will enjoy hanging out and socializing with your friends, and may even win some prizes.

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

Date Program ID Transportation ID November 8 217510-01 217510-T1 December 13 217510-02 217510-T2 Day: Wednesdays Time: 6-7pm Location: Hays Recreation Center Fee(R/NR): $16/$24 Min/Max: 4/15 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

Crafting: Thanksgiving Crafts Ages 14+Join CUSR as we prepare for the biggest feast of the year, Thanksgiving! We will be crafting some Thanksgiving decorations for your home. Be sure to bring your imagination and creativity.

GOALS: Enhance socialization with peers and fine motor skills.

Date Program ID Transportation ID November 13 217509-01 217509-T1 Day: Monday Time: 6-7pm Location: Hays Recreation Center Fee(R/NR): $18/$27 Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

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ADULTSTHURSDAYDiner’s Club Ages 18+Join us as we go out to different restaurants for dinner. At Diner’s Club you will be able to socialize with your friends and enjoy a great meal, included in the fee.

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

Date Restaurant Program ID September 14 TGI Friday’s 217513-01 October 19 Panera Bread: Neil St. 217513-02 November 16 Houlihan’s 217513-03 December 14 Applebee’s: Prospect Ave. 217513-04 Day: Thursday Time: 6-7:30pm Location: Meet at restaurant Fee(R/NR): $38/$57 Min/Max: 4/12 Deadline: 1 week prior to program Transportation ID: 217513-T1,-T2, -T3, -T4 Door-to-Door Transportation Fee: $10

Hays Hangout Ages 16+Fill the evening with a night of cards, Wii video games, board games, and more. At Hays Hangout, the goal is to have fun and socialize with your friends! Snacks are included.

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

Date Program ID Transportation ID November 30 217514-01 217514-T1 December 21 217514-02 217514-T2 Day: Thursday Time: 6:30-7:30pm Location: Hays Recreation Center Fee(R/NR): $10/$15 Min/Max: 4/15 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10


Join our email list! Please provide your email address on the registration form.




Karaoke & Dancing Ages 16+ATTENTION all singers and dancers. Come on over as CUSR brings out the karaoke machine for a night to show your talent. Whether you choose today’s hits or the classics, it’s going to be a great time!

GOALS: Increase socialization skills and turn-taking skills.

Date Program ID Transportation ID September 8 217515-01 217515-T1 December 22 217515-02 217515-T2 Day: Friday Time: 6:30-8pm Location: Hays Recreation Center Fee(R/NR): $17/$25.50 Min/Max: 4/15 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

ADULTSFRIDAY

Movie Night Ages 16+Bring out your inner critic! Join us as we choose movies to watch at the Hays Center, or feel free to bring your own movies from home to share with us. CUSR will provide snacks, so be ready for the entertainment.

GOALS: Improve listening skills, community awareness, and socialization with peers and community members.

Date Program ID Transportation ID November 17 217516-01 217516-T1 December 15 217516-01 217516-T2 Day: Friday Time: 6:30-8:30pm Location: Hays Recreation Center Fee(R/NR): $14/$21 Min/Max: 4/15 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

Movie Critics Ages 16+Grab your friends and get ready to see some of this season’s biggest hits. We will be watching the newest releases each month. Program time may vary depending on show times. Participants will receive a call with exact program times the week of program date. Admission included in the program fee; bring money for snacks.

GOALS: Improve listening skills, community awareness, and socialization with peers and community members.

Date Program ID Transportation ID September 1 217517-01 217517-T1 October 6 217517-02 217517-T2 November 3 217517-03 217517-T3 Day: Friday Time: TBA Location: Meet at movie theater (participants will be called and informed of the theater the week of each session) Fee(R/NR): $28/$42 Min/Max: 4/10 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

CU Special Recreation is a valuable way to bring the community together.


Therapeutic Horseback Riding | Ages 5-35 | PROGRAM DESCRIPTION ON PAGE 7

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ADULTSSATURDAY

Date Program ID Transportation ID September 16 217518-01 217518-T1 December 16 217518-02 217518-T2 Day: Saturday Time: 7-11pm Location: Meet at the Hays Recreation Center Fee(R/NR): $48/$72 Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10

Dinner & Cosmic Bowling Ages 18+Looking for ways to fill your Saturday nights? Join us for dinner and bowling! CUSR staff will pick a surprise restaurant 1-week prior to the program. After dinner you’ll head to Arrowhead Lanes for Cosmic Bowling. Fee includes your dinner and two games of bowling. *NOTE: STROBE LIGHTS MAY CAUSE SEIZURE ACTIVITY.

GOALS: Improve gross motor coordination, turn-taking skills, and socialization with peers.



Please continue doing all the wonderful things you do! Our community needs CUSR.


