Beruflich Dokumente
Kultur Dokumente
Our Mission
Our five year mission is to advocate for and provide access to a full range of recreational opportunities for people with disabilities to focus on, further define and provide our core programs to create partnerships that will increase participation and programs, ensure financial viability for growth and position CUSR to expand its number of member agencies.
CUSR and its member park districts believe that all individuals should be provided with leisure opportunities that allow for performance at their highest level of ability. We understand that not every person who has a special need desires CUSR programming. In cooperation with the Champaign Park District and the Urbana Park District, CUSR staff will be happy to assist and advise any resident who is interested in participating in local park district programs. CUSR will provide the type of support deemed necessary for successful participation. Support may include training with the park district staff members, consultation with the individual and the individuals family members, and the assistance of a support staff member. CUSR provides all inclusion services at no cost to the individual. For more information, please contact CUSR.
Program History
Our Vision
CUSR exists to ensure that people with disabilities, within our member agencies, have access to a full range of recreational services. We create equal access to recreation, which is integral to a higher quality of life. We create awareness and advocate acceptance of people with disabilities in their communities so they more fully participate in recreation and all aspects of society.
CUSR is an intergovernmental cooperative made up of the Champaign and Urbana Park Districts, that was founded in 1985. CUSR provides year round leisure and recreation opportunities for children and adults with disabilities. Our mission is to enhance participants abilities in enjoyable recreational, leisure, and social settings. CUSR participants explore new areas of interest, make new acquaintances, and learn lifetime leisure skills. Our services include inclusive and cooperative programs, special events, after school programs, overnights, trips, Special Olympics, summer day camps and much more.
Invite Us To Speak
CUSR staff members are knowledgable in many disability-related issues and topics. Let us talk to your group about the Americans with Disabilities Act, integration, and the future of special recreation. An overview of CUSRs mission, trends in recreation and many other topics are available to you with a simple phone call. Call the CUSR office at 217-239-1152 to set up a meeting.
CUSR complies with the Americans with Disabilities Act (ADA) which prohibits discrimination on the basis of a disability. CUSR will make reasonable accommodations in recreation programs to enable participation by an individual with a disability who meets essential eligibility requirements. The recreation programs offered by CUSR will be available in the most integrated setting appropriate for each individual. If you have any questions regarding the ADA, or believe you have been unfairly discriminated against by CUSR, please contact the CUSR Director at 217-239-1152.
Program Locations
Champaign
CUSR Office Hays Recreation Center / Eisner Park 1311 W. Church St. 217-239-1152 Arrowhead Lanes 1401 N. McKinley 217-352-5288 Franklin Middle School 817 N. Harris Ave. 217-351-3819 Jupiters at the Crossing 2511 Village Green Pl. 217-366-8300 Spalding Recreation Center 910 N. Harris 217-398-2577 Stephens Family YMCA 2501 Fields South Dr. 217-359-9622 Western Bowl 917 Francis Dr. 217-359-1678
CUSR staff, from left to right: Lisa Morand, Cindy McGrath, Jessica Brutti, Dawn Schaefer, and Hanah Sheets
Whats Inside...
After School .................................3 Youth & Teen Programs ...............3 Adult Programs ............................6 Special Events ........................... 11 Trips ...........................................14 Special Olympics .......................15 Athletics .....................................16 Registration Form ......................19 Waiver and Release...................20 Special Olympic Application.......21 CUSR Information......................23
Savoy
Urbana
Brookens Gymnasium 1776 E. Washington 217-344-9583 Anita Purves Nature Center 1505 N. Broadway 217-384-4062 Phillips Recreation Center 505 W. Stoughton 217-367-1544 Urbana Indoor Aquatic Center 102 E. Michigan 217-384-7665
CUSR Staff
Dawn Schaefer, MS, CTRS - Director Hannah Sheets, MA, CTRS - Athletics Coordinator Jessica Brutti, CTRS - Adult Coordinator Lisa Morand, CTRS - Youth & Teen Coordinator Cindy McGrath - Receptionist
For a large-print version of this brochure, contact the CUSR office at 239-1152.
Welcome
All residents of Champaign-Urbana are important to us! If you are new to the area, Champaign-Urbana Special Recreation invites you to come in and find out what we have going on for you and other members of your family. Throughout the year, we provide a large variety of social, recreational, cultural and sports activities for all ages and abilities. To learn more about what we have to offer, give us a call at 217-239-1152. We will be happy to explain any program or service that is of interest to you. As a potential program participant, we would like to meet with you and your family!
Our doortodoor routes need to have a minimum of 2 registrants to run. If a route is cancelled, a phone call will be made to the participant and their caregiver, and a full refund will be issued to the participants account.
Registration
A CUSR registration form must be used. You may register for CUSR programs at these locations: Hays Recreation Center 1311 West Church Street, Champaign Bresnan Meeting Center 706 Kenwood Road, Champaign Douglass Community Center 512 E. Grove Street, Champaign Leonhard Recreation Center 2212 W. Sangamon Drive, Champaign Springer Cultural Center 301 N. Randolph Street, Champaign Or register online at www.cuspecialrecreation.com *Please note: Online registration is not live, so does not guarantee entry into program. Full payment must be received upon registration unless specific arrangements have been made with the CUSR office. Registrations will not be processed if a fee balance remains from a previous season. Registrations are accepted in person at the locations listed above, through mail, and by fax (217-373-7951). When faxing, please include credit card information so we may process the registration. Coordinators and program leaders MAY NOT receive payment or registration forms at programs. CUSR does not prorate for late registration. Exceptions may be made for people who are new to the community.
