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Therapeutic Recreation fall program guide
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Fall
Gu
ide
Your partners in exploring and experiencing life to its fullest
PROGRAMS & OPPORTUNITIES for• tots
• youth
• teens
• adults
• adapted & paralympic sports
• inclusion
• NASR
CUSTOMER SERVICE • SE HABLA ESPAÑOL 815-987-8800 • TTY 888-871-6171 • rockfordparkdistrict.org/TR
stay connected • visit our web site and sign up for e-news to receive the latest info and exclusive offers
RegiStRAtioN NoW oPeNRegistration ends 8 days before the start of the program/event
WATCH FOR THE WINTER/SPRING GUIDE • AVAILABLE JAN 2013
FALL 2012 GUIDE
customer service 815-987-8800 TTY, 888-871-6171
2
RegiStRAtioN NoW oPeN!
Registration ends 8 days before the start of the program/event
Table of ContentsThis is where the fun begins . . . . . . . . . 2TR Resources . . . . . . . . . . . . . . . . . . . .2–3The team that delivers fun . . . . . . . . . . 3Sizzling Summer Recap . . . . . . . . . . .4–5Tiny tots . . . . . . . . . . . . . . . . . . . . . . . .6–7NASR . . . . . . . . . . . . . . . . . . . . . . . . . . 7, 20Youth services . . . . . . . . . . . . . . . 6, 8–11Teen services . . . . . . . . . . . . . . . . . 12–15Adult services . . . . . . . . . . . . . . . . 16–22Adapted & Paralympic sports . . . 24–26Green Bear Fair Thank You . . . . . . . . . 27Inclusion opportunities . . . . . . . . 28–29Registration information . . . . . . . . . . 30Annual Information form . . . . . . 31–32Registration form . . . . . . . . . . . . . 33–34Community resources . . . . . . . . . . . . . 35
key to symbolsWatch for these symbols throughout the guide.
Social Programming
Cultural Arts
Sports and Fitness
Skill Development
Participants are asked to bring items
New program offering
Please bring spending money
RIDE
Bus transportation service available/offered
About UsThe Therapeutic Recreation Team of the Rockford Park District is committed to providing community based recreation to promote the development, maintenance, and expression of a meaningful leisure lifestyle to individuals with disabilities. We deliver our services promoting and/or providing access, specialty programs, leisure education, skill development, and inclusive opportunities.
this is where the fun beginsEndless Benefits of Participation
• Exposuretonewrecreationandculturalopportunities
• Educationandpracticeoflifelongleisureskills
• Buildconfidenceandselfesteem
• Fosterindependence
• Enhancecommunicationskills
• Developfundamentalplay
• Expandsupportnetwork
• Provideemotionalandsocialsupport
• Afunandsafeenvironmenttoenhanceoverallquality of life
The Park District is committed to providing safe and enjoyable leisure experiences; all employees are mandated reporters for child abuse and neglect.
Throughout the year, staff attend various trainings based on their role.
Trainings may include:
• Sensoryintegration
• Transferandseizuretraining
• Safeplacesandstandardsforplay
• Conflictavoidance/crisisprevention
• Cooperativegames
• Disabilityawareness
• CharacterDevelopment
• CPRandFirstAid
Individualized Education PlanTherapeutic Recreation services can be listed as arelatedserviceonyourchild’sI.E.P.orstudentplanning meeting. Please invite us to be a part of this process.
RPD visual SystemsIftheuseofpictureswillbenefityourchildinRockford Park District programs, please contact the Therapeutic Recreation office, and we will be happy to set up the communication tool to meet their individual needs. Visual systems are available for download at rockfordparkdistrict.org/therapeuticrecreation/resources
SpeakersOne of our trained staff members would be happytomeetwithyourorganization,socialservice agency, or community group to present information about Rockford Park District services, offerings, and other disability related topics, such as disability awareness and program adaptations.
Use us as a resourceThe Therapeutic Recreation Team of the Rockford Park District can answer questions and assist you intheprocessoffindingappropriaterecreationalprograms or services to accommodate interests withanindividualizedapproach;pleasecalltheTherapeutic Recreation office at 815-987-1606 for more information.
Trained and Ready to Play!your resource
online rockfordparkdistrict.org/TR
3
fax 815-987-8877
recreation coordinators
the team that delivers FUN!
[laurie][karin]
[JM][BC] [KD] [LW]
[john]
staff initialsAt the end of each program description, you will see initials — these initials refer to the coordinator of that program. For additional program information, please contact that coordinator directly.
[mariah]
Therapeutic Recreation Manager Karin Kellogg 815-987-1601 • [email protected]
Recreation Services Manager Laurie Anderson, CTRS 815-987-1614 • [email protected]
Special Events & ADA Officer John Beck 815-987-1636 • [email protected]
Operations Assistant Mariah Anast 815-987-1606 • [email protected]
[BC] Recreation Coordinator Breane Cory, CTRS 815-987-1613 • [email protected]
[JM] Recreation Coordinator Jordan McDonald 815-987-1609 • [email protected]
[KD] Recreation Coordinator Kuenzi Dearth, CTRS 815-987-1626 • [email protected]
[LW] Recreation Coordinator Lindsay Woods 815-987-1604• [email protected]
Please join us in wishing Abby Billips all the best as she starts a new adventure with the Lincolnway Special Recreation Association as their Staff and Safety Manager . Abby started working seasonally for the Rockford Park District in 2006. After completing her internship with us in 2007, Abby began working full time overseeing the Inclusion Services area of the Therapeutic Recreation Department.ShehasbeeninstrumentalintheAdaptedSportsfieldasthecoachoftheJr.ChariotsTeam.ShehasworkedhardovertheyearstogrowtheJr.WheelchairBasketballHolidayTournamentintooneoftheMidwest’slargest.Inaddition,shehasbeenhelpinglocalveteransintheHealthyMinds/HealthyBodiesProgram to reach their maximum health potential. Abby will be truly missed by all!
customer service 815-987-8800 TTY, 888-871-6171
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check us out on facebook! Therapeutic Recreation — Rockford Park District
online rockfordparkdistrict.org/TRfax 815-987-8877
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customer service 815-987-8800 TTY, 888-871-6171
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tot & youth services at a glance (ages 2–13)
MONDAY
Peer Play After School Program varies; see program details page 8 Peer Play at Camp Winnebago School’s Out Club 8:30 am–5:00 pm page 8 Strikes and Spares Bowling 5:00–6:00 pm page 11
tuesday
Peer Play After School Program varies; see program details page 8 Art at the Arc 4:00–5:30 pm page 10 Pool School 6:00–6:45 pm page 10 Yoga 6:00–6:45 pm page 11
wednesdayPeer Play After School Program varies; see program details page 8 Peer Play at Camp Winnebago School’s Out Club 8:30 am–5:00 pm page 8 Peer Play School’s Out Adventure Club 8:30 am–5:00 pm page 9
friday
Peer Play After School Program varies; see program details page 8 Peer Play at Camp Winnebago School’s Out Club 8:30 am–5:00 pm page 8 Peer Play School’s Out Adventure Club 8:30 am–5:00 pm page 9 TR’s Got Talent — Performer 6:30–9:00 pm page 11
thursday
Peer Play After School Program varies; see program details page 8 Peer Play at Camp Winnebago School’s Out Club 8:30 am–5:00 pm page 8 Peer Play School’s Out Adventure Club 8:30 am–5:00 pm page 9
saturday
Chance to Dance 11:30 am–12:20 pm page 7 NASR Day on the Farm 11:00 am–2:00 pm page 7 Siblings and Socialites varies; see program details page 10 Fishing Extravaganza 1:00–4:00 pm page 10 Chance to Dance varies; see program details page 11 Zumba 11:30 am–12:30 pm page 11 Discovery Center — Mornings of Fun 9:00–10:00 am page 11
FUN AND ENJOYMENT FOR EVERYONE!See p 30 for details.
check out this guide for inclusion opportunities throughout the Park District
key to symbolsWatch for these symbols throughout the guide.
Social Programming
Cultural Arts
Sports and Fitness
Skill Development
Participants are asked to bring items
New program offering
Please bring spending money
RIDE
Bus transportation service available/offered
YOUTH
SERVIC
ES
online rockfordparkdistrict.org/TRfax 815-987-8877 online rockfordparkdistrict.org/TR
Teen S
ERVIC
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Adult S
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adpapte
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ports
7tot services (ages 3–5)
Chance to Dance (ages 3–5)
The Rockford Park District and the Rockford Dance Company have teamed up to provide Chance to Dance, a semester-long dance program for youth with disabilities. This class is a technique-based dance program that lets participants explore creative expression in a non-judgmental setting creating an enjoyable opportunity for expressive movements. Learn basic dance skills, rhythm, and creative expression in a real dance studio. Please wear movable clothing such as sweat pants, t-shirts, and soft dance shoes (or go barefoot, but no socks, please). Parents are encouraged to stay and watch from the observation rooms. [JM]
Riverfront Museum Park, 2nd floor, 711 N Main St, Rockford, IL
FEE PER SESSIONResident . . . . . . . . $35.00 Non-resident . . . . $45.00
SESSION DATES TIME DAY NO CLASS ACTIVITY#
Sept 22–Oct 27 10:30 –11:20 am Sa 406150-D1
Nov 3–Dec 15 10:30 –11:20 am Sa Nov 24 406150-D2
NASR Events (Ages 8+)
NASR Day on the Farm (Ages 8+)OldMcDonaldhadafarmE-I-E-I-O.ComeouttoLockwoodParkforarootin’,tootin’goodtime!We will cook-out, take a tractor drawn hay ride, and tour the barn to see the beautiful horses. It’s bound to be a good time, so make sure to tell all your friends! Please dress appropriate for the weather including closed toed shoes.
NOTE: Door-to-door transportation is available for an additional fee of $4 00 per person
Lockwood Park, Little Ponderosa, 5201 Safford Rd, Rockford, IL
Resident . . . . . . . . $14.00 Non-resident . . . . $15.00DATES TIME DAY ACTIVITY# Sept 29 11:00 am–2:00 pm Sa 306603-LW
NORTHLANDS ASSOCIATION FOR SPECIAL RECREATION is a cooperative partnership between the Rockford, Freeport, and Belvidere park districts (referred to as member districts). NASR programs are open to any individual with disability-related special needs such as physical, mental, and developmental disabilities, and persons with mental illness, behavior disorders, visual, or hearing impairments. Member district residents are invited to participate in specialty/therapeutic recreation (TR) programs off ered through any member district at the resident rate. Participation in Inclusion Services at a member district other than your own member district dictates you must pay the non-resident rateforthatspecificprogram.
