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trp
TR Office
Sports Office
(in Memorial Park)
1315 E. Pikes Peak Ave.
Colorado Springs, CO 80909
CONTACT NUMBERS
TR Cell for Trips
(719) 651-7704
Sports Office Front Desk
(719) 385-5981
Fax
(719) 385-6013
TR STAFF
Felicia Barnhart, CTRS
Program Coordinator
(719) 385-6964
fbarnhart@springsgov.com
Sarah Braun, CTRS
Program Coordinator
(719) 385-6855
sbraun@springsgov.com
Allen Beauchamp
Adaptive Cycling Specialist
(719) 385-6855
abeauchamp@springsgov.com
Jacki Mueller
Recreation Assistant
(719) 385-6964
jmueller1@springsgov.com
Diane Ridderhoff, CTRS
Program Supervisor
(719) 385-6958
dridderhoff@springsgov.com
Hallie Worthington
Winter/Spring Intern
Georgia Southern University
Watch the TRP
Video HERE
www.coloradosprings.gov/tr
Therapeutic Recreation Program
Winter/Spring 2015
ARTS & CULTURE
MIXED EMOTIONS DANCE TROUPE
Learn and practice dance steps and creative
movement to many types of music! Increase
self-confidence and poise by performing in public
as a member of the Mixed Emotions Dance Troupe.
Colorado Springs Senior Center
1514 N. Hancock Avenue
Tuesdays/Thursdays; Jan. 6-May 7
3:30-4:30 p.m.; #5771
Limit: 12 (max.), 10 (min.)
Fee: $120
Notes: There is no class on Tuesday, March 3, due
to schedule conflict. The Mixed Emotions Dance
Troupe will conduct its annual Spring Performance
on Thursday, May 7, at 7:00 p.m. at the Colorado
Springs Senior Center. Please note there will be no
practice on that date.
HEALTHY COOKING
This cooking class is sure to be an adventure for
your senses. Learn to prepare fun, nutritious meals
and snacks. This class will teach you the basics of
making any meal healthy while introducing you to
new ingredients. Healthy can taste fabulous!
Class meets the first and second Thursday of
the month (except January).
Hillside Community Center, 925 S. Institute
Thursdays; Jan. 8, 15; Feb. 5, 12; March 5, 12,
9:30-11:30 a.m.; #5772
Limit: 10 (max.), 8 (min.)
Fee: $60
DRAMA 101 SERIES
Are you interested in learning the basics of drama?
Join this 6 week class to learn the basic drama
components to include vocal techniques,
atmosphere, and expression of emotions.
Information will be presented in lecture and
interactive exercises with participants given the
chance to prepare and present lines to peers and
family members at the end of the series.
Colorado Springs Senior Center
1514 N. Hancock Avenue
Mondays; Feb. 23-March 30
3:00-4:00 p.m.; #5773
Limit: 12 (max.), 10 (min.)
Fee: $25
NEW!
DRUMMING CIRCLE
Drums Alive ® is unique and different from every
other workout you’ve tried before; it captures the
essence of movement, rhythm and combines it
with fun and delivers results. The class joins the
dynamic movements of aerobic dance with the
pulsating rhythms of the drum. This program is
designed to give the mind and body instant
feedback through continuous movement and
rhythmical flow. Come grab some drumsticks and
an exercise ball as we drum for some fun in Drums
Alive ®.
Colorado Springs Senior Center
1514 N. Hancock Avenue
Thursdays; April 30; May 7, 14, 21
2:00-3:00 p.m.; #5774
Limit: 10 (max.), 8 (min.)
Fee: $20
SOCIAL ENRICHMENT
OUT ON THE TOWN DANCES
(Ages 16 and older)
Come and socialize with old friends and new while you dance the night away to a new theme
each month. Dressing to the theme is encouraged, but not required. Sign up for one or all!
Please do not arrive before 6:30 p.m.
Colorado Springs Senior Center, 1514 N. Hancock Ave.
7:00-9:00 p.m.
