HISRA Fall 2011 Brochure

Heart of IllinoisSpecial Recreation Association

2011 FALL PROGRAMS

WHOOOO’S READY FOR

FUN THIS FALL?

AFTER SCHOOL

SOCIALS

BOWLING

... AND MORE!

REGISTRATION BEGINS AUGUST 22

2 – 2011 Fall

Welcome!Heart of Illinois Special Recreation Association (HISRA)

A cooperative extension of the Chillicothe, Morton, Peoria, and Washington Park Districts8727 N. Pioneer Rd. • Peoria, IL 61615 • 309/691-1929

HISRA BOARD OF TRUSTEES The Board meets at HISRA on the third Wednesday of the month at 5:15 p.m. Changes are noted in local newspapers. Meetings are open to the public. Janet Myers .......................................... Trustee/ChillicotheKevin Yates ........................................... Trustee/ChillicotheGary Watson ........................................ Trustee/MortonTate Kaiser ............................................ Trustee/MortonTim Cassidy .......................................... Trustee/PeoriaJim Hancock ........................................ Trustee/PeoriaDoug Damery ..................................... Trustee/WashingtonLorelei Cox ........................................... Trustee/Washington

HISRA VOLUNTEERS Volunteers are special people who share their time, knowledge, and spirit with HISRA participants. HISRA would like to thank those volunteers who have devoted their time and energy to the success of our programs. If you would like to join our volunteer staff, please contact us. We’ll put your skills to great use!

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

HISRA FREQUENTLY USED PROGRAM LOCATIONS

• Dave’s Billiards (Peoria) 2800 W. Farmington Road, 637-0619

• Freedom Hall (Morton) 349 W. Birchwood, 263-7429

• Landmark Lanes (Peoria) 3225 N. Dries Lane, 686-9168

• RiverPlex (Peoria) 600 NE Water St., 282-1700

• Golf Learning Center & Academy (Peoria) 7815 N. Radnor Road • 690-7162

• Kellogg Golf Course(Peoria) 7716 N. Radnor Road • 691-0293

• Shore Acres (Chillicothe) 100 Park Blvd., 274-3409

• Willow Knolls 14 Theatre (Peoria) 4100 W. Willow Knolls Dr, 689-8463

• Landmark Cinemas (Peoria) 3225 N. Dries Ln, 682-6356

• Morton Recreation Center (Morton) 324 Detroit Street, 263-7429

• Plaza Lanes (Washington) 1500 Washington Road, 444-3059

HISRA is the result of a desire on the part of your park district to provide quality recreation programs and services to individuals with disabilities and special needs. HISRA and its member districts enthusiastically support the spirit and intent of the Americans With Disabilities Act. HISRA is committed to providing opportunities for each individual to enjoy recreation activities in the least restrictive environment possible.

Your HISRA Staff:

Katie Hogan Van Cleve ............................................Executive Director

Sarah Kaufmann, CTRS .........................................Program Supervisor

Mark Middlebrook .................................................Program Supervisor

Jennifer Wahl ................................................... Administrative Assistant

Corinne Wolffe ......................................................... FOCUS Coordinator

2011 Fall – 3

HISRA Fall 2011

IN THIS ISSUE:Inclusion .............................................................3

Dances .................................................................3

Kids Programs ...................................................4

Parents Night Out ............................................5

Adult Programs ................................................5

Social Programs – Adults ..........................6-7

Bowling / Entertainment ..............................8

Adapted Sports ................................................9

Buddy Walk ..................................................... 10

All the Details ...........................................11-12

Registration Form ...................................13-16

Code of Conduct ........................................... 17

Programs at a Glance .................................. 18

Calendar ........................................................... 19

Attention residents of Peoria, Morton, Chillicothe, and Washington Park Districts: Have you seen any programs your park district offers that may be of interest to you or your child with special needs, but wondered if

they could participate? Well, stop wondering and call HISRA at 691-1929! Upon reviewing the participant’s needs, HISRA’s professional staff will work to integrate participants, adapt activities, and even provide additional support if necessary so that it can be a successul inclusive setting. If you are an adult in Peoria, Morton, Chillicothe, or Washington with special needs, you are also welcome at all programs your local park district offers. HISRA provides all inclusion services at no cost to residents of its member districts.

Equal Fun ... for Everyone!

– INCLUSION SERVICES –

DANCES

Halloween Dance Don’t miss this spooky night at HISRA! Dress in your favorite costume and be ready for music, dancing, snacks and most of all FUN! Register early because this hair-raising night fills up fast! Come if you dare!Age: 15+Code Day-Date Time Fee-R/NR48926 F:10/28 7:00pm-9:30pm $13/$18

Winter Wonderland Holiday Dance “Yule” enjoy dancing the night away at this festive end of the year celebration. Come and enjoy music, snacks, visiting with friends and meeting new ones at HISRA!Age: 15+Code Day-Date Time Fee-R/NR48927 Sa:12/17 7:00pm-9:30pm $13/$18

4 – 2011 Fall

The symbol next to a program indicates that transportation is provided for residents of our member districts for this program to and from Chillicothe (Shore Acres Park), Morton (Morton Freedom Hall) and Washington (St. Claire’s Crossing).

KIDS PROGRAMSHISRA After School ProgramAre you in need of after school care? Why not bring your child to the HISRA After School Program! Activities and snacks will be provided daily. The HISRA After School Program follows the Peoria District 150 school schedule. Please note, when students are released early, HISRA will provide the After School Program for $20/$25 per day. There will be no After School Program on the days school is not in session. Transportation is not provided for this program, please drop off and pick up at HISRA. All participants need to submit their school schedules at the beginning of each semester.Age: 4 - 21Time: 3:00pm-6:00pmFee-R/NR: $10/$15 per day

8/22 First day of school9/5 Labor Day – No School, No ASP9/21 Half Day – $20/25 fee applies10/10 Columbus Day – No School, No ASP10/19 Half Day – $20/25 fee applies11/4 Parent Conferences – No School, No ASP11/11 Veterans’ Day – No School, No ASP11/23, 24, 25 Thanksgiving Break – No School, No ASP12/23-1/9 Winter Vacation – No School, No ASP

If your child does not attend a District 150 school, please submit a school calendar upon registration.