Medication
At times participants may require assistance taking medication during programs. If the participant is unable to self-medicate or take the medication prior to or after the program, CUSR requires additional paperwork and pre-packaged medication must be delivered to our office prior to the program.
Early Childhood
Developmental Play Group
New!
Music Therapy
New!
Day: Monday-Friday Location: Spalding Recreation Center Fee (R/NR): $192/$288 Min/Max: 8/15 Deadline: One week prior to month starting *No Program: September 27 October 25-26 November 22-23 December 24-January 4 January 7, January 21 February 18 March 15, March 18-22, March 29 April 26 NOTE: This program runs following the Champaign Unit 4 schedule.
www.cuspecialrecreation.com
(formerly Taekwondo)
Come experience the art of Taekwondo and gain overall exposure to the martial arts. CUSR has partnered with Tina and Jeff Newberry of Leaders for Life/ Newberrys Martial Arts in order to provide a comprehensive curriculum. This class will be taught by instructors who have years of experience teaching martial arts to individuals with and without disabilities. This program will offer a balanced physical and mental workout. NOTE: A uniform is required to participate. The fee does not include a uniform. The cost for a uniform is $45 payable to Leaders for Life Martial Arts. Uniform sizes will be determined at the first class and you will receive your uniform at the second class. Promotion tests (at an additional cost) are optional, but recommended. I am passionate about providing an atmosphere where children and adults will never be made fun of or criticized ... a place where everyone will be made to feel like champions. Master Tina Newberry GOALS: To increase concentration and balance, and improve coordination, gross motor skills, endurance, flexibility, and balance. It will also focus on self-confidence and self-defense. Date September 12December 26 Day Wednesday Program ID 232806-A1
Day: Saturday Location: Urbana Indoor Aquatic Center Fee (R/NR): $17/$25.50 Min/Max: 4/8 Deadline: September 21 Transportation: Drop off at Aquatic Center at 1:15pm, pick up at 3pm
Time: 6-6:45pm Location: Stephens Family YMCA, 2501 Fields South Drive, Champaign located off Windsor Rd, over the bridge at I-57. Classroom 118. Fee (R/NR): $161/$241.50 Min/Max: 4/12 Deadline: September 7
Day: Saturday Location: Curtis Apple Orchard Fee (R/NR): $18/$27 Min/Max: 6/12 Deadline: October 5 Transportation: Drop off at Hays Center at 10:40am and pick up at Hays Center at 12:45pm
Lunch Club
Ages 13-18
Whats for lunch today? Come and join your friends as we head out and experience different restaurants and food around town. CUSR will pick up the tab for lunch; you just have to join the club! GOALS: To increase socialization, work on money management skills, and learn dining etiquette skills. Date September 22 October 20 November 17 December 8 Location Program ID Pancheros 232402-A1 Monicals Zas (on Neil) El Toro (on Springfield)
Day: Saturday Time: 11:30am-12:30pm Fee (R/NR): $52/$78 Min/Max: 6/12 Deadline: One week prior to program Transportation: Drop off at Hays Center at 11:10am and pick up at Hays Center at 12:45pm
Pottery Place
Ages 13-18
If you enjoy painting pottery then Pottery Place is the place for you. Come and enjoy the relaxing and inspiring space with your friends where you can create your own piece of pottery and use your creativity. Studio time is included in the fee as well as $12 for a piece to pick out. If you wish to spend more than $12 please bring your own money. GOALS: To increase independence, to enhance creativity, and to improve fine motor skills. Date December 15 Time 10:30-11:30am Program ID 222405-A1
Time: 9am-3pm Location: Spalding Recreation Center Fee (R/NR): December 26-28: $106/$159 December 31: $36/$54 January 2-4: $106/$159 Min/Max: 6/12 Deadline: December 17
Day: Saturday Location: Pottery Place Fee (R/NR): $19/$28.50 Min/Max: 6/12 Deadline: December 10 Transportation: Meet at Pottery Place at 10:15am and pick up at 11:30am
www.cuspecialrecreation.com
Adults ~ Monday
Our Door-to-Door routes need to have a minimum of 2 registrants to run. If a route is cancelled, a phone call will be made to the participant and their caregiver and a full refund will be issued.
Computers 101
Ages 16+
Microsoft Word, Access, Excel, emaildoes this all sound confusing to you? Would you like to learn more? Then come on over and learn how its done. Please register for one session per date. New learners take priority in registration. GOALS: To enhance fine motor skills and increase computer knowledge.
