Beruflich Dokumente
Kultur Dokumente
2011
CUSR General Information Inclusive Programs
Hays Recreation Center Through CUSR
1311 W. Church St. CUSR and its member park districts believe that
Champaign, IL 61821 all individuals should be provided with leisure
Phone: 217-239-1152 opportunities that allow for performance at their
Fax: 217-373-7951 highest level of ability. We understand that not
711 Relay every person who has a special need desires
E-Mail: cusr@cparkdistrict.com CUSR programming. In cooperation with the
Website: www.cuspecialrecreation.com Champaign Park District and the Urbana Park
Ofce Hours: Mon-Fri, 8am-5pm District, CUSR staff will be happy to assist
Ofce Closed: January 1 and January 17 and advise any resident who is interested in
participating in local park district programs.
CUSR will provide the type of support deemed
Our Mission necessary for successful participation. Support
Our ve year mission is to advocate for and provide access may include training with the park district staff
to a full range of recreational opportunities for people with members, consultation with the individual
disabilities to focus on, further dene and provide our and the individuals family members, and the
core programs to create partnerships that will increase assistance of a support staff member. CUSR
participation and programs, ensure nancial viability for provides all inclusion services at no cost to the
growth and position CUSR to expand its number of member individual. For more information, please contact
agencies. CUSR.
Arrowhead Lanes
1401 N. McKinley 217-352-5288
Mettler Athletics
2906 Crossing Ct. 217-356-6543
Brookens Gymnasium
1776 E. Washington 217-344-9583
For a large-print version of this brochure, contact the CUSR office at 239-1152.
Welcome Urbana After-School Program
All residents of Champaign-Urbana are
important to us! If you are new to the area, Ages 4-22
Champaign-Urbana Special Recreation invites
you to come in and find out what we have going Come join your friends at our great new location
on for you and other members of your family. in Urbana for after-school fun. In this amazing
Throughout the year, we provide a large variety atmosphere we will laugh, play, learn new skills
of social, recreational, cultural and sports and build on current ones. Activities include games,
activities for all ages and abilities. To learn more sports, cooking, field trips and arts & crafts.
about what we have to offer, give us a call at
217-239-1152. We will be happy to explain any GOALS: To improve verbal and social skills, build
program or service that is of interest to you. As new friendships and gain self-confidence and
a potential program participant, we would like to independence.
meet with you and your family! Date Time Program ID
Jan 2011-June 2011* 2:30-5:30pm 232103-A1
Registration
A CUSR registration form must be used. Day: Monday-Friday
You may register for CUSR programs at these Location: Thomas Paine Elementary School
locations: Fee (R/NR): $180/$270 monthly
Hays Recreation Center Min/Max: 8/15
1311 West Church St, Champaign Deadline: One week prior to the month starting
Bresnan Meeting Center *No program March 21-25, 2011 and other dates set
706 Kenwood Road, Champaign by the school district.
Douglass Community Center
512 E. Grove St, Champaign Champaign After-School Program
Springer Cultural Center Ages 4-22
301 N. Randolph, Champaign
Phillips Recreation Center Come join your friends in this safe and fun after-
505 West Stoughton, Urbana school program. We will offer an amazing atmosphere
Or register online at www.cuspecialrecreation.com where we will laugh, play, and learn new skills.
*Please note: Online registration is not live, so Activities include games & sports, arts & crafts,
does not guarantee entry into program cooking, and field trips.
Full payment must be received upon registration GOALS: To improve verbal and social skills, build
unless specific arrangements have been made new friendships and gain self-confidence and
with the CUSR office. Registrations will not independence.
be processed if a fee balance remains from a
previous season. Registrations are accepted in Date Time Program ID
person at the CUSR office, through mail, and by Jan 2011-June 2011* 2:30-5:30pm 232104-A1
fax (217-373-7951). When faxing, please include
credit card information so we may process the Day: Monday-Friday
registration. Coordinators and program leaders Location: Spalding Recreation Center
MAY NOT receive payment or registration forms Fee (R/NR): $180/$270 monthly
at programs. CUSR does not prorate for late Min/Max: 8/15
registration. Exceptions may be made for people Deadline: One week prior to the month starting
who are new to the community. *No program March 21-25, 2011 and other dates set
by the school district.
