St Johns Community Center Winter 2014 Catalog

Portland Parks & Recreation - Winter 2014

1 St Johns Community Center 503-823-3192 Register on-line at www.PortlandParks.org Commissioner Amanda Fritz503-823-PLAY Director Mike Abbaté

St Johns Community Center• Enroll in Educational Preschool at your local community center. Pg 4• Explore our Fitness offerings! Pg 9

Winter 2014


2 St Johns Community Center 503-823-3192

Table of ContentsWinter & Spring Break Camps ......................................... 3Party Packages ................................................................... 4Educational Preschool ....................................................... 4Drop-In Schedule .............................................................. 5Intergenerational Martial Arts .......................................... 6Parent/Child Classes ......................................................... 6Preschool Classes............................................................... 7Room Rentals .................................................................... 7Youth Sports Leagues ........................................................ 8Youth Gymnastics .............................................................. 8School’s Out Activities ....................................................... 8Youth After School Programs ............................................ 9Adult 55+ ........................................................................... 9 Registration ..................................................................... 16

St. JohnsCommunity Center8427 N Central St 97203 Telephone: 503.823.3192

www.facebook.com/stjohnscommunitycenter

Building Director: Amie MassierRecreation Coordinator: Jamie Moos-Benjamin

Winter 2014January 1, 2014-March 31, 2014Building Hours:

Monday-Thursday 8:30am-9pm Friday 8:30am-6pmSaturday & Sunday Closed – Rentals Available!Hours are subject to change based on class schedules, activities and needs.

Holiday Hours:Dec 24 Christmas Eve Building Closes at 3pmDec 25 Christmas Day CLOSED Dec 31 New Years Eve Building Closes at 3pmJan 1 New Years Day CLOSEDJan 20 MLK Day CLOSEDFeb 17 Presidents Day CLOSEDMar 17 - Mar 22 Annual Maintenance CLOSED

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

Parking: On Street

Disabled 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 call 503-823-4328.

Minimum Enrollment: Register early! Please be sure to note the start and end date when registering. Classes which have not met the minimum enrollment 2 days before the class is scheduled to start is subject to be cancelled.

Annual Building Maintenance:March 17th-March 22nd

St. Johns will be closed for Annual Maintenance.

Inclement Weather:In the event of inclement weather, St Johns Community Center follows these guidelines:

• Our classes are cancelled before noon - when Portland Public Schools declare a late opening.

• Our classes are cancelled all day - when Portland Public Schools cancel for the entire day.

We will open at noon on severe weather days as defined above and will still offer drop-in activi-ties. Please call the center for updated schedules in the event of inclement weather.

Portland Parks & Recreation

Register On-Line at www.PortlandParks.org 3

Winter Break Camps

Walkin’ In A Winter Wonderland! age: 3-5Sleigh bells ring! Are you listenin’? Make snow glisten’ discovering delights of the season - snowmen, twinkling stars, frosty windows!

412819 M-Tu,Th 9-12pm 12/23-12/26 $30412820 M-Tu,Th 9-12pm 12/30-1/02 $30

Winter Madness grades: K-5th Lose those ‘wintertime blues’! Make new friends, gain skills & flex your imagination through sports, crafts, & gym games. Create special presents to use as gifts for the holidays in a productive way to spend days out of school. Participants need to make sure they bring a lunch and small snack with them each day. Camp dismisses at 3pm on 12/24 and 12/31.

410707 M-Tu,Th-F 9-5:30 pm 12/23-12/27 $100410708 M-Tu,Th-F 9-5:30 pm 12/30-1/03 $100

Early Risers is available during Winter Break410709 M-Tu,Th-F 7:30-9am 12/23-12/27 $30410710 M-Tu,Th-F 7:30-9am 12/30-1/03 $30

Winter & Spring Break Camps

Camps fill quickly, so register early. If you need to withdraw, a full refund will only be issued if the

notice is given by Wednesday prior to the camp start date. Withdrawals made less than three days

in advance will be assessed a $15 withdrawal fee. Withdrawals made during the week will be prorated.

Registration

We hire highly skilled, energetic, and caring people who truly love working with children.

