2012 Spring Adaptive Program

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Salt Lake County Parks & Recreation Adaptive Program

‘Improving

lives through

People, Parks

& Play’ Please ask us about our accessible

options at this facility.

March - August 2011

Adaptive Recreation Programs for Individuals

with Disabilities

Salt Lake County Adaptive Recreation Programs and Sports for Individuals with Intellectual Disabilities Sports for Individuals with Physical Disabilities

Spring and Summer 2011 March – August Programs

Program Office/Registration located at:

Copperview Recreation Center 8446 South Harrison Street Midvale, UT 84047 Phone: 801-559-1500 Fax: 801-565-1515

You may also register for most programs on the internet at:

www.activityreg.com

Adaptive Recreation Program Manager Jeff Burley, CTRS E-mail: [email protected]

Mission Statement: The mission of the Salt Lake County Adaptive Recreation Program is to enhance quality of life for individuals with disabilities by facilitating equal access and or equivalent experiences, by encouraging healthy active lifestyle for all regardless of age, sex, race, creed, or ability.

Mailing and Email List: If you are not on our mailing or email distribution lists and would like to be, please call 801-559-1500 or send an email to [email protected] with your name address, phone, and email.

Other Adaptive Resources

National Ability Center Phone 435-649-3991, www.discovernac.org

Splore Phone 801-484-4128, www.splore.org

Kostopolus Dream Foundation (Camp K) Phone 801-582-0700, www.campk.org

Common Ground Outdoor Adventures Phone 435-713-0288, www.cgadventures.org

Utah Parent Center Phone: 801-272-1051 www.utahparentcenter.org

Utah Foundation for the Blind Phone: 801-209-8492 www.ufbvi.org

Utah Assistive Technology Foundation Phone 800-524-5152, www.uatf.org

Best Buddies Phone: 801-468-1200 www.Bestbuddiesutah.org

Wasatch Adaptive @ Snowbird Phone: 801-933-2188 www.wasatchadaptivesports.org

Angel’s Hands Foundation Phone: 801-280-1801 www.angelshands.org

Utah Independent Living Center Phone: 801-466-5565 www.uilc.org

Special Olympics Phone: 801-363-1111 www.sout.org

Classes

Kenpo 5.0 Come learn martial arts and self-defense!

Who: For individuals with hearing impairments. The instructor knows ASL and can cater to individuals. Class is taught in ASL. You must know ASL to attend.

Where: Copperview Recreation Center 8446 S. Harrison St. in Midvale

When: Wednesday Evenings 6:30-7:30 p.m.

Cost: $35 per month $90 for 3 months

Contact: Email: [email protected] Voice/Text: 801-657-1190

Judo

Who: For men and women 8 years old and up with physical disabilities (amputees, visual impairments, etc.)

When: Ages 8 years and up Tuesday 6:30-9:00pm Thursday 7:00-9:00pm Ages 3-7 years Friday 5:00-6:00 pm Where: Holladay-Lion’s Recreation Center 1661 East Murray-Holladay Road (801) 424-0621

Cost: $50 per month

Registration Form You can also register on line at www.activityreg.com

Fill out this form (both sides) and send with payment to Adaptive Recreation, Copperview Recreation Center, 8446 South Harrison Street, Midvale, UT 84047. First Name ____________________ MI ____ Last Name __________________________ Address __________________________________________________________________ Zip Code ___________ City ________________________ State ____________ Phone _______-_______-_________ Work Phone _______-______-________ E-mail _________________________________ Birthdate ___/___/_____ M ___ F ___ Emergency Contact _______________________________Relationship ______________ Day Phone ______-_______-_________ Night Phone ______-______-_______ Who should we contact about activities? ______________________________________ Phone number(s) __________________________________________________ Group Home Name _________________________Contact Name __________________ Phone number(s) _________________________________________________

Statement of Agreement Assumption of Risk, Liability Release,

Indemnification & Refund Policy (Signature Required) 1.Release & Indemnification: I hereby, recognize and acknowledge that my/my child’s participation in recreational activi-

ties may involve bodily injury and/or emotional injury to myself and/or my child. In consideration of my/my child’s being

able to participate in such events, I, for myself/my child, my heirs, my executors and administrators, hereby voluntarily

and knowingly indemnify and hold harmless, defend, release, waive, and discharge Salt Lake County, and its officers,

employees and volunteers from any and all suits, claims or liability, including negligence, based on any injury except that

caused solely by the willful misconduct of Salt Lake County, that may result from my/my child’s participation in Salt Lake

County Parks & Recreation activities. In addition, I agree that my insurance company or I will pay for medical, hospitali-

zation or any other expenses resulting from my/my child’s participation.