Non-Resident Program Fees
Participants that do not pay property taxes in
Champaign or Urbana will be required to pay 50%
more than residents for programs. The NR listed
next to the program fee is the Non-Resident fee.
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Youth & Teens
Fun Club
Ages 7-12 New!
During Fun Club participants will play active
sports and games. Activities are planned to
engage participants in physical activity and utilize
their energy in a productive way. We will also
interact with our peers while winding down from
our physical activity. We will explore various
activities, arts, crafts, and cooking.
GOALS: Increase attention to activity and ability
to follow direction, increase physical activity and
fitness, increase participation in new leisure
activities, increase self confidence and ability to
express creativity through projects.
Date Time Program ID
Jan 8 10am-12pm 422401-A1
Feb 5 10am-12pm 422401-A2
March 5 10am-12pm 422401-A3
April 2 10am-12pm 422401-A4
Snack Attack
Ages 7-18 Day: Saturday
New! Location: Hays Recreation Center
Don’t miss out on this edible adventure! Join us as we Fee (R/NR): $26/$39
work together to create some fun and yummy snacks. Min/Max: 6/15
We will learn kitchen safety, the basics of measuring, Deadline: 1 week prior to program
and kitchen etiquette all while having fun!
Fee includes all dates of programs.
GOALS: To learn the basics of cooking, to learn Arcade and Golf
kitchen safety, to create a recipe book of easy snacks
Ages 16+
to make, to increase social interaction with peers.
Date Time Program ID Enjoy miniature golf and arcade games with your
Jan 3, 31; Feb 14, 28; 6:30-7:30pm 432606-A1 friends at Arrowhead Lanes. We will pay the cost
March 14, 28; April 11, 25 of golf, bring money for extras.
GOALS: Enhance socialization with peers,
Day: Monday
increase money management skills.
Location: Hays Recreation Center
Fee (R/NR): $48/$72 Date Program ID Transportation ID
Min/Max: 4/10 Jan 27 442506-A1 442506-T1
Deadline: 1 week prior to program March 24 442506-A2 442506-T2
Day: Thursday
Time: 6:30-8pm
Location: Meet at Hays Recreation Center
Fee (R/NR): $17/$25.50
Min/Max: 4/12
Deadline: 1 week prior to program
Door to Door Transportation Fee: $10
www.cuspecialrecreation.com 3
Youth & Teens
Fun Club
Ages 13-18 New!
Computers 101
Ages 16+ New! During Fun Club participants will play active
sports and games. Activities are planned to
Microsoft Word, Access, Excel, email…does this engage participants in physical activity and utilize
all sound confusing to you but you would like to their energy in a productive way. We will also
learn more? If it does, come on over and learn interact with our peers while exploring various
how it’s done. Please register for one session per activities, arts, crafts, and cooking.
date. New learners take priority in registration.
GOALS: Increase attention to activity and ability
GOALS: Enhance fine motor skills and increase to follow direction, increase physical activity and
computer knowledge. fitness, increase participation in new leisure
Date Program ID Sess 1 Sess 2 Sess activities, increase self confidence and ability to
Jan 10 432607 A1 A2 A3 express creativity through projects.
Feb 14 432607 A4 A5 A6 Date Time Program ID
March 14 432607 A7 A8 A9 Jan 22 10am-12pm 432604-A1
April 11 432607 B1 B2 B3 Feb 19 10am-12pm 432604-A2
Day: Monday March 19 10am-12pm 432604-A3
Time: Session 1: 4-4:30pm April 16 10am-12pm 432604-A4
Session 2: 4:30-5pm Day: Saturday
Session 3: 5-5:30pm Location: Hays Recreation Center
Location: Hays Recreation Center Fee (R/NR): $26/$39
Fee (R/NR): $6/$9 Min/Max: 6/15
Min/Max: 1/3 Deadline: 1 week prior to program
Deadline: 1 week prior to program
4
Youth & Teen
Skateland Party Special Events
Ages 7-12 New! Cirque Eloize
Spend a winter afternoon at the skating rink in Ages 13-18 New!
