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St. Johns Community Center Columbia Pool SUN Communities Fall 2015 Activities in North & Northeast Portland Commissioner Amanda Fritz Director Mike Abbaté REGISTRATION BEGINS AUGUST 17, 2015 Go to PortlandParks.org, click on the Register Now tab.

St. Johns Community Center Fall 2015

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Fall classes and activities for preschool, youth, adults and seniors at St. Johns Community Center in North Portland, Oregon.

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Page 1: St. Johns Community Center Fall 2015

St. Johns Community Center Columbia PoolSUN Communities

Fall 2015Activities in North & Northeast Portland

Commissioner Amanda FritzDirector Mike Abbaté

REGISTRATION BEGINS AUGUST 17, 2015Go to PortlandParks.org, click on the Register Now tab.

Page 2: St. Johns Community Center Fall 2015

Portland Parks & Recreation - Summer 2015

2 North & Northeast Portland 503-823-PLAY

Educational Preschools Each of our four Community Centers offer an educational preschool program.

Our Educational Preschool Programs are all based on the philosophy that children learn through play, by exploring & manipulating their environment. The goal of our programs is to provide opportunities for children to develop & grow at their own rate. To enhance this experience, our classrooms are set up in learning centers that enable children to explore different areas of development, such as fine motor, socialization, pre-math, pre-reading & listening skills.

All of our programs run concurrently with the Portland Public Schools’ calendar. Child must be potty trained & meet the minimum age required for each specific class by September 1st. Once registered, it is assumed your child will remain with the program for the entire school year. For more information on specific programs or to register, please contact the individual site.

Play • Explore • Learn • Grow

7Matt Dishman

Educational Preschool

Charles JordanEducational

Preschool

St.JohnsEducational

Preschool

Peninsula ParkEducational

Preschool

Now Enrolling Fall 2015!

Page 3: St. Johns Community Center Fall 2015

Portland Parks & Recreation

Register On-Line at www.PortlandParks.org 3

Matt D

ishman

Charles Jordan

St. Johns

Peninsula P

ark

Matt Dishman77 NE Knott St, 97212

503-823-3673

Peninsula Park700 N Rosa Parks Way, 97217

503-823-3620

St. Johns8427 N Central St, 97203

503-823-3192

Charles Jordan9009 N Foss, 97203

503-823-3631

Columbia Pool7701 N Chautauqua Blvd

503-823-3669

SUN Community

Sw

im P

oolsS

UN

Com

munity

18

20

Page 4: St. Johns Community Center Fall 2015

Portland Parks & Recreation - Summer 2015

4 St Johns Community Center 503-823-3192

facebook.com/StJohnsCommunityCenterLike Us

St. JohnsCommunity Center8427 N Central St 97203 Telephone: 503.823.3192

Building Director: Amie MassierRecreation Coordinator: Jamie Moos-Benjamin

Fall 2015September 1, 2015-December 31, 2015

Building Hours: Monday 8:15-6pmTuesday 8:15-7pmWednesday 8:15-6pmThursday 8:15-9pmFriday 8:15-6pmSaturday 9-1pmSunday Closed – Rentals Available!Hours are subject to change based on class schedules, activities and needs.

Holiday Hours:Sept 7 Labor Day CLOSEDNov 11 Veterans Day CLOSEDNov 26-29 Thanksgiving CLOSEDDec 24 Christmas Eve Building Closes at 3pmDec 25 Christmas Day CLOSED Dec 31 New Years Eve Building Closes at 3pmJan 1 New Year’s Day CLOSED

Bus Lines: #4 Fessenden, #44 Mocks Crest, #75 Cesar Chavez Blvd/Lombard

Parking: On StreetDisabled Access: Entrances, Parking & Restrooms are accessible

Inclusion Services: Portland Parks & Recreation provides accommodations to individuals with disabilities/special needs, so they may receive an equal opportunity to participate in programs. For information on requesting accommodations see page 23 or call 503-823-4333.

Minimum Enrollment: Register early! Please be sure to note the start and end date when registering. Classes which have not met the minimum enrollment 3 days before the class is scheduled to start are subject to being cancelled.

Table of ContentsHarvest Hoopla ................................................................. 5 Drop-In Schedule .............................................................. 6Educational Preschool ....................................................... 7 SOAR After-school Program ............................................ 8Winter Break Camps ......................................................... 9Parent/Child Classes ....................................................... 10Preschool Classes............................................................. 11Youth Sports Leagues ...................................................... 12Youth Activities ................................................................ 13Birthday Party Packages .................................................. 15Martial Arts ...................................................................... 16Adult 60+ ......................................................................... 17Facility Rentals ............................................................... 17Scholarship Form ............................................................ 27

We Have Great Facility

& Room Rentals

St. Johns Community Center offers a wide range of rooms

for almost any gathering.Reserve your space today! Call us at 503-823-3192.

See Page 15 for Birthday Party Packages

• Birthdays• Business Meetings• Wedding Receptions• Quinceaneras• Reunions • And more!

Page 5: St. Johns Community Center Fall 2015

Portland Parks & Recreation

Register On-Line at www.PortlandParks.org 5

St. Johns

Harvest Hoopla

Ages 9 and under• Carnival Games• Crafts & More• $1 for 5 tickets

Friday, October 166:30 – 8:30pm

Join us for a low cost night out with the family! Try your hand at a variety of carnival games designed for toddlers, preschoolers and early

elementary! Get into the spirit of Fall with crafts, games and an all around great time out!

Page 6: St. Johns Community Center Fall 2015

Portland Parks & Recreation - Summer 2015

6 St Johns Community Center 503-823-3192

BABY GYMCrawl this way! Indoor Park toys too big for your baby? Here’s an alternative in our mat room. No need to worry as little ones explore our soft & safe environment. Playful & challenging activities gently encourage your child to develop strength, coordination, & body awareness.

INDOOR PARKIndoor Park is a safe & cooperative playtime for children accompanied by parents. Encourages the development of motor skills while helping children gain experience with group interaction & cooperative play on equipment, cars & assorted toys. Parents are responsible for supervising their children.

BASKETBALL – YOUTH OPEN GYMCome by the Center after school and get in a couple games of pick up basketball. School ID required.

BASKETBALL – ADULTSPractice your shots or join in on a friendly pick up game. Photo ID required.

TAI CHIIncorporates slow, gentle movements that increase flexibility, balancing & lung capacity; promotes stress relief, body awareness, plus suppleness in your spine.

Parent / Child Drop-in ActivitiesMonday Tuesday Wednesday Thursday Friday

Baby Gym$1.00, age: 18mos & younger (wobblers)

1-3pm 9:30- 11:30am

Indoor Park$1.00, age: 5 &

under w/ an adult

9:30- 11:30am

9:30- 11:30am

9:30- 11:30am

9:30- 11:30am

St. Johns Fall 2015 Drop-In ScheduleSchedule effective September 14, 2015 - December 31, 2015. Schedule may be adjusted to meet community & facility needs.