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SEPTEMBER SPECIAL EVENTS

Dinner & Evening Cruise @ Starved Rock Ages 18+This casual tour begins as you board a Starved Rock Trolley and travel on the “Belle of the Rock,” an authentic paddle wheel boat, for a leisurely, scenic cruise on the picturesque Illinois River. After the cruise, the trolley will bring us back to the Lodge where we will enjoy dinner and dessert.

GOALS: Enhance socialization with peers and cultural awareness.

Date Program ID Transportation ID September 7 217519-01 217519-T1 Day: Thursday Time: 2:30-10:30pm Location: Meet at the Hays Recreation Center Fee(R/NR): $75/$112.50 Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Pottery Place Ages 16+Paint the evening away with your friends from CUSR as we visit Pottery Place. Fee includes your paint, studio time, and one piece of pottery. Just bring your creativity.

GOALS: Enhance socialization with peers, social skills, and motor functions.

Date Program ID Transportation ID September 12 217520-01 217520-T1 Day: Tuesday Time: 6:15-8:15pm Location: Meet at Pottery Place Fee(R/NR): $30/$45 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Penguin Project Ages 16+Each year, children in The Penguin Project take to the stage to perform a modified version of a well-known Broadway musical. What makes these performances unique, is that each role is filled by young artists with development disabilities. They are joined on stage with a “peer mentor”- children the same age without disabilities. Join CUSR at Urbana High School as we watch some of our own participants in this year’s production of Disney’s Mulan, Jr.” Please eat dinner prior to program.


Date Program ID Transportation ID September 15 217522-01 217522-T1 Day: Friday Time: 6:15-9:15pm Location: Meet at the Hays Recreation Center Fee(R/NR): $20/$30 Min/Max: 4/15 Deadline: 1 week prior to program Door-to-Door Transportation: $10

West Side Story @ Beef & Boards Ages 18+Shakespeare’s Romeo and Juliet is transported to New York City, as two young idealistic lovers struggle to survive in a world of hate, violence and prejudice. One of the most innovative, heart-wrenching and relevant musical dramas. Leonard Bernstein & Stephen Sondheim’s score includes “I Feel Pretty,” “Maria,” and “Tonight.” Program fee includes admission, lunch, and travel; please bring additional money for souvenirs.


Date Program ID Transportation ID September 13 217521-01 217521-T1 Day: Wednesday Time: 8:30am-4:30pm Location: Meet at the Hays Recreation Center Fee(R/NR): $85/$127.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

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Farmers Market Ages 18+Join CUSR as we visit Urbana’s Market at the Square, full of produce, meat, dairy, honey, local beer and wine, flowers, handmade art and crafts, and even more. After checking out the Farmers Market, we’ll grab a quick lunch. Please be sure to bring money for items at the market and lunch.

GOALS: Enhance socialization with peers and cultural awareness. Date Program ID Transportation ID September 16 217524-01 217524-T1 Day: Saturday Time: 10am-12:30pm Location: Meet at the Hays Recreation Center Fee(R/NR): $20/$30 Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10


Illinois Holocaust Museum Ages 18+We’re traveling north to Skokie to visit the Illinois Holocaust Museum and Education Center. We will experience several exhibits that the museum has to offer while learning about and remembering those affected by one of the most significant world events to date. Admission, travel, and lunch are included in the program fee.

GOALS: Enhance socialization with peers and cultural awareness. Date Program ID Transportation ID September 19 217523-01 217523-T1 Day: Tuesday Time: 9am-6pm Location: Meet at the Hays Recreation Center Fee(R/NR): $45/$67.50 Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Activities designed for those who need programs unique to them.

FALL

NEW! NEW!




Rock of Ages @ Drury Lane Ages: 18+Rock back to a time of big egos, big guitar solos, and even bigger hair with Rock of Ages this fall. Nominated for five Tony Awards, Rock of Ages features a mix of 28 classic 80s hits by Bon Jovi, Journey, Styx and more including “Don’t Stop Believin’,” “We Built This City,” and “The Final Countdown.” Rock of Ages follows aspiring rockstar Drew and his sweetheart, Sherri as they fight to save Hollywood’s Sunset Strip. Don’t miss a musical this awesome, you’ll want to rock out again! Program fee includes admission and travel; please bring money for lunch and souvenirs.

GOALS: Increase socialization with peers and listening skills.

Date Program ID Transportation ID October 1 217525-01 217525-T1 Day: Sunday Time: 10am-7pm Location: Meet at the Hays Recreation Center Fee(R/NR): $105/$157.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Aurora Outlet Mall Ages: 18+Join CUSR as we visit one of Illinois’s largest outlet malls. The Chicago Premium Outlets offers over 170 stores, including popular brands such as Nike, Vera Bradley, and Adidas. The mall also offers amenities such as fireplaces, art installations, and a reflecting pond. Please bring money for shopping and lunch.