Savoy with CUSR. Siblings ages 7-12, without
disabilities are welcome to register for this Come enjoy the dancer-athletes of Cirque Eloize
program as well. Wheelchairs welcome! as they combine comic book vividness, science
fiction possibility, elastic bodies, and fearless
GOALS: Increase gross motor coordination and
innovation in a super-real vision of an urban
balance, and improve peer interaction.
world! Plunging leaps from building to building,
Date Time Program ID hip-hop trampoline twists, vertical dance battles
Feb 6 1:30-3:30pm 442524-A1 to techno pop music, and gravity thwarting
Day: Sunday acrobatics are just some of the things featured in
Location: Skateland this production. Loud music and possible flashing
Fee (R/NR): $16/$24 lights will occur.
Min/Max: 12/20 GOALS: To increase knowledge of the performing
Deadline: January 28 arts, to increase independence, to work on
No Transportation social etiquette, exposure to cultural arts in the
community within a theater setting.
Date Time Program ID
March 15 7-9:15pm 432901-A1
Day: Tuesday
Music and Movement Location: Krannert Center for the Performing Arts
Fee (R/NR): $34/$51
Ages 5-12 New! Min/Max: 6/8
Experience the joy of moving to dynamic live Deadline: February 18
music. Creative dance professional Kate Kuper Transportation: Drop off at Hays at 6:15pm; Pick
and percussionist Rocky Maffit will lead participants up at Hays at 9:30pm
through expressive rhythm, rhyme, song and
movement activities guaranteed to put a smile on your Anita Purves Nature Center
face!
Ages 7-12 New!
GOALS: Demonstrate rhythms, follow directions,
increase ability to express creativity through Join us as one of the Nature Center Specialists
movement. talks to us about animals. We will go on a
scavenger hunt for animal tracks and have hands
Date Time Program ID
on experience with the Nature Center’s resident
March 12 1-2pm 422201-A1
animals.
Day: Saturday GOALS: To gain knowledge about local animals,
Location: Hays Recreation Center learn about the great outdoors and increase
Fee (R/NR): $11/$16.50 social interaction.
Min/Max: 6/10
Deadline: One week prior to program Date Time Program ID
April 9 10am-12pm 422901-A1
Day: Saturday
Location: Anita Purves Nature Center
Fee (R/NR): $21/$31.50
Min/Max: 6/10
Deadline: March 31
www.cuspecialrecreation.com 5
Adults
6
Computers 101
Adults
Ages 16+ New! Blackout B-I-N-G-O
Microsoft Word, Access, Excel, email…does this all Ages 18+
sound confusing to you but you would like to learn
more? If it does, come on over and learn how it’s Join us as we play bingo. You will enjoy hanging
done. Please register for one session per date. New out with your friends and may even win something
learners take priority in registration. special!
GOALS: Enhance fine motor skills and increase GOALS: Enhance socialization with peers, turn-
computer knowledge. taking skills, and social skills.
Date Program ID Sess 1 Sess 2 Sess 3 Date Program ID Transportation ID
Jan 10 432607 A1 A2 A3 Jan 11 432503-A1 432503-T1
Feb 14 432607 A4 A5 A6 Feb 8 432503-A2 432503-T2
March 14 432607 A7 A8 A9 March 8 432503-A3 432503-T3
April 11 432607 B1 B2 B3 April 12 432503-A4 432503-T4
Day: Monday Day: Tuesday
Time: Session 1: 4-4:30pm Time: 7-8pm
Session 2: 4:30-5pm Location: Hays Recreation Center
Session 3: 5-5:30pm Fee (R/NR): $10/$15
Location: Hays Recreation Center Min/Max: 6/25
Fee (R/NR): $6/$9 Deadline: 1 week prior to program
Min/Max: 1/3 Door to Door Transportation Fee: $10
Deadline: 1 week prior to program
Art Production
Ages 18+ New!
Do you have an artistic side, and want to learn to
express it? At Art Production, participants will be
learning the fundamentals of sketching, painting, clay,
mosaic art, and photography. Fee includes all four
dates.
GOALS: Enhance creativity skills and fine motor skills.
