Montavilla Community Center Winter Activities 2016

Montavilla Community Center

Winter 2016Activities in East Portland

Commissioner Amanda FritzDirector Mike Abbaté

RegistRAtiON BegiNs NOVeMBeR 23, 2015Go to PortlandParks.org, click on the Register Now tab.

• Reserve your space in EDUCATIONAL PRESCHOOL for Fall 2016 ...see page 52

Portland Parks & Recreation

50 Montavilla Community Center 503.823.4101

Table of Contents

Adults 60+ ............................................... 53 & 55Dance ............................................................... 57Drop-In Programs ........................................... 51Gymnastics & Tumbling ................................. 54Inclusion Services ............................................ 57Music................................................................ 57Preschool/Early Childhood Education ........... 52Preschool Enrichment Classes ........................ 53Registration Information ................................. 64Registration Form ........................................... 65Tae Kwon Do .................................................. 56Skateboarding .................................................. 61 Teen Advisory Council .................................... 62 Teen Classes ................................................59-63Teen Drop-in Schedule ................................... 63Teen Force Pass ............................................... 61Teen Nights ..................................................... 60

Montavilla Community Center8219 NE Glisan, 97220 Telephone: 503-823-4101

Montavilla Pool 503-823-3675

Fax: 503-823-4873E-mail: [email protected]

Building Director: Karen BirtPreschool Specialist: Andrea Jones,

[email protected]

Teen Services Coordinator: Robert Donaldson II,

[email protected]

Rental inquiries:[email protected]

Winter Hours: Monday - Saturday* 9am-10pm *Saturday office hours until 3pm

Holiday Schedule Changes: Christmas Dec 24-25 CLOSEDNew Years Dec 31-Jan 1 CLOSEDMLK Day Jan 18 Open at 3pmPresidents’ Day Feb 15 Open at 3pm

Bus Lines: #19 Glisan, #72 82nd Ave. – Killingsworth

Parking: Lot entrance off of 82nd Ave. Parking space is limited. Street parking is also available along NE 83rd & 84th Avenues across Glisan.

Entrance: Faces the corner of 82nd & Glisan. As you walk towards the building from the parking lot, walk along the building, towards 82nd & Glisan. Enter in the first doors along the wall of windows.

Disabled Access: Entrance, classrooms & restrooms accessible. Designated parking spots available in lot.

Inclusion Services: Within the Americans with Disabilities Act of 1990, Portland Parks & Recreation provides accommodations to individuals with disabilities/special needs, so that they may receive an equal opportunity to fully participate in programs offered citywide. Please see page 57 for information on accessing these services.

Yoga - Fit Improve focus, release stress & tension

while increasing strength & flexibility. For

ages 60 & up.

Fitness - Dance Babies!

Sculpt & tone your body while holding,

lifting, grooving & bonding with your little

one in a dance-oriented fitness class. For

ages 18 & up

See page 55

Get Fit on Fridays!

fitness classes

Register On-Line at www.PortlandParks.org 51

Portland Parks & RecreationM

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Drop-In ActivitiesWinter term drop-in programs run January 2 - March 18, 2015, Please note: drop-in schedules will vary on holidays.

Parent/Child PlaytimeMon Tue Wed Thur Fri Sat Sun

BABY GYM12:30-1:30pm

9:30-10:30amAge: 6 -18 months, parents supervise

$1 per child

INDOOR PARK10:30am-12:30pm

10:30am-12:30pm

10:30am-12:30pm

10:30am-12:30pmAge: 5 yrs & under, parents supervise

$1 per child

Youth & Teen Open Gym Mon Tue Wed Thur Fri Sat Sun

MIDDLE SCHOOL BASKETBALL3-4:30pm 3-4:30pm 3-4:30pm 3-4:30pm

7:30-10pm 5-7pm

Grades: 6-8thFree!

HIGH SCHOOL BASKETBALL7-9pm 7-9pm 7:30-9:30pm 7-9pmGrades: 9-12th

Free!

GIRLS’ ONLY BASKETBALL3-4:30pmGrades: 6-12th

Free!

INDOOR SOCCER4-6pm 4-5:30pmAges: 11-17

Free!

VOLLEYBALL5-6:30pmGrades: 6-12th

Free!