Holiday Camp Looking for a fun way to spend your holiday break? HISRA’s Holiday Camp is the answer! Register for single days – or all five! We will be doing arts and crafts, games, swimming and field trips! We offer a close staff-to-camper ratio for children with severe and multiple disabilities. HISRA will provide snacks each day, campers need to bring a sack lunch and drink. Please register for Holiday Camp AS SOON AS POSSIBLE, this camp fills up fast!

Age: 4 - 21Fee-R/NR: $25/$35 per day

Code Day-Date Time48893 Tu:1/3 8:30am-4:00pm48894 W:1/4 8:30am-4:00pm48895 Th:1/5 8:30am-4:00pm48896 F:1/6 8:30am-4:00pm48897 M:1/9 8:30am-4:00pm

Kids Korner School’s out but HISRA is in session! In addition to games and arts & crafts, we have special activities planned for each date! Don’t forget a sack lunch and drink. Fee is per date, choose as many as you wish! Please register two weeks prior to the program date.

Age: 4 - 21Fee-R/NR: $32/$40 per date

Hayrides & Hot Dogs at Sommer ParkCode Day-Date Time48886 M:10/10 8:30am-3:30pm

Monkey Joe’s/Exergame ZoneCode Day-Date Time48887 F:11/4 8:30am-3:30pm

A Trip to the MoviesCode Day-Date Time48888 F:11/11 8:30am-3:30pm

2011 Fall – 5

ADULT PROGRAMSFocus ProgramLooking for a fun way to fill your day? We have the answer for you! The FOCUS Program will explore things such as science and nature, art and entertainment, and nutrition and fitness. The FOCUS Program meets Monday through Thursday from 8:30 a.m. to 3:00 p.m. Lunch is included in the daily fee. This season the FOCUS Program will run during the months of September, October, November and December. Participants can register for 1, 2, 3 or all 4 days per week. Chosen days must remain consistent for the entire season.

This season there will be no FOCUS Program on the following days: Monday 9/5, Wednesday 11/23, and Thursday 11/24. There will be no FOCUS Program the week of 12/26 - 12/29. Participants will need to pay for initial registration and can be billed on or about the 15th of each month for the upcoming month. Monthly fees must be paid in full prior to services rendered.Age: 18+

Code Day-Date Time Fee-R/NR48873 M:9/12-12/19 8:30am-3:00pm $450/$60048874 Tu:9/6-12/20 8:30am-3:00pm $480/$64048875 W:9/7-12/21 8:30am-3:00pm $450/$60048876 Th:9/8-12/22 8:30am-3:00pm $450/$600

PARENTS NIGHT OUTIf you need a night out, this is for you! Drop your kids off at HISRA and enjoy an evening out! All children in the

family are welcome to attend. Each additional child is

only $5 each! During Parents Night Out,

participants will make dinner,

play games, make crafts, and more!

SPACE IS LIMITED! PLEASE REGISTER AT LEAST 2 WEEKS IN ADVANCE FOR STAFFING PURPOSES. Fee is per program. Choose as many as you like!Age: 2+

Fee-R/NR: $22/$32 per date

Code Day-Date Time48889 Sa:9/17 6:00pm-11:00pm48890 Sa:10/15 6:00pm-11:00pm48891 Sa:11/12 6:00pm-11:00pm48892 Sa:12/10 6:00pm-11:00pm

Grizzly Jack’s Grand Bear Resort / Starved Rock OvernightWe will make our way to Starved Rock State Park and then spend the night in a luxury cabin at Grizzly Jack’s Grand Bear Resort! While at Grizzly Jack’s we will spend some time at the indoor water park. They offer many fun things to do including a wave pool, a body/tube slide, and an adult spa! We will also visit the Enchanted Forest Indoor Amusement Park. The park features full-sized amusement rides, video games and some rockin’ music! Sign up quickly – this one is sure to fill up FAST! Don’t forget money for souvenirs! Age: 18+ Fee-R/NR: $150/$190Code Day-Date-Time49032 Sa:11/5 10:00am - Su:11/6 3:00pm

6 – 2011 Fall

SOCIAL PROGRAMS – ADULTSHISRA Adult Programming is a series of programs designed to offer an exciting opportunity to hang out with friends! Fee is per program.Age: 19+

IMPORTANT INFORMATIONThe activities listed with * are for individuals who need more assistance to enjoy the activities. A 1:3 staff-to-participant ratio will be assigned.

Another group of activities is for individuals who need minimal assistance to have fun with the group. An approximately 1:5 staff-to-participant ratio is assigned to this group.

Codefor 1:3* Ratio Program Code

for 1:5 Ratio

Code: 48898*Day-Date: F:9/16Time: 5:00-10:00pm

Morton Pumpkin Festival How many ways can you celebrate a pumpkin? Let’s find out! Join us as we head over to Morton for the annual Morton Pumpkin Festival! We’ll try some pumpkin treats, enjoy some entertainment and ride a few carnival rides! HISRA will pay for a snack and two carnival rides. Don’t forget to bring some money for extra rides, snacks and souvenirs. Fee-R/NR: $20/$25

Code: 48899Day-Date: Sa:9/17Time: 5:00-10:00pm

Code: 48901*Day-Date: Sa:9/24Time: 4:30-10:00pm

Dinner and a Movie This evening we will go to dinner at Steak N Shake and then make our way to the theater to catch a movie! Don’t forget extra money for concessions! Fee-R/NR:$30/$40

Code: 48900Day-Date: F:9/23Time: 4:30-10:00pm


Pizza & Bowling Let’s strike up some fun at Plaza Lanes in Washington! We will bowl 3 games and then enjoy a buffet of salad, breadsticks, cookies, soda, and of course PIZZA! Fee-R/NR: $25/$32