All of our staff are First Aid and CPR certified, and must pass a background check.

Staff

Payment is due prior to the camp start date. You may pay the entire balance at the time of registration, or you can pay a down payment of $10 per week and schedule your payments to be due Monday prior to the camp’s start date.

Payment

Structure & VarietyWe include a variety of activities to keep young minds and bodies active and challenged. Free choice and relaxation time provides a chance to enjoy low-key activities between more in-depth, structured projects and games. All children are encouraged to participate, but never forced. Field trips to natural areas, recreation sites, and cultural centers are fun learning experiences. We create an environment that is structured and supportive, but also fun and flexible.

We spend our days engaged in active, creative, and social activities that involve very little or no screen time.

Unplugged

Spring Break Camps

Preschool Spring Break Fun! age: 3-5Discover action-packed days filled with arts, crafts, music, sports, active games & cooking! Playing, singing, painting & doing activitiestogether builds teamwork, self-discipline & respect for self & others. Happy days are here again!

420978 M-Th 9-12 pm 3/24-3/227 $40

Spring Break Thrills Grade: K-5thEnjoy time off from school with action-packed, non-stop activities such as arts & crafts, sports & games, special events & more! Make new friends, discover new skills & tame that excess energy. Participants need to make sure they bring a lunch and small snack with them each day.

417257 M-F 9am-5:30pm 3/24-3/28 $125

Early Risers is available during Spring Break417256 M-F 7:30-9am Classes: 5 3/24-3/28 $35



Preschool For Little Ones Ages: 2½-3Are 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.

TTh 8:30am-10am Teacher Polly Fee: $70

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.

A - M/W/F 8:45-11:15am Teacher Patty Fee: $125B - Tu/Th 1-3pm Teacher Polly Fee: $75

Preschool-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.

A - M-Th 10:15-12:45pm Teacher Polly Fee: $170B - M/W/F 11:45-2:15pm Teacher Patty Fee: $125

Bridge BuddiesEducational Preschool Your bridge to a lifelong love of learning at St Johns Community Center

Pre-Registration: March 3rd – 9:30am Currently enrolled students and siblings ONLY.

Registration: March 25th – Open to NEW students. Call for information.

2014-2015 School Year

Let us do the work!Our trained party host will be there to...

Set up and lead activities AND BEST OF ALL...

Clean up when the fun is over!

Each party includes: One hour in an activity room

One hour in a decorated classroom(Where you can serve cake & ice cream)

We provide the... Party Host, Balloons, Utensils,

Plates, Cups, Napkins, Table Cloths & Decorations!

Party Themes: Indoor Park $100

(For ages 5 years and under. Max youths 20)

Sports & Games $125(For ages 3 years and up. Max youths 20)

Rock Climbing $125(For ages 5 years and up. Max youth 15)

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

P A C K A G E S

St. Johns Community Center8427 N Central Street

Portland Or 97203(503) 823-3192

B I R T H D A Y



St. Johns Winter 2014 Drop-In ScheduleSchedule effective January 1, 2014-March 31, 2014. Schedule may be adjusted to meet community & facility needs.

Parent/Child Drop-in Activities Monday Tuesday Wednesday Thursday Friday

Art Park10-11:30

$1, age: 5 & under with an adult

Baby Gym 9:30-11:30am$1, age: 18mos and younger “wobblers”

Indoor Park9:30-11:30 am 9:30-11:30 am 9:30-11:30 am

$1, age: 5 & under with an adult

Youth Drop-In Activities Monday Tuesday Wednesday Thursday Friday

Youth & Teen Open Basketball3:30-5pm 3:30-5pm 3:30-5pm 3:30-5pm 3:30-5pm age: 17 & under

Free, ID required for teens

Friday Night Live 7-10 pm Open Gym & More!

Grades: 6-12 $1, ID required

Adult Fitness Drop-In Activities Monday Tuesday Wednesday Thursday Friday

Open Gym7-9 pm

$3, age: 18 & up (photo ID required)

Yoga6:45-7:45pm 6:45-7:45pm

$10, age: 14 & up

ART PARKUnleash your child’s talents while sharing time & craftactivities together. A variety of stations allow you &your child to explore elements such as playdough, gak,murals, paints & collage developing concepts of shape,color & texture. Punch passes also available.

