Special Recreation Association

RIVER VALLEY
FALL
2016
Special Recreation Association
REGISTRATION STARTS TODAY!
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REPRESENTING: Bourbonnais Twp. Park District • Kankakee Valley Park District • Limestone Park District
RIVER VALLEY
SPECIAL RECREATION ASSOCIATION
OUR MISSION STATEMENT
Providing year-round recreation, leisure activities and life skills that add
to the quality of life for those who participate and their families.
1335 E. Broadway, Bradley, IL 60915 • 815-933-7336 • Fax: 815-933-4632
Office Hours: 8:30 AM • 4:30 PM Monday thru Friday
E-mail: rivervalleysra@gmail.com • Website: rivervalleysra.com
ADA COMPLIANCE
WHAT IS THE R.V.S.R.A.?
The R.V.S.R.A. is an association formed by member
agencies to provide community-based Therapeutic
Recreation to individuals with disabilities or special
needs. Member agencies provide the primary source
of operational revenue through a property tax levy
available to the park districts who have entered into a
cooperative agreement.
ASSOCIATION MEMBER AGENCIES
AND BOARD REPRESENTATIVES
Bourbonnais Township Park District
Kim Bennett • Anthony Settle
Kankakee Valley Park District
SUGGESTED AGES & ABILITIES
Alfred Hollis • Duane Tucker
Limestone Park District
Francis Ciaccio
R.V.S.R.A Board Meetings are held on the third
Tuesday of each month. Call the office at 933-7336
for the location and time of the meeting. The public
is invited to attend.
Executive Director: Tom Breitenbucher, CPRP
Program Coordinator: Dorene Mohler, APRP
Special Olympic Coordinator: Pam Bright
ANNUAL INFORMATION FORM
If this is the first time you have registered for a
R.V.S.R.A. program or it’s been over a year since the
last time you have participated in a SRA program please
contact the office so we can update your file. The annual
information form is designed to give our staff medical
and behavioral information on each participant.
SPECIAL OLYMPICS
Persons that participate in Special
Olympic sports should have a current
Medical Application on file with RVSRA.
The applications are good for 2 years.
Athletes must have their application on
file with us before practices start and until
competitions are complete.
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We intend to comply with the Americans with Disabilities
Act. (ADA) which prohibits discrimination in the provision
and inclusion of programs and services to individuals with
disabilities whenever possible. However, in some cases,
programs are designed to meet the needs of specific
disability groups. Parent/guardians should be aware that
programs are staffed at a 4:1 ratio and some activities
may not be appropriate or adaptable for all participants.
INCLUSION: R.V.S.R.A. understands that not every
person with a disability needs to participate in special
recreation programs. If you feel that a program offered by
your park district would better meet your needs, please
call us at 815-933-7336.
RVSRA offers most programs and special events
to targeted age and ability groups so that programs
can be designed to meet individual needs. Anyone
wishing to participate in a program that does not
appear to match his or her specific age or ability
is encouraged to contact the RVSRA office for
additional information and to determine whether
reasonable accommodations can be made.
REFUND/CREDIT POLICY
Refunds and Credits will be given only if a program
has been changed or cancelled, or for medical or
relocating reasons.
PROGRAM FEES
• IN DISTRICT & OUT OF DISTRICT
Residents living within the boundaries of our member
districts are considered in district when registering
for programs. Non-Residents can register but may be
required to pay an additional fee for some programs.
• OUTSTANDING BALANCES
All participants that have a fee balance remaining from
a previous season will not be allowed to register for
new programs until that balance is paid in full. Special
arrangements can be made, but must be done by
contacting the office in advance.
rivervalleysra.com • RIVER VALLEY SPECIAL RECREATION ASSOCIATION
Kid Kraze
LEGO FUN
TUESDAY, SEPTEMBER 20
4:30-5:30 PM @SRA OFFICE
N EW
We will have tons of LEGOS for you to explore.
Build a car, building or a truck. Legos can be so
much fun when there are no limitations. You can
make whatever your heart desires. We will separate
into different age groups at this program. We will
have the bigger LEGOS for the younger ages.
