Town of Vernon Parks & Recreation Activity Guide New Deadline: December 30, 2014 Children’s Canvass Painting Deadline: December 19 NEW OFFERINGS: *Cards, Gab & Games * Hunter Safety * Conceal & Carry * *Snowmobile Safety * Poms * Pre-Ballet Princesses * * My Parent & Me * Volleyball * Adult CPR * Book Club * * Menu Planning * Canvas Painting * Andy Hoppe - Recreation Director Susie Feuerstein- Recreation Assistant W249 S8910 Center Drive Big Bend, WI. 53103-0309 Phone: 262-662-4451 E-mail: recreation@townofvernon.org Website: www.townofvernon.org Adult/Senior Activities Canvas Painting Young at Heart (Seniors) 10:00am-12:00pm 3rd Wednesday – Jan 21, Feb 18, Mar 18 Vernon Activity Center Let your inner artist out! You will be provided with an 11x14 canvas. All paint supplies will be provided. You will be given minimal instruction on different strokes, brushes, etc. The amount of creativity is up to you! Cards, Gab & Games Mondays 10:00am-12:00pm November 3-March 30 Big Bend Lions Clubhouse Enjoy playing cards? Try your hand with us. Cards aren’t your thing? Gather some friends for Games (Dominos, Mahjong, etc.) Coffee provided. Contact the recreation department to be added to the list. No registration or fee Menu Planning Saturday, Jan 17th 9:00am to 12:00pm Vernon Activity Center $25/participant/class Non-Resident $37/participant/class (Please indicate date(s) you are signing up for on registration form) Canvas Painting (Adults) 7:00pm-9:00pm 4 Wednesday, Jan 28, Feb 25, Mar 25 Vernon Activity Center th Let your inner artist out! You will be provided with an 11x14 canvass to paint. All supplies will be provided. You will be given minimal instruction on different strokes, brushes, etc. The amount of instruction is up to you! $25/participant Non-Resident $37/participant/class (Please indicate date(s) you are signing up for on registration form) Book Club Are you tired of always trying to think of an answer to the big question of the day, “What’s for dinner?” This one day workshop on menu planning was designed for you! Learn how to create a menu plan tailored to your family, create your own personal grocery list and learn how to successfully use it. Learn cost saving tips on your grocery bill and how to involve your family with dinner time prep. (All menu board supplies provided.) January-March 2nd Monday of month 10:00am-12:00pm (Jan 12, Feb 9, Mar 9) or st 1 Tuesday of month 7:00pm-9:00pm (Jan 6, Feb 3, Mar 3) Big Bend Library $30/participant Non-Resident $42/participant Come with a book you have read to share with the group. Leave with a book recommended by a member or choose a different book. Contact the recreation department to be added to the list. No registration or fee Adult CPR January 14 - 6:30 p.m. or March 11 – 6:30 p.m. Vernon Fire Station #1 $25/participant Non-resident $37/participant (Please indicate date(s) you are signing up for on registration form) Safety Hunter Safety $10 Vernon Town Hall Snowmobile Safety $10 Vernon Town Hall Conceal &Carry $50 February 4th at 6:00 p.m. Vernon Town Hall *PLEASE BE SURE YOU ARE ON OUR MAILING LIST AS WE WILL BE EMAILING THE DATES/TIMES/LOCATIONS OF THESE CLASSES Children’s Activities American Red Cross Babysitter’s Training Course Saturday, January 24th orSaturday, March 14th 8:00a.m.-1:00p.m. Vernon Activity Center This program prepares your child with the training every parent wants in a babysitter – including safety, basic child care, safe play, first-aid, and critical emergency action skills. An authorized Babysitter’s Training Instructor will teach the class. Students will receive a handbook, a CD-ROM that has numerous forms discussed during class to print out and use, and a pocket first-aid booklet to keep once the class is over. Age requirements: must be 10 years of age before or on the date of the class. This is a one day course for the certification. All participants will be certified by the end of the day! Each student must bring his or her own lunch. Maximum of Twelve Students. Based on a first-come, first-serve basis! $65/participant Children’s Activities Non-Resident $77/participant (Please indicate date on registration form) Pre Ballet Princesses Ages 3-5 Volleyball Beginning Jan-end of March Friday night games Practice at neighborhood school, day/time based on gym availability 3rd& 4th grade coed 5th& 6th grade coed $52/participant Non-Resident $64/participant *NOTE: THIS DEADLINE FOR THIS ACTIVITY IS FRIDAY, NOVEMBER 7!!! Mondays, Jan 5- Feb 9 or Tuesdays, Jan 6-Feb 10 9:45-10:30am Vernon Town Hall Calling all Princesses! In the 45 min. magical princess themed class, dancers will learn ballet, creative movement and individual dance steps. Each week dancers will explore a new princess with story, movement and props! Attire-leather