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

Date Program ID Transportation ID October 14 217526-01 217526-T1 Day: Saturday Time: 10am-6pm Location: Meet at the Hays Recreation Center Fee(R/NR): $105/$157.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

OCTOBER SPECIAL EVENTS

Fright Fest @ Six Flags Great America Ages: 18+Fall’s kicking off and CUSR wants to do it right! Grab your friends and join us on a trip to Six Flags Great America in Gurnee for a day full of roller coasters, water rides, games, and lots of “fright.”


Date Program ID Transportation ID October 15 217528-01 217528-T1 Day: Sunday Time: 8am-10pm Location: Meet at the Hays Recreation Center Fee(R/NR): $100/$150 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10


NEW! NEW!

NEW!





Les Misérables @ Cadillac Theatre Ages: 18+CUSR is visiting the historic Cadillac Theatre to witness the Tony Award-winning musical phenomenon, Les Misérables. This epic and uplifting story has become one of the most celebrated musicals in theatrical history. Program fee includes admission, please bring money for lunch and souvenirs.

GOALS: Increase socialization with peers and cultural awareness.

Date Program ID Transportation ID October 22 217527-01 217527-T1 Day: Sunday Time: 11am-7pm Location: Meet at the Hays Recreation Center Fee(R/NR): $160/$240 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Halloween Party Ages: 14+We will be dancing and having a costume contest, so wear your best costume! Treats will also be provided.

GOALS: Enhance socialization skills with peers.

Date Program ID Transportation ID October 27 217529-01 217529-T1 Day: Friday Time: 6-8pm Location: Hays Recreation Center Fee(R/NR): $38/$57 Min/Max: 4/25 Deadline: 1 week prior to program Door-to-Door Transportation: $10

A great resource to help families in the C-U area.

FALL

NEW!




NOVEMBER SPECIAL EVENTS

Marvel Universe Live! Age of Heroes Ages: 16+Marvel fans, assemble for this live, action-packed, legendary battle to defend the universe from evil. Spider-Man, the Avengers, and the Guardians of the Galaxy join forces with Doctor Strange in a race against time to recover the Wand of Watoomb before it falls into Loki’s hands. With cutting-edge special effects, aerial stunts, and video projection are all used to create a dazzling performance. Program fee includes admission and travel; please bring money for dinner and souvenirs.

GOALS: Increase socialization with peers and listening skills.

Date Program ID Transportation ID November 4 217533-01 217533-T1 Day: Saturday Time: 1-9pm Location: Meet at the Hays Recreation Center Fee(R/NR): $55/$87.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Chicago Broadway Theaters Tour Ages: 18+Tour Chicago’s most famous theaters: the Oriental Theatre, the Cadillac Palace, and the PrivateBank Theatre. The tour will showcase the vintage décor inspired by the foremost theatre designers. We’ll learn about the cutting edge technology that makes each theatre home to the most complex theatrical productions. Fee includes admission and travel; please bring money for lunch.


Date Program ID Transportation ID November 18 217531-01 217531-T1 Day: Saturday Time: 8am-4:30pm Location: Meet at the Hays Recreation Center Fee(R/NR): $60/$90 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Dave & Buster’s Ages: 18+What’s better than great food and arcade games? Join us for a trip to Dave & Buster’s in Orland Park! We will have a delivious lunch and enjoy over 200 games that they have to offer! Program fee includes meal and playing card; please bring additional money for extra games.

GOALS: Increase socialization with peers.

Date Program ID Transportation ID November 28 217532-01 217532-T1 Day: Tuesday Time: 9am-4pm Location: Meet at the Hays Recreation Center Fee(R/NR): $58/$87 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

NEW! NEW!





DECEMBER SPECIAL EVENTS

Holiday Magic @ Brookfield Zoo Ages: 18+Only during the holiday season does Brookfield Zoo transform into Chicago’s Largest Holiday Lights Festival - with one million twinkling lights. This is bound to be a great time! Join CUSR as we travel to Brookfield Zoo to experience one of the most exciting light festivals around. Before hitting the zoo, we’ll stop for dinner. Admission and dinner are included in the program fee. Please bring additional money for souvenirs.

GOALS: Enhance socialization with peers

Date Program ID Transportation ID December 1 217534-01 217534-T1 Day: Friday Time: 2-10pm Location: Meet at the Hays Recreation Center Fee(R/NR): $65/$97.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Winter Wonderland Ball Ages: 14+We’re walking in a Winter Wonderland…help us celebrate the holidays at our Winter Wonderland Ball. Dinner will be served and the dance floor will be open. Music will be provided by a local DJ!

GOALS: Enhance socialization with peers

Date Program ID Transportation ID December 2 217535-01 217535-T1 Day: Saturday Time: 6-8:30pm Location: Hays Recreation Center Fee(R/NR): $40/$60 Min/Max: 6/25 Deadline: 1 week prior to program Door-to-Door Transportation: $10


FALL




DECEMBER SPECIAL EVENTS

Snow Tubing Ages: 18+CUSR is heading north to visit Villa Olivia. There, we will hop into inflatable tubes and make our way down a large snow-covered hill. We'll also enjoy some refreshments in the ski lodge. Program fee includes lunch, tubing, and travel. Please be sure to dress warm and comfortably and bring additional money for snacks, if desired.