Date Program ID Transportation ID
Jan 11, Feb 8 442533-A1 442533-T1
March 9, April 12
Day: Tuesday & Wednesday
Time: 4-5:30pm
Location: Jan 11, Feb 8, April 12: Hays Recreation
Center; March 9: Springer Cultural Center
Fee (R/NR): $40/$60
Min/Max: 4/12
Deadline: 1 week prior to program
Door to Door Transportation Fee: $10
www.cuspecialrecreation.com 7
Adults
Diner’s Club
Ages 18+
Join us as we go out in the community to different
restaurants for dinner. CUSR will be picking up
your dinner tab! You will socialize with your friends
and enjoy a GREAT dinner.
GOALS: Enhance socialization with peers,
increase money management skills, and dining
etiquette.
Date Restaurant Program ID Transportation
Jan 13 Old Chicago 442503-A1 442503-T1
Feb 10 El Toro 442503-A2 442503-A2
March 10 Ko-Fusion 442503-A3 442503-A3
April 14 O’Charleys 442503-A4 442503-A4
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
Dancing in Decatur
Ages 21+
CUSR will be heading out to enjoy an evening of
dance at the Knights of Columbus in Decatur, Illinois.
Decatur SRA will be providing a light snack at the
dance.
GOALS: Enhance socialization with peers, meet new
people.
Date Program ID Transportation ID
Jan 5 443002-A1 443002-T1
Feb 2 443002-A2 443002-T2
March 2 443002-A3 443002-T3
April 6 443002-A4 443002-T4
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
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Adults
Health and Wellness Dinner and
Ages 18+ New! Cosmic Bowling
During Health and Wellness we will be learning Ages 18+
ways to make healthy life style choices that will We will be going out for dinner at a local
reflect our mind and body. We will learn about stress restaurant of the group’s choice and then heading
management, the food pyramid, and how to make to Arrowhead Lanes for Cosmic Bowling. CUSR
healthy snacks. We will also be going for walks and will pay for your dinner and bowling. NOTE:
visiting a gym. Fee includes all 8 dates. *STROBE LIGHTS MAY CAUSE SEIZURE
GOALS: Demonstrate ability to plan a healthy diet, ACTIVITY
reduce stress, and make healthy life choices. GOALS: Improve gross motor coordination, turn
Date Time Program ID taking, and socialization with peers.
Jan 6,20; Feb 3,17; 4:30-5:30pm 442806-A1 Date Program ID Transportation ID
March 3,17; April 7, 21 Jan 8 442529-A1 442529-T1
Day: Thursday March 12 442529-A2 442529-T2
Location: Hays Recreation Center Day: Saturday
Fee (R/NR): $23/$34.50 Time: 7-11pm
Min/Max: 6/12 Location: Meet at Hays Recreation Center
Deadline: 1 week prior to program Fee (R/NR): $38/$57 per session
Transportation ID: 442806-T1 Min/Max: 4/12
Door to Door Transportation Fee: $10 Deadline: 1 week prior to program
Door to Door Transportation Fee: $10
Billiards
Ages 18+
Come join us… play some pool, hang out with
friends, enjoy the arcade games and win some
prizes. One game of pool is included in the price.
Please bring money for snacks or arcade games.
GOALS: Increase money management skills,
enhance social skills with peers and community
members.
Date Program ID Transportation ID
Jan 18 442507-A1 442507-T1
Feb 15 442507-A2 442507-T2
March 15 442507-A3 442507-T3
April 19 442507-A4 442507-T4
Day: Monday
Time: 7-9pm
Location: Meet at Jupiter’s at the Crossing
Fee (R/NR): $16/$24
Min/Max: 4/12
Deadline: 1 week prior to program
Door to Door Transportation Fee: $10
www.cuspecialrecreation.com 9
Adults Arcade and Golf
Karaoke and Dancing
Ages 16+
Ages 18+
Enjoy miniature golf and arcade games with your
CUSR will bust out the karaoke machine for
friends at Arrowhead Lanes. We will pay the cost of
the evening. Come socialize and sing with your
golf, bring money for extras.
friends. Lots of music to choose from…it’s sure to
be a good time. Snacks will be provided. GOALS: Enhance socialization with peers, increase
money management skills.