Sess 1 A1 A4 A7 B1
Sess 2 A2 A5 A8 B2
Sess 3 A3 A6 A9 B3
Day: Monday Time: Session 1: 4-4:30pm Session 2: 4:30-5pm Session 3: 5-5:30pm Location: Hays Recreation Center Fee (R/NR): $7/$10.50 Min/Max: 1/3 Deadline: 1 week prior to program
Day: Monday Time: 5:30-8:30pm Location: Hays Recreation Center Fee (R/NR): $22/$33 Min/Max: 4/10 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Louisville Kentucky
Do you like baseball, horses and adventure? If so start saving now for our trip to Louisville Kentucky for fall of 2013. There we will be visiting the Kentucky Derby Museum, Louisville Slugger Museum, and the Louisville Mega Cavern were we will be taking a tour of the underground caves and zip lining. Look forward to more information in our upcoming brochures!
3 Nights/ 4 Days in
Jumpin at Jupiters
Ages 18+
Have you and your friends been looking for a night where you can play some pool, enjoy arcade games, and win some prizes? If you have, meet us at Jupiters at the Crossing for a night of that and much more. CUSR will pay for one game of pool. Please bring money for food and arcade games. GOALS: To increase money management skills, and enhance social skills with peers and community members. Date September 17 October 8 November 19 December 10 Program ID 242524-A1 242524-A2 242524-A3 242524-A4 Transportation ID 242524-T1 242524-T2 242524-T3 242524-T4
Adults ~ Wednesday
Day: Monday Time: 7-9pm Location: Meet at Jupiters at the Crossing Fee (R/NR): $17/$25.50 Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Hays Hangout
Ages 18+
Fill the evening with a night of cards, Wii, board games and more. At Hays Hangout you will do just that and socialize with all of your friends from CUSR. Snacks are included. GOALS: To enhance socialization with peers and turn taking skills. Date September 24 October 22 November 26 December 17 Program ID 222505-A1 222505-A2 222505-A3 222505-A4 Transportation ID 222505-T1 222505-T2 222505-T3 222505-T4
Dancing in Decatur
Ages 21+
CUSR will be venturing out to enjoy an evening of dancing and snacks at the Knights of Columbus in Decatur, Illinois. Join us as we dance the night away and of course meet new friends. Admission is included; you just need to bring your dancing shoes! GOALS: To enhance socialization with peers and meet new people. Date September 5 October 3 November 7 December 5 Program ID 243003-A1 243003-A2 243003-A3 243003-A4 Transportation ID 243003-T1 243003-T2 243003-T3 243003-T4
Day: Monday Time: 6:30-8pm Location: Hays Recreation Center Fee (R/NR): $7/$10.50 Min/Max: 4/25 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Day: Wednesday Time: 5:15-9:15pm Location: Meet at Hays Recreation Center Fee (R/NR): $13/$19.50 Min/Max: 6/24 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
www.cuspecialrecreation.com
Adults ~ Wednesday
Martial Arts
Ages 16-35
Adults ~ Thursday
Diners Club
Ages 18+
Join us as we go out to different restaurants around town for dinner. CUSR will be picking up your dinner tab! At Diners Club you will be able to socialize with your friends and enjoy a GREAT dinner. GOALS: To enhance socialization with peers, increase money management skills, and dining etiquette. Date September 6 October 4 November 1 December 6 Restaurant Old Chicago Oishi Monicals (Mattis) Ruby Tuesdays Program ID 242504-A1 242504-A2 242504-A3 242504-A4
(formerly Taekwondo)
Come experience the art of Taekwondo and gain overall exposure to the martial arts. CUSR has partnered with Tina and Jeff Newberry of Leaders for Life/ Newberrys Martial Arts in order to provide a comprehensive curriculum. This class will be taught by instructors who have years of experience teaching martial arts to individuals with and without disabilities. This program will offer a balanced physical and mental workout. NOTE: A uniform is required to participate. The fee does not include a uniform. The cost for a uniform is $45 payable to Leaders for Life Martial Arts. Uniform sizes will be determined at the first class and you will receive your uniform at the second class. Promotion tests (at an additional cost) are optional, but recommended. I am passionate about providing an atmosphere where children and adults will never be made fun of or criticized ... a place where everyone will be made to feel like champions. Master Tina Newberry GOALS: To increase concentration and balance, and improve coordination, gross motor skills, endurance, flexibility, and balance. It will also focus on self-confidence and self-defense. Date September 12December 26 Day Wednesday Program ID 232806-A1
Day: Thursday Time: 6-7:30pm Location: Meet at restaurant Fee (R/NR): $100/$150 for all four venues $41/$61.50 for each individual venue Min/Max: 4/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10 each; $40 all four Transportation ID: 242504-T1; T2; T3; T4
Healthy Snacking
Ages 18+
Join us as we learn and prepare healthy snacks. We will be working on proper proportions, balanced snack choices, and of course enjoying our creations. If you are looking for a healthier alternative when it comes to snacking, this program is perfect for you! GOALS: To develop appropriate dining etiquette, improve cooking skills, and improve awareness of nutritional decisions. Date September 13 October 11 November 8 December 13 Program ID 243404-A1 243404-A2 243404-A3 243404-A4 Transportation ID 243404-T1 243404-T2 243404-T3 243404-T4