Karaoke at HISRA Tighten up those vocals! Spend the evening with your friends as we sing the night away! We will enjoy some refreshments as everyone sings their favorite songs! Fee-R/NR: $15/$20



2011 Fall – 7

SOCIAL PROGRAMS – ADULTS

Codefor 1:3* Ratio Program Code

for 1:5 Ratio


Hot Dogs and Wagon Rides Join us as we head over to Sommer Park for an evening of outdoor fun! You will get to ride on a wagon through the park and then we will roast hot dogs over a campfire!Fee-R/NR: $15/$20



Spider Hill Let’s get into the Halloween Spirit and experience Central Illinois’ largest haunted house attraction! Don’t forget your snack money for concessions! Fee-R/NR: $25/$32



Bingo, Bags and Wii We will spend the evening at HISRA playing Bingo, Bags and Wii! Snacks and great prizes are just a couple of good reasons to get registered for this program B-4 it fills up! Fee-R/NR: $15/$20



Dinner and Games at HISRA This evening we will plan a menu and go shopping to buy everything we need for dinner! After fixing dinner and cleaning up our mess, we will spend time playing games at the HISRA building! Fee-R/NR: $20/$25



Festival of Lights Join us for a trip to East Peoria for the Festival of Lights! We will light up your evening as we check out more than 40 floats with over two million lights on them! After our trip through the festival we will enjoy some delicious dessert! Fee-R/NR: $22/$28



8 – 2011 Fall

BOWLING ENTERTAINMENTStrikersIf you have time to ‘SPARE’ on Tuesdays or Wednesdays, we are looking to ‘STRIKE’ up the fun at Landmark Lanes. All skill levels are encouraged to participate and as always, adaptive equipment is available. Included in the cost is a dessert reception to be held on the last day of bowling. Transportation to Landmark Lanes is provided as follows; pick-up times: Parc: 2:40pm; CWTC: 3:10pm THERE WILL BE NO STRIKERS ON TUESDAY NOVEMBER 22, 2011 or WEDNESDAY NOVEMBER 23, 2011. Please register two weeks prior to the start date of the program. All participants need to be picked up at Landmark Lanes at 5:00 p.m.Age: 15+Fee-R/NR: $80/$100

Code Day-Date Time48877 Tu:9/13-12/6 3:30pm-5:00pm48878 W:9/14-12/7 3:30pm-5:00pm

Strikes and SparesThis 12-week bowling program at Plaza Lanes in Washington is a great way to spend a Thursday afternoon! All skill levels are encouraged to participate and as always, adaptive equipment will be available. The end of the season party will be on December 15, 2011 (the last week of bowling) and is included in the price of this program. There will be a pick up from Morton High School at 3:00 p.m. and a drop off at Morton Freedom Hall at 5:15 p.m. There will be no Strikes and Spares on 10/20/11 or 11/24/11.Age: 15+Fee-R/NR: $76/$96

Code Day-Date Time48879 Th:9/15-12/15 3:30pm-5:00pm

Sunday CinemaBack by popular demand! We will visit a local movie theatre and fill our afternoon with one of the latest blockbuster hits! Be sure to bring money for popcorn! Registered participants will be called on the Friday prior to the program to confirm movie information and times. Times will vary between 11:00 a.m. and 4:00 p.m. Drop off and pick up at the movie theatre.Age: 16+Fee-R/NR: $7/$9 per date

Code Day-Date48918 Su:9/1848919 Su:10/2348920 Su:11/2048921 Su:12/11

Jukebox Saturday Night It’s a thrill a minute with the antics of Jukebox Saturday Night. Performing each month at the Fon du Lac Administration Building in East Peoria, this band packs two solid hours full of music and family fun into a Branson-style show! This group does music by special request from the ’40s on up, crossing all of the genres along the way. Don’t forget money for concessions!Age: 19+Fee-R/NR: $20/$25 per date

Code Day-Date Time48907 F:10/14 6:00pm-9:30pm48914 F:11/11 6:00pm-9:30pm48917 F:12/9 6:00pm-9:30pm


2011 Fall – 9

SPECIAL OLYMPICS ADAPTED SPORTS

IMPORTANT SPECIAL OLYMPICS DATES

Sept. 10-11 • Outdoor Sports Festival, Decatur, IL (Golf and Softball State Competition)

Sept. 19 • HISRA Special Olympics Sports Banquet, Kickapoo Creek Winery, Edwards

Oct. 8 • Training Clinic for Special Olympics Basketball, Time and Location TBA

Oct. 15 • Sectional Bowling, Landmark Lanes, Peoria, IL

Dec. 3 • State Bowling, Landmark Lanes, Peoria, IL

*District Basketball Competition is typically held in January.

*Special Olympics Swimming will be offered beginning in early January, details in Winter/Spring Brochure.

Special Olympics competition will be available if you are eligible and wish to participate. All Special Olympics athletes must have a valid

medical application on file for the entire length of the season.Age: 8+

Peoria Wildcats Wheelchair BasketballThis program is designed to increase physical ability and provide the opportunity to participate in competitive sports! To be eligible for play in adapted sports, a player must have an irreversible lower extremity disability, such as paralysis, amputation, radiological evidence of limb shortening, partial to full joint alkalosis or joint replacement, which consistently interferes with functional mobility. (Findings such as soft tissue contracture, ligament instability, edema or disuse atrophy, or symptoms such as pain or numbness, without other objective findings shall not be considered lower extremity disability.) The team travels to games and tournaments around Illinois and surrounding states. During the 2010/2011 season, the Peoria Wildcats placed ninth at the National Tournament in Denver, Colorado! Game and tournament times for the 2011/2012 season are TBA.Age: 5 - 21Fee-R/NR: $60

Code Day-Date Time49026 Sa:9/10 TBA

Special Olympics BasketballIt’s time to prepare for another exciting season of HISRA basketball! Early in the season the team practices fundamental skills, focusing on dribbling, passing, shooting, sportsmanship, and the rules of the game. Later in the season the teams will compete against other local teams.