G AGES: 3-21 • LIMIT: 10
FEE: $4 IN DISTRICT / $5 OUT OF DISTRICT
CODE: #3-1601
DAY CAMP REUNION
CANDY CANES & COOKIES
with SANTA
WEDNESDAY, DECEMBER 28
5:00-8:00 PM @ SRA OFFICE
SATURDAY, DECEMBER 10
1:00-2:00 PM @ SRA OFFICE
Santa is taking time out of his busy schedule to
come to the SRA. If weather permits, you will
have time to hunt in the park next door for candy
canes. Then you will have fun participating in a
cookie walk game. Celebrate the Holiday season
having lots of fun with Santa and your friends.
G AGES: 3-21 • LIMIT: 30
FEE: $3 IN DISTRICT / $4 OUT OF DISTRICT
CODE: #
3-1600
We want Day Camp alumni to join us for this fun
filled evening of pizza, friends, crafts, songs, fun
games and of course the slide show from this past
summer. Enjoy seeing your friends from summer
camp and remember all the good times that we
all had. We’ll order pizza for dinner and share
with everyone how the school year is going. If you
attended day camp this last summer this is the
program for you. Don’t miss it!
G AGES: 6-21 • LIMIT: 30
FEE: $8 IN DISTRICT / $9 OUT OF DISTRICT
CODE: #3-1602
“CRAFT & MOVIE”
It’s the Great Pumpkin,
Charlie Brown
SATURDAY, OCTOBER 15
1:00-2:00 PM
@ SRA OFFICE
EW
G AGES: 3-21
N
LIMIT: 10
FEE: $3 IN DISTRICT / $4 OUT OF DISTRICT
CODE: #3-1603
A Charlie Brown Thanksgiving
SATURDAY, NOVEMBER 5
1:00-2:00 PM
@ SRA OFFICE
N EW
G AGES: 3-21
LIMIT: 10
FEE: $3 IN DISTRICT
$4 OUT OF DISTRICT
CODE: #3-1604
Participants between the ages of 3-9 should be accompanied by an adult.
RIVER VALLEY SPECIAL RECREATION ASSOCIATION • rivervalleysra.com 3
WALKING WEDNESDAYS
WEEKLY
CLUB THURSDAY
THURSDAYS FOR 10 WEEKS
OCT. 13 - DEC. 22 • 9:30 AM - 3:30 PM
@ SRA OFFICE
WEDNESDAYS FOR 5 WEEKS
SEPT. 7 - OCT. 5 • 4:30 - 5:30 PM
Perry Farm • Bourbonnais, IL
Let’s go for a brisk walk through the Perry Farm trails.
Breathe in some fresh air and get in tune with the
nature that fills the trails. Following our walk we will
have a nutritional snack. (Participants under the
age of 9 should be accompanied by an adult.)
G AGES: 5 & UP • LIMIT: 20
FEE: $10 IN DISTRICT / $12 OUT OF DISTRICT
CODE: #3-1605
Join us at the SRA office for a fun filled day. We
will talk about current events, practice life skills,
exercise, watch a little TV, and so much more.
You can also bring your ideas with you - we’ll have
discussions about what you would like to do each
week. NOTE: A minimum of three participants
needed by October 3rd. Daily fees available
upon request. Call the office at 815-933-7336.
G AGES: 21 & UP • MIN/MAX: 3/10
BOWLING
SATURDAYS FOR 5 WEEKS
9:00 - 10:30 AM
Brookmont Bowling Ctr. • Kankakee, IL
FEE: $200 IN DISTRICT / $225 OUT OF DISTRICT
CODE: #3-1608
Bowl two games on a Saturday morning
with your Special Rec. friends. So don’t
“spare” anytime signing up for this program.
(Participants under age 9 should be
accompanied by an adult.)
SESSION #1: SEPT. 24 - NOV. 5
CODE: #3-1606
CODE: #3-1607
SESSION #2: NOV. 12 - DEC. 17
G AGES: 5 & UP
LIMIT: 45
FEE: $38 IN DISTRICT / $44 OUT OF DISTRICTS
LAP/OPEN SWIM
LAP/OPEN SWIM
Whether you’re a beginner or advanced, this
program will get you wet. Learn basic strokes
or polish up on your swimming techniques.