GOALS: Increase social skills and turn-taking
skills. Date Program ID Transportation ID
Jan 27 442506-A1 442506-T1
Date Program ID Transportation ID
March 24 442506-A2 442506-T2
Jan 21 442531-A1 442531-T1
March 18 442531-A2 442531-T2 Day: Thursday
Day: Friday Time: 6:30-8pm
Time: 6:30-8pm Location: Meet at Hays Recreation Center
Location: Hays Recreation Center Fee (R/NR): $17/$25.50
Fee (R/NR): $6/$9 Min/Max: 4/12
Min/Max: 4/25 Deadline: 1 week prior to program
Deadline: 1 week prior to program Door to Door Transportation Fee: $10
Door to Door Transportation Fee: $10
10
Sports Club
Adults
Ages 18+ New!
ATTENTION SPORT FANS! CUSR has the perfect
club for you to join! We will be attending one sporting
event a month at the U of I or Parkland College. Cost
of your ticket is included. Bring money for snacks at
the events.
GOALS: Increase socialization and money
management skills.
Session 1: Men’s Hockey Game at U of I Ice Arena
Program ID: 442807-A1
Day: Saturday
Date: Jan 22
Time: 6:30-10:30pm
Location: Meet at Hays Recreation Center
Fee (R/NR): $26/$39
Transportation ID: 442807-T1
www.cuspecialrecreation.com 11
February
Special Events
SOAR’s Valentines Day
Dance New!
Ages 21+
Come join us as we head over to Bloomington for
SOAR’s Valentines Day Dance. Be sure to wear
your pink and red for this special celebration.
Snacks will be provided.
12
March April
Special Events Special Events
Guys Night
Ages 18+ New!
ATTENTION GUYS! Have you been looking for a
night where you can all get together? Well the time
has come! We will be heading to Bloomington with a
U of I fraternity for a Bloomington Prairie Thunder Ice
Hockey game. Please dress appropriately as it will be
cold inside. Ticket price included. Bring extra money if
you would like snacks.
Date Program ID Transportation ID
March 6 443001-A1 443001-T1
Day: Sunday
Time: 1:30-7pm
Location: Meet at Hays Recreation Center
Fee (R/NR): $36/$54
Race Day
Min/Max: 6/12 Ages 16+ New!
Deadline: 2 weeks prior to program ATTENTION RACE FANS! Would you like to
Door to Door Transportation fee: $10 get the chance to see and hear a real race car?
Come on out to the Hays Center and meet Joe
and Tony Brutti. Get a chance to sit in the race
car and ask all the questions you like. The car is a
Gordyville stock car sponsored by McDonald’s.
Ages 18+ Date Time Program ID
April 22 6-7pm 432902-A1
Join CUSR as we head over to Gordyville, near
Rantoul, Illinois. We will stop to eat dinner that CUSR Day: Friday
will pay for and then off to shop. Please bring money Time: 6-7pm
for your purchases at the flea market. Location: Hays Recreation Center
Fee (R/NR): $6/$9
GOALS: Enhance socialization with peers, increase Min/Max: 4/25
money management skills. Deadline: 1 week prior to program
Date Time Program ID
March 11 4:30-9:30pm 443016-A1
Day: Friday
Location: Meet at Hays Recreation Center
Fee (R/NR): $20/$30
Min/Max: 6/12
Deadline: 1 week prior to program
Transportation ID: 443016-T1
Door to Door Transportation Fee: $10
www.cuspecialrecreation.com 13
April Trips
Special Events A Weekend in Iowa City
Spring Formal Ages 21+
Ages 18+ Hawkeyes here we come! We will travel to Iowa City
for a Hawkeye baseball game and also shop for
Dance the night away at CUSR’s Spring Formal. some Hawkeye sports apparel. The Hawkeyes will be
It will be a Vegas Night theme, so come dressed playing Michigan State! Cost of all meals, hotel, and
up in your favorite flashy formal clothes. We will admissions is included. Bring money for extras.
be having a dj, snacks, and plenty of dancing
to last the whole night. Our friends from SOAR, GOALS: Enhance money management skills and
HISRA, IRVSRA, RVSRA are all joining us. socialization with peers.
14
Special Olympics Athletics
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: CUSR Special Olympics
* Volleyball * Bocce Sports Banquet
* Basketball * Track & Field
CUSR’s annual Sports Banquet will be held in
* Basketball Skills * Softball mid-April. There will be some new and exciting
* Aquatics * Bowling changes to this year’s sport banquet! The first will
be mailed invitations sent to your home. Watch
* Power Lifting
the mail for yours!
