The W Programs and Activities 2016 Spring & Summer Brochure www.The-W.org 2 Community Recreation Program Spring & Summer 2016 MEMBERSHIP/REGISTRATION Register Early Mail in or drop off registration at The W Registration begins as soon as you receive this brochure. The W 100 Wartburg Blvd. P.O. Box 1003 Waverly, IA 50777-0903 A printable registration form is available at www.The-W.org. The W Membership The W offers a variety of programming and fitness opportunities to accommodate a wide range of personal needs. We provide a comprehensive wellness program with facilities, equipment, and programming to meet your exercise needs. We truly believe in our motto, “There’s a place for you at The W.” Membership offers access to many of the great features of The W including: • A fitness area with free weights/stacked weights and cardio machines, including treadmills, elliptical machines, and stationary conventional and recumbent bikes. Wartburg-Waverly Sports & Wellness Center www.The-W.org Welcome Desk: 319-352-8311 Office:319-352-8716 FAX:319-352-8720 Registration Information Pre-registration is required for all programs with fees due and payable at the time of registration. No registration is complete until the fee is paid and your name is added to the registration list. All registrations are accepted on a first-served basis. Always use correct age/grade at the beginning of the program. Code Number/Letter System for Community Rec Programs All community recreation programs have a code for each class offered. The code system helps simplify the registration procedure for you and our office. Please indicate the code when registering for programs. Complete Registration Form A registration form is available in the back of the brochure. Please fill out the entire form and be sure all information is correct and the program codes are included. Please keep a copy of your registration. The W will not call to confirm your registration. You may register at our Welcome Desk. Online registration is available at www.The-W.org. Online registrations will receive an email confirmation. • A 200-meter track in the fieldhouse and a walking/jogging track in Center Court. • Four multipurpose courts in the fieldhouse that accommodate tennis, volleyball, and basketball, plus an additional basketball court in Center Court. • A climbing wall. • A steam room and sauna. Enclose Payment • A pool, hot tub, water slide, and vortex pool for walking. • Racquetball courts. • Golf hitting area. Total all fees and make checks payable to The W. Do not send cash. All fees must be paid in full. Registrations with incorrect fees will be notified and held from processing until the correct fee has been received. • Child care. Membership extras include: • Member locker rooms, showers, and free towel service. • Member parking lot privileges. • Two free fitness assessments (pre and post). • Reduced rates for group fitness classes. • Free admission to Wartburg home athletic events. FIND THE W ON FACEBOOK For the latest information on new classes, schedules, cancellations, and specials. The W Staff The W Refunds In fairness to all participants, each withdrawal from a program will be assessed a $5 processing fee whether a refund check is issued or credit is put on an account. There will be no transfers. Any changes will be treated as a refund, and participants must re-register for the desired class. No refunds will be given following the registration deadline. If a deadline date is not indicated, it will be seven calendar days prior to the program start date. If a medical problem arises during the activity/class, a physician’s written excuse must be presented stating that participation is restricted. In the case of a medical excuse, a percentage of whatever class time remains will be refunded. If the program/activity is canceled by the department, you will have the choice of having a full refund issued to your account or a refund check issued to the person who paid for the enrollment. Sheila Kittleson Director Heather Zajicek Assistant Director for Aquatics Romeo Djoumessi Assistant Director for Group Fitness and Personal Training Steve Walker Assistant Athletic Director Catherine Robb Assistant Director for Massage Therapy Doug Frazell Assistant Director for Community Recreation Jill Eckenrod Member Account Manager The W Hours and Fitness Center Mon-Thurs: 5 a.m.