Time: 6-6:45pm Location: Stephens Family YMCA, 2501 Fields South Drive, Champaign located off Windsor Rd, over the bridge at I-57. Classroom 118. Fee (R/NR): $161/$241.50 Min/Max: 4/12 Deadline: September 7
Day: Thursday Time: 4:30-6pm Location: Hays Recreation Center Fee (R/NR): $8/$12 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Adults ~ Friday
Blackout B-I-N-G-O
Ages 18+
Come one, come all for a night of Bingo! You will enjoy hanging out and socializing with your friends and may even win some prizes! GOALS: To enhance socialization with peers and turn-taking skills. Date September 27 October 25 November 29 December 20 Program ID 232501-A1 232501-A2 232501-A3 232501-A4 Transportation ID 232501-T1 232501-T2 232501-T3 232501-T4
Movie Night
Ages 18+
Bring out your inner critic! Join us as we choose movies to watch at the Hays Center, or feel free to bring your own movies from home to share with us! CUSR will provide snacks, you just need to be ready for some entertainment! GOALS: To enhance socialization with peers, increase listening and comprehension skills. Date September 7 October 5 November 2 December 7 Program ID 242503-A1 242503-A2 242503-A3 242503-A4 Transportation ID 242503-T1 242503-T2 242503-T3 242503-T4
Day: Thursday Time: 6:30-7:30pm Location: Hays Recreation Center Fee (R/NR): $11/$16.50 Min/Max: 6/25 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Day: Friday Time: 6:30-8:30pm Location: Hays Recreation Center Fee (R/NR): $7/$10.50 Min/Max: 4/25 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
www.cuspecialrecreation.com
Days: Tuesdays/Thursdays Location: Spalding Recreation Center Fee (R/NR): $50/$75 for all sessions Min/Max: 6/15 Deadline: One week prior to program
Session 1: Decatur Zoo and Lunch Day: Friday Time: 9am-2pm Location: Meet at the Hays Recreation Center Fee (R/NR): $32/$48 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10 Transportation ID: 243403-T1 Session 2: The Great Pumpkin Patch in Arcola Day: Friday Time: 12:30-4pm Location: Meet at the Hays Recreation Center Fee (R/NR): $13/$19.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10 Transportation ID: 243403-T2 Session 3: Cook the Day Away Day: Friday Time: 2-4pm Location: Meet at the Hays Recreation Center Fee (R/NR): $21/$31.50 Min/Max: 6/12 Deadline: 2 week prior to program Door-to-Door Transportation Fee: $10 Transportation ID: 243403-T3 Session 4: Scrapbook Sensations Day: Friday Time: 2-4pm Location: Meet at the Hays Recreation Center Fee (R/NR): $8/$12 Min/Max: 6/12 Deadline: 2 week prior to program Door-to-Door Transportation Fee: $10 Transportation ID: 243403-T4
Luncheon Bunch
Day: Wednesday Time: 11:30am-1pm Location: Meet at the restaurant Fee (R/NR): $35/$52.50 monthly or $135/$202.50 for all 8 sessions Min/Max: 6/12 Deadline: One week prior to program
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Sports Club
Ages 18+
ATTENTION SPORT FANS! CUSR has the perfect club for you! We will be attending two sporting events this summer. Cost of your ticket is included. You will need to bring money for snacks. GOALS: To increase socialization and money management skills. Date November 20 TBA Location and Program Parkland Womens Basketball Parkland Womens Volleyball
Session 1: Parkland Womens Basketball Day: Tuesday Time: 4:45-7:45pm Location: Meet at Hays Recreation Center Fee (R/NR): $19/$28.50 Min/Max: 6/12 Deadline: 1 week prior to program Program ID: 242807-A1 Door-to-Door Transportation Fee: $10 Transportation ID: 242807-T1 Session 2: Parkland Womens Volleyball Day: TBA Time: TBA Location: Meet at Hays Recreation Center Fee (R/NR): $19/$28.50 Min/Max: 6/12 Program ID: 242807-A2 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10 Transportation ID: 242807-T2
Day: Friday Location: Crystal Lake Park Fishing Dock Fee (R/NR): Free! *All participants attending must register. Min/Max: 8/20 Deadline: Thursday before program
www.cuspecialrecreation.com
11
Day: Sunday Time: 10:45am-1:15pm Location: Meet at the Hays Recreation Center Fee (R/NR): $25/$37.50 Min/ Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Day: Sunday Time: 10:30am-5pm Location: Meet at Hays Recreation Center Fee (R/NR): $60/ $90 Min/Max: 6/12 Deadline: 2 weeks prior to program Door-to-Door Transportation Fee: $10
Halloween Party
Ages 18+
Ghosts, goblins, and more! Come on out to CUSRs annual Halloween Party. We will be playing games, enjoying a tasty snack, dancing, and having a costume contest, so wear your best costumes! GOALS: To enhance socialization skills with peers. Date October 31 Program ID 272504-A1 Transportation ID 272504-T1
Day: Saturday Time: 9am-2pm Location: Hays Recreation Center Fee (R/NR): $37/$55.50 Min/Max: 6/12 Deadline: One week prior to program Door-to-Door Transportation Fee: $10
Day: Wednesday Time: 6-8pm Location: Hays Recreation Center Fee (R/NR): $16/$24 Min/Max: 6/25 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