Jan. 16:
Masquerade Party; #5775
Feb. 20:
Pink Flamingo Party; #5776
March 20: Shaking Shamrock Shuffle; #5777
April 17:
Crazy Socks Hop; #5778
May 15:
Flip Flop Fling; #5779
Limit: 100 (max.), 80 (min.)
Fee: $5/night
COMMUNITY INTEGRATION / LEISURE EDUCATION
NEW!
SAFE AND STRONG
C.O.S. CLUB
Providing empowering, real-life strategies for personal safety,
Creating Opportunities for Service
The C.O.S Club is all about coming together to help people in
need and having fun while doing it! Whether it is packaging a
meal, cleaning a park, or covering up graffiti we will get the job
done. Club meets first two Fridays of the month except
for January.
Colorado Springs Senior Center, 1514 N. Hancock Avenue
Fridays; Jan 9; Feb 6, 13; March 6, 13; April 3, 10; May 1, 8
1:30-4:00 p.m.; #5780
Limit: 10 (max.), 8 (min.)
Fee: $74
Safe and Strong can help reduce crime and victimization against
people with developmental disabilities. Students have fun while
experiencing the multi-level media workshop featuring class
discussion and role-playing. We learn to recognize safe and
unsafe situations, safe behavioral strategies and emergency
responses to a variety of dangerous situations. Class topics will
include safety in the community, what to do when you are home
alone, and encounters with law enforcement. Class sessions will
be presented by the of Safe and Strong team founder, Irene
Lucas.
Colorado Springs Senior Center, 1514 N. Hancock Ave.
Tuesdays/Thursdays; March 31- April 23
1:30-3:00 p.m.; #5781
Limit: 12 (max.) 8 (min.)
Fee: $25
Note: Parents and caregivers are encouraged to stay, learn the
strategies presented in class, and rehearse and role play at home.
DAYTIME JAUNTS
for Adults Ages 18 and older
Online registration is not available for trips; mail-in or drop-off only!
All trips depart from the Colorado Springs Senior Center, 1514 N. Hancock Ave. unless noted.
All trips are limited to four wheelchairs.
TUBING AT FRISCO ADVENTURE PARK
Join us at Frisco Adventure Park where adults can be kids again!
The hill features lengthy 1200-foot tubing lanes with lift service
up the hill. Enjoy one hour of tubing fun with lunch on site. A
separate liability waiver will be required to participate.
Tuesday, January 13; #5782
Limit: 12 (max.), 10 (min.)
Fee: $45
Notes: This jaunt is from 7:30 a.m.-4:00 p.m. Please dress warm
with hat, gloves, heavy jacket, and waterproof footwear. Bring a
sack lunch and beverage.
DENVER ART MUSEUM
Come with us to see one of the largest art museums between the
West Coast and Chicago. The Denver Art Museum is known for
its collection of American Indian art and more than 68,000 pieces
from across the world.
Tuesday, March 17; #5783
Limit: 12 (max.), 10 (min.)
Fee: $28
HISTORY OF COLORADO CENTER
Take a tour designed to ignite imaginations of all ages about
Colorado history. Come with us to create an experience you won’t
forget!
Tuesday, April 14; #5784
Limit: 12 (max.), 8 (min.)
Fee: $26
Notes: This jaunt is from 10:00 a.m.-4:15 p.m. Please bring money
for lunch prior to the tour.
HUDSON GARDENS
The Hudson Gardens has 30 acres of botanical gardens located
along the bank of the South Platte River. Join us as we
admire the wide variety of plants in beautiful Colorado.
Tuesday, May 19; #5785
Limit: 12 (max), 8 (min)
Fee: $20
Notes: This jaunt is from 8:30 p.m.-3:00 p.m. Please wear
appropriate footwear for walking. Bring money for lunch at a
restaurant in Denver.
Notes: This jaunt is from 8:30 a.m.-3:15 p.m. Please wear
appropriate footwear for walking. Bring money for lunch at a
restaurant in Denver as well as money for the gift shop if desired.
Winter/Spring registration begins Monday, December 8, 2014
OUTDOOR ADVENTURES
All trips depart from the Colorado Springs Senior Center, 1514 N. Hancock Ave. unless noted.