-10 p.m. See www.The-W.org for Fri: 5 a.m.-8:30 p.m. summer hours (through Sept. 5). Sat: 7 a.m.-6:30 p.m. Sun: 1-10 p.m. (11 a.m. fitness area) Pool Hours Mon.-Fri.: 5:15-7:45 a.m. (vortex and lap swim only) 11 a.m.-1 p.m. (vortex and lap swim only) 4-8 p.m. (open swim) Sat.: 7 :30-9 a.m. (vortex and lap swim only) 11 a.m.-6 p.m. Sun.: 2-8 p.m. Visit www.The-W.org for summer hours beginning May 30. Climbing Wall Hours Mon.-Fri.: 5-8 p.m. Sat.-Sun.: 1-6 p.m. Child Care Hours Mon.-Fri.: 8:30-11 a.m. 4:30-7:30 p.m. The W is closed for the following holidays: Easter − Sunday, March 27 Wartburg Commencement − Sunday, May 22 Independence Day − Monday, July 4 Membership Fees Individual − $50/month ($50 activation fee) Individual + 1 − $70/month ($70 activation fee) Individual + 2 or more − $80/month ($80 activation fee) Senior (65 and older) − $37.50/month (no activation fee) Senior + 1 − $55/month (no activation fee) * Individual-plus memberships include immediate family (ages 0-18) living in the same household. Older children (ages 18-22) may be considered if listed as dependents on your income tax form or if they are full-time college students. Guests Passes Adults: $10/day Children: $5/day Gift cards available Mission Statement The Wartburg-Waverly Sports & Wellness Center is dedicated to promoting lifelong wellness for people of all ages and levels of ability by providing outstanding facilities, programs, and educational services to the campus community and the citizens of Waverly and the surrounding area. 3 For more information visit www.The-W.org INFORMATION ABOUT THE W Hold Your Event at The W Pool Parties at The W Everyone Belongs! Would your church, business, or group like to host an event at The W? We offer options for renting the pool, wet classroom, rock wall, tennis courts, racquetball courts, fieldhouse, and Center Court. Call Jill at 319-352-8716 to check availability. Pool: $60 for 15 participants (member rate) (Two-hour time period scheduled for 15 swimmers) If you or a family member has special needs and would like to participate in a program, we will be happy to make accommodations to meet your needs. Please contact our office at 319-352-8716 if you would like more information regarding programs and/or accommodations for program participants according to the Americans with Disabilities Act. The W is a participating member in the Together We Play program. Climbing Wall Our 30-foot-tall climbing wall can hold up to six climbers at one time, and there are no height or weight restrictions. Harnesses, ropes, and other necessary equipment are provided by The W, along with the assistance of our certified belayer. The climbing wall is open weekday evenings and weekend afternoons. REGISTER ONLINE AT www.The-W.org Online registrations will receive an email confirmation. Pool: $85 for 15 participants (guests) (Two-hour time period scheduled for 15 swimmers) Wet Classroom: $15 for the same two-hour time period (member and guest rate). This room may be used for treats and opening presents. A $50 deposit is required. After tables have been cleaned, garbage thrown away, and floor swept, the deposit will be returned. AVAILABILITY Monday-Friday: 4-8 p.m. for a specific two-hour time block Saturday: 11a.m.-6 p.m. for a specific two-hour time block Sunday: 2-8 p.m. for a specific two-hour time block Food and drinks can be ordered through Wartburg Dining Services or you may bring in your own cake, drinks, or food. You may book a pool party by emailing [email protected] or calling 319-352-8716 during normal business hours, 8:30 a.m.