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 playtimefor children accompanied by parents. Encourages thedevelopment of motor skills while helping childrengain experience with group interaction & cooperativeplay on equipment, cars & assorted toys. Parents areresponsible for supervising their children.

BASKETBALL – OPEN GYMCome by the Center after school and get in a couple games of pick up basketball. School ID required and must fill out a Youth Registration Card to participate.

FRIDAY NIGHT LIVE! A great time to relax, play basketball, get involved in a craft project, watch a movie, play foosball and just hang with friends. Friday Night Live staff provide a safe, supervised environment for teens every Friday night. School ID required and youth must fill out a Registration card on first visit.

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

YOGA FOR EVERYONERelax 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.



Tae Kwon Do (ages 7 & up)

Join 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 No class on March 18 & 20.

417259 Tu,Th 6-7pm Classes: 22 1/07-3/27 $93*

There are a number of benefits for children who engage in Tae Kwon Do.

Physical benefits • Increasing flexibility • Improving coordination • Developing quickness • Learning self-defense skills

Mental benefits • Building self-confidence • Practicing self-discipline • Increasing concentration • Gaining goal orientations

Social benefits: • Making new friends • Developing leadership • Learning respect for others

Our classes are small and a comfortable environment to learn in. We emphasize learning at all ages, and at all belt levels. In his classes, Master Yee reminds children that the best way to learn is to “watch closely, and listen carefully.” From the very first class, students are shown how to learn independently, and to teach themselves. A valuable lesson to take with them throughout their life. Our program is designed so that no one is left behind and no one is unchallenged in their development.

*Please note, St. Johns Community Center offers a monthly payment option for those who are interested in breaking the tuition into 3 equal payments of $31. The first payment is due at the time of registration. The remaining payments are due on February 1st and March 1st. This option REQUIRES a credit card and a Payment Authorization Form to be filled out and processed at the front desk at the time of registration.

Parent/Child Music and Movement

Music, Marching & Make Believe age: 18 mos-3 yrs Fingerplays, nursery rhymes, marching & simple instruments are combined with imagination & creative dramatics to provide a positive group experience for the young child. Register for both sessions in one transaction and receive 20% off the second session fee. Discount not available online.

417541 W 9-9:30am Classes: 5 1/08-2/05 $25417542 W 9-9:30am Classes: 5 2/12-3/12 $25

Parent/Child Gymnastics

Gym Dandies age: 18 mos-3 yrsDo 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. Register for both sessions in one transaction and receive 20% off the second session fee. Discount not available online.

417510 Tu 10:15-10:45am Classes: 5 1/07-2/04 $20417511 Tu 10:15-10:45am Classes: 5 2/11-3/11 $20417512 Sa 11-11:30am Classes: 6 2/01-3/08 $24

Tumble Bugs age: 2 ½ -4Twirl, whirl & roll! Experience this introduction to gymnastics & tumbling, perfect for those able to attend on their own. Warm ups stretch your muscles, acrobatics work on balance, jumping & springing! Activities increase body awareness, balance, strength, flexibility & spatial awareness as you twist & turn. Register for both sessions in one transaction and receive 20% off the second session fee. Discount not available online.

417513 Tu 11-11:30am Classes: 5 1/07-2/04 $20417514 Tu 11-11:30am Classes: 5 2/11-3/11 $20

Gymnastics - Balancing Babes age: 2½ -4Spring into action with your tumbling toddler! Together explore physical movement, gain strength & flexibility, & learn body awareness by leaping, rolling, & spinning! See the change in stability & self-control as your child progresses slow & steady with a big finish!

417517 Sa 9:15-9:45am Classes: 6 2/01-3/08 $24



Preschool Dance & Movement

Ballet - Pre Ballet Where Dreams Begin age: 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. Register for both sessions in one transaction and receive 20% off the second session fee. Discount not available online.