CROSS-COUNTRY
SKIING/SNOW-SHOEING
Picture yourself silently gliding on a
cross-country trail or creating the first set
of snowshoe tracks in fresh powder as you
trek through the peaceful woods of the
Frisco Nordic Center in the mountains near
Breckenridge. Breckenridge Outdoor
Education Center (BOEC) instructors will
be on hand to assist participants at all
levels of ability.
Tuesday, Jan. 27; #5786
Limit: 8 (max.), 6 (min.)
Fee: $68
Notes: This trip is from 7:00 a.m.-6:00 p.m.
Bring a sack lunch. This is a
strenuous activity and is only
recommended for individuals that are in
good physical condition. BOEC forms will
be available upon registration.
DOWNHILL SKIING
(SITTING OR STANDING)
Ages 12 and older
Experience the hills and thrills of downhill
skiing on the slopes of Summit County!
The nationally recognized Breckenridge
Outdoor Education Center (BOEC)
provides individualized instruction
targeted to all levels and abilities.
Their trained personnel and adapted
equipment make this a special experience.
Tuesday, Feb. 10 - For veterans and
persons with physical disabilities; #5787
Tuesday, Feb. 17 - For individuals with
developmental/intellectual disabilities;
#5788
Limit: 8 (max.), 6 (min.)
Fee: $88
DOG-SLEDDING
Always a popular trip, this exciting
one-hour tour is designed to give each
person the opportunity to ride on a
dogsled and on a sleigh pulled by a
snowmobile.
Tuesday, March 3; #5789
Limit: 16 (max.), 13 (min.)
Fee: $48
Notes: This trip is from 7:30 a.m.-5:30 p.m.
Bring money for lunch at a Breckenridge
restaurant. Participants must have the
ability to sit and hold on independently.
Please dress warmly as the activity takes
place at an elevation between
9,000-10,000 feet. A liability release form
must be signed prior to the activity.
Notes: This trip is from 7:00 a.m.-6:00 p.m.
Bring a sack lunch. BOEC forms will be
available upon registration.
SPORTS, FITNESS & AQUATICS
FOR ADULTS WITH DEVELOPMENTAL DISABILITIES
YOGA
Join us for an integrative approach to
wellness while enjoying movement,
physical stimulation, and awareness
relaxation techniques. Class will focus
on introductory yoga poses, total body
stretches, relaxation, and aromatherapy
elements. This class will be offered at
two different locations.
Wednesdays; 4:15-5:00 p.m.
Session 1: Jan. 21-Feb. 25; #5790
Colorado Springs Senior Center
1514 N. Hancock Ave.
Session 2: March 4-April 8; #5791
Cottonwood Creek Recreation
Center, 3920 Dublin Blvd.
Limit: 10 (max.), 8 (min.)
Fee: $25/session
Notes: Sessions are six week series;
please plan to attend each class. Wear
comfortable workout clothes and bring a
water bottle. Exercise mats are provided
or you may bring your own.
RUN TO THE SHRINE
TRAINING & EVENT
Have you ever participated in a 5K? Join
the TRP as we train for the “Run to the
Shrine 5K” at the Cheyenne Mountain Zoo.
Runners and walkers alike will witness
some of the most stunning mountain
scenery and be able to walk in areas normally closed off to pedestrians. Although
you don’t have to be a world class athlete to participate, keep in mind that the
course is an 8.5% grade increase and 1,300
foot elevation gain. We will work on Hill
Training during our training sessions, both
inside and outside, to get ready for the
race. All proceeds for the event benefit
the Cheyenne Mountain Zoo.
Cottonwood Creek Recreation Center,
3920 Dublin Blvd.
Mondays; April 6- May 11;
Race event on Saturday, May 16.
3:00-4:00 p.m.; #5792
Limit: 12 (max.), 10 (min.)
Fee: $65( includes registration fee for the 5k
and race T-shirt)
FITNESS FRENZY!
Join the TRP staff as we experience a
variety of fitness activities and have fun
getting into shape! Class will include
activities such as kickboxing, step aerobics,
tai chi, dance fitness Zumba, hula hoop
fitness and so much more. You will not
want to miss out on the fun!