Freeport Park District Special Recreation Deptwww.freeportparkdistrict.org 815-235-6114
Rockford Park District Therapeutic Recreationwww.rockfordparkdistrict.org 815-987-8800•TTY,888-871-6171
Belvidere Park District Special Recreation Deptwww.belviderepark.org 815-547-5711
YOUTH
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Teen S
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Adult
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customer service 815-987-8800 TTY, 888-871-6171
youth services (ages 5–12)8
PRogRAM RegiStRAtioN
NoW oPeN!Registration ends 8 days before the
start of the program/event
Peer Play at Camp WINNEBAGO school's out club (ages 5–12)ThisprogramprovidesaninclusiveopportunityutilizingtheYMCACampWinnebagoSchool’sOutClubasitsmainsourceoffun.PeerPlayisofferedattheYMCACampWinnebago facility on days when school is not in session. Children will be divided into groupsof10to12foractivitieswhichmayinclude:artsandcrafts,healthandfitness,active games, and outdoor play. Participants must bring a sack lunch and appropriate clothing for outdoor play. An afternoon snack will be provided. [KD]
Parents/guardians should drop off and pick up at the site . Drop-off starts at 6:45 am, and pick-up is from 5:00 to 5:30 pm .
Camp Winnebago YMCA, 5700 N Main St, Rockford, IL
Resident . . . . . . . . $25.00 Non-resident . . . . $35.00
DATE DAY ACTIVITY#Dec 27 Th 406102-W1
Dec 28 F 406102-W2
Jan2 W 406102-W4
DATE DAY ACTIVITY#Jan3 Th 406102-W5
Jan4 F 406102-W6
BEFORE-CARE CAMP TIMES AFTER-CARE6:45–8:30 am 8:30 am–5:00 pm 5:00–5:30 pm
PROGRAM TIMESBROOKVIEW FROBERG3:30–5:30 pm 2:05–5:30 pm
DATES NO PROGRAM DAYS ACTIVITY# ACTIVITY#Aug 27–Sept 28 Sept 3 M–F 806101-B1 806101-F1
Oct 1–31 Oct 8, 9 M–F 806101-B2 806101-F2
Nov 2–30 Nov 12, 21–23 M–F 806101-B3 806101-F3
Dec 3–21 M–F 806101-B4 806101-F4
Jan7–31 Jan18,21 M–F 806101-B5 806101-F5
PROGRAM TIMESWINDSOR
2:40–5:30 pm
DATES NO PROGRAM DAYS ACTIVITY#Aug 22–Sept 28 Sept 3, 27–28 M–F 806101-L1
Oct 1–31 Oct 4–5, 8 M–F 806101-L2
Nov 1–30 Nov 12, 21–23 M–F 806101-L3
Dec 3–21 M–F 806101-L4
Jan7–31 Jan21 M–F 806101-L5
PEER PLAY after school program (Ages 5–11)ThisafterschoolprogramprovidesaninclusiveopportunityutilizingtheYMCASchool Age Center Program as its main source of fun. Participants will make new friends while participating in the following activities: arts and crafts, health and fitness,activegames,andplayingontheplayground.Participantswillalsobegiventhe chance to spend time on their homework, and a daily snack will be provided. Participants should use Septran to get to the site, and parents/guardians should pick up at the site between 5:00 and 5:30pm. [KD]
Resident . . . . . . . $138.00 Non-resident . . . $204.00
Brookview Elementary School, 1750 Madron Rd, Rockford, IL • This program is offered following the District 205 school calendar.Froberg School, 4555 20th St, Rockford, IL • This program is offered following the District 205 school calendar.Windsor Elementary School Playground, 935 Windsor Rd, Loves Park, IL • This program is offered following the District 122 school calendar.
YOUTH
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online rockfordparkdistrict.org/TRfax 815-987-8877 online rockfordparkdistrict.org/TR
Teen S
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youth services (ages 5–12) 9
check us out on facebook! Therapeutic Recreation — Rockford Park District
PRogRAM RegiStRAtioN NoW oPeN!
Registration ends 8 days before the start of the program/event
Peer Play school's out adventure club (ages 5–12)ThisprogramprovidesaninclusiveopportunityutilizingtheYMCASchool’sOutClubasitsmainsourceoffun.School’sOutClubisofferedattheYMCAoftheRockRiverValley’sID Pennock Family Branch or Northeast Family Branch on days when school is not in session. Participants will make new friends while taking part in the following activities: artsandcrafts,healthandfitness,activegames,swimming,andoutdoorplay.Eachparticipant must bring a sack lunch, swimsuit, towel, lock, and appropriate clothing for outdoor play. An afternoon snack will be provided.
Parents/guardians should drop off and pick up at the site . Drop-off starts at 6:45 am, and pick-up is from 5:00 to 5:30 pm .
NOTE: If a swimmer is not completely toilet trained, swim diapers are required. Paper diapers of any type are not allowed in the pool. Swim pants or swim diapers must bereusablerubberorplasticpantsthatfittightlyaroundthewaistandlegsoftheparticipant.Thesearesimilartoplasticpantsthatfitoverclothdiapers.[KD]
ID Pennock Family Branch, YMCA Log Lodge, 200 Y Blvd, Rockford, IL or Northeast Family Branch YMCA, 8451 Orth Rd, Loves Park, IL
FEE PER SESSIONResident . . . . . . . . $25.00 Non-resident . . . . $35.00
ID PENNOCK, YMCA LOG LODGEBEFORE-CARE PROGRAM TIMES AFTER-CARE6:45–8:30 am 8:30 am–5:00 pm 5:00–5:30 pm
DATE DAY ACTIVITY#Dec 28 F 406102-08
Jan2 W 406102-10
Jan3 Th 406102-11
Jan4 F 406102-12
Jan18 F 406102-13
Jan21 M 406102-14
DATE DAY ACTIVITY#Sept 3 M 406102-01
Oct 8 M 406102-02
Oct 9 Tu 406102-03
Nov 12 M 406102-04
Nov 23 F 406102-06
Dec 27 Th 406102-07
NORTHEAST YMCA BRANCH
BEFORE-CARE
PROGRAM TIMES AFTER-CARE
6:45–8:30 am 8:30 am–5:00 pm 5:00–5:30 pm
DATE DAY ACTIVITY#Sept 27 Th 406102-N1
Sept 28 F 406102-N2
Nov 21 W 406102-N3
YOUTH
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Teen S
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Adult
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customer service 815-987-8800 TTY, 888-871-6171
youth services (ages 5–12)10
Fishing Extravaganza (ages 6+)JoinusforadayfulloffishingandfunatRockCutStatePark,wherewe’llseewhocancatchthebiggestfish!Fishingpoleswillbeprovided,but participants can bring their own if they wish. A snack, along with transportation to our destination and back, will be provided. Pick-up and drop-off will be at the Linda K. White Center in Aldeen Park. [LW]
Rock Cut State Park, 7318 Harlem Rd, Loves Park, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY#
Sept 15 1:00–4:00 pm Sa 806204-F9
Siblings & Socialites (ages 5–12)Birthday Bash at Lockwood ParkIt’s the ultimate birthday party … for animals! The park will be covered with lots of different engaging activities including petting the animals, jump and funs, games, face painting, and of course, food! The TR department will purchase $5.00 worth of activity tickets for each participant, and will bring a snack for everyone. If you would like to bring extra money for games or snacks, feel free! [BC]
Lockwood Park, 5201 Safford Rd, Rockford, IL
FEE PER PARTICIPANTResident . . . . . . . . $12.00 Non-resident . . . . $17.50
DATE TIME DAY ACTIVITY# Socialites Aug 25 1:00–4:00 pm Sa 806104-10
Siblings Aug 25 1:00–4:00 pm Sa 806104-S0
All Hallows EveGrab your costumes a week early; we’re trick or treating at Midway Village Museum! The awesome staff at the museum will provide crafts, a tour of theHauntedWoods(optional), and even a parade for kids to be a part of if they so choose. Please send each child with $5.00 for a snack. Don’t worry parents, after the snack you’ve provided, each child will only be allowed a limited amount of candy — the rest will go home with you. [BC]
Midway Village Museum, 6799 Guilford Rd, Rockford, IL
FEE PER PARTICIPANTResident . . . . . . . . $17.50 Non-resident . . . . $24.50
DATE TIME DAY ACTIVITY# Socialites Oct 20 2:30–5:30 pm Sa 806104-11
Siblings Oct 20 2:30–5:30 pm Sa 806104-S1
Storytelling at Nicholas Conservatory & GardensLocal storyteller and teacher Richard Meeks will take us on a journey through our imaginations. Afterward, we’ll journey through the great greenhouse of Nicholas Conservatory and make a stop in the children’s area for a snack before we leave. [BC]
Nicholas Conservatory & Gardens, 1354 N 2nd St, Rockford, IL
FEE PER PARTICIPANTResident . . . . . . . . $17.50 Non-resident . . . . $24.50
DATE TIME DAY ACTIVITY# Socialites Nov 10 12:45–2:45 pm Sa 806104-12
Siblings Nov 10 12:45–2:45 pm Sa 806104-S2
Art at the Arc (ages 5–17)
Areyouanartist?Haveyoualwayswantedtobeone?ThenyouneedtojoinArt at the Arc! This collaborative program program between the Rockford Park District and the Arc of Winnebago, Boone, and Ogle counties provides its artists with the proper supplies and facility to practice their creative skills. Artists will learn a new skill to try out each week, as well as creating their very own art piece. Be sure to wear clothes that you don’t mind getting messy. [JM]
The Arc, 1222 E State St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY#
Sept 4–25 4:00–5:30 pm Tu 406109-01
Oct 2–23 4:00–5:30 pm Tu 406109-02
Oct 30–Nov 20 4:00–5:30 pm Tu 406109-03
POOL SCHOOL (ages 5–12)
Readyforanunderwateradventure?Jointhe“school”ofotherfishes…rather, swimmers, for a night of lessons, pool games, and open swim. We will set swim goals and continue to improve each week. Swimmers will learn the tools and skills to be safe, independent swimmers. [LW]
NOTE: If a swimmer is not completely toilet trained, swim diapers are required. Paper diapers of any type are not allowed in the pool. Swim pants or swim diapers must be reusable (not disposable) rubber or plastic pants thatfittightlyaroundthewaistandlegsoftheparticipant.Thesearesimilartoplasticpantsthatfitoverclothdiapers.