GOALS: Enhance socialization with peers. Date Program ID Transportation ID December 17 217538-01 217538-T1 Day: Sunday Time: 9am-6pm Location: Meet at the Hays Recreation Center Fee(R/NR): $55/$82.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Murder Mystery Boat Tour Ages: 18+Do you like to play detective? Can you solve the murder? Join CUSR on this interactive boat tour in Peoria. While we watch the story unfold before us, we’ll play along as we try to solve the murder mystery. You’ll even get a delicious dinner for all your hard work! Admission and dinner are included in the program fee.

GOALS: Enhance socialization with peers.

Date Program ID Transportation ID December 9 217536-01 217536-T1 Day: Saturday Time: 4:30-10:30pm Location: Meet at the Hays Recreation Center Fee(R/NR): $80/$120 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10

Ice Odyssey Ages: 18+Join CUSR as we travel to Ottawa’s Annual Ice Odyssey, part of the Chris Kringle Market! We’ll experience the amazing art of ice sculpting as we shop the streets of Ottawa’s Old town.


Date Program ID Transportation ID December 10 217537-01 217537-T1 Day: Sunday Time: 9am-4pm Location: Meet at the Hays Recreation Center Fee(R/NR): $52/$78 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation: $10


Join our email list! Please provide your email address on the registration form.

NEW!NEW!

NEW!





ADULT TRIPS

Join CUSR as we head east to visit Lexington, Kentucky and Charlotte, North Carolina. First, we'll visit the Kentucky Horse Park, world-renowned International Museum of the Horse. We'll visit the horse museums, watch an equine show, tour a horse barn, and more. Upon arriving in North Carolina, we'll visit the NC Zoo and NC Aquarium. Our second day in NC will be spent visiting Carolwinds, the largest amusement park in NC. Program fee includes lodging, meals, admissions, and travel. Please bring additional money for snacks and souvenirs.

*Must be able to walk long distances or use a mobility-assistant device.

FALL

GOALS: Increase socialization with peers and community members and enhance community awareness.

Date Program ID September 21-24 217539-01 Day: Thursday-Sunday Time: Leave: 8am on Thursday, Arrive: 4:30pm on Sunday Location: Meet at the Hays Recreation Center Fee: $450 Min/Max: 6/12 Deadline: September 7 No Door-to-Door Transportation

Lexington, KY & Charlotte, NC Overnight Ages: 18+

Niagara Falls, Canada Overnight Ages: 18+CUSR is going international! Join us Summer of 2018, as we travel north to Canada to visit the awe-inspiring and beautiful Niagara Falls. Each participant must have a valid U.S. Passport to attend trip. More details will be released in the Winter/Spring 2018 Program Guide.

GET READY!PLAN NOW FOR SUMMER 2018!



SPECIAL OLYMPICS

Special Olympics Illinois provides year-round sports training in a variety of Olympic-type sports for youth, teens and adults with intellectual disabilities who are 8 years of age or older. CUSR supports the mission of Special Olympics Illinois through participation in the following sports: – AQUATICS

– BASKETBALL – BOCCE

– BOWLING – POWER LIFTING – SOFTBALL

– TRACK & FIELD – VOLLEYBALL – FLAG FOOTBALL

Sept 9-10 State Softball Sept 17 Volleyball Districts Oct 14 Bowling Sectionals Oct 27-29 Fall Games Dec 2 State Bowling Dec 29-30 Holiday Classic

IMPORTANT SPECIAL OLYMPIC DATES

CRITERIA FOR PARTICIPATIONAll Special Olympics athletes must have a current, completed Application for Participation in Illinois Special Olympics form on file with the Athletics Coordinator at CUSR. This form has four sections:

1. Athlete Information 2. Parent / Guardian Authorization & Medical Authorization 3. Health Insurance and Emergency Information 4. Medical Clearance *Must be completed by PhysicianApplications for Participation in Illinois Special Olympics are valid for 2 years based on the earliest signed date on the medical application form. Anyone interested in participating, starting a new sport, or volunteering, please contact the CUSR Athletics Coordinator at 217-239-1152.


Mustang Basketball Ages 13+Calling all hotshots! Join the CUSR Mustang Basketball team! Registration and a valid Special Olympics Medical Application must be on file at the CUSR office by November 3 for all male basketball athletes. Practices are Monday nights. Teams will play a minimum of three games during the regular season. Game days and times will be announced and will include weekend dates. The Mustang Basketball team will participate in the Special Olympics District Competition on January 14th (tentative). Teams that place first at the competition will continue practicing for the State Tournament in March.

GOALS: Increase overall physical fitness, gain knowledge of individual basketball skills and team strategy, and improve team cooperation.