This year we will be holding a Training Clinic to assist us in correct team assignment. The clinic will be held on Saturday, October 8, 2011 (time TBA).

You will be assigned a team; your team will meet on either Mondays or Wednesdays. Special Olympics competition will be available at Area and State tournaments if you are eligible and wish to participate. Please note: Games may be scheduled at other locations and at different times throughout the season. Practice location is TBA. No transportation is available for this program - drop off and pick up at the practice location. PLEASE REGISTER IN ADVANCE FOR THIS PROGRAM.Age: 8+Fee-R/NR: $36/$41

Code Day-Date Time48880 M,W:10/17 5:30-7:30pm

10 – 2011 Fall

2011 Fall – 11

PROGRAM POLICIES• Participants should arrive no more than 10 minutes before

the program start time unless instructed otherwise.• The HISRA van will wait only 5 minutes for late arrivals.• To eliminate additional staff costs, participants need to be

dropped off and picked up as close to the program start and end times as possible. If participants are dropped off excessively early or picked up excessively late, a fee of $10 for every 15 minutes will be charged for this time. At any time we reserve the right to refuse an excessively early participant due to lack of available staff until the start time of the program.

• When arriving at and departing from a program, parent/guardians are asked to check in and out with the staff person in charge of the program. If a participant is to be picked up by someone unfamiliar to HISRA staff the par-ent/guardian is asked to notify HISRA staff in writing.

• In order to provide for a safe and meaningful experience, a 1:4 staff to participant ratio is maintained for most chil-dren’s activities and a 1:5 ratio is maintained for adult ac-tivities. Some programs may have a closer ratio, depend-ing on needs. If you feel a participant needs a different staff ratio than listed, please contact us.

• If you request HISRA staff to dispense medication during programs or trips, the medicine MUST be in the original prescription packaging that shows the dosage and admin-istration instructions. All medication administration forms must be filled out.

• Siblings or friends may participate in programs if space is available after the registration deadline has been reached. A completed registration form, with the waiver signed, accompanied by payment must be received prior to at-tendance.

• Participants are encouraged not to bring unnecessary valuable personal items to programs. HISRA is not respon-sible for theft or loss during activities or events.

• If attending a movie, HISRA will choose the film according to age appropriateness whenever possible (Young Adults: PG; Sunday Cinema & TGIF: PG or PG-13). The theaters do not guarantee weekend movie times until Friday. HISRA will call with applicable times on the Friday prior to the activity or event.

• Any alcohol consumed at any HISRA event or program must be paid for by the individual participant. No HISRA funds will be used to purchase alcohol.

• Minimum and Maximum requirements have been estab-lished for each camp and program. If minimum registra-tion requirements are not met, HISRA may be forced to cancel a program. HISRA reserves the right to adjust mini-mum and maximum registration requirements to accom-modate the staffing needs of individual registrants.

REGISTRATION INFORMATION • Registration forms (with payment) can be mailed to the

HISRA Office at 8727 N. Pioneer Road, Peoria, IL 61615.• Walk-in registrations (with payment) will be accepted at

HISRA during regular business hours (8:00 am - 4:30 pm). After hours registrations and payments can be deposited in the drop box at the front of the HISRA building.

• Faxed registrations will ONLY be accepted for credit card payments.

• Staff WILL NOT accept payments or registration forms at programs.

• Registration forms must be filled out COMPLETELY and the waiver at the bottom of each registration form MUST be signed each time a participant registers.

• Payment must accompany all registration forms. Registra-tions will not be entered into the system until payment is received.

• Persons living outside the Chillicothe Park District, the Morton Park District, the Peoria Park District, and the Washington Park District must pay the second fee listed (NR = Non-Resident).

• There are no pro-rated fees for camps, programs or activi-ties.

• Due to limited space, registrations are taken on a first-come, first-served basis, when received with payment. No phone registrations will be accepted.

• If a program is full, you will be placed on the waiting list. If space becomes available, you will be called and payment will be needed immediately.

• An Annual Information Form must be completed once per year. All questions must be answered or marked N/A, if not applicable. For safety reasons, an individual without a completed Annual Information Form on file for the cur-rent year will not be permitted to participate in any HISRA programs.

• YOU MAY NOT REGISTER FOR ANY PROGRAMS IF YOU HAVE A REMAINING BALANCE FROM ANY PAST SEASON. THERE ARE NO EXCEPTIONS TO THIS POLICY!

MEMBER DISTRICT TRANSPORTATIONHISRA makes every effort to make your participation in programs possible. HISRA may cancel member district transportation if enrollment is low or no member district residents are using transportation. Fees will be assessed for non-resident use of member district transportation.

ALL THE DETAILS

Registration begins August 22!

12 – 2011 Fall

MORTON RESIDENTSMorton Residents may register and pay for any programs at the Morton Park District office; however, to guarantee space is available, your best bet is to register directly through the HISRA office (691-1929).

PAYMENT OPTIONSPayment is required at the time of registration. HISRA accepts Cash, Checks, Credit Cards and Money Orders. If payment plan options are needed – please contact the HISRA office. HISRA is willing to work with participants on extenuating circumstances for payment. Please notify HISRA of your need as soon as possible when registering.

ELECTRONIC CHECK CONVERSION When you provide a check as payment, you authorize HISRA and the Peoria Park District to use information from the check to make a one-time electronic fund transfer from your account. Funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution.In the event your check is not honored due to insufficient funds/account closure, you shall be liable for the amount of the check plus $30 (per check) for costs incurred by HISRA. In the event HISRA commences a collection action in the court, you shall be liable for all costs and expenses incurred by HISRA in connection with the collection of the check and any other damages permitted under Illinois law.

SCHOLARSHIP FUNDSLimited funds are available for residents of our member districts to those demonstrating financial need–please contact the HISRA office for details.

REFUND POLICYA full or partial refund will be considered if:• HISRA must cancel a program.• An ongoing program is deemed inappropriate for a par-

ticipant.• We receive a WRITTEN NOTICE of cancellation from you

within four (4) working days prior to program start date, unless otherwise noted (camps require a 2 week written notice of cancellation).