Rolling Green Elementary School, Muhl Gym, 3615 W Gate Pkwy, Rockford, IL
Resident . . . . . . . . $78.00 Non-resident . . . . $84.00DATES TIME DAY ACTIVITY#
Sept 18–Nov 13 6:00–6:45 pm Tu 806106-01
YOUTH
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online rockfordparkdistrict.org/TRfax 815-987-8877 online rockfordparkdistrict.org/TR
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youth services (ages 5–12) 1 1
Discovery Center – Mornings of FUN (up to age 12) We invite children with disabilities and their families to experience Discovery Center Museum’s multi-sensory exhibits and activities free of charge before the museum opens to the general public. A healthy snack will be served at 10:00 am.
Advance registration is required to receive free admission. Contact Lori Radean at 815-972-2839 or [email protected].
Discovery Center Museum, 711 N Main St, Rockford, IL
Resident/Non-resident . . . . . . . . . .FREE!DATE TIME DAY REGISTRATIONOct 13 9:00–10:00 am Sa see above
This program is supported in part by the
CWB Foundation
Chance to Dance (ages 5–12)The Rockford Park District and the Rockford Dance Company have teamed up to provide Chance to Dance, a semester-long dance program for youth with disabilities. This class is a technique-based dance program that lets participants explore creative expression in a non-judgmental setting, creating an enjoyable opportunity for expressive movements. Learn basic dance skills, rhythm, and creative expression in a real dance studio. Please wear movable clothing such as sweat pants, t-shirts, and soft dance shoes (or go barefoot, but no socks, please). Parents are encouraged to stay and watch from the observation rooms. [JM]
Riverfront Museum Park, 2nd floor, 711 N Main St, Rockford, IL
FEE PER SESSIONResident . . . . . . . . $35.00 Non-resident . . . . $45.00
SESSION DATES TIME DAY NO CLASS ACTIVITY# Sept 22–Oct 27 10:30–11:20 am Sa 406104-01
Nov 3–Dec 15 10:30–11:20 am Sa Nov 24 406104-02
ZUMBA (ages 5–12)
Shake your hips, stomp your feet, and clap your hands, ‘cause it’s time for Zumba! Zumba is a fusion of Latin and modern dance themes, creating a dynamic and exciting workout! Please wear gym shoes and appropriate workout attire. [LW]
Riverfront Museum Park, 2nd floor, 711 N Main St, Rockford, IL
Resident . . . . . . . . $24.00 Non-resident . . . . $34.00DATES TIME DAY ACTIVITY#
Sept 22–Oct 27 11:30 am–12:20 pm Sa 406511-YG
Strikes and Spares Bowling (ages 5–12)JoinusMondaynightsforsomebowlingfunwithyourfriends!Wewillbowltwo games so you can practice your bowling skills and learn some new ones! [LW]
Park Lanes Bowling Center, 5318 N Second St, Loves Park, IL
Resident . . . . . . . . $38.00 Non-resident . . . . $48.00DATES TIME DAY ACTIVITY#
Oct 1–29 5:00–6:00 pm M 806208-10
Yoga (ages 5–12)
Relax,renew,andrestoreasyoufindyourinnerchithroughvariousposesand stretches in a conducive environment. Please wear gym shoes and appropriate workout attire. [LW]
Riverfront Museum Park, 2nd floor, 711 N Main St, Rockford, IL
Resident . . . . . . . . $24.00 Non-resident . . . . $34.00DATES TIME DAY ACTIVITY#
Nov 20–Dec 11 6:00–6:45 pm Tu 406510-YG
TR’s Got Talent – Performer (all ages)Calling all dancers, singers, actors, comedians, magicians, and anyone who thinksthey’vegottalent!ParticipateinTR’sGotTalentShowforprizes,awards, and a chance to be a star! There will be refreshments, games, and tons of talent. Audience members and judges will vote for their favorite acts to determine who will be this year’s most talented star!
There will be a dress rehearsal on Monday, November 5 from 6:00 to 8:00 pm inRPDEdattheWebbsNormanCenter.[JM]
Webbs Norman Center, 401 S Main St, Rockford, IL
NO COST TO ENTER!DATES TIME DAY ACTIVITY# Nov 9 6:30–9:00 pm F 806109-PF
customer service 815-987-8800 TTY, 888-871-6171
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teen services at a glance (ages 11-21 or still attending school)
TR’s Got Talent — Performer 6:30–9:00 pm page 13 Friday Night Lights varies; see program details page 14
friday
Zumba 11:30 am–12:20 pm page 13 Chance to Dance 11:30 am–12:20 pm page 13 Saturday Teen Scene varies; see program details page 15
saturday
tuesdayArt at the Arc 4:00–5:30 pm page 13 Movin2getfit 7:00–7:45 pm page 13
key to symbolsWatch for these symbols throughout the guide.
Social Programming
Cultural Arts
Sports and Fitness
Skill Development
Participants are asked to bring items
New program offering
Please bring spending money
RIDE
Bus transportation service available/offered
FUN AND ENJOYMENT FOR EVERYONE!See p 30 for details.
Teen S
ERVIC
ES
online rockfordparkdistrict.org/TRfax 815-987-8877
YOUTH
SERVIC
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Adult S
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adpapte
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13teen services (ages 13–19 or still enrolled in school)
Art at the Arc (ages 13–17)
Areyouanartist?Haveyoualwayswantedtobeone?ThenyouneedtojoinArt at the Arc! This collaborative program program between the Rockford Park District and the Arc of Winnebago, Boone, and Ogle counties provides its artists with the proper supplies and facility to practice their creative skills. Artists will learn a new skill to try out each week, as well as creating their very own art piece. Be sure to wear clothes that you don’t mind getting messy. [JM]
The Arc, 1222 East State St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY#
Sept 4–25 4:00–5:30 pm Tu 406109-01
Oct 2–23 4:00–5:30 pm Tu 406109-02
Oct 30–Nov 20 4:00–5:30 pm Tu 406109-03
Chance To Dance (ages 13–19 or still in school)The Rockford Park District and the Rockford Dance Company have teamed up to provide Chance to Dance, a semester-long dance program for youth with disabilities. This class is a technique-based dance program that lets participants explore creative expression in a non-judgmental setting, creating an enjoyable opportunity for expressive movements. Learn basic dance skills, rhythm, and creative expression in a real dance studio. Please wear movable clothing such as sweat pants, t-shirts, and soft dance shoes (or go barefoot, but no socks, please). Parents are encouraged to stay and watch from the observation rooms. [JM]
Riverfront Museum Park, 2nd floor, 711 N Main St, Rockford, IL
FEE PER SESSIONResident . . . . . . . . $35.00 Non-resident . . . . $45.00
DATES TIME DAYNO
CLASS ACTIVITY# Sept 22–Oct 27 11:30 am–12:20 pm Sa 806204-D1
Nov 3–Dec 15 11:30 am–12:20 pm Sa Nov 24 806204-D2
zumba (ages 13–19 or still in school)
Shake your hips, stomp your feet, and clap your hands, ‘cause it’s time for Zumba! Zumba is a fusion of Latin and modern dance themes, creating a dynamic and exciting workout! Please wear gym shoes and appropriate workout attire. [LW]
Riverfront Museum Park, 2nd floor, 711 N Main St, Rockford, IL
Resident . . . . . . . . $24.00 Non-resident . . . . $34.00DATES TIME DAY ACTIVITY#
Sept 22–Oct 27 12:30–1:20 pm Sa 406511-AG
TR’s Got Talent – Performer (all ages)Calling all dancers, singers, actors, comedians, magicians, and anyone who thinksthey’vegottalent!ParticipateinTR’sGotTalentShowforprizes,awards, and a chance to be a star! There will be refreshments, games, and tons of talent. Audience members and judges will vote for their favorite acts to determine who will be this year’s most talented star!
There will be a dress rehearsal on Monday, November 5 from 6:00 to 8:00 pm inRPDEdattheWebbsNormanCenter.[JM]
Webbs Norman Center, 401 S Main St, Rockford, IL
NO COST TO ENTER!DATES TIME DAY ACTIVITY# Nov 9 6:30–9:00 pm F 806109-PF
MOVIN2GETFIT (ages 13+)
AquafitnessLet’sdiveintoanightofswimming,socializing,andofcourse,splashing!Not only will we work on participant goals, but we will also get to visit with friends in a “hot” environment. [LW]
Note: If a swimmer is not completely toilet trained, swim diapers are required. Paper diapers of any type are not allowed in the pool. Swim pants or swim diapers must be reusable (not disposable) rubber or plastic pants thatfittightlyaroundthewaistandlegsoftheparticipant.Thesearesimilartoplasticpantsthatfitoverclothdiapers.
Rolling Green Elementary School, 3615 West Gate Pkwy, Rockford, IL
Resident . . . . . . . . $78.00 Non-resident . . . . $84.00DATES TIME DAY ACTIVITY#
Sept 18–Nov 13 7:00–7:45 pm Tu 406207-09
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Friday Night Lights (ages 11–19) RIDE
Halloween BashGhoulsandguys—comeondownforourannualHalloweenBash!It’sgoingtobeaMonsterMashatourHalloweenBash.Who’sgonnahavethebestcostumethisyear?You’llfindoutonceyou’rethere!Snacksandbeverageswill be provided. [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY# Oct 26 6:30–9:00 pm F 806206-11
Dine Out at Giordano’sMmm—ooey,gooey,cheesypizza!Ifyouenjoypizzaofanykind(or other Italian food) join us for a night out. Make sure to bring some dough for dinner, beverage, and tip ($15.00–$20.00 recommended).Ifyouwantpizza,we’ll make sure to split the cost accordingly. [BC]
Giordano’s, 333 Executive Pkwy, Rockford, IL
Resident . . . . . . . . . $9.00 Non-resident . . . . $12.00DATE TIME DAY ACTIVITY# Oct 5 7:00–9:00 pm F 806206-10
TR’s Got Talent AudienceTherewillbenoJ.Lo,buttherewillbetonsoftalent!JoinusasFridayNightLights becomes part of the audience for the TR’s Got Talent Show. We will get the chance to watch various performances including dancing, singing, and acting, then vote for our favorite. Participate in activities during intermission like karoake or improv comedy if you chose. Snack and drinks will be included. This is a social event for teens to participate as audience members, not as performers. Are you interested in performing in TR’s Got Talent? Then check out page 13 for more information. [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY# Nov 9 6:30–9:00 pm F 806206-12
Atwood AdventureThere’s nothing like nature in the fall! The Atwood Center staff will be our guide through a night teams course, night hikes, and most importantly, somecampfiretreats.We’llalsobeabletocheckoutthenewaccessibletreehouse while visiting the Birds of Prey. Make sure to dress for the weather and wear sturdy shoes to hike — we’ll spend as much time outside as possible. Don’t be deterred if walking is not your main mode of travel; there are plenty of accessible trails we can use to make sure everyone is included! [BC]
Atwood Park, 2685 New Milford School Rd, Rockford, IL
Resident . . . . . . . . $17.50 Non-resident . . . . $24.50DATE TIME DAY ACTIVITY#
Sept 21 6:30–9:00 pm F 806206-09
RIDE Door-to-door transportation for residents, as well as pick-up points for non-residents, are offered for an additional $4 .00 for all Saturday Teen Scene and Friday Night Lights programs . Pick-up points are Meadow Mart (N Second and Windsor) and Hilander (S Alpine and Harrison).
key to symbolsWatch for these symbols throughout the guide.