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Day: Saturday Time: 8am-4pm Location: Meet at the Hays Recreation Center Fee (R/NR): $35/$52.50 Min/Max: 6/12 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
www.cuspecialrecreation.com
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Adult Trips
St. Louis Overnight
Ages 21+
On our St. Louis overnight we will be visiting the St. Louis Science Museum and gambling at the Queens Casino. Lodging, meals and admission is included. Please bring money for souveniers. NOTE: Must be an adult 21 or over to attend and bring a state issued photo I.D. GOALS: To enhance decision making skills, and improve budgetary and money management skills. Date October 6-7 Program ID 243023-A1
Day: Saturday Time: 6-9pm Location: Hays Recreation Center Fee (R/NR): $25/$37.50 Min/ Max: 4/25 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Day: Saturday-Sunday Time: Leaving the Hays Center at 9am on October 6. Returning at noon on October 7. Location: Meets at the Hays Recreation Center Fee (R/NR): $185/ $277.50 Min/Max: 6/10 Deadline: 9/5
Pottery Place
Ages 18+
Paint the evening away with your friends from CUSR as we head out to Pottery Place. CUSR will pay for your paint, studio time, and one piece of pottery. Just bring your creativity! GOALS: To increase artistic expression and social skills. Date Program ID Transportation ID December 14 242525-A1 242525-T1 Day: Friday Time: 6:30-8pm Location: Meet at Pottery Place Fee (R/NR): $32/$48 Min/Max: 6/24 Deadline: 1 week prior to program Door-to-Door Transportation Fee: $10
Day & Time: Saturday 9:30am-Sunday 11:30am Location: Meet at Hays Center Fee (R/NR): $89/$133.50 Min/Max: 6/15 Deadline: October 22
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Special Olympics
Special Olympics Illinois provides year around sports training in a variety of Olympic-type sports for youth, teens and adults with intellectual disabilities who are 8 years of age or older. CUSR supports the mission of Special Olympics Illinois through participation in the following sports: * Aquatics * Volleyball * Power Lifting * Basketball * Basketball Skills * Bocce * Track & Field * Softball * Bowling
Mustang Basketball
Ages 13+
Mustang team basketball practice will begin on November 6. Registration and a valid Special Olympics Medical Application must be on file at the CUSR office by November 6th for all male basketball athletes. Teams will play a minimum of three games before the Special Olympics district competition in January. Any teams that qualify for the Special Olympics state tournament will continue practicing after January 15. GOALS: To increase overall physical fitness, gain knowledge of individual basketball skills and team strategy, and improve team cooperation skills. Date Time Program ID November 6-January 15* 6-7:30pm 222815-A1 *No program December 25 and January 1 Day: Tuesday Location: Brookens Gym Fee (R/NR): $59/$88.50 Min/Max: 7/20 Deadline: November 13 Door-to-Door Transportation Fee: $110 Transportation ID: 222815-T1
www.cuspecialrecreation.com
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Athletics
Aquafun & Fitness
Ages 15+ New!
Splish-splash were gettin fit in a flash! At Aquafun & Fitness well use foam water weights and noodles to get a great workout in the warm water therapy pool. Come try CUSRs first water exercise class. The warm water will feel so good, you wont even know youre getting a workout! GOALS: To increase gross motor coordination and strength, and improve balance and mobility. Date September 10-October 22 October 29-December 17 *No program November 12 Day: Monday Time: 5:45-6:30pm Location: Stephens Family YMCA Fee (R/NR): $47/$70.50 Min/Max: 4/8 Deadline: September 3 Sign up for both sessions for $90/$135! Program ID 232810-A1 232810-A2
Martial Arts
Ages 16-35
(formerly Taekwondo)
Come experience the art of Taekwondo and gain overall exposure to the martial arts. CUSR has partnered with Tina and Jeff Newberry of Leaders for Life/Newberrys Martial Arts in order to provide a comprehensive curriculum. This class will be taught by instructors who have years of experience teaching martial arts to individuals with and without disabilities. This program will offer a balanced physical and mental workout. NOTE: A uniform is required to participate. The fee does not include a uniform. The cost for a uniform is $45 payable to Leaders for Life Martial Arts. Uniform sizes will be determined at the first class and you will receive your uniform at the second class. Promotion tests (at an additional cost) are optional, but recommended. I am passionate about providing an atmosphere where children and adults will never be made fun of or criticized ... a place where everyone will be made to feel like champions. Master Tina Newberry GOALS: To increase concentration and balance, and improve coordination, gross motor skills, endurance, flexibility, and balance. It will also focus on selfconfidence and self-defense. Date September 12December 26 Day Wednesday Program ID 232806-A1
Swim Lessons
Thanks to our cooperative program agreement, swim lessons are now held at the Stephens Family YMCA. Please check out their brochure or call 217-359-9622 for more information.