-5 p.m. Each party request must be approved by the office, based on pool and classroom availability. Cancellations may be made seven days prior to scheduled date. If cancelled after the seven-day deadline, the $50 deposit will not be returned. Fitness Area Orientation Let us teach you how to use the equipment in the Fitness Area. Whether you need full instruction or are looking for a review, we can get you started with proper equipment use. Offered free of charge on the first Saturday of each month, September through May. Thanks to our Gold Partners Reduced Program Fees Reduced-price programs are available. Families or members of families are eligible for reduced-price programs if they are currently receiving food stamps. Youth are eligible for reduced-price programs if they receive reduced-price or free hot lunches. A form is available at The W Office. Verification will take approximately one week and must be completed before you can register for any programs at the discounted price. A new form must be filled out each year. Forms expire on Aug. 15 of each year. Inclement Weather or Cancellations Announcements of cancellations will be posted on the Web at www.The-W.org and aired on KWAY radio station (99.3 FM). You also may call the Welcome Desk at 319-352-8311 for postponements or cancellations. COMMUNITY OPPORTUNITIES Information about the City of Waverly recreation opportunities, including the outdoor pool, trail system, and golf course, can be found at www.waverlyia.com/leisureservices. For more information about the Bremer County Outdoor Explorers program, visit www.co.bremer.ia.us/conservation-board/environmental-education.aspx. Thanks to our Silver Partners Coca-Cola Gotcha Covered-Shell Rock State Bank Subway 4 Community Recreation Program Spring & Summer 2016 CERTIFICATION CLASSES *Refund policy (page 2) applies to all certification classes. Lifeguard Training Water Safety Instructor (WSI) The American Red Cross program provides lifeguards with skills to keep patrons of aquatic facilities safe in and around water. This class includes training in First Aid and CPR/AED for the Professional Rescuer. Participants must be at least 15 years of age before the end of the course to enroll. Lifeguard/First Aid and CPR/AED certifications are valid for two years. Participants must attend all class sessions to obtain certifications. The American Red Cross Water Safety Instructor course trains instructor candidates to teach courses and presentations in the Red Cross Swimming and Water Safety program by developing their understanding of how to use the course materials, conduct training sessions, and evaluate participants’ progress. Successful candidates are eligible to teach Parent and Child Aquatics, Preschool Aquatics, Learn-to-Swim, three adult-focused courses, Basic Water Rescue, Personal Water Safety courses, and more. Participants must be at least 16 years of age and proficient swimmers. Precourse: At the beginning of the course, all students must successfully complete a 300-yard continuous swim, retrieve a 10-pound brick from the bottom of the pool, and tread water for two minutes to remain enrolled in the course. Lifeguard Instructor (LGI) No refunds will be given to persons who fail any part of this course. Lifeguard/First Aid/Lifeguard CPR Certification Review This course is a way to renew your current certifications. Participants should come prepared to successfully demonstrate their practical skills and pass the written exams. Participants must pass the precourse swim, written exam, and skills check. Lifeguard, First Aid, and CPR for the Professional Rescuer certification, valid for two years, will be awarded upon the successful completion of the course. Prerequisites: Individuals with a current Lifeguarding/First Aid/CPR/AED or Shallow Water Lifeguarding/First Aid/CPR/AED certificate may participate in a review course. Proof of current valid American Red Cross issued Lifeguard certification is required to participate in the course. The LGI class is designed to train instructor candidates to teach basic-level Lifeguarding, Shallow Water Attendant, Lifeguard Management, and CPR/AED for the Professional Rescuer. Candidates must attend all classes to receive certification and must be at least 17 years of age before the end of the course. LGI candidates must pass the LGI exam at the completion of the course to obtain certification. Community CPR/First Aid The American Red Cross Community CPR Class teaches the skills necessary to prevent, recognize, and provide basic care for breathing and cardiac emergencies in adults, children, and infants until advanced medical personnel arrive. Certification is valid for two years. The American Red Cross First Aid course gives individuals the knowledge and skills necessary to recognize and provide basic first aid care for injuries