Youth Open Gym Drop-inMonday Tuesday Wednesday Thursday Friday

Youth GymAge: 17 & underFree, ID required

for teens

3:30-5pm 3:30-5pm 3:30-5pm 3:30-5pm 3:30-5pm

Adult Fitness Drop-in ActivitiesMonday Tuesday Wednesday Thursday Friday

Open GymAge: 18 & up

$3.00, ID required for teens

7-9pm

Tai Chi$3.50,

age: 60 & up9:30-10:30am 10-11am 9:30-10:30amFee

Change

Page 7: St. Johns Community Center Fall 2015

Portland Parks & Recreation

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St. Johns

Bridge BuddiesYour bridge to a lifelong love of learning at St. Johns Community Center

Educational Preschool

Preschool For Little Ones Ages: 2 ½-3Are You Ready? Play is the essential work of childhood, worthy of respect & encouragement. Curriculum designed to include stories; games & songs provide playful interaction while setting the stage for exploration, socialization & fostering a positive self-concept. Children MUST be 2 by 3/1/15.

A - M/W 8:30-10:30am Fee: $80/monthB - T/Th 8:30-10:30am Fee: $80/month

Preschool Ages: 3-4Creative play in a supportive environment is important to a child’s positive overall development. Make friends playing, painting, singing & sharing. Provides structured time during early childhood to enhance physical, mental, emotional & social growth & development. Children must be 3 by September 1, 2015.

A - M/W/F 11-2pm Fee: $130/monthB - Tu/Th 11-2pm Fee: $90/month

Pre Kindergarten Ages: 4-5Make new connections developing social & emotional skills! Opportunities for discovery, exploration & socialization fosters a positive self-concept through activities including ABC’s, arts, numbers, games, stories, songs & themes. Build self-confidence, independence & creative thinking through manipulative activities, reading readiness & positive reinforcement. Children must be 4 by September 1, 2015.

A - M-Th 8:30-11:30am Fee: $178/month*B - M-Th 12:30-3:30pm Fee: $178/month**10 month payment plan fee = $160

Bridge Buddies Classes:

The St. Johns Bridge Buddies Educational Preschool Program is based on the philosophy that children develop & grow at their own rate. In order to grow & develop their senses a child must “play” by exploring & manipulating their environment. To enhance this experience, the classroom is set up in learning centers that enable children to explore different areas of development such as fine motor, socialization, pre-math, pre-reading & listening skills. Preschool for your child is the foundation for academic learning. The St. Johns Bridge Buddies program follows the traditional school schedule with children enrolled September through early June.

2015-2016 School Year

Currently taking registrations for Fall 2015.

Call for information. 503.823.3192

Page 8: St. Johns Community Center Fall 2015

Portland Parks & Recreation - Summer 2015

8 St Johns Community Center 503-823-3192

SOAR does not operate on PPS non-school days. Financial assistance is available on a sliding scale.For more information, please, contact St. Johns Community Center (503) 823-3192

A school year program serving James John, Astor and Sitton Elementary Schools

2:15-6pm Monday-Friday $155/month

We provide bus transportation from Astor and Sitton Elementary. Students attending James John Elementary are escorted from the school to the community center immediately following dismissal.

Typical Daily Schedule2:15-2:45 Arrive & Free Play in Gym2:45-3:30 Large Group Game3:30-4:00 Snack4:00-4:30 Homework4:30-5:45 Rotations (Arts & Crafts, Rock

Wall, Science & More!)5:45-6:00 Free Time

SOAR Afterschool Program Grades: K-5

The SOAR Afterschool Program is an enriching environment with entertaining & challenging activities that enhance children’s development & promote self-esteem. Enjoy opportunities such as homework assistance, sports & games, social interaction, arts & crafts, education, and time making new friends.

Ask about our NEW“FLEX REG” DAILY RATEfor James John Elementary Families

REGISTER NOW!

Page 9: St. Johns Community Center Fall 2015

Portland Parks & Recreation

Register On-Line at www.PortlandParks.org 9

St. JohnsPortland Parks & Recreation

Register On-Line at www.PortlandParks.org 9

Preschool Camps

Youth CampsWinter Break Thrills Grades: K-5thSchool's out! Time to play! Join us for an action-packed day of exciting activities. Develop social skills & build self-esteem using a variety ofamusing games, arts, crafts & sports. Improve coordination & teamwork interacting in a positive nurturing environment. No couch potatoes here! Camp ends on Christmas Eve & New Year’s Eve at 3pm.Monday – Thursday 9am-5pm $90Before Care: 7:30am-9am $18After Care: 5pm-6pm $9

Date Course Before Care After Care12/21-12/24 1037358 1037366 103737112/28-12/31 1037359 1037367 1037372

Walkin' in a Winter Wonderland Ages: 3 - 5Sleigh bells ring! Are you listenin'? Make snow glisten' discovering delights of the season - snowmen, twinkling stars, frosty windows! Express creativity with a variety of media while stimulating the mind & enhancing fine motor skills.Monday – Thursday 9am-12pm $27Before Care: 7:30am-9am $18

Date Course Before Care After Care12/21-12/24 1038036 1037366 103737112/28-12/31 1038037 1037367 1037372

Winter Break Camps

Page 10: St. Johns Community Center Fall 2015

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Parent/Child Activities

Parent/Child Music & MovementCome prepared to be ACTIVE! Children should wear comfortable clothing that is easy to move in. Parent/guardian is required to participate in order to assist the child with the instructor facilitated activities

Movement - Dance with Me Ages: 1 ½ - 3Does your child start moving when the music begins? Step together & become aware of different ways to keep pace with the tempo. Rhythm & music inspire creativity. Improve motor skills, coordination & parent/child communication. Just go with it!

1036865 W 10:30-11am Classes: 5 10/7-11/4 $131036863 W 10:30-11am Classes: 5 11/18-12/16 $131036866 Sa 10-10:30am Classes: 5 10/10-11/7 $131036864 Sa 10-10:30am Classes: 4 11/14-12/12 $10.50

Movement - Twist & Twirl Ages: 2 ½ - 4Turn, leap & shake it with your parent. Explore rhythm, movement & coordination together. Nuturing environment foucsed on fun as a foundation for dance is developed while agility, flexibility & imagination are emphasized. May I have this dance?

1036867 W 9-9:30am Classes: 5 10/7-11/4 $221036868 W 9-9:30am Classes: 5 11/18-12/16 $22

Music - Marching & Make Believe Ages: 1 ½ - 3Finger plays, nursery rhymes, music, marching & simple instruments are combined with imagination & creative dramatics to provide a positive group experience for the young child & a parent or special friend. Expanding playful imaginations here!