Colorado Springs Senior Center
1514 N Hancock Ave
Thursdays; Feb 5- March 26
2:00-3:00 p.m.; #5793
Limit: 12 (max.), 10 (min.)
Fee: $25
See next page
for
BRAND NEW
Snorkeling
Class!
SPORTS, FITNESS & AQUATICS
FOR ADULTS WITH PHYSICAL DISABILITIES
Classes in this and the Paralympic Sport section are specifically designed for individuals with physical disabilities,
e.g., stroke, spinal cord injury, multiple sclerosis, brain injury, etc.
AQUA-REHAB
proudly sponsored by BJ’s Velvet Freez
check out their website at www.bjsvelvetfreez.com
Challenge yourself to a stretching and strengthening water
workout three times a week at Memorial Park Pool. Activities will
be geared to gradually improve stamina, increase flexibility, and
strengthen muscles. The class will be adapted to the ability level
of the participants, including opportunities for water walking and
deeper-water aerobic workouts.
Memorial Park Swimming Pool, 280 S. Union Blvd.
Mondays/Wednesdays/Fridays; 10:00-11:00 a.m.
Jan. 5-30; #5796
Feb. 2-27; #5797
March 2-27; #5798
March 30-April 24; #5799
April 27-May 22; #5800
Limit: 15 (max.), 12 (min.)
Fee: $40/session
YOGA
Join us for an integrative approach to wellness while enjoying
movement, physical stimulation, and awareness relaxation
techniques. Class will focus on introductory yoga poses, total
body stretches, relaxation, and aromatherapy elements. Exercise
can be performed sitting, standing, in a wheelchair, or on the
floor. Staff assistance for transferring is available, if desired.
This class will be offered at two different locations.
Wednesdays; 3:15-4:00 p.m.
Session 1: Jan 21-Feb 25; #5801
Colorado Springs Senior Center
1514 N. Hancock Ave.
Session 2: March 4-April 8; #5802
Cottonwood Creek Recreation Center
3920 Dublin Blvd.
Limit: 10 (max.), 8 (min.)
Fee: $25
Notes: This session consists of a six week series. Please plan to
attend each class. Wear comfortable workout clothes and bring
a water bottle. Exercise mats are provided or you may bring your
own.
Notes: Participants must have a current year
physician prescription. No program on January 19
and February 16 due to holidays.
NEW CLASSES TO TRY
Don’t delay - Register early!
FOR ADULTS WITH
DEVELOPMENTAL DISABILITIES
FOR ADULTS WITH
PHYSICAL DISABILITIES
NEW!
SNORKELING
NEW!
INTRO TO SCUBA
Snorkeling is a great way to see amazing things while having the
Have you ever wondered what it is like to breathe under water?
comfort of the surface with you at all times. Whether you’ve never
been before and you want to learn the proper way to snorkel,
or you’ve been a number of times and you want to learn how to
dive with your snorkel, join us at Underwater Connection for this
small group lesson designed for individuals with developmental/
intellectual disabilities. Sign up for one or two dates; please
note the same material will be covered on both dates.
Meet at Underwater Connection, 4940 Rusina Road
Wednesday, April 29; 1:00-2:00 p.m.; #5794
Wednesday, May 6; 1:00-2:00 p.m.; #5795
Limit: 8 (max.), 6 (min.)
Fees: $5; bring $20 on day of activity to be paid
directly to Underwater Connection
Note: Please note that additional
Underwater Connections paperwork
will be provided after registration.
Join us for this introductory SCUBA session with Underwater
Connection designed for individuals with physical disabilities.
Sign up for one or two dates; please note the same material
will be covered both dates.
Meet at Underwater Connection, 4940 Rusina Road
Wednesday, April 29; 2:30-4:00 p.m.; #5803
Wednesday, May 6; 2:30-4:00 p.m.; #5804
Limit: 4 (max.), 2 (min.)