Date Day Program ID Nov 6-Jan 8 Monday 217541-01 Time: 7-8:30pm Location: Leonhard Recreation Center Fee(R/NR): $68/$102 Min/Max: 7/15 Deadline: October 30 Transportation ID: 217541-T1 Door-To-Door Transportation: $110

Lady Mustang Basketball Ages 13+Join the CUSR Lady Mustang basketball team! Registration and a valid Special Olympics Medical Application must be on file at the CUSR office by December 1 for all female basketball athletes. Practices are on Tuesday nights. Teams will play a minimum of three games during the regular season. Game days and times are to be announced and will include weekend dates. The Lady Mustang basketball team will participate in the Special Olympics State Tournament in March.

GOALS: Increase overall physical fitness, gain knowledge of individual basketball skills and team strategy, and improve team cooperation.

Date Day Program ID Dec 5-Mar 18 Tuesday 217542-01 *No practice Dec 26 & Jan 2 Time: 6:30-8pm Location: Brookens Gymnasium Fee(R/NR): $66/$99 Min/Max: 7/25 Deadline: November 28 Transportation ID: 217542-T1 Door-To-Door Transportation: $110

Teen Pins Ages 13-21Bring your friends to the bowling alley for some fun! Perfect your skills while socializing with your friends and meeting new ones. Participants will be assigned to lanes and can bowl up to two games.

*Participants arriving late will bowl two games, or as long as time allows.

GOALS: Improve social skills and ability to interact with others, learn and practice bowling etiquette, and increase gross motor coordination.

Date Day Program ID Sep18-Dec 4 Monday 217544-01 Time: 4-5pm Location: Western Bowl Fee(R/NR): $84/$126 Min/Max: 4/8 Deadline: September 11 Transportation ID: 217544-T1 Home-Only Transportation Fee: $65

FALL






ATHLETICS

All proceeds will benefit the CUSR Scholarship

fund

Phenomenal, caring and involved staff working to increase the activity and involvement of children and adults with disabilities in our community.

ADULT BOWLING PROGRAM LOTTERY A lottery system was created to provide regis-trants with an equal opportunity to enroll in our

programs. If a program is full and the wait list has a minimum of 4 names, a lottery will be conducted for all who register by the deadline. The lottery will be conducted one week following the registration deadline. Participants who are lotteried out will be placed on a waitlist pending staffing. Any

registration received after the deadline will be processed on a daily basis and added to

the waitlist on a first-come first-served basis.

Frunner Club Ages 15+Returning and new runners of all paces are welcome for our fall session of Frunner Club. Training partners will work with you at your own pace. Enjoy the fall weather and get exercise by training for a 5K race. Please wear shoes with proper support and weather appropriate clothing.

*We will be training for CUSR’s Cupcake 5K, held on November 5.

GOALS: Improve cardiovascular fitness and ability to interact with others and increase self-confidence.

Date Program ID Sep 14-Nov 2 217547-01 Day & Time: Sunday 4-5pm Thursday 5:30-6:30pm Location: Sunday: Dexter Field Parking Lot Thursday: Hessel Park North Pavilion Fee(R/NR): $58/$87 Min/Max: 4/10 Deadline: September 11 No Door-to-Door Transportation

Fitness Frenzy Ages 16+Need some extra motivation to get fit? Try exercising with a friend! Participants will be paired with a CUSR staff member who will exercise with them for an hour, twice a week, for 8 weeks. Workouts will be planned to meet individual’s fitness goals, and can be scheduled when it is convenient for both partners.

GOALS: Increase gross motor coordination and physical fitness, gain knowledge of proper fitness techniques. Date Program ID Oct 2-Nov 20 217546-01 Location: Leonhard Recreation Center Fee(R/NR): $223/$334.50 Deadline: September 18 No Door-to-Door Transportation

Strikes & Spares Ages 22+Bring your friends to the bowling alley for some fun! Perfect your skills while socializing with your friends and meeting new ones. Participants will be assigned to lanes and can bowl up to two games.

*Participants arriving late will bowl two games, or as long as time allows.

GOALS: Improve social skills and ability to interact with others, learn and practice bowling etiquette, and increase gross motor coordination.

Date Day Program ID Sep 18-Dec 4 Monday 217545-01 Sep 20-Dec 6 Wednesday 217545-02 Time: 4-5pm Location: Western Bowl Fee(R/NR): $84/$126 Min/Max: Mondays 4/20; Wednesdays 4/25 Deadline: September 11 Transportation ID: 217545-T1, -T2 Home-Only Transportation Fee: $65






PARTICIPANT NAME

ADDRESS PHONE (H)

PHONE (W)

CITY ZIP

BIRTHDATE AGE SEX SHIRT SIZE EMAIL

PRIMARY DISABILITY

PARENT/GUARDIAN PHONE (H) PHONE (C)

EMERGENCY NAME PHONE (H) PHONE (C)

DOCTOR’S 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 ONLINE cuspecialrecreation.comQUESTIONS (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 Language Close Supervision Seizures Cane/Walker Atlantoaxial Subluxation Condition

Participant’s name

Participant’s signature* Date* (18+ YEARS OR PARENT/GUARDIAN) * Participation can be denied if the signature of adult participant or parent/guardian and date are not on this waiver. Please call 217.239.1152, if you require special accommodations.