1037051 Th 12:30-1pm Classes: 4 10/8-11/5 $141037057 Th 12:30-1pm Classes: 5 11/12-12/17 $17.50

Parent/Child ArtMessy Art Ages: 2 ½ - 4Taste, touch, smell & see! Together mix, mash & moosh projects aimed at increasing creativity, dexterity & expanding your imagination. The fun is on you, the clean up is on us!

Fall Colors1036981 Th 10:45-11:15am Classes: 4 10/8-11/5 $10.50Fun in Snowflakes1036982 Th 10:45-11:15am Classes: 5 11/12-12/17 $13

Parent/Child SportsSoccer - Tiny Tots Ages: 1 ½ - 4Kick it! Chase it! Stop it! Develop skills together that promote foot-eye coordination, balance & agility. Active games, creative drills & an emphasis on the joy of physical activity provide a playful introduction to a popular sport.

1037511 M 9:45-10:15am Classes: 5 10/5-11/2 $221037517 M 9:45-10:15am Classes: 6 11/9-12/14 $26.50

Page 11: St. Johns Community Center Fall 2015

Portland Parks & Recreation

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St. Johns

Parent/Child Activities

Sports Mix & Match Ages: 2 ½ – 5Toss, chase & pop! Explore things that go up & come down! Together, you & your child discover activities &; movements that increase eye-hand coordination, gross motor skills, balance & social interaction. Catch it! Toss it! You got it!

1037464 M 10:30-11am Classes: 5 10/5-11/2 $221037465 M 10:30-11am Classes: 6 11/9-12/14 $26.50

Basketball - Tiny Tots Ages: 1 ½-3Do you have a prospective ball player? Improve motor skill development while exploring the fundamentals of shooting, passing & dribbling. Two points for playing together!

1037509 M 11:15-11:45am Classes: 5 10/5-11/2 $221037515 M 11:15-11:45am Classes: 6 11/9-12/14 $26.50

Parent/Child GymnasticsGymnastics - Tumbling: Tiny Tots Ages: 1 ½ - 3Parents! Join your child in an introduction to gymnastics & tumbling using animal walks, jumping, swinging & springing skills. Increase body awareness, balance, strength & flexibility.

1036558 Tu 10-10:30am Classes: 5 10/6-11/3 $221036798 Tu 10-10:30am Classes: 6 11/10-12/15 $26.501036562 Sa 11-11:30am Classes: 5 10/10-11/7 $221036797 Sa 11-11:30am Classes: 5 11/14-12/12 $22

Gymnastics - Tumbling: Romp & Roll Ages: 2 ½ - 4Leap, flip & spin! Together, explore animal walks, swinging & springing in an introduction to tumbling. Gain strength & flexibility by playing independent & group games. Just move it!

1036559 Tu 10:45-11:15am Classes: 5 10/6-11/3 $221036796 Tu 10:45-11:15am Classes: 6 11/10-12/15 $26.50

Gymnastics - Twisting Tadpoles Ages: 2 ½ - 4Challenge your wee-one through obstacle courses, skill stations, & physical problem solving. Together, increase coordination & body awareness by rolling, crawling, & springing into toddler tumbling! Support your child as they develop new skills to help them reach the next step! Wiggle, Jump, & Roll!

1036560 Sa 9:15-9:45am Classes: 5 10/10-11/7 $251036799 Sa 9:15-9:45am Classes: 5 11/14-12/12 $20

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12 St Johns Community Center 503-823-3192

Preschool Activities

Preschool ArtArtworks Messy Masterpieces: Ages: 3-5Does your child like to make a mess? Muddle & jumble are transformed into works of art. Fun is just the beginning as projects develop fine motor skills & enhance creative development. Warning! Treasures in progress!

Harvest Fun1036979 Th 11:30-12:15pm Classes: 4 10/8-11/5 $14.50Winter Delights1036980 Th 11:30-12:15pm Classes: 5 11/12-12/17 $19.50

Preschool DancePreBallet - Starting Steps! Ages: 3 - 5Take a step further as new movements are introduced as you focus on classical dance - steps, poise, body alignment & foot positions. An excellent way to increase self-discipline & self-confidence.

1036878 W 9:45-10:15am Classes: 5 10/7-11/4 $251036883 W 9:45-10:15am Classes: 5 11/18-12/16 $25

PreBallet - Starting Steps and More! Ages: 3 -5New steps & movements are introduced as you focus on classical dance - steps, poise, body alignment & foot positions. An excellent way to increase self-discipline & self-confidence.

1036879 Sa 9-9:45am Classes: 5 10/10-11/7 $331036882 Sa 9-9:45am Classes: 4 11/14-12/12 $26.50

Preschool Sports & GymnasticsSoccer - For Starters Ages: 3 - 5Give it your best shot! Dribble, pass, shoot & score! Discover the fundamentals of ball handling while focusing on techniques, sportsmanship & fair play. Bring lots of energy!

1037510 M 12-12:30pm Classes: 5 10/5-11/2 $221037516 M 12-12:30pm Classes: 6 11/9-12/14 $26.50

Sports Mix - Gym Jamboree Ages: 3 -5Does your child love to run, jump, twirl & play? Build strong & healthy bodies, work on motor skills, coordination, balance, flexibility & social development as they interact. All sorts of activities, from soccer to kickball - maybe even a crazy obstacle course while burning off extra energy! Let’s go!

1037466 Tu 11:45-12:15pm Classes: 5 10/6-11/3 $221037467 Tu 11:45-12:15pm Classes: 6 11/10-12/15 $26.50

Gymnastics - Preschool Ages: 3 -5Children can increase body awareness and coordination through gymnastics! This is a great class for a child ready to participate without a parent. Learn basic gymnastics shapes and have fun with movement. We will use a variety of equipment and introduce 4 Olympic events!

1036557 Tu 9-9:45am Classes: 5 10/6-11/3 $37.501036795 Tu 9-9:45am Classes: 6 11/10-12/15 $451036561 Sa 10-10:45am Classes: 5 10/10-11/7 $37.501036794 Sa 10-10:45am Classes: 4 11/14-12/12 $30

Page 13: St. Johns Community Center Fall 2015

Portland Parks & Recreation

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St. Johns

Dribble, Pass, Shoot & Score. It’s a bucket! Build confidence & self-esteem in this non-competitive, entry level league held in a safe environment. Focuses on skill development ball handling, passing, teamwork & sportsmanship through team play.

Parent volunteers needed, please contact the community center to find out more. An information meeting will be held during the beginning of the first practice. Hoops are set at 10 ft. for grades 3-4, 8 ft. for grades K-2. T-shirt included. Maximum of 10 players per team. Later registrations accepted through the third practice. Games are held Fridays from 5:30-8:30 pm, starting 10/30 at Charles Jordan CC. Game schedule provided at second practice. Cost is $56. No practice or games 11/23-11/28.