• If HISRA was required to purchase advance tickets, entry fees or supplies, only a partial refund will be made.

• Refunds will not be given to participants who do not show up for programs that they have registered for.

ALTERNATE FORMAT OF BROCHUREIf you need an audio version of this brochure, please contact the HISRA Office.

AMERICANS WITH DISABILITIESIn keeping with the Americans with Disabilities Act, recreation programs offered by HISRA are available in the most integrated setting possible to facilitate program participation. HISRA will make reasonable accommodation to individuals with disabilities who meet essential eligibility requirements for the desired program.

EQUAL OPPORTUNITYHISRA will not exclude anyone from participation in, deny anyone the benefits of, or otherwise subject anyone to discrimination because of the person’s race, sex, color, national origin or disability (except where sex is a bona fide requirement for participation). For details, contact the Affirmative Action Officer at 682-1200.

PROGRAM CHANGES/CANCELLATIONS• Programs have minimums and maximums, and are filled

on a first come, first served basis. HISRA reserves the right to add, omit and otherwise change any or all of the pro-gram provisions (including advertised fees and charges) outlined in this brochure when deemed in the best inter-est of the participants. Such changes may also be insti-tuted due to situations which develop that are beyond our control.

• HISRA reserves the right to modify or postpone programs, or change instructors.

• In the event of severe weather, HISRA may be forced to cancel programs. HISRA staff attempt to make these deci-sions as early as possible in order to notify participants in a timely manner by phone. Please call the HISRA office to verify if a program has been cancelled. If a program has insufficient registration, HISRA staff will attempt to notify the participant or adult contact by phone at least four days in advance.

GIFT CARDSGift Cards are available for purchase at the HISRA office during regular business hours.

WE’RE ONLY HUMAN!Occasionally there may be an error in the information included in this booklet. If so, HISRA will do everything possible to correct the situation promptly. Thank you for your patience and understanding should this occur.

ALL THE DETAILSAll forms are available online at http://www.peoriaparks.org/heart-of-illinois-special-recreation

2011 Fall – 13

H I S R A R E G I S T R A T I O N FORM

CAMPS – 8/22 to 12/22 CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?

After School Program – Mon N/A

After School Program – Tues. N/A

After School Program – Weds. N/A

After School Program – Thurs. N/A

After School Program – Fri. N/A

Holiday Camp 48893 1/3 $25 /$35 M C W

Holiday Camp 48894 1/4 $25 /$35 M C W

Holiday Camp 48895 1/5 $25 /$35 M C W

Holiday Camp 48896 1/6 $25 /$35 M C W

Holiday Camp 48897 1/9 $25 /$35 M C W

KIDS KORNER CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Hayrides & Hot Dogs/Sommer Park 48886 10/10 $32/$40 M C W

Monkey Joe’s/Exergame Zone 48887 11/4 $32/$40 M C W

A Trip to the Movies 48888 11/11 $32/$40 M C W

PARENTS NIGHT OUT CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Parents’ Night Out 48889 9/17 $22/$32 N/A

Parents’ Night Out 48890 10/15 $22/$32 N/A



DANCES CODE DATES FEE: R/NR X CIRCLE:Transp?

Halloween Dance 48926 10/28 $13/$18 M C W

Winter Wonderland Holiday Dance 48927 12/17 $13/$18 M C W

BOWLING CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Strikers 48877 9/13-12/6 $80/$100 P T

Strikers 48878 9/14-12/7 $80/$100 P T

Strikes and Spares 48879 9/15-12/15 $76/$96 N/A

ENTERTAINMENT CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Sunday Cinema 48918 9/18 $7/$9 N/A

Sunday Cinema 48919 10/23 $7/$9 N/A



Jukebox Saturday Night 48907 10/14 $20/$25 M C W

Jukebox Saturday Night 48914 11-11 $20/$25 M C W


FOCUS CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Focus Program - Mon. 48873 9/12-12/19 $450/$600 N/A

Focus Program - Tues. 48874 9/6-12/20 $480/$640 N/A

Focus Program - Weds. 48875 9/7-12/21 $450/$600 N/A

Focus Program - Thurs. 48876 9/8-12/22 $450/$600 N/A

SPORTS/SPECIAL OLYMPICS CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Peoria Wildcats Wheelchair Basketball

49026 9/10-3/3 $60 N/A

SO Basketball 48880 10/17-3/14 $36/$41 N/A

SO Track & Field 46816 3/7-4/25 $36/$45 N/A

ADULTS - 1:3 RATIO* CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Morton Pumpkin Festival* 48898 9/16 $20/$25 M C W

Dinner and a Movie* 48901 9/24 $30/$40 M C W

Pizza & Bowling* 48902 9/30 $25/$32 M C W

Karaoke at HISRA* 48905 10/8 $15/$20 M C W

Hot Dogs and Wagon Rides* 48908 10/14 $15/$20 M C W

Spider Hill* 48911 10/22 $25/$32 M C W

Bingo, Bags and Wii* 48912 11/4 $15/$20 M C W

Dinner and Games at HISRA* 48916 11/19 $20/$25 M C W

Festival of Lights* 48922 12/2 $22/$28 M C W

ADULTS - 1:5 RADIO CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Morton Pumpkin Festival 48899 9/17 $20/$25 M C W

Dinner and a Movie 48900 9/23 $30/$40 M C W

Pizza & Bowling 48903 10/1 $25/$32 M C W

Karaoke at HISRA 48904 10/7 $15/$20 M C W

Hot Dogs and Wagon Rides 48909 10/15 $15/$20 M C W

Spider Hill 48910 10/21 $25/$32 M C W

Bingo, Bags and Wii 48913 11/5 $15/$20 M C W

Dinner and Games at HISRA 48915 11/18 $20/$25 M C W

Festival of Lights 48923 12/3 $22/$28 M C W

OVERNIGHT CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Grizzly Jack’s/Starved Rock 49032 11/5-11/6 $150/$190 N/A