and sudden illness until advanced medical personnel arrive. Certification is valid for two years. Course Requirements: Participants must attend and participate in all sessions, including classroom work and skills practice. To receive the associated certification, participants must satisfactorily demonstrate all Lifeguarding, First Aid, and CPR skills, and pass the written exam with a score of at least 80 percent. Course Length: 13 hours No refunds will be given to persons who fail any part of this course or fail to show proof of previous certification. Check online for up-to-date course offerings at www.The-W.org/cert. TREAT YOURSELF TO A MASSAGE Massage therapy is offered to members and guests of The W. Fees are $30 for a half-hour, $55 for an hour, and $80 for 90 minutes unless otherwise noted. A basic massage includes hot towels and the use of hot stones. The W also offers several specialized massage therapy options, including: • Bio Energetic Synchronization Technique, which removes interference in the body, like stress, to allow healing to begin. • Raindrop Essential Oil Massage, which uses 100 percent therapeutic-grade essential oils on the feet and spine. • Seaweed Body Wrap, which helps stimulate metabolism while hydrating and detoxifying the body. ($40 for $45 minutes) • Myoskeletal Alignment Therapy, a deep-tissue massage for pain relief and management. • Spinal Reflex Therapy, a non-invasive way to treat pain by addressing the most prevalent cause of skeletal pain and dysfunction. Spasms, numbness, pain, joint compression, distorted posture, and pinched nerves can be treated with this therapy. To schedule an appointment, contact us at 319-352-8576 or visit www.The-W.org and click on Massage Therapy under the Wellness tab. 5 For more information visit www.The-W.org PRIVATE SWIMMING LESSONS Learn-to-Swim Program Descriptions *More detailed descriptions of the Learn-to-Swim program may be found at www.The-W.org under Aquatics. Swim lessons include all levels of the American Red Cross Learn-to-Swim Program. Lessons are taught by American Red Cross certified water safety instructors. Learn-to-Swim teaches aquatic and safety skills in a logical progression. The objective is to teach people of all ages to swim, be safe in, on, and around the water, and give students a positive learning experience. Private Lessons Private Lessons - Private lessons may be taken at any skill level. Instructors teach one-on-one for 25 minutes. *Lessons will not start before the start date of each session. *Lesson requests submitted after ending date will be honored during the next private lesson session. How to register: Online at www.the-w.org. An instructor will call you to line up a lesson time. Please submit a current phone number and allow 5-10 business days to schedule lessons. Parent/Infant - 6 months to 3 years accompanied by a parent/guardian. Parent/Toddler - Approximately 2- to 4-years accompanied by parent/ ARRANGED PRIVATE LESSONS guardian. Instructors teach one-on-one for 25 minutes. Time is scheduled by instructor and participant. *Participants will not be allowed to make up lessons due to scheduling conflicts. Preschool Level A - Must be 4 years old, no parent allowed. April 1-15 4 lessons $55 MP4 Preschool Level B - Approximately 4- to 5-years-old. June 6-30 Code July 11-29 Code 4 lessons $55 JNP4 4 lessons $55 JLP4 Preschool Level C - Approximately 5- to 6-years-old. Code 4 lessons $55 AP4 Instructors teach one-on-one for 25 minutes. Four private lessons: $55 *Participants will not be allowed to make up lessons due to scheduling conflicts. Level 2 - Fundamental Aquatic Skills Level 3 - Stroke Development Code SET PRIVATE LESSONS Level 1 Introduction to Water Skills - Must be 6 years old at the start of class, no exceptions. May 2-19 M/W April 25-May 4 T/TH Code April 26-May 5 Code 4-4:25 p.m. 1P 4-4:25 p.m. 9P 4:30-4:55 p.m. 2P 4:30-4:55 p.m. 10P 5-5:25 p.m. 3P 5-5:25 p.m. 11P 5:30-5:55 p.m. 4P 5:30-5:55 p.m. 12P Level 6 - Swimming and Skill Proficiency 6-6:25 p.m. 5P 6-6:25 p.m. 13P 6:30-6:55 p.m. 6P 6:30-6:55 p.m. 14P Arranged private lesson sessions 7-7:25 p.m. 7P 7-7:25 p.m. 15P April 1-15 Requests submitted before session start date will receive a call the week of March 23. Deadline: Monday, March 