Time: 6-6:45pm Location: Stephens Family YMCA, 2501 Fields South Drive, Champaign located off Windsor Rd, over the bridge at I-57. Classroom 118. Fee (R/NR): $161/$241.50 Min/Max: 4/12 Deadline: September 7
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Frunner Club
Ages 15+
Returning and new runners of all paces are welcome for our fall session of Frunner Club. Training partners will work with you at your own pace. Enjoy the fall weather and get some exercise by training for a 5K race in November. Please wear shoes with proper support and weather appropriate clothing. *Please note that the fall frunner days have changed to Sundays and Thursdays this year. GOALS: To improve cardiovascular fitness and ability to interact with others, and increase self confidence. Date September 13-November 18 Program ID 242805-A1
Ages 13-21
Teen Pins
Bring your friends to the bowling alley for some fun. Perfect your skills while socializing with your friends and meeting new ones. Participants will be assigned to lanes and can bowl up to two games. Note: Participants arriving late will bowl 2 games or as long as time allows. GOALS: To improve social skills and ability to interact with others, learn and practice bowling etiquette, and increase gross motor coordination. Date September 17-December 3 September 19-December 5 Day Program ID Mon. 232605-A1 Wed. 232605-A2
Day & Time: Sunday: 4-5pm; Thursday: 5:30-6:30pm Location: Sunday: Dexter Field parking lot Thursday: Pavilion at Hessel Park Fee (R/NR): $51/$76.50 Min/Max: 4/10 Deadline: September 7
*No program November 12 and November 21 Time: 4-5pm Location: Western Bowl Fee (R/NR): $76/$114 Min/Max: 4/25 Deadline: September 24 Home-Only Transportation Fee: $65 Transportation ID: 232605-T1; 232605-T2
*No program November 12 and November 21 Time: 4-5pm Location: Western Bowl Fee (R/NR): $76/$114 Min/Max: 4/25 Deadline: September 24 Home-Only Transportation Fee: $65 Transportation ID: 222802-T1; 222802-T2
www.cuspecialrecreation.com
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Athletics
Fitness Frenzy
Ages 15+
Need some extra motivation to get fit? Try exercising with a friend! Participants will be paired with a CUSR staff who will exercise with them for an hour, twice a week, for 8 weeks. Workouts will be planned to meet participants individual fitness goals, and can be scheduled when it is convenient for both partners. For more information on registration, please contact Hannah Sheets. GOALS: To increase gross motor coordination and physical fitness, and gain knowledge of proper fitness techniques. Date October 8-December 9 Location: TBD Fee (R/NR): $213/$319.50 Deadline: September 21 Program ID 232809-A1
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ALL INFORMATION BELOW MUST BE COMPLETED FOR FORM TO BE PROCESSED. ANY FORM NOT COMPLETELY FILLED OUT WILL BE RETURNED TO PARTICIPANT.
MAIL FAX
CUSR 1311 W. Church St., Champaign, IL 61821 217-373-7951 QUESTIONS: (phone) 217-239-1152 711 Relay
PARTICIPANT NAME ADDRESS PHONE (H) PHONE (W) CITY BIRTHDATE PRIMARY DISABILITY PROGRAM NAME 1. 2. 3. 4. 5. Would you like to make a donation to the CUSR scholarship fund? Fee Waiver/Scholarship applied for? ________ NO $5.00 $10.00 Other CODE PICK UP POINT TRANSPORT CODE FEE AGE ZIP SEX SHIRT SIZE
CUSR may use pictures and videos taken at programs for publicity purposes. Is this okay? List Medications: List Allergies: List Dietary Restrictions: List Special Needs/Assistance Necessary: Please circle all that apply: Wheelchair: manual/electric Seizures Cane/Walker Nonverbal Sign Lanuage
__________ Yes
__________ No
Close Supervision
Date*
* Participation can be denied if the signature of adult participant or parent/guardian and date are not on this waiver. Please call 239-1152, if you require special accommodations.
Important information CUSR is committed to conducting its recreation programs and activities in a safe manner and holds the safety of participants in high regard. CUSR 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, participants and parents/guardians of minors registering for the CUSR programs/activities must recognize that there is an inherent risk of injury when choosing to participate in recreational activities/ programs. You are solely responsible for determining if you or your minor child/ward are physically fit and/or skilled for the activities contemplated by this agreement. It is always advisable, especially if the participant is pregnant, disabled in any way, or recently suffered illness, injury, or impairment, to consult a physician before undertaking any physical activity. Warning of risk Recreational activities/programs 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/program. Understandably, not all hazards and dangers can be foreseen. Depending on the particular activity, participants must understand that certain risks, dangers and injuries due to inclement weather, slipping, falling, poor skill level or conditioning, carelessness, horseplay, unsportsmanlike conduct, premises defects, inadequate or defective equipment, inadequate supervision, instruction or officiating, and all other circumstances inherent to indoor and outdoor recreational activities/ programs exist. In this regard, it must be recognized that it is impossible for CUSR to guarantee absolute safety.
Waiver and release of all claims and assumption of risk Please read this form carefully and be aware that in signing up and participating in CUSR programs/activities, 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 said programs/activities (including transportation services/vehicle operation, when provided). I recognize and acknowledge that there are certain risks of physical injury to participants in these programs/activities, 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 these program/activities against CUSR and Champaign and Urbana Park Districts, including their respected officials, officers, employees, and volunteers (hereinafter collectively referred as CUSR). I do hereby fully release and forever discharge CUSR 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 these programs/activities. I have read and understand the above important information, warning of risk, assumption of risk and waiver and release of all claims.
PLEASE SEE FRONT SIDE FOR WAIVER. THE WAIVER MUST BE SIGNED BEFORE YOUR REGISTRATION MAY BE PROCESSED.