2.Refund Policy: As per Salt Lake County policy and procedures, the Parks and Recreation Division may withhold %25 of

the refund (program registration fee) for administrative costs. All refunds must be requested in person and accompanied

with a written refund request. No refunds shall be given after the first day of the program.

3.Collections: I agree to pay Salt Lake County all costs incurred, together with reasonable attorney’s fees in the vent that

my account is referred to the Salt Lake County Attorney’s Office for collection. I understand that any account delinquent

30 days or more will be turned over to the Salt Lake county Attorney for collection.

4.Emergency Treatment: I hereby authorize Salt Lake County Parks & Recreation program staff to act on my behalf in

accordance with their best judgment in case of an emergency involving myself/my child, and agree to assume full respon-

sibility for all expenses, medical or otherwise, that may arise there from. I understand that my insurance company or I will

pay for such emergency treatment.

5.Equal Opportunity: Salt Lake County Parks & Recreation provides equal opportunity to participate regardless of race,

creed, gender, or ability to pay, and will upon request, provide reasonable accommodations to individuals with disabilities.

6.By signing this assumption of risk, liability release, indemnification and refund policy statement, I acknowledge that I

have read its contents and disclosure, that I understand its contents and disclosures, and that I agree to its terms.

Signature _______________________________________ Date ______________ (Signature of guardian, if applicable)

____ Please initial to authorize Salt Lake County Parks & Recreation to use a

photograph of myself/my child for advertisement purposes.

For Office Use: Paid $ ________ Receipt # _________ Till# _______ Date ___________

Choose Activity Cost Payment Sports/Classes Rec. Bowling Session 2 $55 __________ League Bowling Session 2 $55 __________

Summer Camp Application Fee $15 By May 14 __________ Pathfinders $30 After May 14 __________ Summer Camp Application Fee $15 By May 14 __________ Pirates $30 After May 14 __________ Wheelchair Basketball Register by May $20 __________ Track & Field Apr 9-June 1 $20 __________ Competing Apr 9-June 1 $50 __________ Special Olympics Bball August 2011 $35 __________ Adult Bball League Year Round $20/8 week __________

Socialization/ Day Programs

Saturday Socials Spring Session $80 __________ Monthly April 16, 30 $30 __________ May 14, 21 $30 __________ June 11, 25 $30 __________ July 9, 30 $30 __________ August 13, 27 $30 __________ Adult Day Program 5 days a week $230/monthly ___________

Mon, Wed, Fri $130/monthly __________ Daily $13/day __________ List Days: _____________________________ ______________________________

Total …………………………………………………………………... _______ Applications for fee waivers– application, necessary documentation and partial fee must accompany this form. The following information is confidential to staff members working directly with the participant.

It is necessary to ensure appropriate program placement & prevent unanticipated incidents related

to any medical conditions. Thank you.

1. Primary/Secondary Disability___________________________________________

Severity of Disability _________________________________________________

2. Mobility: please check one and explain if necessary

� Ambulates � Ambulates w/assistance � Uses manual w/c independently

�Uses manual w/c with assistance from others � Uses electric w/c

Other: ______________________________________________

3. Seizures?: type/frequency/duration: _______________________________________________

4. Dietary Considerations?: _______________________________________________________

5. Allergies: To what?/frequency/signs

_____________________________________________________________________

6. Describe any other behaviors that we should be aware of:

______________________________________________________________

7. Describe any other specific needs that the participant has that may require special attention:

____________________________________________________________________

The Adaptive Program no longer provides adaptive swim lessons. If you desire swim instruction, please contact your nearest Salt Lake County Pool. They are prepared to serve you!