Grades: 3-4 Season: 10/19-12/11 Games begin 10/301037295 M 6:00 - 7:00 pm Practice at SJCC Gym1037293 Tu 5:30 - 6:30 pm Practice at PPCC Gym West1037298 W 5:15 - 6:15pm Practice at CJCC Gym 1037299 W 6:15 - 7:15 pm Practice at CJCC Gym 1037296 Th 6:00 - 7:00 pm Practice at SJCC Gym

Grades: K-2 Season: 10/20-12/11 Games begin 10/301037274 Tu 4:30 - 5:30 pm Practice at PPCC Gym West1037275 Tu 5:30 - 6:30 pm Practice at SJCC Gym1037276 W 4:30 - 5:00 pm Practice at MDCC Gym1037294 W 5:30 - 6:30 pm Practice at SJCC Gym1037277 W 5:15 - 6:15pm Practice at CJCC Gym 1037297 W 6:15 - 7:15 pm Practice at CJCC Gym

www.portlandoregon.gov/parks/parkstars

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14 St Johns Community Center 503-823-3192

SKATEBOARDING

Skateboarding-Flatground BasicsImprove your technique! Put your deck to good use in an introduction to ollie & flip tricks. Work on carving, turning & manuals while setting and reaching goals through skill-focused coaching. Get rolling! 5 Classes.

Ages: 5-7Wed. 4:30-5:15pm $37.501038039 Oct. 7 - Nov. 4 1038042 Nov. 18 - Dec. 16 Ages: 7-12Wed. 5:45-6:30pm $37.501038040 Oct. 7 - Nov. 41038043 Nov. 18 - Dec. 16

CLASSES!

Start shredding! Choose your stance, & learn to turn & push while building healthy confidence on your wheels. Discover skatepark etiquette, safety & board fundamentals. Let's skate!

Ages: 5-10Sat. 10-11:30am $301038267 Nov. 141038268 Dec. 12

Ages: 7-12Sat. 10-11:30am $301038269 Oct. 24

ONE DAY CLINICS!

Kids Day OffSuper Ventures Grades: K-5thYou’re invited to have the best time ever! Find new friends, stay busy & keep fit in an action packed adventure filled with exciting activities. Dive into creative projects, games, sports & special events. Cure the vacation blahs with good times galore. The journey begins here! Need Care before 9am or after 5pm? Sign up for a before or aftercare option!

TIME: 9-5pm $28/day

Date Days Course Before Care

After Care

10/9 F 1037360 1037363 1037368

10/21-10/23 W-F 1037361 1037364 1037369

10/30 F 1037362 1037365 1037370

Youth Activities

Youth DanceBallet - Basics Ages: 6 -10Express yourself! Explore this joyful dance style & increase agility, grace & coordination. Develop a firm foundation in classical technique while gaining music knowledge & arts appreciation.

1036877 Sa 10:45-11:45am Classes: 5 10/10-11/7 $391036881 Sa 10:45-11:45am Classes: 4 11/14-12/12 $31

Youth Gymnastics Gymnastics - Level I Foundations Ages: 6 - 10Roll, stretch, balance and leap! Fun-filled introduction for first time participants. Experience the basics through games and obstacle courses. Floor, bars, beam and vault will help your child increase their strength and flexibility. We will provide instruction in proper skill progressions while stressing repetition and safety.

1036563 Sa 11:45-12:30pm Classes: 5 10/10-11/7 $37.501036793 Sa 11:45-12:30pm Classes: 4 11/14-12/12 $30

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St. Johns

Birthday Packages

Ever feel like you can’t enjoy your child’s birthday party because you are running around coordinating all the activities? Have your party here and let our trained party host set up, lead activities and clean up the mess when the fun is over!

Indoor Park $100 (For ages 5 years and under. Max youths 20)Package includes the use of one classroom with tables and chairs, one gymnasium court with the use of indoor park toys and balls.

Pirate or Princess $145 (For ages 3 years and up. Max youth 12)

Package includes the use of one classroom with tables and chairs, one theme related craft, two theme related games and an official Pirate or Princess certificate for each guest.

Rock Climbing$125 (For ages 5 years and up. Max youth 15)Package includes the use of one classroom with tables and chairs, with access to the traverse rock wall.

Sports & Games $125 (For ages 3 years and up. Max youths 20)Package includes the use of one classroom with tables and chairs, one gymnasium court with various sport games. (Basketball, soccer, floor hockey, dodge ball, etc.)

• AllPackagesincludepartyhost,balloons,andpaperproducts(plates,tablecovers,napkins,silverware&cups)• Partiesmustbebookedatleast2weeksinadvance.Eachpartypackageistwohourslong• A$100refundabledepositisrequired

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Tae Kwon Do- For EverybodyFor Ages 7 & Up

* Please note, St. Johns Community Center offers a monthly payment option for those who are interested in breaking the tuition into 3 equal payments. The first payment is due at the time of registration. The remaining payments are due on November 1 & December 1. This option REQUIRES a credit card.

Beginners: White to Yellow Belts1036958 Tu/Th 5pm-6pm Classes: 20 10/7-12/18 $96*

Yellow Belts & Up 1036948 Tu/Th 6:15pm-7:15pm Classes: 20 10/7-12/18 $96*

NEW!

Eli Patterson III

Eli began his study of martial arts at age of 5. He quickly excelled in Tae Kwon Do due to its similarities to karate and kick boxing. Over the last 11 years he has won over 15 grand championships and traveled to compete in tournaments worldwide. He is a 4th degree black belt in Tae Kwon Do and has been teaching both children and adults for over 10 years.

Benefits of Tae Kwon DoPhysical:• Increase flexibility• Improve coordination• Develop quickness• Learn self-defense skills

Mental:• Build self-confidence• Practice self-discipline• Increase concentration• Achieve Goals

Social:• Make new friends• Develop leadership• Learn respect for others

Page 17: St. Johns Community Center Fall 2015

Portland Parks & Recreation

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St. Johns

60 + Activities60 + ActivitiesMore than 600 years ago this martial art evolved in China as healers searched for a source of physical immortality. Incorporate slow, gentle movements that increase flexibility, balance & lung capacity. Promote stress relief, body awareness, suppleness in your spine & increased stamina.

Beginning Level1037500 Tu 10-11am Classes: 5 10/6-11/3 $151037503 Tu 10-11am Classes: 6 11/10-12/15 $18

Beginning/Intermediate1037501 M 9:30-10:30am Classes: 5 10/5-11/2 $151037504 M 9:30-10:30am Classes: 6 11/9-12/14 $181037502 W 9:30-10:30am Classes: 4 10/7-11/4 $121037505 W 9:30-10:30am Classes: 5 11/18-12/16 $15

Talking Tombstones & Fort GeorgeBack for another year, the Clatsop County Historical Society’s Talking Tombstones event will raise the dead. Tour the graveyard and along the way you will meet colorful characters in costume talking about their character’s role in history. Listen to the “living dead” and help preserve & honor the legacy of Astoria’s pioneering residents. Bring money for a fun, social lunch at Fort George Brew Pub. Day/Time: Sunday 10:00 am - 7:00 pmDates: October 25 Cost/#: $24 1037335

Tai Chi Today Facility Rentals

St. Johns Community Center offers a wide range of rooms

for almost any gathering.Reserve your space today! Call us at 503-823-3192.See Page 81 For Our

Birthday Party Packages

• Birthdays• BusinessMeetings• WeddingReceptions• Quinceaneras• Reunions• Andmore!

