OASIS Participant Eligibility Requirements

12521 S. Kostner Ave. - Alsip, IL 60803 - Phone: 708-389-9423

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Winter 2021 Virtual/Zoom Program REGISTRATION FORM & WAIVER

*Just Added: SPRING FUNDRAISER & SPRING CRAFT BOX REGISTRATION

Please fill out ALL the information below. Your information will be used ONLY by SWSRA and will not be shared.

RESIDENT DISTRICTS

Alsip - Blue Island - Hickory Hills - Merrionette Park - Midlothian - Palos Heights - Posen - Worth

WINTER PROGRAMS & RECREATION BOXES

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$25 Resident & Non-Resident: Spring Craft Box

$5 Delivery Fee - RESIDENTS ONLY

Pick up: Friday, March 12, 3:00-4:00pm at Worth Community Center

Pick up: Thursday, April 1, 3:00-4:00pm at Worth Community Center

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$25: "You've Been Egged" Delivered by Bunny's Helpers

$40: "You've Been Egged" Special Delivery by the Bunny Himself

$25: PICK UP your own Do-It-Yourself "You've Been Egged!" Kit

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$16 Spring Animal Craft: 16" Rainbow Bunny - Furry Friend Kit

$16 Spring Animal Craft: 16" Yellow Duckling - Furry Friend Kit

ALL AGES

MAKE YOUR OWN FURRY FRIEND KITS

*NEW SPRING FUNDRAISERS- All Ages - Resident & Non Resident

EARLY CHILDHOOD & YOUTH Ages 3-12

Spring Programs Coming Soon!

TEENS & ADULTS: Ages 13 & Up

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$30 - Month #2: 2/15 - 3/13

WINTER MONTLY PROGRAMS

Teens & Adults - Virtual Clubs & Events

$50 Resident: Painters Club 1/18 - 3/8

$74 Non-Resident: Painters Club 1/18 - 3/18

$40 Resident: Fitness Club 1/19 - 3/9

$80 Non-Resident: Fitness Club 1/19 - 3/9

$48 Resident: Bakers Club 1/23 - 3/13

$72 Non-Resident: Bakers Club 1/23 - 3/13

OASIS - Monthly Adult Day Program - Ages 18 & Up (some restrictions apply)

$330 Resident: February 2021

$412.50 ATP Participants: February 2021

$495 Non-Resident: February 2021

$330 Resident: March 2021

$412.50 ATP Participants: March 2021

$495 Non-Resident: March 2021

By checking this box, I have read and accept the terms and conditions of the SWSRA WAIVER, RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT Click to View SWSRA WAIVER, RELEASE OF ALL CLAIMS AND HOLD HARMLESS AGREEMENT

For Paid Programs: Within One business day, you will receive a call from Dawn between 9am-5pm for payment information. Once payment has been received. you will receive an email with all of the program information, link, and supply list (if needed*)

Help support SWSRA just by shopping at AmazonSmile!

Click the AmazonSmile logo or go to AmazonSmile and select

"South West Special Recreation Association" from the charity list.

AmazonSmile and the AmazonSmile logo are trademarks of Amazon.com, Inc. or its affiliates.

Find us:

Apollo Recreation Center

12521 S. Kostner Ave. Alsip, IL 60803

Phone: 708-389-9423 Fax: 708-389-6458

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