417543 W 9:45-10:30am Classes: 5 1/08-2/05 $23417544 W 9:45-10:30am Classes: 5 2/12-3/12 $23

Tap Dance - Tiny Tappers age: 3-5Little feet tap to the beat! Get a great start on an exciting & livelyamerican dance form through tap, marching & rhythm exercises while increasing balance & coordination. Perfect introduction! Register for both sessions in one transaction and receive 20% off the second session fee. Discount not available online.

417545 W 10:45-11:30am Classes: 5 1/08-2/05 $23417550 W 10:45-11:30am Classes: 5 2/12-3/12 $23

Preschool Gymnastics

Gymnastics - Preschool age: 3-5Test your balance while learning skill development exercises involving jumping & landing, balances & poses, body awareness & flexibility & movement. Your child will enjoy learning the basics in a fun, noncompetitive way. Build self-esteem & confidence, sharpen problem solving skills & increase your motor & coordination skills. Register for both sessions in one transaction and receive 20% off the second session fee. Discount not available online.

417428 Tu 9:15-10am Classes: 5 1/07-2/04 $36417515 Tu 9:15-10am Classes: 5 2/11-3/11 $36417516 Sa 10-10:45am Classes: 6 2/01-3/08 $43

Great for birthdays, weddings, quinceneras, sweet 16 parties, family reunions, business meetings, community events, and more!

St. Johns Community Center offers a wide range of rooms and equipment rental opportunities for almost any gathering.

Reserve your space today! Call us at 503-823-3192.

Facility & Room Rentals at SJCC

Auditorium - 2310 square feet (capacity 300) seated capacity up to 230

Gymnasium -5952 square feet (capacity 360) seated capacity up to 260

Kitchen - 220 square feet (capacity 12)

Craft Room -312 square feet (capacity 24)

Party Room -576 square feet (capacity 45) seated capacity up to 30

Party Packages Please see page 4



The Community Centers of North Portland work in collaboration to offer youth althletic leagues for basketball. Practices will take place at St. Johns Community Center and all games are tentatively scheduled to be held on Fridays at Charles Jordan Community Center. These non-competitive athletic leagues for boys and girls emphasize participation, safety, sportsmanship, and skill development.

Registration fee includes a t-shirt and 5 games. Register for the practice day and time that works best for you! Teams fill quickly, register early!

Volunteer coaches and referees are needed to help us make this a successful program for the kids in our community! Inquire at your Community Center!

BASKETBALL

Basketball - Little Hoopers League age: 5-7Dribble, pass, shoot & SCORE! Entry level league focusing on skill development, teamwork & fun!

417539 Tu 5:15-6:15pm Classes: 6 1/28-3/04 $35417540 Th 5:15-6:15pm Classes: 6 1/30-3/06 $35

Basketball - KBA Positive Play age: 8-10Dribble, Pass, Shoot & Score. It’s a bucket! Build confidence & self-esteem in this non-competitive, entry level league in a safe environment. Focuses on skill development ball handling, passing, teamwork & sportsmanship through team play. No practice on 2/17.

416660 M 5:15-6:15pm Classes: 5 1/27-3/03 $30416661 W 5:15-6:15pm Classes: 6 1/29-3/05 $35

Youth Gymnastics

Gymnastics - I Beginning age: 6-10Stretch, tumble, balance & leap! Emphasizes fundamentals - rolls, cartwheels & headstands - with an introduction to the different equipment available. Progression of basic skills benefits both boys & girls as they develop strength, agility & coordination applicable to all sports. Register for both sessions in one transaction and receive 20% off the second session fee. Discount not available online.

417893 Tu 4:30-5:30pm Classes: 5 1/07-2/04 $40417894 Tu 4:30-5:30pm Classes: 5 2/11-3/11 $40417538 Sa 11:45-12:45pm Classes: 6 2/01-3/08 $48

School’s Out ActivitiesSt. Johns Community Center is happy to provide an

alternative for parent’s on PPS No School Days or Late Openings when you have to work but your kids are out of

school! Keep them off the couch and doing something active, creative and FUN!

Early Risers! Grades: K-5th Does your work day start before our camp program does? Drop off the kids for informal recreational activities so you’re on time! Read books, play games, develop new skills & shoot hoop in a safe & positive environment - jump start your day!