Van Trip

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18 North & Northeast Portland 503-823-PLAY

Columbia Daily Pool Schedule MONDAY – FRIDAY

6:00am - 1:00pm Lap Swim (lanes vary) 6:00 - 7:30am FAST Masters Swim Team (T/Th) 6:00 - 7:30am PAC (3 lanes) M/W/F 7:30 - 9:00am Wave Run - 1 lane 7:30 - 9:00am Aquaerobics / Aqua Power (no instruct) 9:00 - 9:55am Aqua Power – deep (M-F) 10:00 - 10:55am Aquaerobics – shallow (M-F) 10:00am - 1:00pm School / Daycare/Groups 10:00am - 1:00pm Family Play Swim-shallow only 11:00 - 11:55am S.M.I.L.E-shallow (M/W/F) (Slower Movement Intensity Lowered Exercise) 11:00am - 1:00pm Wave Run - 1 lane (T/Th) 11:00am - 1:00pm Aquaerobics (no instructor) 12:00 - 1:00pm Wave Run - 1 lane (M/W/F) 4:00 - 7:00pm Open Play Swim-shallow only (F) 4:00 - 8:00pm Open Play Swim-shallow only (M-Th) - Free on Fridays from 4:00-6:00pm 4:00 - 5:30pm PIL Swim Team (begins 11/16)-1 lane 4:30 - 6:00pm Portland Aquatic Club 4:45 - 7:35pm Swim Lessons (M/W) & (T/Th) 6:00 - 8:00pm Lap Swim - shallow only (2 lanes) (ends at 7:00pm on Friday) 6:05 - 7:00pm Aquaerobics – shallow (M-Th) 7:05 - 8:00pm Aqua Power – deep (M/W) 7:05 - 8:00pm Aquaerobics – shallow (T/Th) 8:00 - 9:30pm Rentals Available (M/W) 7:00 - 9:30pm Rentals Available (F) 8:05 - 9:30pm Open Kayak (T/Th)

SATURDAYS 9:50am - 12:05pm Swim Lessons 9:45am - 5:00pm Lap Swim (lanes vary) 10:00am - 5:00pm Open Play Swim 12:10 - 1:10pm The Blue Makos 5:00 - 9:00pm Rentals Available

SUNDAY 9:00am - 1:00pm Rentals Available 1:00 - 5:00pm Lap Swim (lanes vary) 1:00 - 5:00pm Open Play Swim 5:00 - 9:00pm Rentals Available

Director: Larissa Doty

COLUMBIA INDOOR POOL 7701 N Chautauqua Boulevard, 97217 Telephone: 503.823.3669

PARTY PACKAGE: 1 hour use of Party Space Decorations Setup Cleanup (by our staff) Place Settin s Pool Admissions

Party Packages may include up to a maximum of 10 children and 2 adults. Extra guests may be

added at an additional charge per child. Give us a call and our Rental Coordinators will assist you in

planning your upcoming activity or event!

Au ust 31-December 12HOURS: Mon-Thur 6:00am-1:00pm & 4:00-8:00pm Fri 6:00am-1:00pm & 4:00-7:00pm Sat 9:45am-5:00pm Sun 1:00-5:00pmHours will be reviewed periodically to best meet participants’ needs.CLOSURES AND SPECIAL HOURS:Sat, Oct 17 – Open 9-10:30am for Lap Swim 12:15-3:15pm for Lap Open SwimSun, Oct 18 – Open 12:15-3:15pm for Lap Open SwimThur, Nov 26 Than s ivin – ClosedWed, Dec 2 – Closes at 7pm for PIL Swim MeetSun, Dec 13-Wed, Jan 4 – Closed Columbia Pool will undergo annual maintenance.General Information: Indoor 25 yard swimming pool, heated year-round to 86 degrees. Water depths range from 1.5 feet to 8 feet. Program offerings include swim lessons, lap swim, water tness classes, and recreational play swims.

Bus Lines: #75 39th Ave/Lombard� Disabled Access:

Entrances: Accessible - ramp to pool houseParking: Accessible - on street Pool: Accessible - with pool lift (weight capacity 300 lbs.)Family Changing Rooms: Accessible - ADA shower

503-823-3670

Check out our Party Package!

Columbia Pool offers private pool rentals as well as the Party Pac a e.

Children under 48” must be accompanied in the water by an adult 18 yrs or older.

Open Kayak Time!Practice your paddling skills in warm

water. Bring your Kayak to Columbia Pool.

Drop-In Times are:8:05 to 9:30pm Tues Thurs

Fee: $10.00 per person with boat

$5.00 per extra person

Multi-Use Passes Available:10 visits $90.00 / 20 visits $174.00

Please make sure your kayak is clean and free from debris.

Hose available at back pool entrance

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Class fee must be paid when registering for class.Registration begins

immediately during pool operating hours and continues through Fall classes.

You may register using Visa/Mastercard by calling 503-823-3669.

Click on Register for Classes. Search for classes by age category, by keyword, or you narrow your search by specific activity.

Columbia Swim Lesson Fees

L SS S LF S S F S10 lessons Resident $52.50 Non-resident $73.509 lessons Resident $47.25 Non-resident $66.25

L L SS S10 lessons Resident $62.50 Non-resident $87.509 lessons Resident $56.25 Non-resident $78.75

Columbia Fall 2015 Swim Lesson TimesGenerally all levels are not offered at each lesson

time. Call for information about when specific levels are offered. All classes are subject to change and

offered according to demand.SATURDAYS9:50 - 10:20am10:25 - 10:55am11:00 - 11:30am

11:35am - 12:05pm

D TU T UR4:45 - 5:15pm5:20 - 5:50pm5:55 - 6:25pm6:30 - 7:00pm7:05 - 7:35pm

Columbia Fall 2015 Swim Lesson DatesSATURDAY

Oct 3-Dec 12 (9 lessons) no class 10/17, 11/28 DAY D SDAY

Oct 5-Nov 4 (10 lessons) Nov 9-Dec 9 (8 lessons) no class 11/11, 12/2

TU SDAY T URSDAYOct 6-Nov 5 (10 lessons)

Nov 10-Dec 10 (9 lessons) no class 11/26

COLUMBIA POOL and C CC FIT SS COMBO PASS

Why stop with admission to Charles Jordan Community Center’s (formerly University Park Community Center) tness room, scheduled open gym times and other group exercise classes when you can now include

admission to Columbia Pool.