Dimple Dell 10670 South 1000 East, Sandy 801-495-1480 Holladay-Lions 1661 East Murray-Holladay Road, Holladay 801-424-0621 Fairmont 1044 East Sugarmont (2225 South), Salt Lake City 801-486-5867 Gene Fullmer 8015 South 2200 West, West Jordan 801-563-8440 Marv Jenson 10300 South Redwood Road, South Jordan 801-253-4404 Northwest 1300 West 300 North, Salt Lake City 385-468-1305 Salt Lake City Sports Complex 645 South Guardsman Way, S.L.C. 801-583-9713 Sorenson Multicultural & Unity Center 855 West California Ave., Salt Lake City 801-974-2420

Aquatics

Wheelchair Sports

Quad Rugby

Who: Quadriplegic players interested in learning how to play rugby.

Check our website for the when the next season of Rugby starts!

www.recreation.slco.org/adaptive

Sledge Skating

Who: All ages with and without physical

disabilities

Where: SLC Sports Complex

645 S. Guardsman Way (by the U of U)

Phone: 801-583-9713

When: Call for open skate times

Cost: $3.50 Entrance Fee

$1.50 Sledge Rental

You will pay at the door.

S a l t L a k e C o u n t y P a r k s a n d R e c r e a t i o n

All Passes allow access for member and one free assistant to All County Fitness Centers.

Depending on type of pass gives you access to Indoor Pools, Ice Staking, Outdoor Pools and ALL County Fitness Centers

1. A statement signed by a licensed physician attesting that the

applicant has a permanent physical, mental, or sensory impairment

that severely limits one or more major life activity, and states the

nature of the impairment. 2. A document issued by a federal agency, such as the Veteran's

Administration, which attests that the applicant has been medically

determined to be eligible to receive federal benefits as a result of a

disability. Other acceptable federal agency documents include proof of

receipt of Social Security Disability Income (SSDI) or Supplemental

Security Income (SSI) due to a disability. 3. A document issued by a state agency, such as the vocational

rehabilitation agency, which attests that the applicant has been med-

ically determined to be eligible to receive that agencies benefits or ser-

vices as a result of medically determined permanent disability. Show-

ing a state motor vehicle department disability sticker, license plate, or

hang tag is not acceptable documentation.

To receive this benefit make an appointment and submit the

documentation listed above in person to Salt Lake County Adaptive

located at the Copperview Recreation Center, 801-559-1500.

A Salt Lake County resident, who is permanently disabled,

and can provide one of the following pieces of

documentation to receive a facility pass that permits the

holder an assistant entrance fee at no cost.

Plus One Fitness Pass

Gold Pass: $135 Recreation Centers, Indoor Pools

Gold Access: $170 Recreation Center, Indoors Pools &

Outdoor Pools

Platinum Pass:$150 Recreation Centers, Indoor Pools, & Ice Skating

Platinum Access:$185 Recreation Centers, Indoor Pools, Outdoor Pools

& Ice Skating

Summer Camp

Application Deadline: Friday, May 14th Come in or Call Redwood for an Application. Application Fee is $15.

Raiders This camp will also have lab time, go on field trips once a week, participate in arts and craft, sports and other activities. This will be a strict camp with rules and regulations. We will be asking for parent involvement to work on goals and behavior modifications for the success of all students in this program.

Who: For ages 5-12 years old with cognitive disabilities and mild to moderate behavior disorders that can function in a 4 to 1 ratio.

Where: Redwood Recreation Center 3060 S. Lester (1585 W. 2495 S.) West Valley City, 84119 801-974-6923

When: June 6-August 12

Cost: $85 per 5 day week $75 per 4 day week (off July 4 & 25)

Trailblazers This camp will be focused on socialization and fun! They will be involved in arts and crafts, some sports and lots of educational learning. There will be swimming once a week along with time in a computer lab and a field trip.

Who: For ages 13-21 years old with cognitive disabilities that can function in a 7 to 1 ratio.

Where: Redwood Recreation Center 3060 S. Lester (1585 W. 2495 S.) West Valley City, 84119 801-974-6923



Special Olympic Training Programs

Adult Basketball League For adults 18 years and older that want to play on a team and practice their basketball skills. This is for beginner to advanced skill levels.

When: Tuesdays -YEAR ROUND (Check our website for session dates.) www.recreation.slco.org/adaptive

Time: 5:00 p.m.– 7:00 p.m.

Where: Copperview Recreation Center

Cost: $20 for an 8 week session $3.50 for drop in fee

Basketball

Who: For ages 8 and older who have intellectual disabilities.