REGISTRATION FORM

SEE BACK OF FORM FOR CREDIT CARD PAYMENT INFORMATION

PLEASE SEE FRONT SIDE FOR WAIVER. THE WAIVER MUST BE SIGNED BEFORE YOUR REGISTRATION MAY BE PROCESSED

Please make checks payable to CUSR. Complete below when using VISA/MasterCard

Account Number

3-4 Digit CCID# (on back of card) Expiration Date

Authorized Signature Charge Amount

Important information CUSR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard. CUSR continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the partic-ipants’ safety. However, participants and parents/guardians of minors registering for the CUSR programs/activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/ programs. You are solely responsible for determining if you or your minor child/ward are physically fit and/or skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way, or recently suffered illness, injury, or impairment, to consult a physician before undertaking any physical activity.

Warning of risk Recreational activities/programs are intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when participating in any recreational activity/program. Understandably, not all hazards and dangers can be foreseen. Depending on the particular activity, participants must understand that certain risks, dangers and injuries due to inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inad-equate supervision, instruction or officiating, and all other circumstances inherent to indoor and outdoor recreational activities/programs exist. In this regard, it must be recognized that it is impossible for CUSR to guarantee absolute safety.

Waiver and release of all claims and assumption of risk Please read this form carefully and be aware that in signing up and participating in CUSR programs/activities, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with said programs/activities (including transportation services/vehicle operation, when provided).

I recognize and acknowledge that there are certain risks of physical injury to participants in these pro-grams/activities, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in these program/activities against CUSR and Champaign and Urbana Park Districts, including their respected officials, officers, employees, and volunteers (hereinafter collectively referred as “CUSR”). I do hereby fully release and forever discharge CUSR from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with these programs/activities. I have read and understand the above important information, warning of risk, assumption of risk and waiver and release of all claims.

26

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SOIL

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Pare

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City

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Am

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Spe

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mpi

cs Il

linoi

s. F

axed

sig

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will

notb

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ed.

SOIL

LR

ev. 8

-1-1

0

27

Instructions for Completing the Application for ParticipationThe Application for Participation (App) must be filled in completely. Apps with blank sections or attachments (exception: let-ter from State Office of Guardianship, 2a below) will not be accepted.

This App is valid for 2 years from the date of the examination date, regardless of the parent/guardian/Entrant signature date.

Parent/guardian and doctor signatures must be original and both original signatures must be on the same App form. Faxedsignatures, phone consents or verbal consents will not be accepted.

If Entrant was listed on the Sex Offender Public Registry or the Child Murder and Violent Offender Against Youth Registrybut has since been removed, contact the Special Olympics Illinois office for instructions before submitting this application.

ATHLETE INFORMATION AND HEALTH INSURANCE & EMERGENCY INFORMATION1. The first two sections must be filled in completely. The ethnicity information is requested to assist in the organizational outreachefforts.

PARENT AND/OR GUARDIAN AUTHORIZATION AND MEDIA RELEASE2. The Parent or Legal Guardian must read, sign and date the Parent/Guardian Authorization and Media Release.

a. The section must be signed and dated as printed. Deletions or alterations to the section will result in an invalid App.(Exception: Deletion of the last paragraph regarding medical treatment and attachment of a letter of explanation and 24-hour emer-gency telephone numbers from the State Office of Guardianship. As of January 1, 1987, the letter of explanation must beattached.)

b. Only one of the two signature blocks must be completed. Special Olympics Illinois works under the understanding that thissection may be signed by either:

The (biological or adoptive) parent unless the athlete has been designated a ward of the state;OR

The legal guardian; this person must be legally assigned for the individual;OR

The athlete if he/she is over the age of 18 and has not been designated as needing and having been assigned a legal guardian.A witness signature is necessary if the athlete’s signature is unrecognizable (for example, if the athlete’s signature is an “X.”)

MEDICAL CLEARANCE3. The Medical Clearance section must be completed, signed and dated by a medical practitioner licensed to administer physicalexaminations by the state in which he/she practices. As of September 1, 1990, the Special Olympics Illinois Application forParticipation is the only Medical Clearance form which will be accepted as valid by Special Olympics Illinois.

This person, by signing the Medical Clearance, is stating that the athlete is in good health and can safely participate in SpecialOlympics sports training and competition. It is strongly suggested that the person administering the physical examination possess thefollowing:

Background and preparation in giving sports physical examinations.Qualifications to administer examinations that would not compromise his/her area of specialty.