Important Dates
Special Olympics
January 23: Men’s District Team Basketball
March 12-13: State Basketball, Bloomington-
Normal
April 2: Power Lifting Qualifier, Decatur
April 3: District Swimming, Urbana
(tentative)
April 23: Bocce Districts, Champaign
April 30 or May 7: District Track & Field Meet
Day: Sunday
Location: Urbana Indoor Aquatic Center
Min/Max: 4/12
Fee (R/NR): $51/$76.50
Transportation ID: 472804-T1
Door to Door Transportation Fee: $80
16
Teen Pins
Athletics
Ages 13-21 Strikes and Spares
Bring your friends to the bowling alley for some fun. Ages 21+
Learn how to bowl while socializing with your friends Bring your friends to the bowling alley for some
and meeting new ones. Participants will be assigned fun. Perfect your skills while socializing with your
to lanes and can bowl up to two games. Note: friends and meeting new ones. Participants will
Participants arriving late will bowl 2 games or as long be assigned to lanes and can bowl up to two
as time allows. games. Note: Participants arriving late will bowl 2
GOALS: Improve ability to interact with others, games or as long as time allows.
improve bowling skills, and increase gross motor GOALS: Improve social skills and ability to
coordination. interact with others, learn and practice bowling
Date Day Time Program ID etiquette, and increase gross motor coordination.
Jan 10-April 11* Mon 4-5pm 432610-A1 Date Day Time Program ID
Jan 12-April 13 Wed 4-5pm 432610-A2 Jan 10-April 11* Mon 4-5pm 472803-A1
*No program Jan. 17 Jan 12-April 13 Wed 4-5pm 472803-A2
Location: Western Bowl *No program Jan 17
Fee (R/NR): $71/$106.50 Location: Western Bowl
Min/Max: 3/20 Fee (R/NR): $71/$106.50
Transportation ID: 432610-T1; 432610-T2 Min/Max: 4/32
Home Only Transportation Fee: $65 Transportation ID: 472803-T1; 472803-T2
Home Only Transportation Fee: $65
www.cuspecialrecreation.com 17
Athletics
Swim Lessons in Urbana
Cardio Kickboxing Ages 5+
Ages 16+
Learn to swim with lessons from UPD instructors and
This program combines the basic skills of help from CUSR staff! This program is for beginning
kickboxing into a super stimulating cardio work swimmers of any age! Swimmers’ skill levels will be
out. Come try basic athletic drills, punches assessed during the first lesson and swimmers will be
and kicks that will progress into easy-to-follow placed in small groups according to skill and age.
combinations and cardio exercise. Please dress
* If you are too skilled for these lessons, please check
appropriately for indoor fitness activity – short
out UPD’s more advanced swim lessons or join us
sleeve shirts, shorts or workout pants, and
for our Special Olympics aquatics program.
tennis shoes. Come ready to work hard, sweat
and have fun! GOALS: Develop beginner-intermediate swimming
skills, improve ability to listen and follow directions,
GOALS: Improve overall physical fitness and
and increase gross motor coordination.
increase gross motor coordination.
Date Time Program ID
Date Time Program ID
Feb. 6-April 17 7-8pm 422803-A1
Jan 6-Feb 24 6-7pm 432801-A1
*No program on April 3
Day: Thursday
Time: 6-7pm Day: Sunday
Location: Phillips Recreation Center Location: Urbana Indoor Aquatic Center
Fee (R/NR): $36/$54 Fee (R/NR): $56/$84
Min/Max: 4/12 Min/Max: 6/12
No Transportation No Transportation
Frunner Club
Ages 16+
Get excited for our first spring session of Frunner
Club! Returning and new runners are welcome.
We will begin training mid-March for a 5K near
the end of May. Get outside and celebrate the
warm weather by working towards your running
goals. Please wear shoes with proper support and
weather appropriate clothing.
GOALS: Improve cardiovascular fitness and
ability to interact with others, and increase self
confidence.
Date Day Time Program ID
March 20-May 27 Sun 4:30-5:30pm 442809-A1
Thurs 5:30-6:30pm 442809-A2
Location: Sunday: Dexter Field parking lot
Thursday: Hessel Park
Fee (R/NR): $49/$73.50
Min/Max: 3/10
No Transportation
18
ALL INFORMATION BELOW MUST BE COMPLETED FOR FORM TO BE PROCESSED.