Social Programming
Cultural Arts
Sports and Fitness
Skill Development
Participants are asked to bring items
New program offering
Please bring spending money
RIDE
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NIU Football GameAreyoureadyforsomefootball?TheNIUHuskiesaregoinghead-to-headwith the Skyhawks from Tennesee-Martin University. Put on your red and black — it’s gonna get wild! We will stop for dinner in DeKalb before the game. Kick-off is 6:00 pm; we aim to be back in Rockford around 10:30 pm. Bring money for food and souvenirs ($20.00–$30.00 recommended). [BC]
Note: No door-to-door transportation for this event, however, pick-up pointswillbeutilized.Pick-uppointlocationsare:WebbsNormanCenter(401 S Main St), and Linda K White Center at Aldeen Park (623 S Alpine Rd).Northern Illinois University, 231 N Annie Glidden Rd, DeKalb, IL
Resident . . . . . . . . $30.00 Non-resident . . . . $42.00DATES TIME DAY ACTIVITY# Sept 8 2:00–10:00 pm Sa 806204-01
Saturday teen scene (ages 11–19) RIDE
BowlingLace up those bowling shoes, it’s time to roll. We will bowl as many games as possible. Shoes, balls, and ramp will be provided, but feel free to bring your own. Please bring money if you would like a snack ($5.00–$10.00 recommended). [BC]
Park Lanes Bowling Center, 5318 N Second St, Loves Park, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY# Oct 13 1:00–3:00 pm Sa 806204-02
Wheelchair Basketball Tournament (ages 13–19)
Check out more than 20 wheelchair basketball teams squealing down the court. Bring your “A”gametoHarlemHighSchool,andbereadytocheeronourownRockfordJr.Chariots.It’slikenoballyou’veeverwatchedbefore.Bring some money for snacks ($5.00–$10.00 recommended). [BC]
Harlem High School, 9229 N Alpine Rd, Machesney Park, IL
Resident . . . . . . . . . $9.00 Non-resident . . . . $12.00DATES TIME DAY ACTIVITY# Dec 8 1:00–3:00 pm Sa 806204-03
Bears vs Packers PartyBeardownforaChicagoBearswhoopin’oftheGreenBayPackers.Joinusforsome friendly competition to watch the rivalry of the year, Bears vs Packers. We will have a tailgating party with our favorite tailgating games and foods —pizzaandwings!WearyourfavoriteBearsorPackersgear,andcomecheer on your team! [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY# Dec 16 11:30 am–4:00 pm Sun 806204-04
NASR Day on the Farm (ages 8+)
OldMcDonaldhadafarmE-I-E-I-O.ComeouttoLockwoodParkforarootin’tootin’ good time! We will cook out, take a tractor drawn hay ride, and tour the barn to see the beautiful horses. It’s bound to be a good time, so make sure to tell all your friends! Please dress appropriate for the weather, including closed toed shoes. [BC]
Lockwood Park, 5201 Safford Rd, Rockford, IL
Resident . . . . . . . . $14.00 Non-resident . . . . $15.00DATES TIME DAY ACTIVITY# Sept 29 11:00 am–2:00 pm Sa 306603-LW
RIDE Door-to-door transportation for residents, as well as pick-up points for non-residents, are offered for an additional $4 .00 for all Saturday Teen Scene and Friday Night Lights programs . Pick-up points are Meadow Mart (N Second and Windsor) and Hilander (S Alpine and Harrison).
check out this guide for inclusion opportunities throughout the Park District
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Be Social — Bears vs Packers 11:30 am–4:00 pm page 22
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Movin2GetFit varies; see program details page 17 Coffee Talk — Working/School 5:30–6:30 pm page 18 Coffee Talk — Personal Health 5:30–6:30 pm page 18
wednesday
Edible Creations — Campfire Cooking 6:00–8:00 pm page 18 Edible Creations — Comfort Food 6:00–8:00 pm page 18 Green Thumb Gardening 5:45–7:00 pm page 18 Art at the Arc 4:00–5:30 pm page 19 Writer’s Club 4:00–5:30 pm page 19
friday
TR’s Got Talent 6:30–9:00 pm page 17 Be Social — Guys Night Outdoors 6:30–9:00 pm page 19 Be Social — Casino Night 6:30–9:00 pm page 20 Be Social — Nacho Spooky Movie Night 6:30–9:00 pm page 20 Be Social — Halloween Bash 6:30–9:00 pm page 20 Be Social — Dine Out at Capone’s Eatery 7:00–9:00 pm page 21 Be Social — Sock Hop 6:30–9:00 pm page 21 Be Social — TR’s Got Talent Audience 6:30–9:00 pm page 21 Be Social — Jewelry 6:30–9:00 pm page 22
saturday
Zumba 12:30–1:20 pm page 17 Edible Creations — Family Dinner 2:00–5:00 pm page 18 Be Social — NIU Football Game 2:00–10:00 pm page 19 Be Social — Bowling I and II 1:00–3:30 pm page 19 NASR Day on the Farm 11:00 am–2:00 pm page 20 Be Social — Scarecrow Fest 1:00–3:30 pm page 20 Be Social — Girls Day Mall Crawl and Lunch 12:00–3:00 pm page 20 Be Social — Fall Craft 1:00–3:00 pm page 21 Be Social — Beef-a-Roo and Shopping at Target 1:00–3:30 pm page 22 Be Social — Holiday Treat 1:00–4:00 pm page 22
thursday
Movin2GetFit varies; see program details page 17 Edible Creations — Campfire Cooking 6:00–8:00 pm page 18 Edible Creations — Comfort Food 6:00–8:00 pm page 18 Art at the Arc 4:00–5:30 pm page 19 Writer’s Club 4:00–5:30 pm page 19
RIDE Door-to-door transportation for residents, as well as pick-up points for non-residents, are offered for an additional $4 .00 for all Be Social programs . Pick-up points are Meadow Mart (6473 N 2nd St, Loves Park) and Hilander Grocery Store (2514 S Alpine Rd).
key to symbolsWatch for these symbols throughout the guide.
Social Programming
Cultural Arts
Sports and Fitness
Skill Development
Participants are asked to bring items
New program offering
Please bring spending money
RIDE
Bus transportation service available/offered
check out this guide for inclusion opportunities throughout the Park District
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MOVIN2GETFIT (ages 18+)
Fitness Fun “Work it, make it, do it, makes us harder, better, faster, stronger!” Come get your sweat on with the Rockford Park District! Reach your maximum heartrate,increaseyourrangeofmotion,andimproveflexibilityinafun,therapeutic environment. [LW]
ID Pennock, YMCA Log Lodge, 200 Y Blvd, Rockford, IL
Resident . . . . . . . . $24.00 Non-resident . . . . $34.00DATES TIME DAY ACTIVITY#
Sept 13–Oct 4 7:00–7:45 pm Th 406505-FF
AquafitnessLet’sdiveintoanightofswimming,socializing,andofcoursesplashing!Notonly will we work on our goals, but we will also get to visit with friends in a “hot” environment. [LW]
NOTE: If a swimmer is not completely toilet trained, swim diapers are required. Paper diapers of any type are not allowed in the pool. Swim pants or swim diapers must be reusable (not disposable) rubber or plastic pants thatfittightlyaroundthewaistandlegsoftheparticipant.Thesearesimilartoplasticpantsthatfitoverclothdiapers.
Rolling Green Elementary School, Muhl Gym, 3615 West Gate Pkwy, Rockford, IL
Resident . . . . . . . . $78.00 Non-resident . . . . $84.00DATES TIME DAY ACTIVITY#
Sept 18–Nov 13 7:00–7:45 pm Tu 406207-09
Walking ClubLace up those walking shoes and join the us for Walking Club! Let’s walk away a few extra pounds while visiting with friends and window shopping at the mall. We will keep track of our laps, and tally them at the end of each night to give us a goal to work towards next week. [LW]
CherryVale Mall, 7200 Harrison Ave, Rockford, IL
Resident . . . . . . . . . $8.50 Non-resident . . . . $12.00DATES TIME DAY ACTIVITY#
Nov 20–Dec 11 7:00–8:00 pm Tu 406505-WC
Zumba (ages 13+)
Shake your hips, stomp your feet, and clap your hands, ’cause it’s time for Zumba! Zumba is a fusion of Latin and modern dance themes, creating a dynamic and exciting workout! Please wear gym shoes and appropriate workout attire. [LW]
Riverfront Museum Park, 2nd Floor, 711 N Main St, Rockford, IL
Resident . . . . . . . . $24.00 Non-resident . . . . $34.00DATES TIME DAY ACTIVITY#
Sept 22–Oct 27 12:30–1:20 pm Sa 406511-AG
TR’s Got Talent – Performer (all ages)Calling all dancers, singers, actors, comedians, magicians, and anyone who thinksthey’vegottalent!ParticipateinTR’sGotTalentShowforprizes,awards, and a chance to be a star! There will be refreshments, games, and tons of talent. Audience members and judges will vote for their favorite acts to determine who will be this year’s most talented star!
There will be a dress rehearsal on Monday, November 5 from 6:00 to 8:00 pm inRPDEdattheWebbsNormanCenter.[JM]
Webbs Norman Center, 401 S Main St, Rockford, IL
NO COST TO ENTER!DATES TIME DAY ACTIVITY# Nov 9 6:30–9:00 pm F 806109-PF
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EDIBLE CREATIONS — family dinner (ages 18+)
Ask and you shall receive! We are extending our culinary talent development to the weekend to cook up some edible creations for our families! Drop off your chef at 2:00 pm so we can get cookin’ to be ready for our guests (you) for a 5:00 pm feast! Family members will need to register as well. [BC]
Note:OnlyparticipantsthatareregisteredandparticipateinEdibleCreations programs this season are eligible to participate in this session. No transportation will be provided for this program.