Please make checks payable to CUSR. Complete below when using VISA/MasterCard Account Number 3-4 Digit CCID# (on back of card) Authorized Signature Expiration Date Charge Amount
ATHLETE INFORMATION
MEDICAL CLEARANCE
PLEASE CHECK MEDICAL INFORMATION
Athletes City
Parents/Guardians City
Does athlete have Down Syndrome? Yes No If yes, have x-rays of the C1-C2 vertebrae been taken and examined? Yes No Date of x-ray Is the athlete clear of Atlantoaxial Instability? Yes No
State
Zip Code
State
Zip Code
Ethnicity
White Hispanic/Latino
Does the athlete have or is the athlete: Heart Problems Yes Diabetic Yes Epileptic/Seizures Yes Blind Yes Deaf Yes Hepatitis Yes Other Current Medication
No No No No No No Dosage
Allergies to medication, if any: Date of last Tetanus shot: I have examined the above-named Entrant and, in my opinion, there is no mental or physical reason why he or she should not participate in the Special Olympics sports training and competition program. Further information will be forwarded if required. Current medication, if any, is specified with dosage on this application. Examination Date Doctors Signature Print Name Address
I, on my own behalf or as the undersigned parent and/or legal guardian of the above named applicant (hereafter referred to as the Entrant), hereby request permission for the Entrant to participate in Special Olympics programs. I acknowledge that Special Olympics will screen all entrants using the Sex Offender Public Registry and the Child Murder and Violent Offender Against Youth Registry and understand that entrants listed on either Registry will be denied participation. I affirm that this Entrant has never been on said Registries or, if Entrant was listed on either Registry but has since been removed, I will contact Special Olympics Illinois for instructions before submitting this application. I represent and warrant to you that the Entrant is physically and mentally able to participate in Special Olympics, and I submit herewith a subscribed medical certificate. I understand that if the athlete has Down Syndrome, he/she cannot participate in sports or events which, by their nature result in hyper-extension, radical flexion or direct pressure on the neck or upper spine unless a full radiological examination establishes the absence of Atlantoaxial Instability. I am aware that the sports and events for which this radiological examination is required are equestrian sports, artistic gymnastics, diving, pentathlon, high jump, alpine skiing, soccer, soccer skills, powerlifting squat and butterfly stroke and diving starts in swimming. On behalf of the Entrant and myself, I acknowledge that the Entrant will be using facilities at his/her own risk and I, on my own behalf, herby release, discharge and indemnify Special Olympics from all liability for injury to person or damage to property of myself and Entrant. In permitting the Entrant to participate, I am specifically granting permission to Special Olympics Illinois to use the likeness, voice and words of the Entrant in television, radio, films, newspapers, magazines and other media, and in any form not heretofore described, for the purpose of advertising or communicating the purposes and activities of Special Olympics and in appealing for funds to support such activities. I understand that by signing below I consent for the Entrant to participate in the Special Olympics Healthy Athletes Program that provides individual screening assessments of health status and health care needs. The Entrant has no obligation to participate and I understand the Entrant should seek his/her own medical advice and assistance and Special Olympics is not responsible for the Entrants health. If I am not personally present at Special Olympics activities in which the Entrant is to compete, so as to be consulted in case of necessity, you are authorized on my behalf and at my account to take such measures and arrange for such medical and hospital treatment as you may deem advisable for the health and well-being of the Entrant. I, THE UNDERSIGNED ADULT ENTRANT, have read and fully understand the I, THE UNDERSIGNED PARENT AND/OR GUARDIAN of the above specified provisions of the above release and/or have had them explained. I hereby agree that I Entrant, have read and fully understand the provisions of the above release and have will be bound thereby and I shall defend Special Olympics Illinois and hold it harmless explained them to said Entrant. I hereby agree that I and said minor will be bound from disaffirmation thereof. thereby, and I shall defend Special Olympics Illinois and hold it harmless from any disaffirmation thereof by said minor.
Entrant Date
Witness
Signature of Parent and/or Legal Guardian (Check appropriate box) Print Name
City
Date
State
Parents Email Address
Zip Phone ( )
Original parent/guardian and doctor signatures are required by the office of Special Olympics Illinois. Faxed signatures will not be accepted.
MEDICAL CLEARANCE
3. The Medical Clearance section must be completed, signed and dated by a medical practitioner licensed to administer physical examinations by the state in which he/she practices. As of September 1, 1990, the Special Olympics Illinois Application for Participation is the only Medical Clearance form which will be accepted as valid by Special Olympics Illinois. This person, by signing the Medical Clearance, is stating that the athlete is in good health and can safely participate in Special Olympics sports training and competition. It is strongly suggested that the person administering the physical examination possess the following: Background and preparation in giving sports physical examinations. Qualifications to administer examinations that would not compromise his/her area of specialty.
CUSR Information
Program Cancellation Policy
All registration cancellations must be made at least one week prior to the start of the program in order to receive a full refund. For programs with cancellation dates listed, registration must be cancelled no later than the specified date to receive a full refund. Any program cancellations after the one week deadline will receive NO refund. A $5 service charge will be deducted from all refunds.