ANY FORM NOT COMPLETELY FILLED OUT WILL BE RETURNED TO PARTICIPANT.
PARTICIPANT NAME
PHONE (W)
CITY ZIP
PRIMARY DISABILITY
1.
2.
3.
4.
5.
Would you like to make a donation to the CUSR scholarship fund? $5.00 $10.00 Other
Fee Waiver/Scholarship applied for? ________ NO ________ YES (If yes, please attach)
CUSR may use pictures and videos taken at programs for publicity purposes. Is this okay? __________ Yes __________ No
List Medications:
List Allergies:
Please circle all that apply: Wheelchair: manual/electric Nonverbal Sign Lanuage Close Supervision
Seizures Cane/Walker Atlantoaxial Subluxation Condition
Account Number
3-4 Digit CCID# (on back of card) Expiration Date
PLEASE SEE BACK SIDE FOR WAIVER. THE WAIVER MUST BE SIGNED BEFORE YOUR REGISTRATION MAY BE PROCESSED.
Important information Waiver and release of all claims and
CUSR is committed to conducting its recre- assumption of risk
ation programs and activities in a safe manner Please read this form carefully and be aware
and holds the safety of participants in high re- that in signing up and participating in CUSR
gard. CUSR continually strives to reduce such programs/activities, you will be expressly as-
risks and insists that all participants follow suming the risk and legal liability and waiving
safety rules and instructions that are designed and releasing all claims for injuries, damages or
to protect the participants’ safety. However, loss which you or your minor child/ward might
participants and parents/guardians of minors sustain as a result of participating in any and all
registering for the CUSR programs/activities activities connected with and associated with
must recognize that there is an inherent risk said programs/activities (including transportation
of injury when choosing to participate in rec- services/vehicle operation, when provided).
reational activities/ programs. You are solely
responsible for determining if you or your mi- I recognize and acknowledge that there are
nor child/ward are physically fit and/or skilled certain risks of physical injury to participants in
for the activities contemplated by this agree- these programs/activities, and I voluntarily agree
ment. It is always advisable, especially if the to assume the full risk of any and all injuries,
participant is pregnant, disabled in any way, or damages or loss, regardless of severity, that my
recently suffered illness, injury, or impairment, minor child/ward or I may sustain as a result of
to consult a physician before undertaking any said participation. I further agree to waive and
physical activity. relinquish all claims I or my minor child/ward
may have (or accrue to me or my child/ward) as
Warning of risk a result of participating in these program/activi-
Recreational activities/programs are intended ties against CUSR and Champaign and Urbana
to challenge and engage the physical, mental Park Districts, including their respected officials,
and emotional resources of each participant. officers, employees, and volunteers (hereinafter
Despite careful and proper preparation, in- collectively referred as “CUSR”). I do hereby
struction, medical advice, conditioning and fully release and forever discharge CUSR from
equipment, there is still a risk of serious injury any and all claims for injuries, damages, or loss
when participating in any recreational activ- that my minor child/ward or I may have or which
ity/program. Understandably, not all hazards may accrue to me or my minor child/ward and
and dangers can be foreseen. Depending on arising out of, connected with, or in any way as-
the particular activity, participants must under- sociated with these programs/activities. I have
stand that certain risks, dangers and injuries read and understand the above important infor-
due to inclement weather, slipping, falling, mation, warning of risk, assumption of risk and
poor skill level or conditioning, carelessness, waiver and release of all claims.
horseplay, unsportsmanlike conduct, premises
defects, inadequate or defective equipment,
inadequate supervision, instruction or offici-
ating, 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.
Participant’s name
* 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.
CUSR Program Scholarships
Information 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
Program Cancellation Policy applications are not guaranteed and are based
All registration cancellations must be made at least on available funds, program registration, or
one week prior to the start of the program in order to choice of program location. Early applications
receive a full refund. For programs with cancellation are given priority. Please apply 3-4 weeks
dates listed, registration must be cancelled no later before the program start date. Applications are
than the specified date to receive a full refund. Any available at the CUSR office and can be mailed
program cancellations after the one week deadline upon request. Need is the primary criteria upon
will receive NO refund. A $5 service charge will be which scholarship applicants are considered.
deducted from all refunds. Scholarships are not available for transportation
and specifically identified programs. For more
Inclement Weather Policy information, call 217-239-1152.