Whether you’re a beginner or advanced, this
program will get you wet. Learn basic strokes
or polish up on your swimming techniques.
G AGES: 5 & UP • LIMIT: 10
G AGES: 5 & UP • LIMIT: 10
TUESDAYS, 6:30-7:15 PM
SEPT. 13 - OCT. 11 • CODE: #3-1609
NOV. 1 - DEC. 6 • CODE: #3-1610
5 WEEKS • @ KANKAKEE AREA YMCA
FEE: $35 IN DISTRICT / $40 OUT OF DISTRICT
THURSDAYS, 4:15-5:00 PM
SEPT. 15 - OCT. 13 • CODE: #3-1611
NOV. 3 - DEC. 8 • CODE: #3-1612
5 WEEKS • @ KANKAKEE AREA YMCA
FEE: $35 IN DISTRICT / $40 OUT OF DISTRICT
Participants between the ages of 3-9 should be accompanied by an adult.
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rivervalleysra.com • RIVER VALLEY SPECIAL RECREATION ASSOCIATION
WEEKLY
KARATE
FRIDAYS FOR 5 WEEKS • 4:00-4:45 PM
Tri-Star martial Arts • Bradley, IL
Tri-Star Martial Arts will help you with balance,
memory control and teamwork while learning the
art of karate. Gain confidence as you exercise
your body and mind.
SESSION #1: SEPT. 9 - OCT. 21 CODE: #3-1613
SESSION #2: NOV. 4 - DEC. 9 CODE: #3-1614
G AGES: 9 & UP • LIMIT: 12
FEE: $45 IN DISTRICT / $50 OUT OF DISTRICT
HORSEBACK RIDING
THURSDAYS FOR 6 WEEKS
SEPTEMBER 15 - OCTOBER 20
@ Sunrise Center • St. Anne, IL
Gain equine knowledge as you improve your balance,
gait and confidence while riding your favorite horse.
Due to the type of horses being used, participants
should weigh 200 lbs. or less. Special Olympic
competition will be organized through Sunrise. Call
Sunrise at 815-932-6170 should you have any
questions. (Participants under age 9 should be
accompanied by an adult.)
4:00 - 5:00 PM | CODE: #3-1615
5:00 - 6:00 PM | CODE: #3-1616
6:00 - 7:00 PM | CODE: #3-1617
G AGES: 5 & UP
LIMIT 4 PER CLASS
FEE: $84 IN DISTRICT / $96 OUT OF DISTRICT
ZUMBA
THURSDAYS FOR 6 WEEKS
OCTOBER 12 - NOVEMBER 16
4:15-5:00 PM • @SRA OFFICE
Burn calories while having fun. Zumba features
a mixture of body sculpting moves with dance
steps. You won’t even know you’re exercising while
you’re moving with this exciting music. Come and
experience the fun of Zumba!
G AGES: 9 & UP • LIMIT: 20
FEE: $16 IN DISTRICT / $18 OUT OF DISTRICT
CODE: #3-1618
Special Olympics
BASKETBALL
The River Valley Rage basketball team will be
taking the court again this year. We are looking
for players who enjoy playing tough defense
and are great passers and shooters. This is a
competitive basketball team so a tryout process
will be held in November. Members of the team
should be committed to attending practices and
games and will be expected to participate in the
District Tournament on January 15. Should the
Rage advance to State, those dates are March
17-19 and an additional fee will be charged.
G AGES: 16 & UP • LIMIT: 10
FEE: $125 IN DISTRICT / $145 OUT OF DISTRICT
(Fee will be applied if you make the team)
CODE: #3-1619
SOCIAL CIRCLE
THURSDAYS FOR 5 WEEKS
NOVEMBER 10 - DECEMBER 15
3:30-5:00 PM • @ SRA OFFICE
Meet with your friends after work or school for a
relaxed game of cards, basketball, puzzles and
more. We’ll have a light snack during the program.