Satisfaction Guaranteed
If inclement weather occurs, CUSR may still decide to hold programs. If the weather turns dangerous, CUSR will call participants prior to the start of the program to cancel the program. If you are unsure whether a program will meet due to inclement weather, call CUSR. Missed programs due to weather may be made up the week after the end of the program season. Credit is given for additional cancellations.
CUSR constantly strives to provide participants with high quality recreation programs, activities, and events. To encourage first-time participation, as well as repeat participation, CUSR has a refund policy highlighted by a satisfaction guarantee. This special refund policy provides us with timely feedback about dissatisfaction regarding our services. If you are not completely satisfied, tell us, and we will either invite you to repeat the class at no charge, allow you a credit that can be applied to another program, or issue you a refund. A refund will be granted if you were dissatisfied with the experience due to circumstances under CUSRs control. If you are not satisfied, we kindly ask you to give us your input or ideas for improvement. Requests for the above mentioned options must be made before the midpoint of the program or within two weeks of a single meeting activity. All refund requests must be submitted on the Satisfaction Refund Request form and turned into CUSR. A $5 service charge will be deducted from all refunds. Satisfaction Guarantee does not apply to trips and special events with prepaid admissions and tickets.
In order to be fair to our participants and program leaders, CUSR has enacted a late pick-up policy. The first time a participant is not picked up within a 5 minute grace period, a written warning will be handed out. For each minute following the grace period, a fee of $1/per minute will be charged to the parent or guardian. Registration for other programs will not be accepted until all outstanding late fees are paid. Thank you for helping us to respect others through punctual pick-ups.
Hot temperatures (for outdoor programs) at program time: 100oF actual temperature; heat index of 110oF or more constitutes cancelling program due to unsafe conditions. Cold temperatures (for all programs) at program time: 2oF actual temperature; -30oF or below wind chill constitutes cancelling program due to unsafe conditions.
Program Scholarships
Participant Expectations
Because some residents are unable to participate in recreation programs due to economic hardship, CUSR provides a scholarship policy to reduce certain fees and charges. Scholarship applications are not guaranteed and are based on available funds, program registration, or choice of program location. Early applications are given priority. Please apply 3-4 weeks before the program start date. Applications are available at the CUSR office and can be mailed upon request. Need is the primary criteria upon which scholarship applicants are considered. Scholarships are not available for transportation and specifically identified programs. For more information, call 217239-1152. Payment plans available to all. ALL monies owed must be paid prior to next season registration accepted.
www.cuspecialrecreation.com
1. Participants need to wear appropriate attire for program participation (i.e. for athletic/fitness programs comfortable clothing and tennis shoes must be worn). If you have questions about the type of attire participants should wear for a particular program, please contact our office. 2. Participants need to have clean, dry clothing. 3. No bowel/bladder problems upon arrival at the transportation location or program. (If this is a concern, extra clean clothing, clean-up supplies and Depend garments (or similar items) must be sent with the participant). 4. Participants need to pay attention to body odor and overall appearance (clean hair, face, teeth, hands, etc.). CUSR staff will also be consistent in stressing personal hygiene while participants are in our programs and will not return participants at the end of a program in an unclean manner.
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CUSR Information
Discipline
A caring, positive approach will be used regarding discipline. CUSR reserves the right to dismiss participants. Each situation will be evaluated on its own merit.
Behavior Code
CUSR promotes the concept of Equal Fun For Everyone and strives to accomplish this belief through our program goals. However, certain rules are necessary to ensure everyones safety and enjoyment. CUSR participants are expected to exhibit appropriate behavior at all times. The CUSR behavior code states that participants shall show respect to all participants and staff, refrain from using foul language, refrain from causing bodily harm, and show respect to equipment, supplies, and facilities. Additional policies may be developed for specific programs and camps.
Insurance
Dishonored Checks
A $25 service charge will be assessed on all checks returned by the bank for any reason.
Emergency Contacts
Emergency phone numbers may be used for reasons other than an actual emergency situation. If staff needs to communicate any unforeseen change(s) of plans, transportation schedule adjustments, etc., and neither parent/guarding can be reached, the emergency contact is our only source to call. Please help us reduce any anxiety created with these calls by letting your designated emergency contact know that they may be called for other situations. Your assistance with this is appreciated. Individuals with Downs Syndrome are at risk of having a condition known as Atlanto-Axial Subluxation. CUSR must have a doctors 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.
Atlanto-Axial Subluxation
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Do you have some great pictures of programs or events? Please email them to cusr@cparkdistrict.com or bring a CD to Hays Recreation Center.
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Program Ideas
Do you want to try out a new food place? Have you wanted to see a play at Krannert? Let us know!
Champaign-Urbana Special Recreation Hays Recreation Center 1311 W. Church St. Champaign, IL 61821
www.cuspecialrecreation.com cusr@cparkdistrict.com
1500
Design-A-Program
CUSR is always looking for new ideas for programs. Perhaps you have an interest in something special and would like to see if we can offer it. Please fill in this form and return it to: Champaign-Urbana Special Recreation, 1311 W. Church Street, Champaign, IL 61820. As a bonus, if a program you suggest becomes a reality, you will be given the opportunity to attend that program FREE OF CHARGE for one season! In the case of duplicate suggestions, names will be drawn to determine who receives the free program. Name Address City
Zip
Phone