ballet shoes, leotard and tights. $44 per participant Non-Resident $56/participant (Please indicate day you are signing up for on registration form) My Parent & Me(Walkers-Pre K) Mondays, Jan 5- Feb 9, 2014 or Tuesdays, Jan 6-Feb 10 9:15-9:45 a.m. Vernon Town Hall Parents have a chance to interact with their child in this 30 min fun class! A combination of music, creative movement and basic tumbling with the use of props will be the perfect mix to get your day started! This program is geared to help develop motor skills, musicality, coordination and self-confidence. Attirecomfortable clothes. $25 per participant pair Non-Resident $37/participant Futsal March 10-May 1 Big Bend Elementary School *Location subject to availabilty 3:45pm-5:00pm 3rd& 4th grade coed Fridays 5th& 6th grade coed Tuesdays Playing FUTSAL will help your child build confidence and develop skills and techniques; mainly passing, dribbling, and ball control. The game is played with a low-bounce ball on the gymnasium floor. This session is designed to burn off some of that energy we’ve built up with all-time favorite games like Capture the Flag, obstacle courses, tag, doctor ball, and relay races!!! $35/participant Non-Resident $47/participant Children’s Canvas Painting Big Bend Elementary School 2nd Thursday of month 2:30pm-3:30pm (Jan 15, Feb 12, Mar 12) or Clarendon Avenue School 2nd Tuesday of month 2:30pm-3:30pm (Jan 13, Feb 10, Mar 10) or Park View Middle School Last Thursday of month 2:30pm-3:30pm (Jan 29, Feb 26, Mar 26) Not a fan of sports? Try this painting class to explore creativity and have fun doing it. Your child will get an 8x10 canvas to create their masterpiece. The class will be offered right after school at the schools above. $10/participant per class Non-Resident fee does not apply $45/participant Non-Resident $57/participant Energy Burner (K, 1st,& 2nd Grade) March 12 – April 30 Thursdays 3:45pm-5:oopm Big Bend Elementary School *Location subject to availability Take a break from television and electronic devices and participate inEnergy Burner! To have the most current dates, activities, and information from Town of Vernon Park and Recreation, please contact us and provide an email address. Non Resident Fee – Who does this apply to? Any person who does not pay taxes in Vernon. The fee is to cover field maintenance, equipment, etc. The taxes that are paid in other municipalities go to their town improvement. Thank you for understanding! Do you have a talent you’d like to share? Do you have an idea for a program you’d like to see offered? We’d LOVE to hear from you! Activity Locations: Vernon Activity Center W249 S8910 Center Drive White House across parking lot from Vernon Town Hall Vernon Town Hall W249 S8910 Center Drive Vernon Fire Station #1 W233S7475 Woodland Ln Waukesha Big Bend Library W230 S9185 Nevins Street Big Bend Elementary W230 S8695 Big Bend Drive Big Bend’s Lion Clubhouse The Floyd E. Swayze Community Center W231S9205 Riverside St Big Bend Clarendon Avenue School 915 Clarendon Avenue Mukwonago Park View Middle School 930 N Rochester St, Mukwonago Thank you to our wonderful sponsors! TOWN OF VERNON PARKS & RECREATION DEPARTMENT REGISTRATION FORM Please return to: Town of Vernon Parks & Recreation Department W249 S8910 Center Drive, Big Bend WI, 53103 (262) 662‐4451 www.townofvernon.org Email: recreation@townofvernon.org Email Address Participant Name Parent Name Parent Name Address Primary Phone # City, State, Zip Secondary Phone # Americans with Disabilities Act – Town of Vernon complies with the American with Disabilities Act and will make reasonable modifications to support inclusive recreation participation. The Recreation Department requests ample notice regarding special assistance needs. This will allow our department proper planning time to accommodate special assistance needs. For answers to your questions about recreation inclusion, call Vernon Recreation Department at (262) 662‐4451 or email the Vernon Recreation Department at recreation@townofvernon.org. I/We need reasonable modification to participate in recreational programming. Circle one: Yes or No _____ Resident (Town of Vernon) *Check if willing to Coach _____ Check One: _____ Non Resident ($12.00) OPTIONS for Youth Sport Shirt Sizes are as follows: YOUTH SIZE = YS (6‐8) YM (10‐12), YL (14‐16), ADULT SIZES = AS AM AL AXL Activity Name Sex Shirt Size Grade (youth only) School Attending Age FEE (see above) FRIEND REQUEST ONLY ONE FRIEND NAME request per participant. Friends MUST request each other. Friend’s Name is: (only one) ___________________________________ (multiple name requests will not be reviewed) Total *PAYMENT MUST BE INCLUDED* LATE FEES Registration received after 3:30 pm on the deadline date are