Aldeen Park, 623 N Alpine Rd, Rockford, IL
Resident . . . . . . . . $17.50 Non-resident . . . . $24.50 Each add’l guest . . $5.00
DATES TIME DAY ACTIVITY# Nov 3 2:00–5:00 pm Sa 406508-FD
Additional guests -------------------> 406508-FM
Coffee Talk
This program is less about the coffee and more about the talk. We will practice our social skills through activities and conversations. If you do want a snack or beverage, be sure to bring some money ($5.00–$8.00 recommended each night). [JM]
NOTE: Need to get to swimming or walking club after the program? Let us know, and we’ll get you there! Space in the van is limited, so sign up early!
Working/schoolMeg’s Daily Grind in Heartland Church, 1280 S Alpine Rd, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY#
Sept 18–Oct 9 5:30–6:30 pm Tu 406503-C1
Personal healthMeg’s Daily Grind in Heartland Church, 1280 S Alpine Rd, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY#
Oct 16–Nov 6 5:30–6:30 pm Tu 406503-C2
EDIBLE CREATIONS (ages 18+)
Looking to learn to cook and increase independence in the kitchen? The menus are still simple and still delicious. We will work on our cooking, safety skills, and knowledge. If you have special diet needs, contact the program coordinatorpriortothefirstweekoftheprogram.[BC]
Need a ride from Art at the Arc? Let us know, and we’ll fire up the van!
Linda K White Center, 623 N Alpine Rd, Rockford, IL
FEE PER SESSIONResident . . . . . . . . $26.00 Non-resident . . . . $36.00
Campfire cooking
DATES TIME DAY ACTIVITY# Sept 5–26 6:00–8:00 pm W 406508-01
Sept 6–27 6:00–8:00 pm Th 406508-03
Comfort food
DATES TIME DAY ACTIVITY# Oct 3–24 6:00–8:00 pm W 406508-02
Oct 4–25 6:00–8:00 pm Th 406508-04
Pleased to support the programs of the Rockford Park District
PRogRAM RegiStRAtioN NoW oPeN!
Registration ends 8 days before the start of the program/event
Green Thumb Gardening (ages 18+)Getting Veggie With It!Though it’ll start to cool down, we’ll still be digging in! Thanks to Nature Quest Summer Camp, we’ll have a beautiful vegetable garden to care for and maintain in the fall. We can even make some snacks and sample home grown goodness!Noworries,wewillstillkeepourflowerscaredfor,too.[BC]
Aldeen Park, 623 N Alpine Rd, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY#
Aug 15–29 5:45–7:00 pm W 406503-GT
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RIDE Door-to-door transportation for residents, as well as pick-up points for non-residents, are offered for an additional $4 .00 for all Be Social programs . Pick-up points are Meadow Mart (6473 N 2nd St, Loves Park), Hilander Grocery Store (2514 S Alpine Rd), and the Linda K White Center in Aldeen Park (623 Alpine Rd).
Guys Night OutdoorsBefore the weather gets too cold, the guys are going to head to Atwood Center for some rugged, manly fun. A campfire,campfirecooking,visitingtheBirdsofPreyinthenewaccessible“treehouse,”andhikingaredefinites.Otheractivitieswillbeweatherdependent,butmightincludearcheryorfishing.We’llseewhatthecrewatAtwoodhas in store for us. Make sure to dress for the weather; we’ll spend as much time outdoors as possible. [BC]
Atwood Park, 2685 New Milford School Rd, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY#
Sept 14 6:30–9:00 pm F 406503-02
Bowling I and II Lace up those bowling shoes, it’s time to roll! We will bowl as many games as possible. Shoes, balls, and ramp will be provided, but feel free to bring your own. Please bring money if you would like a snack ($5.00–$10.00 recommended). [BC]
Note: Please refrain from registering for both Bowling dates. We want to ensure that everyone gets to play.
Park Lanes Bowling Center, 5318 N Second St, Loves Park, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY#
Sept 22 1:00–3:00 pm Sa 406503-03
Nov 10 1:00–3:00 pm Sa 406503-11
NIU Football Game Areyoureadyforsomefootball?TheNIUHuskiesaregoinghead-to-headwith the Skyhawks from Tennesee-Martin University. Put on your red and black — it’s gonna get wild! We will stop for dinner in DeKalb before the game. Kick-off is 6:00 pm; we aim to be back in Rockford around 10:30 pm. Bring money for food and souvenirs ($20.00–$30.00 recommended). [BC]
Note: No door-to-door transportation for this event, however, pick-up pointswillbeutilized.Pick-uppointlocationsare:WebbsNormanCenter(401 S Main St), and Linda K White Center at Aldeen Park (623 S Alpine Rd).Northern Illinois University, 231 N Annie Glidden Rd, DeKalb, IL
Resident . . . . . . . . $30.00 Non-resident . . . . $42.00DATES TIME DAYS ACTIVITY#Sept 8 2:00–10:00 pm Sa 406503-01
Writer’s Club (ages 18+)Joinustodevelopyourwritingandstorytellingskills.Participants will get the opportunity to work as a group in a positive, non-judgmental setting to develop creative and original stories and poems [JM]
The Arc, 1222 East State St, Rockford, IL
Resident . . . . . . . . . $6.00 Non-resident . . . . . $8.50
DATES TIME DAY ACTIVITY# Oct 31–Nov 7 4:00–5:30 pm W 806509-W1
Nov 1–8 4:00–5:30 pm Th 806509-W2
Art at the Arc (ages 18+)
Areyouanartist?Haveyoualwayswantedtobeone?ThenyouneedtojoinArtattheArc!Thiscollaborative program program between the Rockford Park District and the Arc of Winnebago, Boone, and Ogle counties provides its artists with the proper supplies and facility to practice their creative skills. Artists will learn a new skill to try out each week, as well as creating their very own art piece. Be sure to wear clothes that you don’t mind getting messy. [JM]
Note: Please only register for one day per week.
The Arc, 1222 East State St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY NO CLASS ACTIVITY#
Sept 5–26 4:00–5:30 pm W 806509-A1
Oct 3–24 4:00–5:30 pm W Oct 20 806509-A2
Sept 6–27 4:00–5:30 pm Th Nov 24 806509-A3
Oct 4–25 4:00–5:30 pm Th 806509-A4
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Casino NightCome test your luck with friends, and maybe learn to play a new game! We will have something for everyone — blackjack, poker, roulette, and bingo! Snacks and casino chips will be provided. [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY#
Sept 28 6:30–9:00 pm F 406503-04
NASR Day on the FarmOldMcDonaldhadafarmE-I-E-I-O.ComeouttoLockwoodParkforarootin’tootin’ good time! We will cookout, take a tractor drawn hay ride, and tour the barn to see the beautiful horses. It’s bound to be a good time, so make sure to tell all your friends! Please dress appropriate for the weather including closed toed shoes. [BC]
Lockwood Park, Little Ponderosa, 5201 Safford Rd, Rockford, IL
Resident . . . . . . . . $14.00 Non-resident . . . . $15.00DATE TIME DAY ACTIVITY#
Sept 29 11:00 am–2:00 pm Sa 306603-LW
Scarecrow Fest Whetherthereissnoworsunshine,fallisdefinitelyintheair.Wearegoingto shuck corn, ride wagons, press apples, and most importantly, construct some scarecrows. Bring some old shabby clothes to help shape our creations. And don’t forget pillows for the scarecrow’s head! Dress for the weather, and bring money for a picnic lunch ($10.00–$15.00 recommended). [BC]
Midway Village Museum, 6799 Guilford Rd, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY# Oct 6 1:00–3:30 pm Sa 406503-05
RIDE Door-to-door transportation for residents, as well as pick-up points for non-residents, are offered for an additional $4 .00 for all Be Social programs . Pick-up points are Meadow Mart (6473 N 2nd St, Loves Park), Hilander Grocery Store (2514 S Alpine Rd), and the Linda K White Center in Aldeen Park (623 Alpine Rd).
BE SOCIAL continued (ages 18+) RIDE
Halloween BashGhoulsandguys,comeondownforourannualHalloweenBash!It’sgoingtobeamonstermashatourHalloweenbash.Who’sgonnahavethebestcostumethisyear?You’llfindoutonceyou’rethere!Snacksandbeverageswill be provided. [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY# Oct 26 6:30–9:00 pm F 406503-07
Girls Day — Mall Crawl and Lunch JoinusonarelaxingexcursiontoCherryValeMall.Wewillgrabsomelunchin the food court and explore the corridors of CherryVale Mall, checking out all of our favorite stores and shops. Be sure to bring money for lunch and shopping ($10.00 recommended for lunch). [BC]
CherryVale Mall, 7200 Harrison Rd, Rockford, IL
Resident . . . . . . . . . $9.00 Non-resident . . . . $12.00DATE TIME DAY ACTIVITY# Oct 27 12:00–3:00 pm Sa 406503-08
Nacho Spooky Movie NightIt’s “nacho” (not your)movienight,it’sourspookymovienight!Nopizzaforthisflick,we’llhaveafull-onnachobar.We’llgetintheHalloweenspiritwitha spooky (but not too spooky) movie. [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATES TIME DAY ACTIVITY# Oct 19 6:30–9:00 pm F 406503-06
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Dine Out at Sam’s Ristorante Bon appetit! If there’s one thing Rockford is known for, it’s great Italian food! Sam’s is at the top of that list. Make sure to bring money for dinner, beverage, and tip ($15.00–$20.00 recommended). [BC]
Sam’s Ristorante, 6075 E Riverside Blvd, Rockford, IL
Resident . . . . . . . . . $9.00 Non-resident . . . . $13.00DATE TIME DAY ACTIVITY# Nov 2 7:00–9:00 pm F 406503-09
TR’s Got Talent — AudienceTheirwillbenoJ.Lo,buttherewillbetonsoftalent!JoinusasBeSocialbecomes part of the audience for TR’s Got Talent Show. We will get the chance to watch various performances including dancing, singing, and acting, and then vote for our favorite. Participate in activities during intermission; snack and drinks will be included. This is a social event for adults to participate as audience members, not as performers. Are you interested in performing in TR’s Got Talent? Then check out page 17 for more information. [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY# Nov 9 6:30–9:00 pm F 406503-10
Sock Hop“Bop”ondowntotheWebbsNormanCenterforour1950ssockhop!We’llswingandtwistallnightlong.Makesuretodresstoimpress.Prizeswillbeawarded for the best female and male costumes. Snacks and beverages will be provided. [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY#
Nov 16 6:30–9:00 pm F 406503-12
Fall CraftThe holidays are right around the corner. What better way to prepare than withacraft?We’llstaywarmwithacozysnackwhilewegetourcrafton.[BC]
Linda K White Center, 623 N Alpine Rd, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY#
Nov 17 1:00–3:00 pm Sa 406503-13
Adult
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Beef-a-Roo and Shopping at Target Holysmokes!Theholidaysarerighthere,andweneedtofinishupsomeshopping. Target is the perfect spot to pick up gifts for everyone. We’ll grab some dinner at the Northwoods Beef-a-Roo so we don’t drop as we shop! Be sure to bring your “nice” list, and money for dinner and shopping ($10.00 recommended for dinner). [BC]
Target, 9833 N Alpine Rd, Machesney Park, IL
Resident . . . . . . . . . $9.00 Non-resident . . . . $12.00DATE TIME DAY ACTIVITY# Dec 1 1:00–3:30 pm Sa 406503-15
Holiday Treat Leave the baking to us this holiday season! We’ll whip up and decorate some sweet treats for the holidays. We will make baked and non-baked goodies. Come ready to get messy! If you have a special diet, please contact Breane at 815-987-1613. [BC]
Linda K White Center, 623 N Alpine Rd, Rockford, IL
Resident . . . . . . . . $17.50 Non-resident . . . . $24.50DATE TIME DAY ACTIVITY# Dec 15 1:00–4:00 pm Sa 406503-16
Bears vs Packers Bear down for a Chicago Bears whoopin’ of the Green Bay Packers. Come join us for some friendly competition to watch the rivalry of the year, Bears vs Packers. We will have a tailgating party with our favorite games and foods —pizzaandwings!WearyourfavoriteBearsorPackersgear,andcomecheer on your team! [BC]
Webbs Norman Center, 401 S Main St, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY# Dec 16 11:30 am–4:00 pm Su 406503-17
PRogRAM RegiStRAtioN NoW oPeN!