BASKETBALL SKILLS & CONDITIONING5:30-7pm 5:30-7pmAges: 12-17

Free!

MOVIE NIGHT7:30-10pmAges: 11-17

Free!

TEEN NIGHT6-10pm 6-10pm

Ages: 11-20Free!

Additional Teen Programs Mon Tue Wed Thur Fri Sat Sun

BREAK DANCING6-7:30pm 3-4:30pmAges: 11-20

Free!

MIXED MEDIA ART STUDIO4-5:30pmAges: 11-20

Free!

JEWELRY & CRAFTS3-5pmAges: 11-20

Free!

Adult Open GymMon Tue Wed Thur Fri Sat Sun

ADULT BASKETBALL11:30am - 1:30pmAges: 18 & up

$3





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Senior Classes

Adult 60+ ArtWatercolor - All Levels ages: 60 & upExpress your creativity exploring basic to advanced methods. Use techniques such as sketching, mixed colors & laying washes to develop a unique style. Discover elements of light & shadow, composition & texture that you can bring to all the visual arts. M 12:30pm-2:30pm Caitlin M1041823 4 classes 1/11-2/8 $221041824 4 classes 2/22-3/14 $22

Pastel - Oil Techniques ages: 60 & upDiscover the diverse artistic potential of oil pastels. This unique medium utilizes layering & blending to obtain its rich color & painterly characteristics. Class will cover composition & drawing basics while exploring various oil pastel applications & techniques. Th 12pm-2pm Caitlin M1041825 5 classes 1/7-2/4 $27.501041826 5 classes 2/11-3/10 $27.50

Art & Enrichment

Messy ArtMessy Art - To Start! ages: 1½ -3Hands-on experiences with arts & crafts you might not want to try at home. The joy of creative thinking & self-expression are brought to life using mixed media. Parents act as child’s assistant. Dress appropriately. Tu 9:50am-10:20am Shoshanna S1041215 5 classes 1/12-2/9 $131041222 5 classes 2/16-3/15 $13

Messy Art - Art Adventures ages: 2½ -5Taste, 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! Tu 10:30am-11am Shoshanna S1041225 5 classes 1/12-2/9 $131041226 5 classes 2/16-3/15 $13

Tuesdays, 11:30am-1:30pm1041463 5 classes 1/12-2/9 $42.501041464 5 classes 2/16-3/15 $42.50

Thursdays, 11:30am-1:30pm1041465 5 classes 1/7-2/4 $42.501041466 5 classes 2/11-3/10 $42.50

Enrichment play-date for preschoolers! Children discover through arts & crafts, games & physical activities that are developmentally appropriate. Creativity & play build socialization plus language skills & friendships. Get ready for adventure!

Wednesdays, 11am-1pm

*Children enrolled in the Red Pre-K class receive 25% discount on Wed. sessions & can attend for 1 1/2 hours immediately following their Pre-K class.1041860 5 classes 1/6-2/3 $42.501041864 5 classes 2/10-3/9 $42.50



Please note, grade-school age classes now offered as a 10-week program with partial payment plans available. Classes do not meet on January 18 & February 15.

Gymnastics & Tumbling

Gymnastics - Tumbling: Gym Dandies ages: 1½-3Do you like to turn upside down? To climb & jump? Tumbling, gymnastic & acrobatic basics explored together with music, mats & movement. Increase balance, mobility & socialization skills using imagination & increasing listening skills. It’s flippin’ fun! Tu 9:15am-9:45am Kelly K1041467 5 classes 1/12-2/9 $251041468 5 classes 2/16-3/15 $25

Gymnastics - Level I Beginners ages: 6-12It’s never too late to start gymnastics! Start learning handstands, cartwheels and rolls. Practice Olympic events while emphasizing safe progressions and team-building skills. Develop a passion for fitness in a non-competitive environment. Sa 12:45pm-1:30pm Kelly K1041443 10 classes 1/9-3/12 $75

Gymnastics - Level I Intermediate ages: 6-12Get ready to move up! Continue basic skill development with an emphasis on form and strength building activities. Your child will work on perfecting their cartwheels, handstands and backbends. They will receive an introduction to new skills on bars, beam and vault. Learn to love fitness! Sa 1:30pm-2:15pm Kelly K1041444 10 classes 1/9-3/12 $75