C ARL S JORDA COMMU ITY C T R503-823-3631

9009 Foss Portland OR 9 20

10 ISITS 20 ISITS MO T Adults (18-59 yrs) $45.00 $85.00 $120.00Seniors ( 0 yrs u ) $36.00 $68.00 $96.00 Youth (14-17 yrs) $36.00 $68.00 $96.00

F S City o Portland Residents O LY

Create multiple workouts with ONE great pass!

Diversify your workout

with lap swim, water

fitness and open swim

times at Columbia Pool!

Drop-in 10 visits 20 visits $38.25 res $72.25 resAdults $4.25 $45.90 non res $86.70 non res $36.00 res $68.00 resSeniors(60+) $4.00 $43.20 non res $81.60 non res $29.25 res $55.25 resYouth $3.25 $35.10 non res $66.30 non res

Tot (2 years and under) Free with parent

Admission FeesRAL ADMISSIO

-MO T S IM PASS Individual $102.00 res $122.40 non res

Seniors(60+) $70.00 res $84.00 non res

Family** $168.00 res $201.60 non res

** Family membership denotes a couple (married or domestic) or a single parent and their legal dependants living in the same residence.

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20 North & Northeast Portland 503-823-PLAY

SUN COMMUNITY SCHOOLS - NORTH ZONE

Beaumont SUN Community School

4043 NE Fremont St97212Contact Us

Site Manager: Sue CoffmanPhone: 503-916-5615Email: [email protected]

www.Facebook.com/BeaumontSUN

Schools Uniting NeighborhoodsAt SUN Community Schools, the collective efforts of youth, parents, businesses, faith communities, libraries & community organizations create a network of supports that ensure academic success, family self-sufficiency & economic prosperity. SUN Community Schools are open to all ages, preschool to seniors, with a focus on students in the immediate school community. SUN CS are a collaboration of Multnomah

County, the City of Portland, nonprofits & local school districts.

Intergenerational

EducationWriting - Let Your Imagination Fly ages: 8 & upFly to the moon! Sail to the stars! Send thoughts aloft on a paper airplane. Imagine yourself an astronaut or bird & write stories or poetry about your travels! Increase communication & self-expression skills while improving basic writing abilities.1036652 Th 6:30pm-7:30pm Rm 20 10/8-12/17 $47

Fitness & HealthZumba - Fitness ages: 11 & upRoutines combine fast & slow rhythms to achieve a balance of cardio & muscle-toning benefits. A dynamic, exciting & effective workout! Move fast & have fun!1037514 Th 6:30pm-7:30pm Gym 10/8-12/17 $72

Belly Dance ages: 9 & upShimmy & swirl! Get those hips, legs & stomach muscles moving increasing strength, flexibility & endurance! A total aerobic workout inspired by exotic music from the Far East, designed to get you moving, grooving & in good shape!1037513 Tu 7pm-8:30pm Cafe 10/6-12/15 $55

Yoga - Conditioning ages: 11 & upRelax your mind & body while improving strength, stamina & flexibility. Relieve the stresses of daily life with these revitalizing techniques. This centuries old practice of exercise increases your focus & sense of well-being.1037512 M 7pm-8pm Cafe 10/5-12/14 $61.75

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SUN Community Schools bring the community together to support educational success.

Schools Uniting Neighborhoods

SUN Community Schools are a collaboration of Multnomah County, the City of Portland, nonprofits, and local school districts.

SUN Community Schools are a collaboration of Multnomah County, the City of Portland, nonprofits,

and local school districts.

Intergenerational (continued)

Sports - FencingFencing - Introduction To Foils ages: 8 & upExperience the art of swordsmanship with a dynamic sport teaching safety, self-discipline, coordination, agility, stamina, speed & grace. Tactics, techniques, footwork & blade work build strength, balance & quick reactions & a mastery of strategy & a life-long recreational activity.1037314 W 6pm-7pm Cafe 10/7-12/2 $36

Preschool (2 yrs - 6 yrs)

Performing Arts - BalletPreBallet - Where Dreams Begin ages: 3-5Earliest preparation of time honored training in classical ballet. Agility, grace, coordination, movement & rhythm improves strength while providing the nurturing atmosphere to learn the discipline required.1036659 Th 5pm-6pm Cafe 10/8-12/17 $28

Youth (School Age 6 yrs - 17 yrs)

Martial Arts & Self DefenseTae Kwon Do - For Everybody ages: 7-15Join over 40 million people who practice this Korean martial art. Increase agility & strength while improving coordination using kicks, punches & blocks. Parents, children & families are welcome.1037315 Tu 6pm-7pm Cafe 10/6-12/8 $36

Performing ArtsBallet - First Steps ages: 6-11Inspired by the Sugar Plum Fairy & Nutcracker Prince. The time honored training of classical ballet stretches the mind & body while teaching agility, grace, coordination & strength providing a basis for all types of dance, sport & movement.1036651 Th 5pm-6pm Cafe 10/8-12/17 $47

Teen (11 yrs - 17 yrs)

EducationBabysitter Training ages: 11-15This KidProof course provides interactive discussion, activities & hands-on practice to increase your confidence & give you the skills you need to be the best sitter possible. Topics include how to acquire a babysitting job, caring for kids of all ages, dealing with difficult situations, developing fun activities, making safe choices & basic first aid. ThisclassisofferedthroughpartnershipwithCommunityUpgrade,anauthorizedproviderofKidsproofSafetyInternationalPrograms.Classstartspromptlyat9am.RefundsforcancellationswillnotbeawardedafterWednesday,10/7.Participantsshouldbringawaterbottle&sacklunch.1038398 F 9am-4pm

Rm 20 10/9 $70

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22 North & Northeast Portland 503-823-PLAY

Faubion SUN Community School

3039 NE Rosa Parks Way97211Contact Us

Site Manager: Autumn MontegnaPhone: 503-916-5694Email: [email protected]

Roseway Heights SUN Community School

7334 NE Siskiyou St97213Contact Us

Site Manager: Shelby CoshowPhone: 503-916-5865Email: [email protected]

High School/Adult (12 yrs & up)

Fitness & HealthFitness - Zumba ages: 12 & upRoutines combine fast & slow rhythms to achieve a balance of cardio & muscle-toning benefits. A dynamic, exciting & effective workout! Move fast & have fun!1037525 Tu 5pm-6pm Small Gym 10/6-12/15 $88

Fitness - Tone Zone ages: 18 & upA fun combination of cardio, core conditioning, resistance training, strength building, dance moves, stretching & more for improved posture, balance, strength, flexibility & stamina all day & beyond.1037523 M W 6pm-7pm Small Gym 10/5-11/4 $49.25 1037524 M W 6pm-7pm Small Gym 11/9-12/16 $60

Sports - Basketball Drop InBasketball - Retro Rebounders age: 30 & upBad knees? Sore back? Jumping abilities that aren’t what they used to be? Here’s an opportunity to get a workout & increase strength, flexibility, & endurance at a slower pace. Drop-in only, do not register. ContactRWHSUNCSofficeat503.916.5865forconfirmation–subjecttocancellationduetoschoolevents. Tu 6:30pm-8:30pm Lrg Gym 10/6-12/15 $2 (drop-in)

SUN Community Schools,

a great place to work and play!Need a scholarship?