G AGES: 9 & UP • LIMIT: 20
FEE: $25 IN DISTRICT / $28 OUT OF DISTRICT
CODE: #3-1620
TAI CHI
MONDAYS FOR 5 WEEKS
OCTOBER 17 - NOVEMBER 14
10:00-10:45 AM @ KCTC North Building
595 N. Industrial, Bradley, IL
Tai Chi is a very gentle form of meditation and
exercise for the body and mind. Participants are
welcome to stay in the chair if they like.
G AGES: 12 & UP • LIMIT: 30
FEE: $3 IN DISTRICT / $4 OUT OF DISTRICT
CODE: #3-1621
RIVER VALLEY SPECIAL RECREATION ASSOCIATION • rivervalleysra.com 5
BOWLING LESSONS
W
NE
SATURDAYS FOR 3 WEEKS
10:45-11:30 AM
@ Brookmont Bowling Center, Kankakee
Have you ever wondered where to stand when
you throw your bowling ball? Or how to throw
your ball? These are just some of the pointers
that an expert bowler will be sharing with you.
Improve your game and get that score higher.
SESSION #1: SEPT. 24, OCT. 1 & 15
CODE: #3-1622
SESSION #2: NOV. 5, 12, 19
CODE: #3-1623
(Sign up for one session only)
RIVER VALLEY RAGE FAN CLUB
N EW
Be supportive of our Special Olympic
Basketball team this year. You will receive your
very own River Valley Rage T-shirt that you can
wear to all the games. Our season starts midNovember and the games will be set later.
When you receive your T-shirt you will receive
a game schedule. River Valley will NOT provide
transportation to these games. It will be on your
own to attend the games. (Each participant
and family member under age 9 must be
accompanied by an adult. Be respectful during
the games and cheer appropriately.)
G ALL AGES • LIMIT: 15
G AGES: 16 & UP • LIMIT: 4 per Session
FEE: $15 IN DISTRICT / $17 OUT OF DISTRICT
CODE: #3-1627
PIZZA & MOVIE
HISTORY OF WWE-MOVIE
FEE: $24 IN DISTRICT / $28 OUT OF DISTRICT
CAPTAIN AMERICA: THE FIRST AVENGER
SATURDAY, OCTOBER 1
4:30-7:00 PM • @ SRA OFFICE
Come and enjoy this PG-13 movie that takes
place in 1941. Steve Rogers is accepted into an
experimental program that turns him into Captain
America. We will have some delicious pizza for
our dinner during the movie. (Each participant
and family member under the age of 9 must be
accompanied by a paying adult.)
G ALL AGES • LIMIT: 40
N EW
It’s time to put on that apron and start cooking.
You will make your very own brunch, then you
can eat it too. Learn how to prepare and season
a meal. You will be mixing, flipping, spooning and
eating. You will make scrambled eggs, sausage,
pancakes and fresh fruit.
FEE: $5 IN DISTRICT / $6 OUT OF DISTRICT
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G AGES: 9 & UP • LIMIT: 20
HANDLE BAR GANG
SATURDAY, OCTOBER 1
10:00-11:30 AM @ RIVER FRONT TRAIL
SATURDAY, SEPTEMBER 24
9:30-10:30 AM • CODE: #3-1625
10:45-11:45 AM • CODE: #3-1626
@ SRA OFFICE
G AGES: 12 & Up • MIN/MAX: 3/6
For one half century, WWE has carved a
permanent niche in Americana. It started in 1963
and has become a global phenomenon that has
captivated fans over the years. Trace the journey
from smoke-filled arenas to sold-out stadiums
with the legendary superstars and legends who
blazed the trail.
FEE: $4 IN DISTRICT / $5 OUT OF DISTRICT
CODE: #3-1628
FEE: $5 IN DISTRICT / $6 OUT OF DISTRICT
CODE: # 3-1624
BRUNCH BUNCH
MONDAY, NOVEMBER 21
6:30-8:30 PM • @ SRA OFFICE
N EW
This program requires you to have your own bicycle
and ability to bring your bike with you. We will meet
out at River Front Trail that is located on the way
out to KCC off of River Road. We’ll ride along the
Kankakee River for an hour or so. Feel the breeze
as you peddle your way along the trails. After our
ride we will enjoy a tasty treat that we will provide.