Fees: $5; bring $20 on day of activity to be paid directly to
Underwater Connection
Notes: Additional Underwater Connections paperwork will be
provided after registration. A Medical Questionnaire and
Medical Release must be signed by a physician prior to getting
into the water.
Winter/Spring registration begins Monday, December 8, 2014
SPORTS, FITNESS & AQUATICS
BOCCIA
FOR ADULTS WITH PHYSICAL DISABILITIES CONTINUED
This specialized sport of dedication and
precision is open to youth and adults
ages 6 and older with cerebral palsy, brain
injury, muscular dystrophy, stroke and
multiple sclerosis. There will be
opportunity for match play and in-house
competition. Due to popular demand, two
sessions will be offered. Sign up for one or
both sessions!
Colorado Springs Senior Center
1514 N. Hancock Avenue
Tuesdays; 3:30-4:30 p.m.
Session 1: Jan. 20-March 17; #5805
Session 2: March 24-May 12; #5806
Limit: 6 (max.), 4 (min.)
Fee: $36
Note: No class on March 3 due to schedule
conflict.
BOCCIA TOURNAMENT
Interested in more boccia competitions?
Join us for the second Colorado Front
Range Boccia Tournament to be held in
Fort Collins! The tournament will
provide an opportunity for participants to
compete against individuals from other
Paralympic Sport Clubs along the Front
Range. The tournament is open to youth
and adults ages 6 and older with cerebral
palsy, brain injury, muscular dystrophy,
stroke and multiple sclerosis. More details
to come!
ADAPTIVE CYCLING RIDES
Incentive for Cycling
Participate in ten rides in 2015/2016
and you will earn
an exclusive cycling shirt from the TRP!
The TR Program is again partnering with
local bike specialist, Cycle Different ANGLETECH to host weekend cycling rides
on the area bike trail system for
individuals with a physical disability.
Please bring your own cycle if you have
one. If you need a bike, Cycle Different
- ANGLETECH will have cycles available
for sign-out prior to each date, including
recumbent trikes, handcycles, and upright
bikes. Pre-registration is required for each
single ride date below. Beginner or veteran
riders are welcome!
1483 Garden of the Gods Rd.
Saturdays; 1:00-3:30 p.m.
April 4; #5807
April 18; #5808
Saturdays; 9:00 a.m.-1:00 p.m.
May 2; #5809
May 16; #5810
May 30; #5811
Limit: 12 (max.), 9 (min.)
Fee: $ 9/date
WHEELCHAIR BASKETBALL
Interested in learning to play wheelchair
basketball? Join us this season on select
dates for wheelchair basketball skills
sessions. Sessions are open to youth and
adults with a physical disability ages 10
and older who are able to move independently in a wheelchair; you do not have to
be a wheelchair user to participate.
Panorama Middle School
2145 S. Chelton Rd.
Mondays; 6:30-7:30 p.m.
March 2 & 16; Apr. 6 & 20;
May 4 & 18; #5812
Limit: 8 (max.), 4 (min.)
Fee: $25
Note: A limited number of sport chairs
are available; if you have your own chair,
please bring it with you.
INDOOR SHOOTING
This program will introduce participants
to the competitive sport of shooting at
the indoor range of the Olympic Training
Center. Participants will learn the basics of
air rifle and air pistol use, proper
shooting form, scoring, and opportunities
for in-house competitions. Coaches from
USA Shooting and the National Training
Center Shooting Club will be on hand to
provide instruction. Equipment will be
provided.
Olympic Training Center Shooting Range
(lower range), 1 Olympic Plaza
Wednesdays; March 4-25
7:00-9:00 p.m.; #5813
Limit: 8 (max.), 6 (min.)
Fee: $75
Note: Fee includes a one-year
membership to USA Shooting and the
National Training Center Shooting Club.
SWIMMING
Paralympic Sport Club Colorado Springs
and the YMCA have teamed up to provide
this unique opportunity for introductory
lessons for aspiring swimmers ages 5 and
older. This program is a “learn to swim”
series, and designed for individuals to
learn basic swimming and floating skills.