417251 W 7:30-10am 1/22 $12417254 M 7:30-9am 1/27 $10417255 W 7:30-10am 2/19 $12

Kid’s Day Off! Grades: K-5thSchools out! Need something to do? Our thrilling & challenging activities will add excitement to your day! Explore arts & crafts, games, sports & more while having a great time making new friends in a safe environment.

417250 M 9-5:30pm 1/27 $30



St. Johns

Youth After School Programs

Afterschool Grow Grades: K-5Dynamic after school program designed to enrich kids’ lives focusing on health, nutrition & an active lifestyle! Experience the safety & supervision of a traditional after school program, including homework help & skill building. In addition, kids gain knowledge in a variety of healthy food choices beginning with gardening & finishing with nutritious cooking projects. Get up & move & participate in stimulating activities such as dance, sports & group games. A fresh approach to life-long learning! GROW does not operate on non-PPS school days. However, we do provide School’s Day Out activities for your children, please see below.

January 2:15-6pm Mon-Fri 1/2-1/31 $150 February 2:15-6pm Mon-Fri 2/04-2/28 $150 March 2:15-6pm Mon-Fri 3/1-3/22 $150

GROW serves kids from the following schools: James John, Astor and Sitton. We provide bus transportation from Astor and Sitton. Students attending James John are escorted from the school to the community center immediately following dismissal. Financial assistance available on a sliding scale basis. Please ask for more information at the Community Center.

Where kids can...

Plant & harvest crops! Taste new fruits and vegetables!

Cook kid-friendly dishes! Take field trips to local farms!

Try yoga and pilates! Get homework help!

Enrolling NOW at Charles Jordan and St. Johns!

Tai Chi - Beginning age: 55& upMore than 600 years ago Tai Chi evolved in China as healers searched for a source of physical immortality. Incorporates slow, gentle movements that increase flexibility, balancing & lung capacity; promotes stress relief, body awareness, plus suppleness in your spine & increased stamina. Register for both sessions in one transaction and receive 20% of the second session fee. Discount not available online.

419159 Tu 10-11am Classes: 5 1/07-2/04 $12.50419160 Tu 10-11am Classes: 5 2/11-3/11 $12.50419161 M 9:30-10:30am Classes: 4 1/06-2/03 $10419162 M 9:30-10:30am Classes: 4 2/10-3/10 $10419163 W 9:30-10:30am Classes: 5 1/08-2/05 $12.50419164 W 9:30-10:30am Classes: 5 2/12-3/12 $12.50

Joinery Tour & Albertina’s Restaurant age: 55& upA crown jewel of the Pacific NW, the City of Roses offers anamazing culture & independent spirit. Visit & enjoy fascinating destinations. Bring money for fresh, heritage-inspired lunch in a lovely historic setting with time to browse the Kerr shops. Second floor of showroom is not accessible to wheelchairs or scooters. Tour is accessible. Van departs from St Johns Community Center, 8427 N Central, promptly at 10:30 a.m. Parking is available on the street. For Mobility Rating Guide or if using a wheelchair, motorized scooter or need special assistance, please contact Senior Recreation at 503-823-4328 as soon as possible.

416899 Th 10:30-3:30pm Classes: 1 1/09 $14

55+ Yoga

Yoga For Everyone age: 14 and 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. Register for both sessions in one transaction and receive 20% of the second session fee. Discount not available online.

420877 Tu 6:45-7:45pm Classes: 5 1/07-2/04 $35420878 Tu 6:45-7:45pm Classes: 5 2/11-3/11 $35420879 Th 6:45-7:45pm Classes: 5 1/09-2/06 $35420880 Th 6:45-7:45pm Classes: 5 2/13-3/13 $35


10 North & Northeast Portland 503-823-PLAY

Charles Jordan Community Center



503-762-3463



FREE & Under $3! On a budget? These programs offer more bang for your buck!

You can buy an individual Active Pass at CJCC or MDCC for around $1 per day! Did you know?