AFTER COMPLETING THE APPLICATION ...4. Send the original copy of the Application for Participation to the Area Director who will send the App to the Special OlympicsIllinois Chapter office. The Chapter office will validate the Application for Participation and send a copy of the App with anapproved stamp back to the SOAD (Special Olympics Athletic Director). An Application for Participation will not be validated untilall information is correct and completed on the approved form.

5. Special Olympics Illinois requires that all Applications for Participation be presented prior to and no later than the establishedMedical App deadline of a Chapter championship level event (Winter Games, State Basketball Tournament, Summer Games,Outdoor Sports Festival, Fall Games, Floor Hockey or State Bowling Tournament). All Apps for the event in question must be validthroughout the completion of that Chapter competition.

Applications for Participation for athletes participating in District Tournaments and Sectional Tournaments must be received beforethe entry deadline or with registration materials.

Applications not on file or in receipt by the specified deadline will not be accepted.

28

Late Pick-Up PolicyIn order to be fair to our participants and program leaders, CUSR has enacted a late pick-up policy. The first time a participant is not picked up within a 5 minute grace period, a written warning will be handed out. For each minute following the grace period, a fee of $1/per minute will be charged to the parent or guardian. Registration for other programs will not be accepted until all outstanding late fees are paid. Thank you for helping us to respect others through punctual pick-ups.

Satisfaction GuaranteedCUSR constantly strives to provide participants with high quality recreation programs, activities, and events. To encourage first-time participation, as well as repeat participation, CUSR has a refund policy highlighted by a satisfaction guarantee. This special refund policy provides us with timely feedback about dissatisfaction regarding our services. If you are not completely satisfied, tell us, and we will either invite you to repeat the class at no charge, allow you a credit that can be applied to another program, or issue you a refund. A refund will be granted if you were dissatisfied with the experience due to circumstances under CUSR’s control. If you are not satisfied, we kindly ask you to give us your input or ideas for improvement. Requests for the above mentioned options must be made before the midpoint of the program or within two weeks of a single meeting activity. All refund requests must be submitted on the Satisfaction Refund Request form and turned into CUSR. A $5 service charge will be deducted from all refunds. Satisfaction Guarantee does not apply to trips and special events with prepaid admissions and tickets.

Program Cancellation PolicyAll registration cancellations must be made at least one week prior to the start of the program in order to receive a full refund. For programs with cancellation dates listed, registration must be canceled no later than the specified date to receive a full refund. Any program cancellations after the one week deadline will receive NO refund. A $5 service charge will be deducted from all refunds.

Program ScholarshipsBecause some residents are unable to participate in recreation programs due to economic hardship, CUSR provides a scholarship policy to reduce certain fees and charges. Scholarship applications are not guaranteed and are based on available funds, program registration, or choice of program location. Early applications are given priority. Please apply 3-4 weeks before the program start date. Applications are available at the CUSR office and can be mailed upon request. Need is the primary criteria upon which scholarship applicants are considered. Scholarships are not available for transportation and specifically identified programs. For more information, call 217-239-1152. Payment plans available to all. ALL monies owed must be paid prior to next season registration accepted.

Inclement Weather PolicyIf inclement weather occurs, CUSR may still decide to hold programs. If the weather turns dangerous, CUSR will call participants prior to the start of the program to cancel the program. If you are unsure whether a program will meet due to inclement weather, call CUSR. Missed programs due to weather may be made up the week after the end of the program season. Credit is given for additional cancellations.

CUSR INFORMATION

Extreme Temperature PolicyHot temperatures (for outdoor programs) at program time: 100oF actual temperature; heat index of 110oF or more constitutes canceling program due to unsafe conditions.Cold temperatures (for all programs) at program time: 2oF actual temperature; -30oF or below wind chill constitutes canceling program due to unsafe conditions.

Participant Expectations1. Participants need to wear appropriate attire for

program participation (i.e. for athletic/fitness programs comfortable clothing and tennis shoes must be worn). If you have questions about the type of attire participants should wear for a particular program, please contact our office.

2. Participants need to have clean, dry clothing.3. No bowel/bladder problems upon arrival at the

transportation location or program. (If this is a concern, extra clean clothing, clean-up supplies and Depend garments (or similar items) must be sent with the participant).

4. Participants need to pay attention to body odor and overall appearance (clean hair, face, teeth, hands, etc.). CUSR staff will also be consistent in stressing personal hygiene while participants are in our programs and will not return participants at the end of a program in an unclean manner.

29

Transportation Policy/Safety Procedures1. Transportation must be requested at least 48

hours prior to the program date. If transportation is requested with less than 48 hours from program date, there is no guarantee transportation will be available. NO transportation request at the time of the program will be accepted.