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 Satisfaction Guaranteed
to cancel the program. If you are unsure whether CUSR constantly strives to provide participants
a program will meet due to inclement weather, call with high quality recreation programs, activities,
CUSR. Missed programs due to weather may be and events. To encourage first-time participation,
made up the week after the end of the program as well as repeat participation, CUSR has
season. Credit is given for additional cancellations. a refund policy highlighted by a satisfaction
guarantee. This special refund policy provides
Late Pick-Up Policy us with timely feedback about dissatisfaction
In order to be fair to our participants and program regarding our services. If you are not completely
leaders, CUSR has enacted a late pick-up policy. satisfied, tell us, and we will either invite you
The first time a participant is not picked up within a 5 to repeat the class at no charge, allow you a
minute grace period, a written warning will be handed credit that can be applied to another program,
out. For each minute following the grace period, a or issue you a refund. A refund will be granted
fee of $1/per minute will be charged to the parent or if you were dissatisfied with the experience due
guardian. Registration for other programs will not to circumstances under CUSR’s control. If you
be accepted until all outstanding late fees are paid. are not satisfied, we kindly ask you to give us
Thank you for helping us to respect others through your input or ideas for improvement. Requests
punctual pick-ups. 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.
www.cuspecialrecreation.com 23
Transportation Policy/Safety
CUSR Procedures
1. Transportation must be requested at least
Information 48 hours prior to the program date. If
transportation is requested with less than
48 hours from program date, there is no
Discipline guarantee transportation will be available.
A caring, positive approach will be used regarding NO transportation request at the time of the
discipline. CUSR reserves the right to dismiss program will be accepted.
participants. Each situation will be evaluated on
its own merit. 2. A minimum of three participants must register
for transportation in order for it to run.
Behavior Code 3. Transportation is provided from YOUR home
CUSR promotes the concept of “Equal Fun For back to YOUR home. We will not pick up or
Everyone” and strives to accomplish this belief drop off at any other sites.
through our program goals. However, certain rules 4. CUSR staff will wait a maximum of 5 minutes
are necessary to ensure everyone’s safety and past your pickup time due to a demanding
enjoyment. van schedule. If you miss your pickup time,
we will not return to pick you up. It is your
CUSR participants are expected to exhibit responsibility to find transportation to the
appropriate behavior at all times. The CUSR program if you miss your pickup time.
behavior code states that participants shall
show respect to all participants and staff, refrain 5. CUSR transports in-district participants only.
from using foul language, refrain from causing 6. Transportation will only be provided for those
bodily harm, and show respect to equipment, who sign up and pay for the service at the
supplies, and facilities. Additional policies may beginning of the program. We will not provide
be developed for specific programs, camps, and transportation for anyone mid-season that
integrated programs. is not on the transportation roster at the
beginning of the program.
Insurance
Individual accident liability insurance is not 7. Persons unable to be in a house alone
provided by CUSR. should have someone meet the van at the
designated time of return.
Dishonored Checks 8. If needed, the CUSR driver will assist
A $25 service charge will be assessed on all participants to and from their homes, but
checks returned by the bank for any reason. driveways and walkways must be clear of
debris and obstacles.
9. All passengers must be sitting in seats or
wheelchairs with belts securely fastened in
the correct manner or the driver will not move
the vehicle.
10. CUSR staff is responsible for determining
whether or not a participant can be
transported safely.
11. Persons riding in Amigo-type wheelchairs or
strollers must transfer into a vehicle seat and
use a seat belt.
CUSR reserves the right to refuse to transport
individuals. These policies have been developed
to ensure safety of everyone riding in CUSR
vehicles.
24
CUSR Picture Request
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.
CUSR News to You
The new CUSR Newsletter will go out
quarterly, or when there is BIG news. In an
effort to go green, CUSR would like to email
the newsletters, so please provide an email
address to CUSR.
Program Ideas
Do you want to try out a new food place? Have
you wanted to see a play at Krannert?
Let us know!