When: Fall 2011

Registrations begin August 2011

Cost: $20 includes practices and Jersey

$50 includes practices, Jersey and fees if you qualify for

State Games *

For more information call Copperview Rec. Center: 801-559-1500

*State Games are tentatively set for October 2011

Sports /Classes

Golf

Mick Riley Golf Course provides opportunities for group

and individuals golf lessons. Call Mick Riley Golf Course or Meadow

Brook for more information or adaptive Golf Cart rental.

Mick Riley Golf Course

421 East Vine Street in Murray

Phone: 801-266-8185

Meadow Brook Golf Course

4197 South 1300 West in Taylorsville

Phone: 801-266-0971

Special Olympic Training Programs

Track & Field


Where: Taylorsville High School

When: Starts April 9, 2011

Time: 9:00-11:00 a.m.

Cost: $20 includes practices and shirt

$50 includes practices, shirt and fees if you qualify for State Games

For more information call Copperview Rec. Center: 801-559-1500

Soccer


Where: Redwood Rec. Center

3060 South Lester (1585 W 2495 S)

West Valley City, Utah 84119

When: Spring 2011

For more information call Redwood Rec. Center: 801-974-6923

Softball


Where: TBA

When: Spring 2011

For more information call Millcreek Activity Center: 801-559-1530

Special Olympic State Games are June 2-4 in Cedar City.

Athletes can only participate in one sport for games.

Summer Camp

Application Deadline: Friday, May 14th Come in or Call Copperview for an Application. Application fee is $15.

Pathfinders Kids and teens with cognitive disabilities or dual diagnosis of physical and cognitive disabilities. In this group participants that need some minor assistance with physical needs of Daily Living or enjoy a slower pace of fun activities. Participants will be involved in arts and crafts, field trips, wheelchair sports, and educational learning. No personal Care is provided

Who: For ages 5-21 years old with physical disabilities that can function in a 7 to 1 ratio.

Where: Copperview Recreation Center 8446 S. Harrison St. Midvale, 84047 801-559-1500



Pirates This camp is sports orientated for those that like to move and interact with others. They will learn new skills and movements in sports including; basketball, soccer, softball, flag football and more. The camp will go to Mick Riley Golf Course once a week. They will be certified in Special Olympic golf by the end of camp. This camp will also have comput-er lab time, go on field trips once a week, participate in crafts and other activities. This camp is a great fit for anyone that loves competing in the Special Olympics.

Who: For ages 10-21 years old with cognitive disabilities that can function in a 7 to 1 ratio.

Where: Copperview Recreation Center 8446 S. Harrison St. Midvale, 84047 801-559-1500


Cost: $85 per 5 day week $75 per 4 day week (off July 4 & 25) $15 per week extra for those who participate in Golf

Sport/Classes

League Bowling Practice your bowling skills while socializing with friends. The session lasts 8 weeks held on Thursdays. Each week includes up to two games and shoes. Who: Individuals 8 years and older. 1 to 10 ratio. Participant can bring someone to assist them. This is a league that will get you ready for Special Olympics . When: Session 2 starts March 24th Fee: $55 Session 3 starts June 2nd Fee: $55 Session 4 starts August 18th Fee: $55

There will be a $5 late fee for signing up after the program starts. Times: 4:00-6:00 p.m. Do Not be Late Where: Bonwood Bowl—2500 South Main Street

Recreation Bowling Practice your bowling skills while socializing with friends. The session lasts 8 weeks held on Tuesdays. Each week includes up to two games and shoes. Who: Individuals 8 years and older with cognitive disabilities who can function in a 1 staff to 10 participant ratio. Participant can bring someone to assist them. When: Session 2 starts March 22nd Fee: $55 Session 3 starts May 31st Fee: $55 Session 4 starts August 16th Fee: $55

There will be a $5 late fee for signing up after the program starts. Times: 3:30-5:30 p.m. Do Not be Late Where: Bonwood Bowl— 2500 South Main Street

Sports

Adult Wheelchair Softball

Come join the Adult Wheelchair Softball League. Please register at Gene Fullmer Rec. Center.

Who: For adults who are independent in their wheel chair. Ages 18 and up

When: Wednesdays, April 16 thru October 15, 2011

Time: Field is available from 5:30-8:30. Whoever

comes, divide into teams and play!