21 *Maximum enrollment for April session: 4 arranged lessons 7:30-7:55 p.m. 8P 7:30-7:55 p.m. 16P May 9-18 Code May 10-19 Code 4-4:25 p.m. 17P 4-4:25 p.m. 25P 4:30-4:55 p.m. 18P 4:30-4:55 p.m. 26P 5-5:25 p.m. 19P 5-5:25 p.m. 27P 5:30-5:55 p.m. 20P 5:30-5:55 p.m. 28P 6-6:25 p.m. 21P 6-6:25 p.m. 29P 6:30-6:55 p.m. 22P 6:30-6:55 p.m. 30P 7-7:25 p.m. 23P 7-7:25 p.m. 31P 7:30-7:55 p.m. 24P 7:30-7:55 p.m. 32P Level 4 - Stroke Improvement Level 5 - Stroke Refinement May 2-19 Requests submitted before session start date will receive a call the week of April 27. Deadline: Monday, April 25 *Maximum enrollment for May session: 4 arranged lessons June 6-30 Requests submitted before session start date will receive a call the week of June 1. Deadline: Monday, May 30 *Maximum enrollment for June session: 2 arranged lessons July 11-29 Requests submitted before session start date will receive a call the week of June 29. Deadline: Monday, June 27 *Maximum enrollment for July session: 2 arranged lessons June 20-29 Code June 21-30 Code 5:30-5:55 p.m. 33P 5:30-5:55 p.m. 38P 6-6:25 p.m. 34P 6-6:25 p.m. 39P 6:30-6:55 p.m. 35P 6:30-6:55 p.m. 40P 7-7:25 p.m. 36P 7-7:25 p.m. 41P 7:30-7:55 p.m. 37P 7:30-7:55 p.m. 42P July 11-20 Code 5:30-5:55 p.m. 43P 6-6:25 p.m. 44P 6:30-6:55 p.m. 45P 7-7:25 p.m. 46P 7:30-7:55 p.m. 47P July 25-Aug. 3 Code 5:30-5:55 p.m. 48P 6-6:25 p.m. 49P 6:30-6:55 p.m. 50P 7-7:25 p.m. 51P 7:30-7:55 p.m. 52P Participants must be able to attend all assigned lesson times. Participants will not be allowed to make up lessons due to scheduling conflicts. It is the responsibility of the participant to make sure they can attend all session times. 6 Community Recreation Program Spring & Summer 2016 PUBLIC SWIMMING LESSONS MAY EVENING PUBLIC LESSONS JULY EVENING PUBLIC LESSONS Monday-Thursday, April 25-May 5 Weather related make-up days: April 29 and May 6 8 Public Lessons: $35 Deadline: Wednesday, April 13 Tuesday/Thursdays, July 12-Aug. 4 Weather related make-up day: Aug. 9 8 Public Lessons: $35 Deadline: Wednesday, July 6 Location The W The W The W The W The W The W The W The W The W The W Level Parent/Infant Parent/Toddler Preschool A Preschool B Preschool C Level 1 Level 2 Level 3 Level 4 Level 5 5-5:30 p.m. 5:45-6:15 p.m. 6:30-7 p.m. 700 100 A 200 B 101 A Location The W The W The W The W The W The W The W The W The W 800 300 C 100 200 101 300 400 500 Level Parent/Infant Parent/Toddler Preschool A Preschool B Preschool C Level 1 Level 2 Level 3 Level 4 5:15-5:45 p.m. 6-6:30 p.m. 6:45-7:15 p.m. 704 804 107 A 207 B 306 C 109 208 307 405 CLASS SIZE JUNE EVENING PUBLIC LESSONS Minimum enrollment for public swimming lessons: Four participants. Monday-Thursday, June 6-16 Weather related make-up days: June 10 and 17 8 Public Lessons: $35 Deadline: Wednesday, June 1 Location The W The W The W The W The W The W The W The W The W The W Outdoor Level Parent/Infant Parent/Toddler Preschool A Preschool B Preschool C Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 5:15-5:45 p.m. 6-6:30 p.m. 701 6:45-7:15 p.m. 7:30-8 p.m. 801 102 A 202 B 201 B Lesson evaluations: Participants will receive a swim lesson evaluation at the conclusion of class from their water safety instructor. All exit skills MUST be completed to pass the level. Swimmers may miss only one class to pass the requirements of a given level. 301 C 102 201 301 401 501 600 JUNE MORNING PUBLIC LESSONS Level Parent/Infant Parent/Toddler Preschool A Preschool B Preschool C Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 8:30-9 a.m. 702 9:15-9:45 a.m. 10-10:30 a.m. Swim lesson suggestion: Please allow six months between sessions to allow child to develop skills. Registration forms: Available on back page of brochure, at Welcome Desk, or online at www.The-W.org. Please keep a copy of your registration. The W will not call to confirm your classes. Online registrations will receive an email confirmation. Monday-Thursday, June 20-30 Weather related make-up days: June 24 and July 1 8 Public Lessons: $35 Deadline: Wednesday, June 15 Location The W The W The W The W The W The W The W The W The W The W Outdoor Maximum enrollment: Parent/Infant, Parent/Toddler: Six swimmers per instructor; Preschool Levels A-C: Five swimmers per instructor; Levels 1-3: Six swimmers per instructor; Levels 4-5: 10 swimmers per instructor. 