G AGES: 16 & UP • LIMIT: 10
FEE: $6 IN DISTRICT / $7 OUT OF DISTRICT
CODE: #3-1629
rivervalleysra.com • RIVER VALLEY SPECIAL RECREATION ASSOCIATION
“price is right”
FAMILY TRIP • RIALTO THEATER (Joliet, IL)
SUNDAY, NOVEMBER 6 • 1:30-9:30 PM
Here it comes, everyone’s favorite game show! Alongside
our Celebrity Host, randomly-selected contestants play
everyone’s favorite games like Plinko, Cliffhangers, The Big
Wheel and even the fabulous showcase. Lucky audience
members can even win prizes right from their seat. Generations
of fans all across America have made The Price is Right Live
the perfect family entertainment experience. And the next
contestant might be YOU! We are going to arrive early for those
interested to enter to become a contestant. Then we will go
to a restaurant for our dinner. Dinner was not included in your
program fee. NOTE: Participants need to be able to sit quietly
during the duration of the show. This is to minimize the
disturbance to other audience members.
G AGES: 18 & UP • LIMIT: 30
FEE: $75 IN DISTRICT / $85 OUT OF DISTRICT N EW
T-Shirts will be ordered for those
that are interested for a fee of $15.
CODE: #3-1630
ORNAMENTS GALORE
SLEEPY HALLOW (Perry Farm)
Get in the Holiday spirit as we craft some
beautiful ornaments. We will be entering a
tree in the Gallery of Trees at the Kankakee
Historical Museum, and these ornaments will
help decorate the tree. You will also make one
that you can take home that day.
The Legend of Sleepy Hollow continues after
all these years. The Headless Horseman is still
seen on occasion out in the fields behind the
Perry Farm. Become one of the lucky ones to
witness this ghoulish event. This creepy night
will add to your Halloween fun.
WEDNESDAY, OCTOBER 12
5:00-6:00 PM • @ SRA OFFICE
G AGES: 9 & UP
LIMIT: 20
FEE: $3 IN DISTRICT / $4 OUT OF DISTRICT
CODE: #3-1631
FRIDAY, OCTOBER 14
6:00-9:00 PM • Meet @ SRA OFFICE
G AGES: 12 & UP • LIMIT: 15
FEE: $20 IN DISTRICT / $23 OUT OF DISTRICT
CODE: #3-1632
2016 PIE FUND RAISER
Earn River Valley Bucks to be used on
Winter/Spring 2017 programs!
After selling 5 pies you will earn $1 for every pie
you sell! We will offer a variety of pie and cookie
dough that can be picked up at the SRA office
on the Friday before Thanksgiving. Pie order
forms will be ready on October 21. Help support
our organization as you earn $$$ to put towards
future Winter/Spring 2017 programs.
Parent’s Note: This is a great tool for your
child to learn social interaction. Have them ask
aunts, uncles, cousins and friends to BUY A PIE!
BEARS/PACKERS FOOTBALL GAME
SUNDAY, DECEMBER 18
11:45 AM-3:15 PM • @ SRA OFFICE
Long time rivalry between these two teams has
been building over the years. We want all Bears
and Packers fans to get together and watch this
game on our big screen TV.
G AGES: 9 & UP • LIMIT: 20
FEE: $15 IN DISTRICT / $17 OUT OF DISTRICT
CODE: #3-1633
RIVER VALLEY SPECIAL RECREATION ASSOCIATION • rivervalleysra.com 7
SMOOTHIES & OTHER
HEALTHY STUFF
PHOTOGRAPHY CLASS
Green smoothies, gross you say? No way, why would
I want to try that? Because they are yummy and a
great way to get some healthy greens into your body.
We’ll watch a health flick and discuss fun ways to get
your body moving.