Registration ends 8 days before the start of the program/event
JewelryIt’ll be off the chain … or on it! Create masterpieces for yourself or as gifts for loved ones just in time for the holidays. Mariah, our jeweler extraordinare from Moriginals, will help us to create mind blowing designs. A light snack will be provided. [BC]
Linda K White Center, 623 N Alpine Rd, Rockford, IL
Resident . . . . . . . . $12.00 Non-resident . . . . $17.00DATE TIME DAY ACTIVITY#
Nov 30 6:30–9:00 pm F 406503-14
RIDE Door-to-door transportation for residents, as well as pick-up points for non-residents, are offered for an additional $4 .00 for all Be Social programs . Pick-up points are Meadow Mart (6473 N 2nd St, Loves Park), Hilander Grocery Store (2514 S Alpine Rd), and the Linda K White Center in Aldeen Park (623 Alpine Rd).
BE SOCIAL continued (ages 18+) RIDE
key to symbolsWatch for these symbols throughout the guide.
Social Programming
Cultural Arts
Sports and Fitness
Skill Development
Participants are asked to bring items
New program offering
Please bring spending money
RIDE
Bus transportation service available/offered
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Contact one of the many
Northern Illinois Bowling Fun Centers
to find out how we can accommodate you.
Proud to offer access to the fun experience that is bowling for
people of all abilities check us out on facebook! Therapeutic Recreation —Rockford Park District
customer service 815-987-8800 TTY, 888-871-6171
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adapted & paralympic sports at a glance
Adapted Sports & Paralympic SportsBeginnertoadvancedathletesareinvitedtoparticipateinAdaptedSportstofindout,What’s Your Game? These programs are geared toward introducing players to the wonderful world of sports. Athletes can choose to participate at the level where they are comfortable…recreationally or competitively. Interested families are encouraged to call for more details about each program.
Eligibleplayersincludechildrenandadultswho:
• havemobilityneeds(may or may not use a wheelchair on a daily basis)
• arevisuallyimpaired
• haveanamputation
• haveaneurological/muscularimpairment,suchascerebralpalsy,spinabifidaandothers,including those with orthopedic impairments, permanent knee injuries, and leg length discrepancies.
Eligibleplayersincludechildrenand adults who …
• havemobilityneeds(may or may not use a wheelchair on a daily basis)
• arevisuallyimpaired
• haveanamputation
• haveaneurological/muscularimpairment, such as cerebral palsy, spinabifidaandothers,includingthose with orthopedic impairments, permanent knee injuries, and leg length discrepancies
MeMBeRShiP feeS: oNe MoNth:
$12.00 ReS / $17.00 NR
Six-MoNth: $60.00 ReS / $84.00 NR /
tWeLve-MoNth: $100.00 ReS / $140.00 NR
check us out on facebook! Paralympic & Adapted Sports–
Rockford Park District
tuesdayWheelchair Basketball 6:15–8:15 pm page 25
wednesdayParalympic Boccia 6:00–7:30 pm page 25 Adapted Bowling 5:00–6:00 pm page 25
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PARALYMPIC BOCCIa (ages 6+) Maybe you’re a pro looking to hone your skills, or maybe you’ve always wanted to learn how to play. Whatever the case, now is your chance to learn all the rules and strategies of Boccia. Athletes practice to compete at various tournaments in the Chicagoland area.
Indoor Sports Center, 8800 E Riverside Blvd, Loves Park, IL
Resident/Non-resident . . . . . . . . . . . . see membership details at rightDATES TIME DAY ACTIVITY#
Sept 19–Nov 7 6:00–7:30 pm W 406307-01
adapted sports & paralympic sportsNOTE: Registration for Adapted Sports/Paralympic programs is ongoing
Participants must speak to Recreation Coordinator to discuss appropriate start date
Eligibleplayersincludechildrenand adults who …
• havemobilityneeds(may or may not use a wheelchair on a daily basis)
• arevisuallyimpaired
• haveanamputation
• haveaneurological/muscularimpairment, such as cerebral palsy, spinabifidaandothers,includingthose with orthopedic impairments, permanent knee injuries, and leg length discrepancies
MeMBeRShiP feeS: oNe MoNth:
$12.00 ReS / $17.00 NR
Six-MoNth: $60.00 ReS / $84.00 NR /
tWeLve-MoNth: $100.00 ReS / $140.00 NR
Lending closet!Adapted Equipment Lending ClosetAre you looking to try a hand cycle, sport wheelchair, racing chair, or much more?
Younowhavetheopportunitytoborrowapiece of equipment from our lending closet. We are able to lend out equipment that is not currently being used in a program for two weeks at a time.
Please contact the Therapeutic Recreation Department at 815-987-1606 for equipment availability and questions .
Adapted bowling (ages 6+) JoinusonWednesdaynightsforbowlingwithyourfriends.Wewillbowltwogamessothatyoucanpractice your bowling skills and develop some new ones! [LW]
Park Lanes Bowling Center, 5318 N Second St, Loves Park, IL
Resident/Non-resident . . . . . . . . see membership details at rightDATES TIME DAY ACTIVITY#
Oct 3–31 5:00–6:00 pm W 406320-01
Wheelchair basketball (ages 6–18 or still enrolled in school) ComejointheJr.ChariotsWheelchairBasketballteamforanothergreatseason. Whether you are just beginning or have been playing for years, we have an opportunity for you. The team practices at the jr. varsity division standards of the National Wheelchair Basketball Association. Weekend tournaments and games are offered throughout the season. Game schedule will be given out at practices. Contact the Therapeutic Recreation Department at 815-987-1606 for more information.
Indoor Sports Center, 8800 E Riverside Blvd, Loves Park, IL
Resident/Non-resident . . . . . . . . see membership details at right DATES TIME DAY ACTIVITY#
Sept 11–Dec 11 6:15-8:15 pm Tu 406401-BB
This program is supported in part by the
CWB Foundation
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26 adapted sports (ages 6+ unless specified)
check us out on facebook! Paralympic & Adapted Sports–
Rockford Park District
The Rockford Park District is an official Paralympic Sport Club. The Paralympic Sport Club provides an excellent opportunity to organizations to reach new audiences, increase sports and physical activity opportunities, and raise the profile of Paralympic Sports nationally.
13th Annual Jr Wheelchair basketball Holiday TournamentCheerontheRockfordJr.ChariotsWheelchairBasketballTeamDecember8and9astheytakeonmanyteamsfromaroundthemidwest.GamesareheldatHarlemHighSchool,andadmissionisFREE!
Jr Chariots Wheelchair Basketball 2012 seasonCome out and cheer on the Jr Chariots! The team will be playing in an exhibition game on Saturday, September 1 at On the Waterfront, and at the annual Holiday Tournament on December 8 and 9 at Harlem High School.
For more information about the Jr. Chariots and Paralympic Sports, please contact the Therapeutic Recreation Department at 815-987-1606.
adapted Equipment Lending ClosetAre you looking to try a hand cycle, sport wheelchair, racing chair, or much more? You now have the opportunity to borrow a piece of equipment from our lending closet . We are able to lend out equipment that is not currently being used in a program for two weeks at a time .
Please contact the therapeutic Recreation Department for equipment availability and questions at 815-987-1606.
GoalballAre you interested in playing Goalball?
Goalballisateamsportdesignedspecificallyforathleteswithavisualimpairment. Thegameisplayedindoorsonamodifiedcourtusingaballwithbellsembeddedinside.The object of the game is to roll or throw the ball into the opponents’ goal.
For more information, please contact the Therapeutic Recreation Department at 815-987-1606
Power SoccerAre you interested in playing Power Soccer?
Power Soccer combines the skill of the wheelchair user with the speed and power of the chair itself.
If you are interested in playing a challenging game similar to soccer with the Rockford High Voltage team, please contact the Therapeutic Recreation Department at 815-987-1606
fax 815-987-8877
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have contributed to the success of the
green bear fairsponsors
media sponsors donor
hosted by
BOB FM 95.3 • K-LOVE Williams Manny
Rockford Park District • Magic Waters Waterpark
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What is inclusion?Inclusion within the Rockford Park District means individuals with disabilities are welcome to participate in the same recreation programs and activities as their peers. Reasonable accommodations are provided to enable an individual’s successful participation in a program.
HOW?The Rockford Park District welcomes and supports the participation of individuals with disabilities in all programs and services.