10:45-11:15 a.m. How to register • Online—Go to www.the-W.org • Mail—The W, 100 Wartburg Blvd. Waverly, IA 50677 • In person—Drop off form at Welcome Desk 802 103 A 104 A 203 B 302 C 103 302 104 202 303 204 B 303 C 105 203 SWIM LESSON EXPECTATIONS • O ne absence is permitted. Swimmers who miss more than one class will not pass their designated level. 204 304 • C hildren should use designated changing areas 601 • C hildren should use the restroom before class. Leaving 402 502 (member locker rooms or family changing rooms) and arrive at their lesson dressed in a swimsuit or swim trunks and ready to swim. during class shortens learning time. • C hildren in diapers are required to wear swim diapers. • L ong hair should be tied back so it doesn’t get in child’s JULY MORNING PUBLIC LESSONS Monday-Thursday, July 11-21 Weather related make-up day: July 15 and 22 8 Public Lessons: $35 Deadline: Wednesday, July 6 Location The W The W The W The W The W The W The W The W The W The W Outdoor Level Parent/Infant Parent/Toddler Preschool A Preschool B Preschool C Level 1 Level 2 Level 3 Level 4 Level 5 Level 6 8:30-9 a.m. 703 9:15-9:45 a.m. 10-10:30 a.m. 10:45-11:15 a.m. 803 105 A 304 C 106 106 A 205 B 206 B 107 205 108 206 306 305 C 305 403 face. • O nly swimmers are allowed on the pool deck (except for Parent/Infant and Parent/Toddler classes). Spectators (parent, guardian, other family members) may watch from the window in the Zesty Orange. This will be strictly enforced. • C ancellations or postponements will be posted at 207 www.the-w.org, announced on KWAY 99.3 FM, and available by calling the Welcome Desk, 319-352-8311. 404 •M ake-up classes due to weather-related postponements 503 602 will be scheduled during the designated class day (see lesson schedule for more information). 7 For more information visit www.The-W.org PERSONAL TRAINING Clean and Lean Program Courage in Motion This convenient, six-week program provides customized help with weekly workouts and clean, healthy nutritional coaching you can work into your busy schedule, all from an ACE-certified fitness nutrition specialist, health coach, personal trainer, nutritionist in weight management, biomechanics method corrective exercise specialist, and myoskeletal alignment specialist. Each six-week session is $150 for members and $200 for guests. Courage in Motion, a wellness program for patients who are currently going through or have completed cancer treatments, is your pathway to hope and health. Tami Janssen, an ACE personal trainer and breast cancer exercise specialist, will lead the program. Participants will have the opportunity to meet on a weekly basis to connect, share stories, and exercise together. There is no attendance requirement and no fitness level prerequisite. Contact Catherine Robb at 319-352-8576 or [email protected] to get scheduled. TriByKnight Triathlon The TriByKnight Triathlon, now in its fifth year, was the first triathlon in the Waverly area and is already one of the most popular early-season events in the region. This sprint tri (300-yard swim, 15-mile bike, 3.1-mile run) is perfect for those just getting started in the sport. The event, staged on the Wartburg College campus, features a time-trial pool start in The W’s state-ofthe-art Schuldt Natatorium. We hope to see you there Saturday, May 7. To register, visit www.active.com and search TriByKnight. For more information, contact Romeo Djoumessi at 352-8715, email [email protected], or visit www.The-W.org. Pain Management Sessions (NEW) In this unique service, clients will go through a biomechanical assessment to find postural deviations in the body that may be contributing to pain. Once your unique muscular imbalances are identified, you will go through a course of six sessions to learn and implement corrective exercises to assist in rebalancing the body. All sessions are completed Catherine Robb, a biomechanical corrective exercise specialist. Cost is $60 for members and $80 for guests. Contact Catherine Robb at 319-352-8576 or [email protected] to get scheduled. Personal Training Want to increase the benefits from your workout plan or need help to get back on track? Let one of our qualified personal trainers help you