2. A minimum of two participants must register for transportation in order for it to run.

3. Transportation is provided from YOUR home back to YOUR home. We will not pick up or drop off at any other sites.

4. CUSR staff will wait a maximum of 5 minutes past your pickup time due to a demanding van schedule. If you miss your pickup time, we will not return to pick you up. It is your responsibility to find transportation to the program if you miss your pickup time.

5. CUSR transports in-district participants only. 6. Transportation will only be provided for those who

sign up and pay for the service at the beginning of the program. We will not provide transportation for anyone mid-season that is not on the transportation roster at the beginning of the program.

7. Persons unable to be in a house alone should have someone meet the van at the designated time of return.

8. If needed, the CUSR driver will assist participants to and from their homes, but driveways and walkways must be clear of debris and obstacles.

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

10. CUSR staff is responsible for determining whether or not a participant can be transported safely.

11. Persons riding in Amigo-type wheelchairs or strollers must transfer into a vehicle seat and use a seat belt.

CUSR reserves the right to refuse to transport individuals. These policies have been developed to ensure safety of everyone riding in CUSR vehicles.

DisciplineA caring, positive approach will be used regarding discipline. CUSR reserves the right to dismiss participants. Each situation will be evaluated on its own merit.

Behavior CodeCUSR promotes the concept of “Equal Fun For Everyone” and strives to accomplish this belief through our program goals. However, certain rules are necessary to ensure everyone’s safety and enjoyment. CUSR participants are expected to exhibit appropriate behavior at all times. The CUSR behavior code states that participants shall show respect to all participants and staff, refrain from using foul language, refrain from causing bodily harm, and show respect to equipment, supplies, and facilities. Additional policies may be developed for specific programs and camps.

InsuranceIndividual accident liability insurance is not provided by CUSR.

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

Emergency ContactsEmergency phone numbers may be used for reasons other than an actual emergency situation. If staff needs to communicate any unforeseen change(s) of plans, transportation schedule adjustments, etc., and neither parent/guarding can be reached, the emergency contact is our only source to call. Please help us reduce any anxiety created with these calls by letting your designated “emergency contact” know that they may be called for other situations. Your assistance is appreciated.

Atlanto-Axial SubluxationIndividuals with Downs Syndrome are at risk of having a condition known as Atlanto-Axial Subluxation. CUSR must have a doctor’s written note on file stating a participant is free of the instability if he/she wishes to participate in programs that may cause undue stress upon the neck. Please take this into consideration when registering and inform staff if the condition is present.

CUSR INFORMATIONCONTINUED

30

CUSR Picture RequestDo you have some great pictures of programs or events? Please email them to [email protected] or bring electronic files to Hays Recreation Center.

Follow us on FacebookTo stay connected to all the happenings, find us on Facebook and see what’s going on! Facebook.com/CUSpecialRec

Program IdeasDo you want to try out a new food place? Have you wanted to see a play or hear live music at a new venue? We are always looking for new ways to learn, grow, and play! If you have a new idea for a program let us know by calling 217-239-1152 or emailing [email protected].

Justin AlphonseKatie BadgerRanae BartellStephanie BlessmanMelissa BorahCorina BottcherCandace BrahmNikiaya BrandonCJ BrownCurran BrownAllison BuggerJayna ButlerMayra CabralSara ConnollyMorgan CrossJulie CullottaSophia DiersErin EggemeyerArielle EvansEmilie FranzenGrace GarbaczJulius GillespieAdam GorsuchBrooke GrimseyJessica HainesAsti HastingsCaroline Hopper

Isabella HowardChristin HudsonJayonna HughesChristopher HutchisonChristina JapuntichJasmine JohnsonKatelyn KaefringRebecca KaefringMichael KillackyAbbey KnopHaydn LambertMelissa LuttrellTrisha MallareAbigail ManasterXavier MartinLauren MathisCherish McMullenJonathon McNamaraTim MyersKetsia NzezaKasha PeeteAlaina PetersonVicki PolitzerBen RowitzQutey SaylesJanet Scanlon

Thank You To Our Support Staff!

Avery SchenaJanet SlaterGuy SmithJessica SmithJenny Southlynn-SavageTiana SteeleMegan SteelmanClaire StelterTierra StiversonLaney StraterMorgen SwanLexia SwopeCarlie TrybomElizabeth van der VeldeBrooke VossDeon WardAlexandra WellsKortney WilcherMatthew WilkieJeremy WillsCory WilsonDaesha WinstonAlexie WrightErin WrightDajanae ZanderTrey Zarraga

31

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PRSTD. STD.U.S. Postage

PAIDPermit No. 287Champaign, IL

HAYS RECREATION CENTER 1311 W. Church St., Champaign, IL 61821

[email protected] CUSR FALL GUIDE 2017 (800)

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PROVIDING QUALITY PROGRAMS FOR INDIVIDUALS WITH … · 2017. 8. 3. · Jameel Jones DIRECTOR OF RECREATION Jessica DeYoung CTRS ... and sports activities for all ages and abilities