Memorial Park Swimming Pool
Mondays & Wednesdays; Jan. 5-Feb. 11
4:30-5:30 p.m. #5814
Limit: 6 (max.), 4 (min.)
Fee: $90
Note: Participants are responsible for
bringing their own swim attire and towel
to the center. No program Jan. 19 due to
Martin Luther King holiday.
GOALBALL CLINIC
Join us for an introductory session to
the sport of goalball, a Paralympic sport
played by athletes who are blind and
visually impaired! This is a fast paced,
physically challenging, strategic, and
exciting game.
Location TBD
Wednesday; Apr. 22
9:00 a.m.-12:00 p.m.; #5815
Limit: 18 (max.), 6 (min.)
Fee: $5
Note: Wear comfortable workout clothes
and tennis shoes. Equipment and
protective padding will be provided.
THERAPEUTIC RECREATION PROGRAM POLICIES
It is the goal of the Therapeutic Recreation Program to provide
a positive, safe, and fun recreation experience for all individuals.
To provide you with the best possible experience, we have developed the following policies:
1
Appropriate social behavior is stressed during all programs. The staff and volunteers will do their best to ensure each
participant’s success in the programs. If a participant’s behavior is detrimental to the group or self (kicking, biting, hitting,
self-abusing, refusal to stay with the group, etc.), a parent or guardian will be called to pick up the participant immediately.
Please call the TR Office if you have any questions.
2
3
4
Please note specific trip arrival and departure times. All trips will wait a maximum of 15 minutes before departing.
Upon return, all participants must be picked up within 15 minutes. If you know you will be late, call the cell phone at 651-7704.
Please be considerate of the group.
Note that each program activity has a list of maximum and minimum numbers for enrollment. If the maximum numbers have been
reached, a wait list will be initiated and those individuals will be contacted when there is an opening.
If the minimum numbers are not reached, the class will be canceled.
Because we attempt to accommodate as many people as possible, if you cannot participate in a scheduled program,
please call to cancel as soon as possible so we can contact the participants on the wait list. Your consideration is appreciated.
REGISTRATION INFORMATION
HOW TO REGISTER
1. Complete the information for each class on the Therapeutic Recreation
Program Participant Information/Registration Form.
2. We’re GREEN! Please provide an email address, so we can send your
receipt to you!
WHERE TO REGISTER
Mail your registration form to or register in-person at:
Sports Office
Therapeutic Recreation Program
1315 East Pikes Peak Avenue
Colorado Springs, CO 80909
I. WHEN TO REGISTER - MAIL-IN/DROP-OFF/FAX
Monday, December 8, 2014; 8:00 a.m.-5:00 p.m.
All mail-in and drop-off registrations will be placed in a box.
At the end of each day, registrations will be randomly drawn until the
classes are filled or all registrations are drawn.
A receipt will be sent to you in the mail to confirm your enrollment in the
class.
SAVE TIME
REGISTER ONLINE!
How to Register Online
Never registered online before? It’s easy!
1. Go to www.coloradosprings.gov/tr
2. Click the blue button - REGISTER HERE
3. Click on MY ACCOUNT
4. Enter (LOGIN and PASSWORD)
5. Click on REGISTER FOR ACTIVITIES- Sort by
location, activity category, Activity name…
6. Select the ACTIVITY #, then click ADD TO MY
CART
7. In the drop down box, select the participant
who will be taking the class.
8. When finished click CONTINUE.
9. Follow the steps for payment. VISA, MC,
American Express, or Discover accepted.
Be sure to complete your order and click
CONTINUE.
10. Print receipt or go green!
II. PAYMENT
To reserve a spot in the program, one-half of each class fee must
accompany the registration form. Payment-in-full must be made
by the first day of class. Make checks payable to Recreation Services.
REFUND POLICY
A refund or credit for classes/activities will not be issued once registration has
occurred. If withdrawal from the class/activity is for a medical reason or due
to a move from the Pikes Peak region, a pro-rated credit or refund will be
issued from the start date up to the mid-point of the class/activity. No refund
or credit will be issued after 50% of the class/activity has been completed.