Things change.(like our address for instance)

During renovations,Faubion SUN CS will be located at

Harriet Tubman Middle School,2231 N Flint Ave, 97227

Classes will resume in the winter.

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Portland Parks & Recreation

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Sitton SUN Community School

9930 N Smith St97203Contact Us

Site Manager: Peg ZanderPhone: 503-916-5654Email: [email protected]

Intergenerational

Arts & CraftsCrafts - Knitting: The New Age ages: 12 & upIt’s not just your grandmother’s craft! New yarns & techniques allow you to produce a variety of simple projects. Anyone can do it! Relax & enjoy the results of your creative efforts, both beautiful & functional. Basicsupplieswillbeprovided.Chosefromfivebasicpatternsorbringyourown!1036854 M 6pm-7pm Cafe 10/5-11/2 $151036859 M 6pm-7pm Cafe 11/9-12/14 $18

Golden Opportunities

For senior citizens, retirees & grandparents to get involved in

SUN Community Schools

• Advise on curriculum

• Advocate for educational excellence

• Share your expertise

Call 503-823-7112 to find out how you can help build community!

Youth (School Age 6 yrs - 17 yrs)

Arts & CraftsCrafts - Work With Your Hands ages: 6-12There’s nothing more exciting than embracing personal creativity. Through a variety of materials & techniques, gain knowledge & skills that can be reused to make special ‘treasures’ at home. A handmade original!1036849 M 6pm-7pm Cafe 10/5-11/2 $151036851 M 6pm-7pm Cafe 11/9-12/14 $18

Disability Access: All SUN CS facilities meet accessibility standards as required by state and federal law.

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24 North & Northeast Portland 503-823-PLAY

Charles Jordan Community Center

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503-762-3463

Adaptive and Inclusive Recreation 503-823-4333 V/TDD

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nREGISTRATIONReceipt of full payment is required for registration, unless otherwise arranged. Please call if you receive a returned check or declined bank card notice, either of which void registration.

RESIDENT / NON-RESIDENTA resident is:

• anyonewhooccupiesapermanentresidenceinsidethecity limits of Portland. At the discretion of a Community Center Director, proof of home address may be required. Acceptable address verification may include a 1) drivers license, 2) Oregon ID card, 3) property tax statement, 4) utility bill or lease agreement with current home address.

• anychildlivingwithintheschoolboundariesoftheReynolds and Centennial School Districts who is attending a SUN Community School. Through a partnership between the City and County, a child attending a SUN Community School is eligible to register for programs at any SUN Community School location without paying a non-resident surcharge.

Anyone else is considered a non-resident (NR) and will be assessed a 40% surcharge. NR surcharges do not apply to drop-in activities. Non-residents who wish to register for PP&R activities may choose one of these options:

•Pay the additional 40% NR fee.

•Purchase a NR fee discount pass as either an individual or family for a period of three, six or nine months from the date of purchase. The NR discount pass takes 25% off the NR fee for the activity. Inquire about this option at time of registration. These passes are not refundable.

Non-resident Pass Prices

3-month pass: Individual $25 Family $50

6-month pass: Individual $45 Family $90

9-month pass: Individual $65 Family $130

A family denotes a couple (married or domestic) or a single parent and their legal dependents living in the same residence.

CLASS ENROLLMENTOur classes must meet minimum and maximum enrollment standards. Classes may fill quickly or be canceled due to low enrollment.

WITHDRAWAL & REFUNDSPlease notify us at least five (5) business days (Monday-Friday), unless otherwise specified, before the start of your program so that we can refund or credit your account for the registration fee. Pre-paid materials and admission tickets cannot be refunded. Participants needing to withdraw after the program has begun are offered a prorated credit or refund based upon when the request is made.

SCHOLARSHIPSCity of Portland residents, regardless of age, who require financial assistance may apply for partial scholarships. Contact individual centers for information.

NOTICE OF NON-DISCRIMINATIONPP&R programs and services reflect the cultural diversity of our community. We do not discriminate on the basis of religion, race, color, gender, national origin, sexual orientation, age or ability.

SPECIAL NEEDSWithin the American with Disability Act (ADA), a person with a disability or special need who desires assistance with registration and/or participation in general PP&R programs can contact Inclusion Services at please call 503-823-4333 or 711 (TRS). If you request assistance through Inclusion Services, a minimum of 10 business days (Monday-Friday) advance notice is required.

If you need a sign language interpreter or FM loop amplifier, please contact please call 503-823-4333 or 711 (TRS), at least five business days in advance of the activity or class. Information about programs and services is available online for those needing a voice synthesis; visit our website at www.PortlandParks.org. For additional ADA information, call 503-823-2223.

PHOTO POLICYPortland Parks & Recreation (PP&R) reserves the right, and may give permission to the media, to photograph classes, programs, and participants at any of our facilities and properties or any sponsored activity. Please be aware that these photos are for promotional purposes and may be used in future publications and media communications in any format.

If you do not wish to be photographed, please inform staff and we will make reasonable efforts to honor your request. If you see staff taking pictures, and you do not wish to be photographed, please let us know.

If you see a photo of yourself or a family member that causes you concern, please notify us. As a courtesy, we will make every reasonable effort to dispose of the image, and will not use it in future publications. However, we will not be able to retrieve, destroy or discontinue existing printed publications in which the photograph may have been included.

CUSTOMER SATISFACTIONYour satisfaction is our goal! Portland Parks & Recreation strives for 100% customer satisfaction. If you are not satisfied with a recreation program or service, please let us know.

INFORMATION HOTLINEFor information on other PP&R services & programs, call our Information Hotline at 503-823-PLAY (7529), Monday-Friday, 8:30am-5pm.

INCLEMENT WEATHERIf the City of Portland public school districts (Portland Public, Parkrose, David Douglas, Reynolds, and Centennial) are closed because of weather conditions, PP&R classes and youth basketball in those school districts are cancelled. However, some sites may be open for drop-in activities. Call the specific PP&R facility for information and opening/closing times. If inclement weather is forecast on weekends or holidays, call the PP&R facility or program for operating hours and activity cancellations.

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FACILITY NAME: ___________________________________ PROGRAM/ACTIVITY: _____________________________

Portland Parks & Recreation recognizes that some residents of the City of Portland require financial assistance to attend certain recreational activities. A limited number of scholarships are available for those who qualify. The information requested below is confidential and necessary to help determine the degree of need for each applicant. ALL information must be filled in or the application will be returned unaccepted. If you are applying for multiple scholarships, a separate application is required for each participant and for each activity. Please allow a minimum of 2 working days to process your scholarship. Call or come in to the recreational facility to confirm approval of your scholarship.