reach your exercise goals! Specialty Training Post-Rehab Training Post-rehabilitation training bridges the gap between rehab and every day life. Our goal is to take over where your doctor or physical therapist left your treatment; we also will work closely with them to establish the appropriate exercise protocol as well as keep them informed of your progress during your sessions. Research has proven that carefully structured exercise programs can be effective for chronic diseases and musculoskeletal issues. Golf Performance Enhancement Training This program is an assessment and training program designed specifically for golfers. In this program a biomechanical analysis is done to identify mobility/ strength deficiencies and a training program is designed to improve swing performance. All sessions are led by Certified Nike NG360 Golf Performance Specialist and Certified Personal Trainer. Small Group Personal Training (NEW) THERAPY POOL:GROUP FITNESS CLASS SCHEDULE May-August Classes held at Waverly Health Center Monday 6-6:45 a.m. Tuesday Wednesday Water Exercise Thursday Water Exercise 7-7:45 a.m. 7-8 a.m. Water Exercise P3 P3 7:50-8:35 a.m. 8-8:45 a.m. Water Exercise Aqua Stretch Aqua Stretch 8:40-9:30 a.m. 9-9:45 a.m. P3 Water Exercise Water Exercise Water Exercise 9:50-10:35 a.m. Aqua Stretch Aqua Stretch 10:35-11:20 a.m. Aqua Stretch Aqua Stretch Water Exercise Water Exercise Water Exercise 1:45-2:30 p.m. Aqua Stretch Aqua Stretch 2:35-3:20 p.m. Water Exercise Water Exercise 3-3:45 p.m. Aqua Stretch Aqua Stretch 4-4:45 p.m. Water Exercise Water Exercise 5-5:45 p.m. Water Exercise Water Exercise Water Exercise Water Exercise Personal Training Packages Member Package (Includes specialty training) 1 session 4 sessions 8 sessions 11-11:45 a.m. 6-6:45 p.m. Friday Grab a friend (or sign up alone) for our NEW small group wellness training that can teach you all about leading a healthy lifestyle. During the 12 sessions, a health coach with specialty certification in fitness nutrition, will lead cooking demonstrations, help you plan and shop for healthy meals, explore fad diets, and calculate your personal food needs. But, what good is healthy eating if you aren't treating the rest of your body with care? The health coach also can help you develop a sustainable workout schedule and better manage your stress. This course includes before and after weigh-ins and body composition testing and measurements. $30 $112 $208 12 sessions 20 sessions $288 $440 Guest Package (Includes specialty training) 1 session 4 sessions 8 sessions $40 $150 $280 12 sessions 20 sessions $400 $600 Group (2 or more) Package Water Exercise Water Exercise P3 = Personal Party in the Pool (or open pool time). For more information or to register, please contact Romeo Djoumessi at 319-352-8715 or Jill Eckenrod at 319-352-8716. (Fee is based per person. Group training is only for basic personal training services.) 1 session 4 sessions 8 sessions 12 sessions 20 sessions $25 $92 $160 $216 $300 Questions: Call Romeo Djoumessi at 352-8715 or email [email protected]. 8 Community Recreation Program Spring & Summer 2016 FITNESS CLASSES/THERAPY POOL/SPECIALTY CLASSES Fitness Pass Prices Session dates: May-Aug. Registration begins April 20. • The W member $20 for 4 months or $7/month (unlimited) • Guest $75 for 4 months or $25/month for one class $120 for 4 months or $35/month (unlimited) How to register: At Welcome Desk Waverly Health Center Pass Prices • Waverly Health Center Therapy Pool (W Member)$20 for 4 months or $7/month • Waverly Health Center Therapy Pool (Guest) $120 for 4 months or $35/month How to register: Call Jill at 352-8716 or Romeo at 352-8715 H2O Outdoor Fitness Fitness Classes Our general group fitness classes feature aerobics and calisthenics, cycling, yoga, water, and senior fitness. These classes are offered year-round and are open to members and guests of The W. 60-Minute Cardio Abs-n-More Body Toning/Senior Body Toning Cardio Dance Combo/Cardio Mix Combo Tone Cycling Fit-to-the-Core H20 Fitness/Deep H20/ H20 Combo Kickboxing P3 Power Yoga Yoga Stretch Visit www.The-W.org for course offerings. TRX Fit Fusion FXT (Functional XTraining) 8 weeks Are you looking for something that will improve your overall fitness? TRX Fit Fusion