Where: Gene Fullmer Rec. Center

8015 South 2200 West Phone: 801-563-8440

Cost: Free

Miracle League

There are no outs, every player runs the bases and everyone wins each game!

Every player has a “Buddy” to hit and field with. Please reg-ister at Gene Fullmer Rec. Center.

Who: Children ages 3-22 with mild to severe mental and/or physical disabilities

When: Saturdays, April 9 thru May 21 No games Memorial Weekend AND September 10-October 15

Where: Gene Fullmer Rec. Center

8015 South 2200 West Phone: 801-563-8440

Cost: $15 individual

Deadline: March 12, 2011

Includes: 6 games per season (12

games total), jersey, hat, trophy

Maximum of 12 players on each team

Each player is safe on base

Every player bats each inning

Volunteers and parents serve as “buddies” for players

Each team and play-er wins every game

Volunteers wanted Coaches & Umpires

“Buddies” for kids

Wheelchair Sports

Adult Wheelchair Basketball

Who: Individuals in wheelchairs Beginner to Advanced skill levels. For ages 16 and up. When: Tuesday Evenings Summer Session registrations start in May 2011.

Where: Copperview Recreation Center 8446 S. Harrison St. in Midvale

Time: 7:00-9:00 p.m.

Cost: $20 for 8 week session or $3.50 for daily drop in

Power Soccer Who: For individuals ages 5 and up that utilizes a power chair Where: Sorenson Multi Cultural center 855 West California Ave. When: Tuesday’s Starting March 1, 2011 Time: 6:oo-8:00 p.m. Cost: $20 for 8 week session

Sports/Classes

Saturday Socials

This is a social club that allows adults with mild to moderate

disabilities to experience socialization and recreation in an age-

appropriate environment with their peers. Individuals will have the

opportunity to participate in a wide variety of monthly programs and

community integration activities such as dances, sports, athletic

activities, art, theatre and museum trips, also volunteer opportunities

and more.

When: March 12, 26 June 11, 25

April 16, 30 July 9, 30

May 14, 21 August 13, 27

Where: Meet at Copperview Recreation Center 8446 S. Harrison St.

The group goes together on each outing

Cost: $80 a Session: April—June & July—September

$30 Monthly

Questions please call Copperview Rec. Center: 801-559-1500

Adult Day Program A structured day recreation program for adults with mild to moderate disabilities. Activities include fitness, computers, outings, leisure education, planning, games, socialization, FUN and more! Participants bring their own lunch each day. No personal care provided. Fees must be pre-paid for participation.

When: Monday thru Friday except major holidays.

Time: 11:00 a.m.– 3:00 p.m.


Cost: $13 per day $130 per month (Monday, Wednesday, Friday) $230 per month (5 days a week)

Socialization Programs

Saturday Night Dance A live DJ spins popular favorites at our bi-monthly dances for individuals with disabilities ages 16 years and older.

When: Saturday evenings: March 5, 19 June 4, 18 April 9, 23 August 20 (Luau) May 7 (Cinco de Mayo) May 21

Time: 6:00 pm – 9:00 pm Doors open at 6:00 pm

Where: Copperview Recreation Center, 8446 S. Harrison St.

Cost: $5.00 paid at the door, $3 dollars is admittance to the dance and $2 goes toward playing the Wii, mini golf, karaoke or food at the “Café on the Green”. **Support Staff/Chaperones : FREE entrance to the dance

Wheelchair Sports

Beginner Wheelchair Basketball

Who: For boys and girls ages 5 and up who are independently mobile in their wheelchair.

When: Saturdays TBA

Time: 1:00-3:00 p.m.

Where: Sorenson Multi Cultural Center

855 West California Ave. Phone: 385-468-1300

Cost: $20 for 8 weeks $3.50 for daily drop in

Youth Wheelchair Basketball Who: Individuals who are independent in their wheelchairs.

When: Wednesday Evenings Session 4 Mar. 2– Apr. 20

Time: 6:00-8:00 p.m.

Where: Sorenson Multi Cultural Center 855 West California Ave. Phone: 385-468-1300

Cost: $20 for 8 weeks $3.50 for daily drop in

2012 Spring Adaptive Program

Documents

Transcript of 2012 Spring Adaptive Program