Charles Jordan Community CenterIndoor Park • $1 Age: 1-5 years 10-2pm, Monday-Friday

Art Park • $1 Age: 1-5 years 11-12pm, Tuesday & Wednesday

Computer Lab • FREE 18 & up: 9-5pm, M-Sa Teen: 2:30-5pm, Monday-Thursday

Homework Help • FREE Ages: Youth & Teen 3-5pm, Monday-Friday

Game Room • FREE Ages: Youth & Teen 2:30-5pm, Monday-Thursday

Open Gym • FREE Ages: Youth & Teen 2:30-5pm, Monday-Wednesday

FUNtastic Fridays • $2 Ages: 11-18 4-6pm, Friday

Teen F/X • $1 Ages: Middle & High School 7-10pm, Saturday

Peninsula Park Community CenterValentine’s Day Dance • FREE All ages: 2/7/14, 6-8pm

Art Park • $1.50 Ages 1-5 10:30-11:30am, Monday & Thursday

Baby Gym • $1 Ages 6-17 months 9:30-11am, Tuesdays & Wednesdays 1-2:15pm, Tuesdays, Wednesdays, & Thursdays

Indoor Park • $1 Ages 1-5 9:30-11am, Monday, Thursday & Friday 1-3pm, Tuesday & Wednesday 12-2pm, Thursday & Friday

Toddler Gym! • $1 Ages 1½-3 11:30-1pm, Tuesday & Wednesday 1-2:30, Friday

Men’s Basketball • $3 Ages 18 & up 7:30-9pm, Wednesdays

Women’s Basketball • $3 Ages 18 & up 7:30-9pm, Mondays

Game Room Ages 8-17: 3:30-7pm(M-Th), 3:30-5pm(F) Ages 18 & over: 7:30-8:30pm, Monday-Thursday

Matt Dishman Community CenterFamily Play Swim • price varies 11:30-4:20pm (M-Th)

9am-5pm (F) • 12-2 (Sa) • 10:30-1:30 (Su)

Open Play Swim • price varies 2-6pm (Sa) • 1:30-3pm (Su)

Indoor Park • $1 Ages 5 & under 9-11:30am (Tu/Th/F)

Drop-in Teen Nights • FREE Ages 11-14, 7-9pm 1/17, 2/21, 3/14

Girl Strength • FREE Ages 11-17 Registration Required 12-2pm (1/11 & 3/22)

St Johns Community CenterArt Park • $1 Ages 5 & under: 10-11:30am, Friday

Indoor Park • $1 Ages 5 & under: 9:30-11:30, M/W/F

Baby Gym • $1 Ages 5 & under: 9:30-11:30, Thursday

Open Basketball Ages: 18 & up, 7-9pm, Monday Ages: Youth & Teen, 3:30-5pm, Monday-Friday

Friday Night Live! Grades 6-12: 7-10pm, Friday

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 • Commissioner Nick Fish • Director Mike Abbaté

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

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:

o Returned to customer Date: ______________ Staff Name: ____________

o Shred Date: ______________ Staff Name: ____________



REGISTRATION: Receipt of full payment is required for registration, unless otherwise arranged. If you have a non-resident pass, please let us know. Please call if you receive a returned check or declined bank card notice, either of which void registration.

RESIDENT / NON-RESIDENT DEFINITIONS A resident is:

• anyone who occupies a permanent residence inside the city 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.

• any child living within the school boundaries of the Reynolds 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 fee.

Anyone else is considered a non-resident (NR) and will be assessed a NR fee. NR fees 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% non-resident fee.• purchase a non-resident pass as either an individual or

family for a period of three, six, nine or twelve months from the date of purchase. Once a non-resident pass is purchased, you can sign up for classes and memberships at the resident rate. Inquire about this option at time of registration.

Non-resident passes are not refundable. Passes are activated at the date of purchase and must be valid at the time of registration through the last day of class to be eligible for the resident fee.

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 One Year Pass: Individual - $85 Family - $170

A family is defined as a unit that resides at the same address. Children and/or close relatives should be included in a family consistent with IRS dependency status. At the discretion of the Community Center Director, a family’s most recent tax forms may be required as proof of dependency status.

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

WITHDRAWAL & REFUNDS: Please 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.

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

CUSTOMER SATISFACTION: Your 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.