A full refund or credit will be issued if Parks, Recreation & Cultural Services
cancels a class/activity. When requesting a refund, please specify refund
check or credit to your account. Allow 2 weeks for a refund check.
ADJUSTED FEES
Payment Plans and Adjusted Fees are available.
Adjusted Fees are available for classes exceeding
a registration cost of $25. Trip fees do not qualify.
Please contact the Therapeutic Recreation Program
Supervisor for additional information.
CANCELLATIONS
If a class is canceled due to lack of registration, you
will be notified and may choose to:
• enroll in another activity
• obtain credit toward other activities
• receive a full refund
TRP REGISTRATION FORM
Participant Name:Age:
Birthdate:Gender: mMale mFemale
Address:City:
Other Phone:
Zip:
Primary Phone:
Email:
Active Military:
Veteran:Disability:
Parent/Guardian Name:
Type of Living Situation (choose one): mFamily
mIndependent Living mGroup Home mSupervised Apt.
mOther
Emergency Contact/Relationship:Phone:
Does participant need supervision/assistance with taking medications? mYes mNo
List Medications:
Diet Restrictions (list):
Check those that apply: mAsthma
mDiabetes mTube Feeding mAllergies (type:) Epi Pen required: mYes mNo
Is the participant subject to seizures? mYes mNoType:Frequency:
Doctor’s Name:Phone:
Assistive equipment and/or physical restrictions:
Other pertinent information in regards to safety and behavioral concerns:
Other information that may enhance the quality and safety of recreation participation:
a
Activity Name
#
Fee
a
Activity Name
#
Fee
Tubing at Frisco Adventure Park
5782
$45
Denver Art Museum
5783
$28
DAYTIME JAUNTS
ARTS & CULTURE
a
Activity Name
#
Fee
SPORTS, FITNESS, AQUATICS
PHYSICAL
Mixed Emotions Dance
Troupe
5771
$120
Aqua-Rehab: Jan. 5-30
5796
$40
Healthy Cooking
5772
$60
History of Colorado Center
5784
$26
Aqua-Rehab: Feb. 2-27
5797
$40
Hudson Gardens
5785
$20
Aqua-Rehab: Mar. 2-27
5798
$40
Aqua-Rehab: Mar. 30-April 24
5799
$40
Aqua-Rehab: April 27-May22
5800
$40
Yoga: Jan. 21-Feb. 25
5801
$25
Yoga: March 4-April 8
5802
$25
Intro to Scuba: April 29
5803
$5
Intro to Scuba: May 6
5804
$5
Boccia: Jan. 20-Mar. 17
5805
$36
Boccia: Mar. 24-May 12
5806
$36
Adaptive Cycling: April 4
5807
$9
Adaptive Cycling: April 18
5808
$9
Adaptive Cycling: May 2
5809
$9
Adaptive Cycling: May 16
5810
$9
Adaptive Cycling: May 30
5811
$9
Wheelchair Basketball
5812
$25
Drama 101 Series
5773
$25
Drumming Circle
5774
$20
SOCIAL ENRICHMENT
Out on Town Dance: Jan. 16
5775
$5
Out on Town Dance: Feb. 20
5776
$5
Out on Town Dance: Mar. 20
5777
$5
Out on Town Dance: April 17
5778
Out on Town Dance: May 15
5779
5780
Safe and Strong
5781
XC Skiing/Snow-Shoeing
5786
$68
Downhill Skiing (Sit or Stand)
for physical disabilities
5787
$88
5788
$88
$5
Downhill Skiing (Sit or Stand)
for developmental/intellectual
disabilities
$5
Dog-Sledding
5789
$48
COMMUNITY INTEGRATION
COS Club
OUTDOOR ADVENTURES
$74
$25
SPORTS, FITNESS, AQUATICS
DEVELOPMENTAL
Yoga: Jan. 21-Feb. 25
5790
$25
Yoga: Mar. 4-April 8
5791
$25
Run to the Shrine
(Training & Event)
5792
$65
Fitness Frenzy
5793
$25
Indoor Shooting
5813
$75
Snorkeling: April 29
5794
$5
Swimming
5814
$90
Snorkeling: May 6
5795
$5
Goalball Clinic
5815
$5
m Yes m No I hereby consent to the use of yourself/your child’s image by the City of Colorado Springs and/or their agents, and consent to the use of
these images singularly or in conjunction with other photographs, video recordings, social media outlets for Parks, Recreation and
Cultural Services marketing purposes without any compensation.