Last date meet at SRA Office
(Sign up for 1 time slot only)
SATURDAYS, OCT. 1 - OCT. 15
10:00 - 11:00 AM • CODE: #3-1637
11:00 AM - 12:00 PM • CODE: #3-1638
MEET @ PERRY FARM
WEDNESDAY, SEPTEMBER 28
6:30-8:00 PM
@ SRA Office
G AGES: 16 & UP
LIMIT: 12
FEE: $7 IN DISTRICT / $9 OUT OF DISTRICT
CODE: #3-1634
G AGES: 16 & UP
LIMIT: 5 per time slot
FEE: $20 IN DISTRICT / $25 OUT OF DISTRICT
HALLOWEEN DANCE
BABY BINGO
FRIDAY, OCTOBER 28
6:30-8:30 PM
@ CIVIC AUDITORIUM, KANKAKEE
Wear your costume for our contest and you may win
a prize. Put some imagination into your outfit and
scare your friends at our dance.
G AGES: 12 & UP
LIMIT: 150
FEE: $3 IN DISTRICT / $4 OUT OF DISTRICT
CODE: #3-1635
PUMPKIN CARVING 101
TUESDAY, OCTOBER 25
6:30-7:30 PM
@ SRA OFFICE
We supply the cameras and you take the
pictures. Learn about how different lighting,
shapes and colors make up interesting
photos. The last date we will have a
photograpy exhibit for all your family and
friends to view you photos.
FRIDAY, SEPTEMBER 23
6:30-8:30 PM
@ SRA OFFICE
Do you want to play some fun bingo? Everyone is
encouraged to bring a baby picture of themselves,
but don’t let anyone know it’s you. After we play
some bingo, we’ll guess who each baby is.
G AGES: 9 & UP
LIMIT: 20
FEE: $5 IN DISTRICT / $6 OUT OF DISTRICT
CODE: #3-1639
N EW
TURKEY BOWL
There are some really fun and creative ways to carve
your pumpkin for Halloween. We will supply the
pumpkin and the carving tools for you to let your
creative juices flow. Some ideas will be suggested,
but it will be totally up to you. NOTE: Due to the
nature of this program an individual should have
good eye-hand coordination to handle a pumpkin
carving tool.
MONDAY, NOVEMBER 14
6:30-8:00 PM
@ SRA OFFICE
N EW
This sounds crazy, but we will be bowling with
frozen turkeys. You’ll have to learn how to roll the
turkey the right way to knock down all 10 pins.
We will supply the gloves so your hands don’t get
too cold. What a fun way to use a frozen turkey.
G AGES: 16 & UP
G AGES: 9 & UP
LIMIT: 10
FEE: $7 IN DISTRICT / $9 OUT OF DISTRICT
CODE: #3-1636
LIMIT: 15
FEE: $7 IN DISTRICT / $9 OUT OF DISTRICT
CODE: #3-1640
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rivervalleysra.com • RIVER VALLEY SPECIAL RECREATION ASSOCIATION
Festival of Lights
SUNDAY, DECEMBER 11 (1:00 PM) & MONDAY, DECEMBER 12 (3:00 PM)
East Peoria is the place to go in December.
With over 500 lighted displays in their local
park, we will drive the two mile route and
enjoy a beautiful spectacle at night. We’ll
spend the night and the next day we will
gamble a little at the Par-a-dice Casino before
heading for home. All meals are included in
your program fee.
G AGES: 20 & UP • LIMIT: 12
FEE: $150 IN DISTRICT / $170 OUT OF DISTRICT
CODE: #3-1641
GALLERY OF TREES
TUESDAY, DECEMBER 27 • 2:00-4:00 PM
@ KANKAKEE HISTORICAL MUSEUM
Our local museum will be decorated for the
holidays with Christmas Trees that are decorated
by local businesses, River Valley has one there
too. You will have the opportunity to go on your
own self-guided tour within this time frame. This
program will be hosted by River Valley but not
supervised by them. Family members and/or group
home staff are required to attend. Pre-registration
is optional. You can just stop by if not registered
through River Valley.
G ALL AGES • LIMIT: 50
FEE: Donations by each individual accepted at
the Museum the day of the event.
CODE: #3-1642
NEW YEAR’S DANCE
N EW
FRIDAY, DECEMBER 30 • 6:30-8:30 PM
@ CIVIC AUDITORIUM
Let’s ring in the New Year together and have a
great time. Put on your dancing shoes and we’ll
get together with all your Special Rec. friends.