FeesAdd the program fees:SUBTOTAL $

Must complete the registration form on back

Full Name of Participant:

PROGRAMS

TRANSPORTATION: M= Morton Freedom Hall C= Shore Acres in Chillicothe

W= St. Claire’s Crossing in Washington P= PARC (Strikers Only) T= CWTC (Strikers only)

14 – 2011 Fall

Heart of Illinois Special Recreation Association8727 N. Pioneer Rd.Peoria, IL 61615

As a participant, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages, or loss which I may sustain as a result of participating in any and all activities connected with or associated with such program. I agree to waive and relinquish all claims I may have as a result of par-ticipating in the program against the Heart of Illinois Special Recreation Association and its officers, agents, servants, and employees. I do hereby fully release and discharge the Heart of Illinois Special Recreation Association and its officers, agents, servants, and employees from any and all claims from injuries, including death, damage, or loss which I may have or which may accrue to me on account of my participation in the program. I further understand and agree that the terms such as “participating,” “programs,” and “activities,” referred to in the Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises involved in these programs, and transportation to and from any events. I authorize HISRA staff to dispense prescribed medications in their original container or accompanied by a copy of a signed prescription to me/my child.

I understand the nature of these programs for which I am registering, and fully understand this Waiver, Release, and Hold Harmless Agreement. I further understand that any advisements or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement. Additionally, in order that the Heart of Illinois Special Recreation Association may better serve the interests of myself/my child, I hereby grant permission for Special Recreation staff to access relevant education and/or medical records. I hereby consent to the use of my/my child’s photograph in the Heart of Illinois SRA brochures, publications, or promotional materials.

_______________________________________________________ Signature of Participant or Parent/Guardian Date

RETURN WITH HISRA, 8727 N. Pioneer Rd., Peoria, IL 61615PAYMENT TO: Fax: 309-691-4383 (credit card payments only)

WAIVER (MUST be signed for participation)

PAYMENT

DON’T FORGET!

� Check � Cash � Master Card � Visa � Discover Expiration Date_____/_____ Amount $_______

Credit Card Authorized Signature______________________________

Credit Card Number

ALL registrations MUST be signed and accompanied by payment in order to be processed.

� Requesting Scholarship � Third-Party Payor � Payment Plan

Please contact HISRA if payment plan options are needed.

H I S R A R E G I S T R A T I O N FORM – continued from front

SUBTOTAL from front $Donations $TOTAL $


Birthdate: / / Age: Male/Female (CIRCLE)

Parent/Guardian Full Name:

Address:

City, State, ZIP:

Phone:

Disability:

2011 Fall – 15

H I S R A R E G I S T R A T I O N FORM

CAMPS – 8/22 to 12/22 CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?

After School Program – Mon N/A

After School Program – Tues. N/A

After School Program – Weds. N/A

After School Program – Thurs. N/A

After School Program – Fri. N/A

Holiday Camp 48893 1/3 $25 /$35 M C W

Holiday Camp 48894 1/4 $25 /$35 M C W

Holiday Camp 48895 1/5 $25 /$35 M C W

Holiday Camp 48896 1/6 $25 /$35 M C W

Holiday Camp 48897 1/9 $25 /$35 M C W

KIDS KORNER CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Hayrides & Hot Dogs/Sommer Park 48886 10/10 $32/$40 M C W

Monkey Joe’s/Exergame Zone 48887 11/4 $32/$40 M C W

A Trip to the Movies 48888 11/11 $32/$40 M C W

PARENTS NIGHT OUT CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Parents’ Night Out 48889 9/17 $22/$32 N/A




DANCES CODE DATES FEE: R/NR X CIRCLE:Transp?

Halloween Dance 48926 10/28 $13/$18 M C W

Winter Wonderland Holiday Dance 48927 12/17 $13/$18 M C W

BOWLING CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Strikers 48877 9/13-12/6 $80/$100 P T

Strikers 48878 9/14-12/7 $80/$100 P T

Strikes and Spares 48879 9/15-12/15 $76/$96 N/A

ENTERTAINMENT CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Sunday Cinema 48918 9/18 $7/$9 N/A





Jukebox Saturday Night 48914 11-11 $20/$25 M C W


FOCUS CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Focus Program - Mon. 48873 9/12-12/19 $450/$600 N/A

Focus Program - Tues. 48874 9/6-12/20 $480/$640 N/A

Focus Program - Weds. 48875 9/7-12/21 $450/$600 N/A

Focus Program - Thurs. 48876 9/8-12/22 $450/$600 N/A

SPORTS/SPECIAL OLYMPICS CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Peoria Wildcats Wheelchair Basketball

49026 9/10-3/3 $60 N/A

SO Basketball 48880 10/17-3/14 $36/$41 N/A

SO Track & Field 46816 3/7-4/25 $36/$45 N/A

ADULTS - 1:3 RATIO* CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Morton Pumpkin Festival* 48898 9/16 $20/$25 M C W

Dinner and a Movie* 48901 9/24 $30/$40 M C W

Pizza & Bowling* 48902 9/30 $25/$32 M C W

Karaoke at HISRA* 48905 10/8 $15/$20 M C W

Hot Dogs and Wagon Rides* 48908 10/14 $15/$20 M C W

Spider Hill* 48911 10/22 $25/$32 M C W

Bingo, Bags and Wii* 48912 11/4 $15/$20 M C W

Dinner and Games at HISRA* 48916 11/19 $20/$25 M C W

Festival of Lights* 48922 12/2 $22/$28 M C W

ADULTS - 1:5 RADIO CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Morton Pumpkin Festival 48899 9/17 $20/$25 M C W

Dinner and a Movie 48900 9/23 $30/$40 M C W

Pizza & Bowling 48903 10/1 $25/$32 M C W

Karaoke at HISRA 48904 10/7 $15/$20 M C W

Hot Dogs and Wagon Rides 48909 10/15 $15/$20 M C W

Spider Hill 48910 10/21 $25/$32 M C W

Bingo, Bags and Wii 48913 11/5 $15/$20 M C W

Dinner and Games at HISRA 48915 11/18 $20/$25 M C W

Festival of Lights 48923 12/3 $22/$28 M C W

OVERNIGHT CODE DATES CIRCLE: FEE: R/NR X CIRCLE:

Transp?Grizzly Jack’s/Starved Rock 49032 11/5-11/6 $150/$190 N/A

FeesAdd the program fees:SUBTOTAL $

Must complete the registration form on back


PROGRAMS

TRANSPORTATION: M= Morton Freedom Hall C= Shore Acres in Chillicothe

W= St. Claire’s Crossing in Washington P= PARC (Strikers Only) T= CWTC (Strikers only)

16 – 2011 Fall


As a participant, I recognize and acknowledge that there are certain risks of physical injury and I agree to assume the full risk of any injuries, including death, damages, or loss which I may sustain as a result of participating in any and all activities connected with or associated with such program. I agree to waive and relinquish all claims I may have as a result of par-ticipating in the program against the Heart of Illinois Special Recreation Association and its officers, agents, servants, and employees. I do hereby fully release and discharge the Heart of Illinois Special Recreation Association and its officers, agents, servants, and employees from any and all claims from injuries, including death, damage, or loss which I may have or which may accrue to me on account of my participation in the program. I further understand and agree that the terms such as “participating,” “programs,” and “activities,” referred to in the Agreement, include all exercises and physical movements of any nature while I am participating in these programs and further include the provision of or failure to provide proper instructions or supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my use of the services, facilities, or premises involved in these programs, and transportation to and from any events. I authorize HISRA staff to dispense prescribed medications in their original container or accompanied by a copy of a signed prescription to me/my child.

I understand the nature of these programs for which I am registering, and fully understand this Waiver, Release, and Hold Harmless Agreement. I further understand that any advisements or warnings of the particular risks of these programs that I subsequently receive will be incorporated by reference into and become a part of this Agreement. Additionally, in order that the Heart of Illinois Special Recreation Association may better serve the interests of myself/my child, I hereby grant permission for Special Recreation staff to access relevant education and/or medical records. I hereby consent to the use of my/my child’s photograph in the Heart of Illinois SRA brochures, publications, or promotional materials.

_______________________________________________________ Signature of Participant or Parent/Guardian Date

RETURN WITH HISRA, 8727 N. Pioneer Rd., Peoria, IL 61615PAYMENT TO: Fax: 309-691-4383 (credit card payments only)

WAIVER (MUST be signed for participation)

PAYMENT

DON’T FORGET!

� Check � Cash � Master Card � Visa � Discover Expiration Date_____/_____ Amount $_______

Credit Card Authorized Signature______________________________

Credit Card Number

ALL registrations MUST be signed and accompanied by payment in order to be processed.

� Requesting Scholarship � Third-Party Payor � Payment Plan

Please contact HISRA if payment plan options are needed.

H I S R A R E G I S T R A T I O N FORM – continued from front

SUBTOTAL from front $Donations $TOTAL $


Birthdate: / / Age: Male/Female (CIRCLE)

Parent/Guardian Full Name:

Address:

City, State, ZIP:

Phone:

Disability:

2011 Fall – 17

HEART OF ILLINOIS SPECIAL RECREATION ASSOCIATION

CODE OF CONDUCT• The following guidelines have been developed to help

make the Heart of Illinois Special Recreation Association (HISRA) programs and services safe and enjoyable for all participants. Additional rules may be developed for partic-ular programs as deemed necessary by staff. The team at HISRA is committed to providing a safe, needs-satisfying, growth-oriented experience for every participant. We believe discipline is not merely a list of expectations, but rather an approach to teaching skills in self-control, responsible choice making, and appropriate community participation.

• A positive approach will be used regarding discipline. Staff will periodically review rules with participants during the program session. Prompt resolution will be sought specific to each individual situation. HISRA reserves the right to dismiss a participant whose behavior endangers the safety of himself or others assuming the procedures listed below are implemented and followed accordingly.

• Individual needs are taken into consideration. Disability information should be identified in advance to the pro-gram supervisor/staff so appropriate supports may be put in place. Please be sure your Annual Information Form is current and update staff with any changes.

• The following are guidelines that may be imposed in the disciplinary action process. These guidelines in no way guarantee that a participant will necessarily receive each level before dismissal based on the severity of the ac-tion. Also, please note that when programs are held at non-HISRA/Park District facilities, private facility rules take precedence over program code of conduct.

LEVEL 1The resolution of Level 1 behaviors is primarily the responsibility of program leaders and staff members. Level 1 behaviors include, but are not limited to the following:• Purposely distracting others• Inappropriate remarks• Inappropriate contact• Littering• Inappropriate dress• Pushing and/or shoving• Profanity and/or obscenity• Excessive/loud talking• Throwing objects• Refusal to follow instruction

LEVEL 2These interventions are the responsibility of Program Supervisor (or designee) with assistance from leaders/staff. Level 2 behaviors include, but are not limited to the following:• Possession of harmful objects• Discriminatory conduct• Intimidation/threats• Possession of stolen property• Unauthorized gambling• Theft• Damage to property• Persistent Level 1 behaviors• Disregard for others’ safety• Fighting, kicking, biting, spitting, pinching• Leaving grounds without permission

LEVEL 3These interventions are the responsibility of the Program Supervisor with consultation from Executive Director. Level 3 behaviors include, but are not limited to the following:• Persistent Level 2 behaviors• Arson/attempted arson• Sexual Misconduct • Possession of explosives• Burglary/robbery• Group violence• Use/possession of a weapon• Bomb threats• Use of a tool as a weapon• Endangerment• Vandalism• Fire alarms• Possession of stolen property• Interference with staff authority• Severe or repeated physical aggression• Abuse and/or harassment: verbal, physical, sexual, and

emotional

EACH INDIVIDUAL BEHAVIOR WILL BE ADDRESSED ON A CASE BY CASE BASIS WITH CONSIDERATION OF INDIVIDUAL DISABILITIES, MEDICAL ISSUES AND BEHAVIOR PLANS.

