OCTOBER Virtual/Zoom Program REGISTRATION FORM & WAIVER

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

OCTOBER RECREATION BOXES

EARLY CHILDHOOD & YOUTH: Ages 3-12

ALL AGES

TEENS & ADULTS: Ages 13 & Up

SEPTEMBER VIRTUAL PROGRAMS

OCTOBER VIRTUAL EVENTS

OCTOBER VIRTUAL CLUBS

OCTOBER VIRTUAL PROGRAMS

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.

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Find us: 

Apollo Recreation Center​

12521 S. Kostner Ave. Alsip, IL 60803

Phone: 708-389-9423 Fax: 708-389-6458

© 2015 by SWSRA

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