PORTLAND PARKS & RECREATION

Gymnastics

Gymnastics - Tumbling: Rumble, Tumble & Roll ages: 2-3Here’s a chance for your child to exercise their large motor skills! Movement explored & developed through songs, free play on the mats, obstacle courses & creative movement that build strength, flexibility & endurance. Let’s roll! Sa 11:15am-11:45am Kelly K1041164 5 classes 1/9-2/6 $251041165 5 classes 2/13-3/12 $25

F 9:15am-9:45am Kelly K1041831 5 classes 1/8-2/5 $251041832 5 classes 2/12-3/11 $25

Gymnastics - Tumbling: Jump Start ages: 3-5Bounce! Jump! Fly! Develop skills together that promote coordination, balance & agility. Active games, creative drills & an emphasis on the joy of physical activity provide a playful introduction to a popular sport. Tu 9:50am-10:20am Kelly K1041870 5 classes 1/12-2/9 $251041874 5 classes 2/16-3/15 $25

Gymnastics - Preschool ages: 3-6Children 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 skills in 4 Olympic events! Sa 11:50am-12:35pm Kelly K1041166 5 classes 1/9-2/6 $37.501041167 5 classes 2/13-3/12 $37.50


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Get Fit on Fridays!

fitness classes

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Basketball - For StartersDribble, Pass, Shoot & Score! Gain basic moves of the game while building motor skills, strength, endurance & hand-eye coordination that are essential for a healthy life. Take a shot! W 1pm-1:30pm Isaiah B1041532 5 classes 1/6-2/3 $221041533 5 classes 2/10-3/9 $22

Soccer - For Starters Give 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! W 1:45pm-2:15pm Isaiah B1041534 5 classes 1/6-2/3 $221041536 5 classes 2/10-3/9 $22

Yoga - Fitages: 60 & up

Originating in India, this centuries old practice of exercise revitalizes both mind & body. Improve focus, release stress & tension while increasing strength & flexibility. An excellent way to learn to gauge & meet the ever changing demands of daily life. F 9:15am-10:15am Laura D1041760 January 1/8-1/29 $131041761 February 2/5-2/26 $131041762 March 3/4-3/25 $13

Fitness - Dance Babies! ages: 18 & upCapture your tot’s attention as you both get in a great workout. Sculpt & tone your body holding, lifting, grooving & bonding with your little one in a dance-oriented fitness class. Parent & child enjoy upbeat energy incorporating rhythm, music & movement with body conditioning exercises. Infant, toddler & preschooler appropriate. W 9:30am-10:30am Yvette M1043654 5 classes 1/6-2/3 $301046355 5 classes 2/10-3/9 $30

Preschool Sports!



White Tiger Tae Kwon Do with Cullen LoefflerProgram: Korean martial art that uses kicks, blocks & strikes, similar to karate. This is a great opportunity to try out a new sport. Taught in a supportive but disciplined environment. Non-contact, non-competitive form of self-defense increases physical strength, builds self-esteem, concentration & discipline. If you decide to stay with it, you can move up through the ranks in this program.Testing: Belt promotion takes place the first Saturday of the month (for all students). There is no testing fee, though new belts are $5 (basic uniform comes with white belt). Intermediate students have the option of attending tournaments, but it is not required.Instructor: Cullen Loeffler is a 3rd degree black belt & has taught with PP&R for over 15 years.Clothing: Wear loose-fitting clothing; uniforms are not required. Uniforms can be purchased through the instructor.Parents: You are encouraged to stay & observe the class. You are also welcome to register for the class & take the class with your child.Missing a class? Don’t worry, you can take another class at one of Mr. Loeffler’s other sites.Material Fee: $1 material fee to be paid to instructor at first class (all except TKD For Tots).