• Consultationonactivitymodification
• Disabilityawarenesstraining
• Behaviormodificationsupport
• Observationandevaluation
• Visualsystemsandsensoryequipment/toys
• Signlanguageinterpreters
• Adaptedequipment(sleds, skate walkers, hand cranked bicycles, sport wheelchairs)
• Varyinglevelsofstaffsupport
Popular programs in which individuals with disabilities have been included:
• Lessons(swimming, hockey, ice skating, horseback riding, tennis, golf)
• Dayandresidentialsummercamps(Summer Blast, Nature Quest, Camp Lone Oak, Pony Camp, Adventure Club, Camp Winnebago)
• Neighborhoodprograms(Playgrounds, Lewis Lemon and Washington Park community centers)
• Environmentaleducationandrecreation
• Youthsports
• Recnights
Inclusion Services has created successful inclusion opportunities by:
• Implementingapositivesupportplanforachildwithaconductdisorderin a full day summer camp setting.
• Providinganall-terrainwheelchairforastudentwithaphysical disabilityforfulltrailaccessatAtwoodEnvironmentalCenter.
• Creatingandtrainingstaffonanenhancedvisualsystemforacamperwith a visual impairment.
• Trainedstaffsupportedacamperwithanattentiondeficitdisorder by providing additional supports such as redirection and positive reinforcements at a sports camp.
• Providingasignlanguageinterpreterforateenathorseback riding lessons.
inclusion services
A PARENT’S GUIDE TO INCLUsION
STEPS TO RECEIVE INCLUSION SUPPORT 1 . Register for desired Rockford Park District program at Webbs Norman
Center, Carlson Ice Arena, or www.rockfordparkdistrict.org
2 . Check“yes”wheretheregistrationformstates,“…does the participant have a disability or medical conditions that may require assistance or accommodation?”
3 . A team member from Inclusion Services will contact you within 48 hours to assess needs, level of support, and an appropriate start date.
INCLUSION SERVICES ROLES 1 . Contact family/guardian to complete full assessment.
2 . Obtainandorganizeanyadditionalinformation,equipment, and additional support staff (if applicable).
3 . Notify program staff of participant’s needs and their role in supporting the participant in their program.
4 . Communicate with family any updates, changes, or information they need to be made aware of before the start of the program.
5 . Maintain communication with parents/guardians, support staff, and program staff, throughout the course of the program.
6 . Recommendations will be addressed based on the participant’s progress or level of success in the program.
PARENTS’ ROLE 1 . Verify the participant meets minimum eligibility requirements of
program (i.e., age, registration, and level of participation)
2 . Keep in mind, recreation programs and activities are voluntary in nature. Participation will be encouraged and aided, but not forced.
3 . Communicate openly with inclusion services staff by providing pertinent information on participant’s needs for successful inclusion.
4 . Communicate absences to inclusion and/or program staff in advance.
5 . Provide constructive feedback on participant’s progress and response to inclusion effort
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“We are so grateful for this program; it is the only summer program I can send my son to and have peace of mind knowing the staff can handle my son’s issues. The staff did everything they could to make it a successful experience.”
“The Inclusion staff were great, super enthusiastic, high energy, and great communication.”
“My son has a great summer having the ability to participate in golf and tennis. I am truly at ease when he is there because of the level of understanding that the staff have. Thank you so much!”
For additional questions, contact Inclusion Services at 815-987-1626. (TTY, 888-871-6171) or e-mail Inclusion@rockfordparkdistrict .org
Hear what people are saying about Inclusion Services and how it is changing the lives of our residents.
Accessibility–Compliance and Grievance ProcessWe welcome the opportunity to assist guests with disabilities to enjoy ALL our facilities, programs, and services. For assistance and information on accessibility, contact the Therapeutic Recreation team at 815-987-8800 (TTY, 888-871-6171), or indicate your disability-related need on your registration form.
TheRockfordParkDistrictisapublicentityasdefinedunderTitleIIoftheAmericanswithDisabilitiesAct(ADA)whichprohibitstheDistrictfromdiscriminatingagainstqualifiedindividualswithdisabilitiesinallprograms, activities, and services. The Rockford Park District is committed to complying with all applicable provisions of Title II as well as all other federal and state laws and regulations pertaining to persons with disabilities.
AnypersonorauthorizedrepresentativewhobelievesthattheRockfordParkDistricthasdiscriminatedagainstthembasedontheirdisabilitybydenyingaccesstoitsprogramsandservices,mayfileaformalgrievance with the Rockford Park District’s ADA Compliance Officer. For more information, please visit rockfordparkdistrict.org/AllAccess or submit your concern in writing within 30 days to:
John Beck, Rockford Park District, 401 S . Main St ., Rockford, Illinois 61101
TITLE VI As the Rockford Park District has receivedfinancialassistanceintheformofLandand Water Conservation assistance, the U.S. Department of the Interior, under Title VI of the Civil Rights Act of 1964, prohibits discrimination on the basis of race, color, national origin, age, or disability. If you believe you have been subjected to discrimination in any program, activity, or facility, or you desire further information regarding Title VI, please write to:
Office for Equal Opportunity, U.S. Department of the Interior, Washington, DC, 20240
Check out this guide for inclusion opportunities throughout the Park District.
check us out on facebook!Therapeutic Recreation – Rockford Park District
Buddy Baseball – Rockford Park District
Paralympic and Adapted Sports– Rockford Park District
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Program RegistrationREGISTER EARLY! Registration ends 8 days prior to the start of the program or event. If you register after the deadline, your registration will be held until we can determine if accommodations for the participant can be made. Accommodations include assessment of individual’s needs, requirements of the program, space limitations, staffing, and where appropriate, transportation capacity.
We also have minimum requirements to have a program run. Due to low enrollment, a program may be cancelled.
TR Assessment/ Annual Information Form (AIF)To better serve you or your child’s needs, it is necessary for us to have a current AIFonfile in our office. This form contains medical and other information that ensures individual success in the program and provides essential emergency information.
PHOTOSOn occasion, the Rockford Park District staff may photograph or videotape participants during Park District programs/classes, events, or at our facilities. These photos may be used in Park District publications, advertisements, videos, or on our web site. If you or your child do not wish to be photographed, please step away from the camera or notify the photographer.
Information you need to know
Program Drop-off and Pick-upFor the safety of all participants, parents must personally check in with a program leader when dropping off and picking up their participant. Individuals picking up participants will be asked to show a photo I.D.
Late Pick-up PolicyIf parents/guardians are not on time for picking up participants, a late fee will be assessed. A $5.00 fee will be invoiced for every 5 minutes. Continued tardiness could result in possible dismissal from the program.
New Medication ProceduresThe Rockford Park District strongly encourages participants’ self-responsibility for their personal health, including personal care and medications. We ask that whenever possible, participants take their medication before or after, rather than during programming. Please understand that the Rockford Park District will administer medication for youth under the age of 18 and/or participants enrolledinourTherapeuticRecreationspecificprograms only in situations that are absolutely necessary for a participant’s health, and which fall under the Americans with Disabilities Act and District guidelines.
In order for staff to administer medication, parents/guardians must complete the appropriate forms.
TR GuIDE ACCuRACY Everyefforthasbeenmade to assure the accuracy of information containedwithinthisGuide.However,errors can occur and circumstances may require adjustments to fees, schedules, locations, or other aspects. The Rockford Park District reserves the right to make such adjustments, andapologizesforanyinconveniencestheseerrors or adjustments may cause.
registration information4 convenient ways to register
Please make checks payable to the Rockford Park District.
1 . REGISTER ONLINE at www.RockfordParkDistrict.org. Clickon“Registernow”fordetails.
2 . MAIL your registration form and payment to ROCKFORD PARK DISTRICT ATTN CuSTOMER SERVICE 401 S MAIN ST STE 109 ROCKFORD, IL 61101-1321
3 . FAX your form (credit card only) to 815-987-8877.
4 . REGISTER IN PERSON at our Customer Service locations:
WEBBS NORMAN CENTER 401 S. Main Street, Rockford OFFICE HOuRS Mon–Fri, 8:30 am–5:00 pm
CARLSON ICE ARENA Perryville and Riverside, Loves Park OFFICE HOuRS Mon–Fri, 8:00 am–8:00 pm; Sat, 8:00 am–12:00 pm
Fun and enjoyment for everyoneEZ Pay PlanWe offer an installment payment plan for select programs, which automatically withdraws payments from your bank account or charges payments to your credit card. Call 815-987-8800 (TTY, 888-871-6171) to make arrangements.
Fee AssistancePeople with disabilities who meet fee assistance guidelines, and are residents of the Park District, may be eligible for the “Fun For All Kids” fee assistance program. Call 815-987-8800 for more information.