m Yes m No Registrant has authorization to ride the PR&CS buses for TR field trips.
m Yes m No
CONSENT TO CONTACT AND RELEASE INFORMATION: I grant permission to the TRP contact school, teacher, physician, employer
and/or provider for the purpose of gathering or releasing information regarding the participant. The information will be used to implement the most effective plan in providing therapeutic recreation and inclusion services. All information will be kept confidential.
CONTINUE WITH REGISTRATION FORM ON REVERSE SIDE
CONTINUATION OF REGISTRATION FORM
WAIVER OF LIABILITY AND RELEASE OF ALL CLAIMS: Please read this form carefully and be aware in registering yourself or your minor
child/ward for participation in the City of Colorado Springs Therapeutic Recreation Program, you will be waiving and releasing all claims for injuries you or
your minor child/ ward might sustain arising out of said program(s). I recognize and acknowledge that there are certain risks of physical injury to
participants in a program, and I agree to assume the full risk of any injuries, damages or loss regardless of severity which I or my minor child/ward may
sustain as a result of participating in any and all activities connected with or associated with such program. I agree to waive and relinquish all claims I or
my child/ward may have as a result of participating in the program against the City of Colorado Springs Therapeutic Recreation Program and its officers,
agents, servants and employees. I do hereby fully release and discharge the City of Colorado Springs Therapeutic Recreation Program and its officers,
agents, servants, and employees from any and all claims from injuries, damage, or loss which I or my minor child/ward 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 the activities of the program. I further agree to indemnify and
hold harmless and defend the City of Colorado Springs Therapeutic Recreation Program and its officers, agents, servants, and employees from any and all
claims resulting from injuries, damages, and losses sustained by me or my minor child/ward arising out of, connected with, or in any way associated with
the activities of the program. In the event of any emergency, I authorize the City of Colorado Springs Therapeutic Recreation Program to secure from any
licensed hospital, physician, and/or medical personnel any treatment deemed necessary for me or my minor child/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 Program Details, Waiver and Release of All
Claims and Permission to Secure Treatment.
PLEASE SIGN. EACH REGISTRATION FORM MUST BE SIGNED.
Participant/Parent/Guardian:Date:
TRP wants to take an opportunity to acknowledge and thank
a great group of people who gave time and energy to programs in 2014.
Cheers to TRP Volunteer Honor Roll!
Don Allred
Jan Altman
Gary Archuleta
Cris Barnhart
Greg (Bear) Aten
Al Brody
Jay Burns
Bev Carver
Luke Cammack
Kelly Casebere
Mark Clauss
Charleen Colvin
Geri Cook
Gary Dean
Joe Doyle
Eydie Elkins
Jeanne Gizzi
ADULT VOLUNTEERS
Lamont Gizzi
Alma Grandpre’
Rylan Grandpre’
Deb Hemmann
Susan Hirst
Larry Judy
Gail Labosky
Caroline Lamz
Corey Lamz
Larry Lamz
Franki Lang
Jim Lathrop
Linda Love
Mary Ann Luers
Gerardo Medrano
Jania Meinzer
Jenica Miller
Jimmy Osborne
Hannah Pelican
Wayne ProvinVictor
Rameros
Pat Reeves
Alisa Rendon
Dan Ridderhoff
Jake Ridderhoff
Jeff Ringling
Ken Ringling
Joni Stephens
Alan Severn
Mike Smith
Terry Smith
Sherry Somers
Lynn Stringham
TRP Interns
Heather Kohl
Emily Krug
Lauren Lee
Youth
Volunteers
Jennifer Alafat
Jessica DeRemer
Mary Egan
Josie Farmer
Hannah Popa
Caleb Robinson
Kymberlee Robinson
Trent Ward