Beginning Classes

Tae Kwon Do For Tots ages: 4-6Do your preschoolers envision themselves as Power Rangers? Let them practice the Korean martial art that uses kicks, blocks, & strikes. Non-contact, non-competitive form of self-defense increases physical strength, builds self-esteem, concentration & discipline. A great outlet to burn off excess energy!1041140 Sa 9:15am-10am Cullen L 10 classes 1/9-3/12 $27.50

Tae Kwon Do - For Everybody ages: 6 & upJoin 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.1041141 Sa 11am-12pm Cullen L 10 classes 1/9-3/12 $35

Intermediate Classes

Tae Kwon Do - Next Steps ages: 4-6Students must have completed Tae Kwon Do for Tots to join this class. Tae means ‘foot’, Kwon means ‘hand’, & Do means ‘method’. This non-contact, non-competitive, form of self-defense increases self-esteem, concentration & discipline.1041142 Sa 12pm-12:45pm Cullen L 10 classes 1/9-3/12 $27.50

Tae Kwon Do - Intermediate ages: 6 & upExpand your knowledge & range of actions in this non-contact, non-competitive sport. Develop & increase concentration, coordination, discipline & esteem while benefiting from aerobic exercise.1041143 Sa 10am-11am Cullen L 10 classes 1/9-3/12 $35

Tae Kwon Do - More Advanced ages: 6 & upReady for the next stage? Develop & increase concentration, coordination, self-discipline & esteem while working toward black belt goals. Improve your ability to defend yourself as an added bonus!1041144 Sa 2:15pm-3:15pm Cullen L 10 classes 1/9-3/12 $35

Tae Kwon Do - Brown & Black Belt ages: 6 & upReady for the next stage? Develop & increase concentration, coordination, self-discipline & esteem while working toward black belt goals. Improve your ability to defend yourself as an added bonus!1041148 Sa 1pm-2pm Cullen L 10 classes 1/9-3/12 $35

Advanced Classes



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Music - Baby Sing Along ages: 0-1Discover songs & musical activities with your child. Through hands-on experiences playing bouncing & wiggling musical games, take home new lullabies & songs. Delightfully fun! Th 10am-10:30am Shoshanna S1041387 5 classes 1/7-2/4 $221041388 5 classes 2/11-3/10 $22

Music - Marching & Make Believe ages: 2-3Finger 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! Th 10:45am-11:15am Shoshanna S1041389 5 classes 1/7-2/4 $17.501041390 5 classes 2/11-3/10 $17.50

PreBallet - PrePrimary ages: 3-5Stretch mind & body with this classical dance style. Increase balance, rhythm & coordination while improving strength & flexibility in a supportive environment. Sa 10:30am-11am Kelly K 1041441 5 classes 1/9-2/6 $17.50 1041442 5 classes 2/13-3/12 $17.50

F 9:50am-10:20am Kelly K 1041829 5 classes 1/8-2/5 $17.50 1041830 5 classes 2/12-3/11 $17.50

Music, Dance & MovementPlease note classes will not meet on 1/18 & 2/15, with the exception of Guitar Lessons.

Music - Guitar Individual Lessons ages: 12-18Looking for a way to express your creativity? Music helps you try something new as you acquire skills that last a lifetime. Explore or review essential techniques such as note reading, chords, rhythm patterns & strumming of popular tunes. M 1/11-2/8 $451041743 5:30pm-6pm Tom D1041744 6pm-6:30pm Tom D1041745 6:30pm-7pm Tom D

M 2/15-3/14 $451041747 5:30pm-6pm Tom D1041748 6pm-6:30pm Tom D1041749 6:30pm-7pm Tom D

INCLUSION SERVICES FOR PEOPLE WITH SPECIAL NEEDS

Within the Americans with Disability Act (ADA) of 1990, Portland Parks & Recreation (PP&R) provides accommodations to individuals with disabilities/special needs, so that they may receive an equal opportunity to fully participate in programs offered citywide.

How it WorksFirst choose the activity you’d like to do & the PP&R site at which you’d like to do it. Next, register for the class. When registering, let the person know that you will need accommodations in order to participate in the activity. Once registered, contact Inclusion Services at (503) 823-4333. If this is your first accommodation through Inclusion Services, you will need to do a phone intake with a staff member at that number. At the end of the phone intake it will be determined whether an assistant will be needed on the first day of the activity to provide on-site support at the age-appropriate class. Future assistance will be provided based on need. The inclusion staff will work with the instructor on how to support you and your individual needs.

A general program may be adapted using auxiliary aids & services, but the basic structure of the program remains the same. Accommodations are made as needed & can be flexible & creative, ensuring the participant engages as independently as possible.