CODE OF CONDUCT

18 – 2011 Fall

AUGUST8/22/2011 ASP - BEGINS

SEPTEMBER9/5/2011 OFFICE CLOSED –

NO PROGRAMMING9/6/2011 FOCUS - TUESDAY BEGINS9/7/2011 FOCUS - WEDNESDAY BEGINS9/8/2011 FOCUS - THURSDAY BEGINS9/12/2011 FOCUS - MONDAY BEGINS9/13/2011 TUESDAY STRIKERS BEGINS9/14/2011 WEDNESDAY STRIKERS BEGINS9/15/2011 STRIKES AND SPARES BEGINS9/16/2011 MORTON PUMPKIN FEST 1:39/17/2011 PARENTS NIGHT OUT9/17/2011 MORTON PUMPKIN FEST 1:59/17/2011 PEORIA WILDCATS WHEELCHAIR

BASKETBALL BEGINS9/18/2011 SUNDAY CINEMA9/19/2011 SO BANQUET9/23/2011 DINNER AND A MOVIE 1:59/24/2011 DINNER AND A MOVIE 1:39/30/2011 PIZZA AND BOWLING 1:3

OCTOBER10/1/2011 PIZZA AND BOWLING 1:510/7/2011 KARAOKE AT HISRA 1:510/8/2011 SO BASKETBALL CLINIC10/8/2011 KARAOKE AT HISRA 1:310/10/2011 KIDS KORNER10/14/2011 JUKEBOX SATURDAY NIGHT10/14/2011 HOT DOGS AND WAGON RIDES 1:310/15/2011 PARENTS NIGHT OUT10/15/2011 HOT DOGS AND WAGON RIDES 1:510/17/2011 SO BASKETBALL BEGINS10/20/2011 NO STRIKES & SPARES10/21/2011 SPIDER HILL 1:510/22/2011 SPIDER HILL 1:310/23/2011 SUNDAY CINEMA10/28/2011 HALLOWEEN DANCE

NOVEMBER11/4/2011 KIDS KORNER11/4/2011 BINGO, BAGS AND WII 1:311/5/2011 BINGO, BAGS AND WII 1:511/5/2011 GRIZZLY JACK’S GRAND BEAR

RESORT/STARVED ROCK OVERNIGHT11/11/2011 KIDS KORNER11/11/2011 JUKEBOX SATURDAY NIGHT11/12/2011 PARENTS NIGHT OUT11/18/2011 DINNER AND GAMES 1:511/19/2011 DINNER AND GAMES 1:311/20/2011 SUNDAY CINEMA11/22-11/23 NO STRIKERS11/23/2011 NO FOCUS11/24/2011 NO STRIKES & SPARES11/24-11/25 OFFICE CLOSED –

NO PROGRAMMING

DECEMBER12/2/2011 FESTIVAL OF LIGHTS 1:312/3/2011 FESTIVAL OF LIGHTS 1:512/9/2011 JUKEBOX SATURDAY NIGHT12/10/2011 PARENTS NIGHT OUT12/11/2011 SUNDAY CINEMA12/17/2011 WINTER WONDERLAND HOLIDAY

DANCE12/23-12/26 OFFICE CLOSED –

NO PROGRAMMING12/26-12/29 NO FOCUS12/30/2011 OFFICE CLOSED –

NO PROGRAMMING

JANUARY 20121/2/2012 OFFICE CLOSED –

NO PROGRAMMING1/3/2012 HOLIDAY CAMP1/4/2012 HOLIDAY CAMP1/5/2012 HOLIDAY CAMP1/6/2012 HOLIDAY CAMP1/9/2012 HOLIDAY CAMP

PROGRAMS AT A GLANCE

2011 Fall – 19

PROGRAM CALENDARName of Participant:

Fill in this calendar to help keep track of the dates/times of programs or special events for you or your child.

December 2011Sun Mon Tue Wed Thu Fri Sat

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31

November 2011Sun Mon Tue Wed Thu Fri Sat

1 2 3 4 5

6 7 8 9 10 11 12

13 14 15 16 17 18 19

20 21 22 23 24 25 26

27 28 29 30

october 2011Sun Mon Tue Wed Thu Fri Sat

1

2 3 4 5 6 7 8

9 10 11 12 13 14 15

16 17 18 19 20 21 22

23 24 25 26 27 28 29

30 31

September 2011Sun Mon Tue Wed Thu Fri Sat

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30

Office

Closed

Office

Closed Office

Closed

Office

Closed

Office

Closed

Office

Closed Office

Closed

REGISTRATION BEGINS 8/22/11!Call 691-1929 or Fax 691-4383http://www.peoriaparks.org/heart-of-illinois-special-recreation

OFFICE HOURSMon - Fri, 8:00 am - 12:00 pm & 1:00 pm - 4:30 pmClosed 9/5, 11/24, 11/25, 12/23, 12/26, 12/30, 1/2


PRSRT STDU.S. Postage

PAIDPermit No. 247

Peoria, IL

OR CURRENT RESIDENT

Heart of Illinois Special Recreation Association (HISRA)A cooperative extension of the Chillicothe, Morton, Peoria, and Washington Park Districts

8727 N. Pioneer Road, Peoria, IL 61615Phone: 309/691-1929

http://peoriaparks.org/heart-of-illinois-special-recreation

HISRA provides quality recreation programs and services to individuals with disabilities and special needs. We support the spirit and intent of the Americans With Disabilities Act. HISRA is committed to providing opportunities for each individual to enjoy recreation activities in the least restrictive environment possible.

• After School Program

• Parents Night Out

• Spring Break Camp

• Holiday Camp

• Summer Camp

• Kids Korner (on days when District 150 is out of school)

• And More!

Date post:	14-Mar-2016
Category:	Documents
Upload:	peoria-park-district
View:	217 times
Download:	0 times

HISRA Fall 2011 Brochure

Documents