NOTICE OF NON-DISCRIMINATION: PP&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 NEEDS: Within 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 503-823-4328 V/TTY. 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 503-823-4328 V/TTY, 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 V/TTY.

PHOTO POLICY: Portland 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.

INFORMATION HOTLINE: For information on other PP&R services & programs, call the Parks Information Hotline at 503-823-PLAY (7529), Mon-Fri, 8:30am-5pm.

INCLEMENT WEATHER: If 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.

Registration Information



Your Satisfaction is Our Goal. Portland Parks & Recreation strives for 100% customer satisfaction.

For more information on:Accommodations, non-residents, withdrawls, and policy information listed on prior page

Registration is a breeze! Choose 1 of 5 easy ways to register

ON-LINE AT www.PORTLANDPARKS.org. Click on the Recreation Activities tab and then select Register Online! Search for classes by age, keyword, or activity.

PHONE. Call our Customer Service Center at 503-823-2525, Monday-Friday, 8:30am-5pm.

Visa or Mastercard are accepted by phone. You are welcome to call any of our community centers to register over the phone as well.

MAIL. Mail in your completed registration form (next page) to: PP&R Customer Service Center, 1120 SW Fifth Ave, Suite 1302, Portland, OR, 97204. Include full payment using your Visa, Mas-tercard or check payable to the City of Portland.

FAX. Fax to 503-823-2515. Complete the registra-tion form (next page) and fax it to us with full payment using your Visa or Mastercard. Fax is accepted 24 hours a day, seven days a week but is processed during regular business hours.

IN PERSON. Any PP&R facility is able to process your registration, including the Customer Service Center, which is located on the first floor of the Portland Building at 1120 SW 5th Ave. See the map of our facilities within this catalog.

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Adaptive and Inclusive means ever yone plays! Call 50 3 - 823-2223 V/TTY



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

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: _____________________________________________________________________________________________

PARTICIPANT INFORMATION

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. Kind of card _______________________ Purchase date ______/______/______

Passholder name ________________________________________________________________________________________________

I need a pass. Circle one: 3 month | 6 month | 9 month | 1 year Circle one: Individual | Family

Name of person(s) needing card _______________________________________________________________________________

3 month pass: individual, $25; family, $50 | 6 month pass: individual, $45; family, $909 month pass: individual, $65; family, $130 | 1 year pass: individual, $85; family, $170

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

Subtotal

40% non-resident surcharge or pass

TOTAL

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

CREDIT CARD Information

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

Cardholder’s Name_____________________________________________________ Signature______________________________________________________________

PAYMENT INFORMATION

Please print

VISA

MasterCard

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

PARTICIPANT INFORMATION

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. Kind of card _______________________ Purchase date ______/______/______

Passholder name ________________________________________________________________________________________________

I need a pass. Circle one: 3 month | 6 month | 9 month | 1 year Circle one: Individual | Family

Name of person(s) needing card _______________________________________________________________________________

3 month pass: individual, $25; family, $50 | 6 month pass: individual, $45; family, $909 month pass: individual, $65; family, $130 | 1 year pass: individual, $85; family, $170

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

Subtotal

40% non-resident surcharge or pass

TOTAL

PRSRT STDUS POSTAGE

PAIDPORTLAND, ORPERMIT NO. 653

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

The nonprofit Portland Parks Foundation has launched a scholarship fund to make community centers affordable for all children this winter, regardless of financial means.

Make a donation in honor of a friend’s name, and the Portland Parks Foundation will send them an e-greeting card. It’s Portland’s most sustainable holiday gift program: promoting healthy families while conserving resources.

As a token of our appreciation, scholarship fund donors and their honorees receive 30%-off special offers from Columbia Sportswear, Mountain Hardwear, and Icebreaker, for staying warm over the holidays.

Keeping Portland a City of Parks

GIVE ONLINE AT Parklandia.org/makewaves

111 SW Oak St, Suite 400, Portland, OR 97204

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PP&R_PPF_HolidayAd_MECH4.pdf 1 10/31/13 11:48 AM

Documents

St Johns Community Center Winter 2014 Catalog