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815-987-8800 TTY, 888-871-6171fax 815-987-8877 online rockfordparkdistrict.org/TR
PLEASE COMPLETE BOTH SIDES OF THIS FORM, AND RETURN TO THE THERAPEUTIC RECREATION TEAM
Participant Name __________________________________________________ Information collected from_____________________________________
Program(s) Registered For ___________________________________________________________________________________________________
PARTICIPANT INFORMATIONDate of Birth _______/ _____/ _______ Sex M F
Primary Disability/Diagnosis __________________________________________________________________________________________________
Secondary Diagnosis _______________________________________________________________________________________________________
Is the participant subject to seizures? Yes No Date of last seizure ________ / ______/ _______
Describe seizure signs/symptoms, type, and frequency _________________________________________________________________________________
_____________________________________________________________________________________________________________________
Seizure Treatment ________________________________________________________________________________________________________
If Down Syndrome, has the participant been tested for Atlanto-Axial Instability? Yes No If yes, were the results positive? Yes No
Does your child have a shunt? Yes No Please describe ____________________________________________________________________
Does the participant have a specific diet, dietary restrictions, or any food that may cause behavioral changes? Yes No
If yes, please explain _______________________________________________________________________________________________________
Does the participant have any allergies? Yes No If yes, please explain _____________________________________________________________
Are there any side effects from medications that we should be aware of? Yes No If yes, please explain _____________________________________
_____________________________________________________________________________________________________________________
REASONS FOR PARTICIPATING IN PROGRAM Please mark all that apply. Physical Activity Socialization/Friendships Exposure Responsibility Individual skill/development Motor Development Group interaction Creativity Entertainment FUN
Specific GOALS parents/guardians would like to see worked on ____________________________________________________________________________
_____________________________________________________________________________________________________________________
DAILY LIVING SKILLSEATING Can eat independently Needs to be monitored Needs physical assistance Explain __________________________________
BATHROOM Can toilet independently Needs to be monitored Needs physical assistance Explain __________________________________
Detailed Comments ________________________________________________________________________________________________________
MOBILITYDoes the participant use any devices for mobility? Manual wheelchair Motorized wheelchair Crutches Leg Braces WalkerMobility needs staff should be aware of Endurance Balance Gait Other
Explain _________________________________________________________________________________________________________
COMMUNICATION Verbal/speaks clearly Verbal/speech is difficult to understand Has difficulty expressing needs Gestures/points Uses sign language
Uses hearing devices Uses a communication board/schedule/pictures English as a second language (first language ________________________ )
Other ________________ Detailed Comments ______________________________________________________________________
______________________________________________________________________________________________________________
INTERACTION/SOCIALIZATION SKILLSInitiates socialization? Initiates social interaction on own Socializes with verbal prompting Avoids social interactions
Explain _________________________________________________________________________________________________________
Prefers being Alone With peers With adults Explain ________________________________________________________________
Is most successful in Large groups Small groups Other Explain __________________________________________________________
Responds better to Males Females Either Explain ________________________________________________________________
Detailed Comments _________________________________________________________________________________________________
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STAFF/INDIVIDuAL COMPLETING FORM DATE
ABILITY TO FOLLOW DIRECTIONSCan follow directions Independently With verbal prompting With step-by-step assistance Explain ______________________________
______________________________________________________________________________________________________________
BEHAVIORS/CONDUCT Short attention span Easily distracted Hyperactivity Runs/wanders Oppositional/defiant Manipulative Steals Instigates behavior
Verbal outbursts Physical outbursts towards others/self Tantrums Emotional meltdown Shy/withdrawn Other ____________________
Detailed Comments _________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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What are the known triggers? _________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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Does the participant respond to specific behavior techniques (i.e., used at home or school)? Yes No Explain ________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Does the participant respond to specific reinforcement devices (i.e., used at home or school)? Yes No Explain ________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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Does the participant display any unusual fears or concerns? Yes No Explain ____________________________________________________________
______________________________________________________________________________________________________________
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PERSONAL INTERESTSFavorite Quiet Activities _________________________________________ Favorite Active Games_____________________________________________Favorite Colors ______________________ Other_________________________________________________________________________________
PARENT/GUARDIAN INFORMATIONParent/Guardian Name ________________________________________ Email_________________________________________________________
Home Phone __________________________Cell Phone____________________________ Work Phone ______________________________________
Emergency Contact _____________________________________________________________ Phone ______________________________________
SCHOOL/WORK INFORMATION School/Work ________________________________________________________ Grade ____ Teacher/Para _______________________________
School/Work # _______________________________________________ Classroom Setting _____________________________________________
TRANSPORTATIONTo program ______________________________________________ From program_____________________________________________________
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33PARTICIPANT INFORMATION HH ID# __________________
Last Name First Middle
Address City State Zip
HomePhone Birthdate / / Age Male Female
Parent/Guardian Name Work Phone Cell Phone
E-mailaddress(optional) Howdidyoufindoutaboutourprogram(s)? billboard e-newsletter friend/relative magazine newspaper other radio TV web site
Does participant have allergies that may require medication (i e , Epi Pen, Benadryl, etc )? Yes No
Will participant need to take medication during program hours? Yes No
Does participant have a disability or medical condition that may require assistance or accommodation? Yes No (i.e., diabetes, seizures, mental illness, conduct/behavior disorder, physical disability, developmental delay)
The Rockford Park District is committed to providing services in an equitable manner . Answering the following is optional, but helps us measure how we are doing. RACE/ETHNICITY (select all that apply)
American Indian/Alaskan Native Asian/Pacific Islander Black White Hispanic(any race) Other (please list) ______________________
EMERGENCY INFORMATION/AuTHORIzED PICK-uPPlease list any adult (age 18+)weshouldcontactiftheparent/guardiancannotbereachedintheeventofanyemergency.Indicateanyoneauthorizedtopickupyourchild in the event that you are unable to do so. To ensure your children’s safety, they will not be released to any individual not named on this form. Adults must present a photo ID at the time of pick-up.
Name Phone #1
Phone #2 Relationship May Pick Up Yes No
Name Phone #1
Phone #2 Relationship May Pick Up Yes No
If answering yes to either medication question, please request the Permission to Administer Medication Form from Customer Service
PROGRAM INFORMATION
ID # PROGRAM NAME PROGRAM DATEADULT PROGRAMS ONLY:
IF PROVIDED, IS TRANSPORTATION NEEDED? (add $4 to fee)
FEE
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
YES NO
FORM CONTINUED ON THE NEXT PAGE • FORM IS NOT COMPLETE UNTIL BOTH SIDES HAVE BEEN FILLED INPARTICIPATION WILL BE DENIED if the signature of adult participant or parent/guardian and date are not on the waiver (see reverse side).
customer service 815-987-8800 TTY, 888-871-6171
34Participant’s Name(repeatfromfront)
FEE ASSISTANCE “Fun For All Kids” is available to residents for select youth programs. Call 815-987-8800 for more information.
PAYMENT INFORMATIONWould you like to donate to the Rockford Park District Fee Assistance program to aid kids who need financial help to participate in RPD programs? Yes$________ No
CreditCardNumber ExpDate TOTALFEE
Signature (Authorization for Credit Card Use)
FOR YOUNG ADULT & BE SOCIAL PROGRAMS ONLYI LIVE IN A:
GroupHome Housing/ApartmentComplex:Name_________________________________________________
Family Residence Retirement/NursingHome:Name___________________________________________________
WHERE SHOuLD WE PICK YOu uP? (These are the only addresses that will be used for transportation routes) At address listed on the front of this form Meadow Mart, N Second St FamousFootwear,EStateSt. Address of family or friend (list below)
Name Phone
Address
City State Zip
IMPORTANT INFORMATIONThe Rockford Park District is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard. The District continually strives to reduce such risks and insists that all participants follow safety rules and instructions that are designed to protect the participants’ safety. However,participantsandparents/guardiansofminors registering for this program/activity must recognizethatthereisaninherentriskofinjurywhen choosing to participate in recreational activities/programs.Youaresolelyresponsible for determining if you or your minor child/ward are physically fit and/or adequately skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way or has recently suffered an illness, injury or impairment, to consult a physician before undertaking any physical activity.
WAIVER AND RELEASE OF ALL CLAIMS AND ASSuMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this program/activity, you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program/activity (including transportation services and vehicle operations, when provided).Irecognizeandacknowledgethat there are certain risks of physical injury to participants in this program/activity, and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program/activity against the Rockford Park District, including its officials, agents, volunteers and employees (hereinafter collectively referred to as “District”). I do hereby fully release and forever discharge the District from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program/activity.
PARTICIPATION WILL BE DENIED if the signature of adult participant or parent/guardian and date are not on this waiver.
I have read and fully understand the above important information, warning of risk, assumption of risk and waiver and release of all claims. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effect as an original form signature.
Participant’s Name (PLEASE PRINT) _____________________________________________________________________________
Parent/Guardian or Adult Participant Signature_______________________________________________________________________
Date__________________
WARNING OF RISKRecreational activities are intended to challenge and engage the physical, mental and emotional resources of each participant. Despite careful and proper preparation, instruction, medical advice, conditioning and equipment, there is still a risk of serious injury when participating in any recreational activity.Allhazardsanddangerscannotbe foreseen. Depending on the particular activity, certain risks, dangers and injuries may exist due to inclement weather, slips and falls, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating, and other risks inherent to the particular activity. In this regard, it is impossible for the District to guarantee absolute safety.
online rockfordparkdistrict.org/TRfax 815-987-8877 online rockfordparkdistrict.org/TR
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helping others do what they do bestCollaboration & Community PartnershipsThroughmutuallybeneficialpartnerships,agenciescanleverageresourcestoservecitizensthattheycould not serve alone. The Rockford Park District celebrates the following agencies and businesses that work together with the Therapeutic Recreation Team to “Help People Enjoy Life ”
Access Services of Northern Illinois www.accessni.com•815-282-8824
Barbara Olson Center of Hope www.b-olsoncenterofhope.org•815-964-9275
Belvidere Park District www.belviderepark.org•815-547-5711
Center for Sight and Hearing www.rockfordcenter.org•815-332-6800
Child and Family Connections www.accessni.com•815-654-6170
Division of Specialized Care for Children www.uic.edu/hsc/dscc•815-987-7571
Easter Seals —Metropolitan Chicago www.chicago.easterseals.com•815965-6745
Freeport Park District www.freeportparkdistrict.org•815-235-6114
Gigi’s Playhouse www.gigisplayhouse.org•847-885-PLAY
Gymnastic Academy of Rockford www.onefungym.com•815-654-3867
Harlem School District www.harlem122.org•815-654-4500
llinois Growth Enterprises www.illinoisgrowth.com•815-962-8333
Rosecrance Ware Center www.rosecrance.org•815-968-9300
Northwestern Illinois Association www.thenia.org•815-895-9227
RAMP — Winnebago County branch www.rampcil.org•815-968-7467
Rockford Chariots Wheelchair Athletic Association
Rockford Dance Company www.rockforddancecompany.com 815-963-3341
Rockford Public Schools www.rps205.com•815-966-3000
Special Olympics www.specialolympics.org
The Arc www.arcwbo.org•815-965-3455
The Autism Program Service Center of Rockford www.theautismprogram.org•815-395-5566
YMCA of the Rock River Valley www.rockfordymca.org•815-987-2252
CUSTOMER SERVICE • SE HABLA ESPAÑOL 815-987-8800 • TTY 888-871-6171 • rockfordparkdistrict.org/TR
REGISTRATION NOW OPEN
PRSRT STDu .S . POSTAGE
PAIDRockford, IL
Permit #4585
ROCKFORD PARK DISTRICT401 S MAIN ST • ROCKFORD IL 61101 www.rockfordparkdistrict.orgBOARD OF COMMISSIONERS JackL.Armstrong•DouglasJ.Brooks•IanK.Linnabary NateMartin•TylerSmith
ExECUTIVE DIRECTOR Tim Dimke
FALL 2012 GUIDE
TR’s Got Talent – Performer (all ages)Calling all dancers, singers, actors, comedians, magicians, and anyone who thinksthey’vegottalent!ParticipateintheTR’sGotTalentShowforprizes,awards, and a chance to be a star! There will be refreshments, games, and tons of talent. Audience members and judges will vote for their favorite acts to determine who will be this year’s most talented star!
There will be a dress rehearsal on Monday, November 5 from 6:00 to 8:00 pm inRPDEdattheWebbsNormanCenter.[JM]
Webbs Norman Center, 401 S Main St, Rockford, IL
NO COST TO ENTER!DATES TIME DAY ACTIVITY# Nov 9 6:30–9:00 pm F 806109-PF