Party favors will be passed out so we can do a
countdown to our very own midnight.
G AGES: 12 & UP • LIMIT: 150
FEE: FREE
CODE: #3-1643
CANDY CANES, COOKIES & SANTA
SATURDAY, DECEMBER 10
2:15-3:15 PM • @ SRA OFFICE
Santa is taking time out of his busy schedule to
come to the the SRA. If weather permits, you will
have time to hunt in the park next door for candy
canes. Then you will have fun participating in a
cookie walk game. Celebrate the Holiday season
having lots of fun with Santa and your friends.
G AGES: 22 & UP • LIMIT: 50
FEE: $3 IN DISTRICT / $4 OUT OF DISTRICT
CODE: #3-1644
CHRISTMAS SHOPPING & DINNER
3:00-7:00 PM (Choose one date only)
Bring your shopping list and let’s go shopping
for all your Christmas gifts at Northfield
Square Mall! You don’t want them to know what
they’re getting from you, so let us help you shop
so it will be a surprise. Afterwards we will enjoy
dinner at a local restaurant then head back to our
office to wrap one of your gifts. Dinner is included
in your program fee.
WEDNESDAY, DECEMBER 7 • CODE: #3-1645
WEDNESDAY, DECEMBER 14 • CODE: #3-1646
G AGES: 12 & UP • LIMIT: 15
FEE: $25 IN DISTRICT / $29 OUT OF DISTRICT
RIVER VALLEY SPECIAL RECREATION ASSOCIATION • rivervalleysra.com 9
FALL 2016
Registration Information
ALL INFORMATION BELOW MUST BE COMPLETED FOR FORM TO BE PROCESSED.
MAIL or BRING INTO OFFICE: 1335 E. Broadway, Bradley, Illinois 60915
QUESTIONS: Call 815-933-7336
PARTICIPANTS NAME___________________________________________________AGE_______ BIRTHDATE___________________
ADDRESS_____________________________________________________CITY_________________ STATE_____ ZIP_____________
EMAIL________________________________________________________________________________________________________
MOTHER/GUARDIAN__________________________ HOME #______________ WORK #______________ CELL #_______________
FATHER/GUARDIAN___________________________ HOME #______________ WORK #______________ CELL #_______________
EMERGENCY CONTACT_______________________ HOME #______________ WORK #______________ CELL #_______________
Registration form must be signed before individuals may participate in programs. Checks can be
made payable to RVSRA. Mail or bring in your registration form and payment to the RVSRA Office.
We accept Credit or Debit Cards
for program payments!
RVSRA WAIVER AND RELEASE OF ALL CLAIMS
We want the participants in our programs to be aware, in advance, that when they participant in an activity including high risk activities such as, but
not limited to: swimming, horseback riding, rock or wall climbing, there is a natural element of risk of injury which each participant must assume.
I (my child) recognize and acknowledge that there are certain risks of physical injury and I (my child) agree to assume the full risk of any injuries,
including death, damages or loss which I (my child) may sustain as a result of participating in any and all activities connected with or associated
with such program(s). I (my child) agree to waive and relinquish all claims I (my child) may have as a result of participating in the program(s) against
the River Valley Special Recreation Association (R.V.S.R.A.), the Bourbonnais Township, Kankakee Valley and Limestone Township Park Districts and
their officers, agents, servants and employees. I (my child) do hereby fully release and discharge R.V.S.R.A. and the Park Districts it represents and
their officers, servants and employees from any and all claims from injuries, including death, damage and loss which I (my child) may have or which
may occur to me (my child) on account of my (my child’s) participations in the program. I (my child) further agree to indemnify and hold harmless
and defend the RVSRA and the above-named Park District and their officers, agents, servants, and employees from any and all claims resulting
from injuries, including death, damages and losses sustained by me (my child) and arising out of, connected with, or in any way associated with
the activities of the programs.