Proof of income is required with ALL scholarship applications. Please see reverse for more information and valid forms of income verification.

SCHOLARSHIP APPLICATION forClasses & Programs

Participant’s Name: _______________________________________________________________ Age: ___________________

Address: ________________________________________________________________________________________________

City________________________________________ State:_______________________ Zip Code: ______________________

Daytime Phone:________________________________________ Evening Phone: ____________________________________

This scholarship will be used for: Activity: ___________________________________ Barcode:________________________

Knowing that the normal fee for this program is $_______________ what do you think you can pay? $_______________Our program does not allow us to cover the program fee completely, so please enter an amount that is possible for you to pay.

State the financial need which makes it impossible for you to pay entire fee: __________________________________________

_______________________________________________________________________________________________________

FOR YOUTH REGISTRATIONS ONLY:

Father’s Name: ____________________________________________ Employer:____________________________________

Mother’s Name: ___________________________________________ Employer:_____________________________________

____________________________________________________________________ _____________________ Participant / Parent / Guardian Signature DateFOR OFFICE USE ONLY:

Notes:

Date Received: ____________________ Date Approved: ____________________ Regular Program Fee: $ ________________

Term: ___________________________ Dates Phoned: _____________________ Less Scholarship Amt: $ ________________

Program Manager Signature: _________________________________________ Total Participant Fee: $ ___________________

Dates Phoned: ____________________________________________________________________________________________

Sustaining a healthy park and recreation system to make Portland a great place to live, work and play.www.PortlandParks.org•CommissionerNickFish•DirectorMikeAbbaté

THIS FORM IS FOR CLASSES & PROGRAMS ONLY. FOR INFORMATION ON MEMBERSHIP SCHOLARSHIPS CONTACT YOUR LOCAL COMMUNITY CENTER.

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VERIFICATION OF INCOME ELIGIBILITYWhen applying for a scholarship, Portland Parks & Recreation requires a copy of your latest 1040 Income Tax Form or other accepted form to verify your income (see below). This information must be update with each subsequent scholarship request. Portland Parks & Recreation values your privacy and will make every effort to ensure information provided remains confidential.

Number of children living at home: ___________Number of adults in household: __________

TOTAL YEARLY FAMILY INCOME (include child support if applicable):

o 0 to $19,239 o $32,560 to $39,219 o $52,540 to $59,199 o $19,240 to $25,899 o $39,220 to $45,879 o $59,200 to $65,859 o $25,900 to $32,559 o $45,880 to $52,539 o Over $65,859

ACCEPTABLE forms of income verification (please check form used):

_____ Most recent 1040 income tax return_____ Proof of current Social Security benefits (SSA Benefit Statement or SSA-1099)_____ Proof of disability pay (SSI)_____ Proof of current OHP (Oregon Health Plan – striped medical paper with client info on it)_____ Oregon Trail (food stamps) award letter

UNACCEPTABLE forms of income verification:• Bank Statements• Paycheck stubs• Individual W-2’s• Plastic Oregon Trail Card• WIC

To the best of my knowledge, the information provided on the Verification of Income Eligibility form is accurate. I understand that misrepresenting could result in an inability to receive Portland Parks & recreation scholarships in the future.

Signature of Participant (18 & older or Parent/Guardian Date

FOR OFFICE USE ONLY

After review by staff, proof of eligibility was:

q Return to customer Date: _______________ Staff Name: ______________

q Shred Date: _______________ Staff Name: ______________

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Registration Inform

ationRegister Now – One of Five Ways

CHECK ONE: New Customer Taken class with PP&R before My account information has changed

Main Contact Name _______________________________________________________________________ Birthdate ___________________________ M_____ F_____

CIRCLE ONE: African Immigrant American Indian/Alaska Native Black/African American Hispanic/Latino Native Hawaiian/Pacific Islander White Slavic/Eastern European Immigrant Asian Multi-Racial Other

Home Address ________________________________________________________________________ City/St/Zip _______________________________________________

Home Phone (_________)________________________________________________ Work Phone (_________)_________________________________________________ Cell Phone (_________)_____________________________________________ Email Address _______________________________________________________________

Emergency Contact Name & Phone Number ___________________________________________________________________________________________________

Portland Parks & Recreation welcomes individuals with disabilities and special needs into programs. Please describe any accommodations needed for successful inclusion: _____________________________________________________________________________________________

Please print

CHECK Check number_____________________ (make check payable to the City of Portland)

CREDIT CARD Information

Account # ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ Expires ____________________________________

Cardholder’s Name_____________________________________________________ Signature______________________________________________________________

PAYMENT INFORMATION

VISA

MasterCard

Amex

Name (last, first) Birthdate M/F Class Title Course # Class Location Start Date Cost

PARTICIPANT INFORMATION

ONLINE at PortlandParks.org – Click on the “Register Now!” top tab. Search for classes by age, category, location or keyword – or narrow your search by specific activity or course number.

PHONE – Complete this registration form and call any PP&R site using the phone numbers on the map pages. You may also phone in your registration to the PP&R Customer Service Hotline at 503-823-2525, Monday-Friday, 8:30am-5:15pm. Only Visa, MasterCard or American Express accepted with phone-in registration.

MAIL – Mail your completed registration form to the program center address. Include full payment using your Visa, MasterCard, American Express or check payable to the City of Portland. Mail-in registration is also received at the PP&R Customer Service Center, 1120 SW Fifth Ave, Suite 1302, Portland, OR 97204.

FAX – Complete the registration form and fax it to 503-823-2515 with full payment using your Visa, MasterCard or American Express. Faxes are accepted 24 hours a day, seven days a week, but are processed during regular business hours.

IN PERSON – Any PP&R facility is able to process your registration, including the Customer Service Center located in the lobby of the Portland Building at 1120 SW Fifth Ave. All Community Centers are open for walk-in registration during business hours.

NON-RESIDENTS of the City of Portland pay a 40% surcharge. Or you may purchase a non-resident pass at the amounts listed below. List pass price or 40% surcharge in column at right and add to your total.

I already have a non-resident pass. Duration ______-month Purchase date ______/______/______

Passholder name ________________________________________________________________________________________________

I need a pass. Circle one: 3-month | 6-month | 9-month Circle one: Individual | Family

Name of person(s) needing pass ______________________________________________________________________________

3-month pass: individual $25; family $50 | 6-month pass: individual $45; family $909-month pass: individual $65; family $130

I do not want a pass. I choose to pay the 40% surcharge.

Subtotal

40% non-resident surcharge or

pass price

TOTAL

Page 30: St. Johns Community Center Fall 2015

1120 SW 5th Ave., Suite 1302Portland, OR 97204www.PortlandParks.org

Address Service Requested