considered late. A non‐refundable late fee of $15 per participant, per activity will be assessed. Please add this to your registration fee. The Parks & Recreation Director will determine acceptance of late registration. Please initial the following: I have read the Athlete Concussion and Head Injury Information ABC’s of concussionhttp://www.townofvernon.org SIGNATURE: Adult Participant or Parent /Guardian Signature (if participant under 18 years of age): _______ DATE: Town of Vernon Recreation Department Agreement to Release I, ____________________________________________ (Parent/Guardian’s name) and the participant named _________________________________, my child or wards, agree as follows. I understand that the requested program, like all activity, has some inherent risk involved. The participant is in good physical condition appropriate for the stated activity/program. I assume full responsibility for injuries incurred while taking part in an activity/program. In consideration of my or my child’s use of the Town of Vernon facilities, including the park and other facilities, and my, or my child’s participation in recreational or other activities/programs sponsored by the Town of Vernon, agree to release the Town of Vernon Board of Supervisors, the Town of Vernon Plan Commission, the Town of Vernon Park and Recreation and all officers, agents, and employees (the Indemnified Parties) from any duty which they may have, and agree to indemnify and hold harmless the Indemnified Parties from all claims, actions, expenses and compensation, on account of, or in any way growing out of, any and all personal injuries and property damage which I or my child may now or hereafter have, either before or after my child’s use of any Town Park or facility and participation in any Town sponsored recreational or other activities/programs. I promise to indemnify the Indemnified Parties for any damages or sum of money paid by the Indemnified Parties to or on behalf of my child for any injury sustained by my child as a result of the use of the Town’s park facilities or other facilities and my child’s participation in recreational or other uses sponsored by the Town. I give my permission to the Town of Vernon Recreation Department to take action (call emergency vehicles, transport to doctor/ hospital) when my child requires immediate medical attention due to accident or illness while under his/her/their supervision. I am aware of and understand that there may be potential risk inherent with participation in any recreation activity/program, and that the Indemnified Parties are not liable for any injury that may occur. The Town of Vernon does not provide accident insurance and cannot assume responsibility for injury to any participants in its recreation programs. Dated this _____________day of, _________________________________________2014 Signed _________________________________________________________________________________________________ PARENT & ATHLETE AGREEMENT As a Parent and as an Athlete it is important to recognize the signs, symptoms,and behaviors of concussions. By signing this form you are stating that youunderstand the importance of recognizing and responding to the signs, symptoms, and behaviors of a concussion or head injury. Parent Agreement: I _________________________________ have read the Parent Concussion and HeadInjury Information and understand what a concussion is and how it may be caused. Ialso understand the common signs, symptoms, and behaviors. I agree that my child mustbe removed from practice/play if a concussion is suspected.I understand that it is my responsibility to seek medical treatment if a suspectedconcussion is reported to me.I understand that my child cannot return to practice/play until providing written clearancefrom an appropriate health care provider to his/her coach.I understand the possible consequences of my child returning to practice/play too soon. Parent/GuardianSignature_________________________________________Date__________________ Athlete Agreement: I_______________________________ have read the Athlete Concussion and HeadInjury Information and understand what a concussion is and how it may be caused.I understand the importance of reporting a suspected concussion to my coaches and myparents/guardian.I understand that I must be removed from practice/play if a concussion is suspected. Iunderstand that I must provide written clearance from an appropriate health care providerto my coach before returning to practice/play.I understand the possible consequence of returning to practice/play too soon and that mybrain needs time to heal. AthleteSignature_________________________________________Date__________________
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