I further understand and agree that the terms such as “participation,” “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 of supervision, the use and adjustment of any and all machinery, equipment, and apparatus, and anything related to my (my child’s)
use of services, facilities, or premises involved in these programs, and transportation to and from any events.
In the event of any emergency, I authorize R.V.S.R.A. officials to secure from any licensed hospital, physician and/or medical personnel any
treatment deemed necessary for me or my minor child’s/ward’s immediate care and agree that I will be responsible for payment of any and all
medical services rendered. I have read and fully understand the above Program Details, Waiver and Release of all claims and permission to secure
treatment. If registering by fax, your facsimile signature shall substitute for and have the same legal effect as an original form signature.
Signature of Participant ( if age 18 or above ) or Parent / Guardian
CODE #
PROGRAM NAME
Date
FEE
CODE #
Column Total 10 PROGRAM NAME
FEE
FINAL TOTAL
rivervalleysra.com • RIVER VALLEY SPECIAL RECREATION ASSOCIATION
Special Recreation Association
GENERAL INFORMATION
RVSRA is committed to conducting its recreation
programs and activities in a safe manner and
holds the safety of participants in high regard.
RVSRA 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
RVSRA 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.
•When you receive your brochure, fill out the registration
information page and return to the office as soon as you
can. A variety of programs have limits for different reasons,
so they will fill up quickly. So don’t wait!
•When arriving at a program for the first time, it is important
to check in with one of our Special Recreation staff. Some
of our programs will take place off sight and it is crucial
that our staff know that a participant is in attendance.
•A “Reminder” will be sent before each program by
mail. We usually mail these approximately 2 weeks
before the program. There will be important information
on these, so it is important to read thoroughly. There
will be information about what to wear, if money is
necessary and much more. Sometimes there will be
changes that will occur about the program for example;
drop off and pick up times, location etc. could change
due to unknown circumstances. River Valley reserves
the right to make any such adjustments. If you have
any questions after receiving the reminders, please call
the office and we will try to accommodate any of your
needs. Our office and cell phone numbers are on all
the reminders.
•RVSRA currently staffs most programs with one staff
to every four participants. If a participant will need
more assistance or won’t be able to participate within
this structure, please let staff know at registration so
appropriate staffing may be attained (IF POSSIBLE).
“LIKE” us on
FACEBOOK!
ILLNESS POLICY
RVSRA has the right to refuse any participant who is ill or
has a fever. If a participant becomes ill during a program, a
parent/guardian or emergency contact will be notified and
asked to pick up the participant.
BEHAVIOR POLICY
RVSRA promotes the concept that recreation and leisure
activities add to the quality of life. However, certain rules are
necessary to ensure everyone’s safety and enjoyment.
RVSRA participants are expected to exhibit appropriate
behavior at all times. Listed below are examples of some
inappropriate behavior that may need to be addressed:
• Making loud noises in particular settings where
quiet is expected.
• Inability to sit quietly in theaters, concerts, etc.
• Showing lack of respect for other participants/
patrons/SRA staff at activities.
• Refrain from using foul language.
• Show respect to equipment, supplies and facilities.
• Additional policies may be developed for specific
programs, camps and integrated programs.
DISCIPLINE
A caring, positive approach will be used regarding discipline.
RVSRA reserves the right to dismiss a participant. Each
situation will be evaluated on its own merit.
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SATURDAY, NOVEMBER 12
Quality Inn & Suites• Bradley, IL
Place your bets on your favorite mouse.
GREAT PRIZES, DRINKS & SNACKS.
Not your typical fundraiser.
RIVER VALLEY SPECIAL RECREATION ASSOCIATION • rivervalleysra.com 11
FIRST CLASS
U.S. Postage
Special Recreation Association
Paid
Permit No. 81
Kankakee, IL 60901
1335 E. Broadway St. • Bradley, Illinois 60915
815-933-7336 • 815-933-4632 Fax
CURRENT RESIDENT
HAYRIDE
FRIDAY, SEPTEMBER 30
6:00-8:00 PM
@ Perry Farm in Bourbonnais
AGES: 12 & UP • LIMIT: 120
FEE: $7 In District / $9 Out of District
DINNER INCLUDED • CODE: #3-1647