If you have questions about Inclusion Services, please call 503-823-4333 V/TTY. A minimum of 10 business days (Monday-Friday) advance notice is required. The Inclusion Services staff will do their best to accommodate each participant.




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with your Teen Force Youth Pass!




1041751


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ages: 11-16

Still working on a kickflip or can you already shred? Come skate with Teen Force! Rad staff will be on hand to offer pointers, help shoot videos, work on board maintenance and everything else skate-related you can dream up.

Teen Skate Club ages: 11-16 Su 11am-12:30pm 1041526 10 classes 1/10-3/13 Free!

Teen Skate Club: Girl’s Only ages: 11-16 Su 12:45pm-2:15pm 1041529 10 classes 1/10-3/13 Free!



TeenForce

Cooking ages: 11-17Boost your confidence! Develop basic culinary skills while creating new & classic foods, working individually & in small groups. What does chemistry have to do with food? Discover new tools & techniques & how foods work together to create a tasty dish that you & friends will enjoy! Anyone can cook!

F 4:30pm-6:30pm 1041740 5 classes 1/8-2/5 $51041741 5 classes 2/12-3/11 $5 Leadership - Teen Volunteer Corps! Be passionate about making your community a better place! Interact with others - design & participate in social service projects. Share your voice. Work with others. Be the change! ages: 11-13 M 3pm-4pm Sara M1043723 10 classes 1/11-3/14 Free!

ages: 14-18 M 4pm-5:30pm Sara M1041750 10 classes 1/11-3/14 Free!

TeenForce

Teen Force Drumlineages: 11-20

Become a #ForceOf Rhythm as you create new beats using sticks & practice pads. Percussion provides the foundation for every kind of music. Be the driving force behind your favorite tunes.

Sa 3:30pm-4:30pm Isaiah B1043720 10 classes 1/9-3/12 Free!

Rhythms of Africa ages: 11-14Explore the movement, sounds & stories of West Africa. Discover a cultural heritage while increasing coordination, balance, strength & self-awareness. Sponsored by Urban League of Portland.

F 4pm-5pm Habiba A 1043744 5 classes 1/8-2/5 Free!1043745 5 classes 2/12-3/11 Free!

Teen Advisory Council @ Montavilla CC ages: 14-20Meets every Wednesday, 4:30-6pm

#1043685 Free!



Teen Force Pass Drop-in

Positive & engaging activities offered daily with your FREE Teen Force Pass! Have an idea you want to try? Have a hobby you need a place to explore? Let us know!!

We are adding more to the mix as we go!! What do YOU want to do today?

Youth & Teen Open Gym Mon Tue Wed Thur Fri Sat Sun

MIDDLE SCHOOL BASKETBALL3-4:30pm 3-4:30pm 3-4:30pm 3-4:30pm

7:30-10pm 5-7pm

Grades: 6-8thFree!

HIGH SCHOOL BASKETBALL7-9pm 7-9pm 7:30-9:30pm 7-9pmGrades: 9-12th

Free!

GIRLS’ ONLY BASKETBALL3-4:30pmGrades: 6-12th

Free!

INDOOR SOCCER4-6pm 4-5:30pmAges: 11-17

Free!

VOLLEYBALL5-6:30pmGrades: 6-12th

Free!

BASKETBALL SKILLS & CONDITIONING5:30-7pm 5:30-7pmAges: 12-17

Free!

MOVIE NIGHT7:30-10pmAges: 11-17

Free!

TEEN NIGHT6-10pm 6-10pm

Ages: 11-20Free!

BREAK DANCING6-7:30pm 3-4:30pmAges: 11-20

Free!

MIXED MEDIA ART STUDIO4-5:30pmAges: 11-20

Free!

JEWELRY & CRAFTS3-5pmAges: 11-20

Free!

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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 (rounded to the next highest quarter (.25)). 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



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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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: AfricanImmigrant AmericanIndian/AlaskaNative Black/AfricanAmerican Hispanic/Latino NativeHawaiian/PacificIslander 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

xxxxxxxx Community CenterMailing AddressPortland, OR xxxxxxxx

Address Service Requested

Documents

Montavilla Community Center Winter Activities 2016