combines TRX and kettlebells for a high fat-burning workout! This unique fitness class provides participants with both strength and cardio training. FXT (Functional XTraining) is designed to challenge you, help you feel better, and get stronger. This six week, four-days-a-week program will include everything from kettlebells and medicine balls to body weight exercises and kickboxing. Functional fitness training — designed to mimic and improve everyday movements — will be combined with cross training for an all-around, highenergy, fat-burning workout. The program also includes a preweek for fitness testing, body fat and full-body measurements, and form preparation to get you ready to start your journey. TRX Gold TRX training uses a suspension trainer and steps to help improve your balance, coordination, posture, muscle tone, and overall body strength. The training — which uses your body weight as resistance — was designed to meet the needs of top athletes, but TRX Gold will meet you at your skill level. Sports Performance Enhancement Program Improve your speed, agility, core strength, flexibility, and explosiveness with our unique sports performance enhancement program, open to any middle school, high school, or college athlete. Summer S.W.A.T. Challenge Unleash your inner beast and train without limitations with The W’s new Summer S.W.A.T. (Special Workouts and Training) Challenge, a course designed specifically for those who enjoy obstacle-based races and competitions. Adventure-seekers and extreme athletes alike will be challenged with a workout regimen that includes hill sprints, battle ropes, sand bag carries, tire flips, burpees, and more! Progressive Training 8 weeks Are you looking for a progressive training option that will help improve your cardiovascular health, lifting form, mobility, balance and more? Come join our Progressive Training class, where functional training is the key component. A certified instructor will provide practical exercises, including kickboxing, to help you become stronger, healthier, and more physically fit. Athlete Within (4-Week Program) The Athlete Within is a strength and conditioning based program that focuses heavily on learning new skills and mastering the proper technique of all barbell, kettlebell, and dumbbell lifts to building usable strength and endurance. Building your body stronger and faster to tackle anything life may through at you has no age limit or skill level. Members new to the Athlete Within family will be taught everything they need to know to be successful and become stronger both physically and mentally by a highly qualified coach and the members of their new team! Register for specialty classes at the Welcome Desk. Move and groove in the water for a great, highly motivated cardio class. This class is for all fitness levels. Registration begins April 20. Dates: Monday-Friday, 12:05-12:55 p.m., Monday-Thursday, 5:10-6 p.m. Session 1: June 13-July 8 Session 2: July 11-Aug. 5 Session 3: TBA Fees: The W member $20 for 4 months or $7/month (unlimited) Fees: Guest $35/month (noon session) $35/month (evening session) $70/month (both classes) $3 drop in Registration deadline: June 10 Place: Waverly outdoor pool Weather policy: In case of rain, the class will be moved inside. In case of lighting, the indoor and outdoor class will be canceled. SENIOR PROGRAMMING Low-Impact Combo This class is designed for the older individual who prefers to work at a lower intensity and/or the participant who is just getting started in an exercise program. Yoga Stretch Yoga Stretch is for the individual who desires the flexibility, mental imagery, and relaxation most commonly associated with yoga. H2O Senior This class is designed for seniors who are looking for a cardio and body toning exercise program with the benefits of an aqua class. Forever Fit This class is designed for the individual who needs extra attention when it comes to exercise. Participants will work all body parts while comfortably seated in a chair. TRX Gold TRX training uses a suspension trainer and steps to help improve your balance, coordination, posture, muscle tone, and overall body strength. The training — which uses your body weight as resistance — was designed to meet the needs of top athletes, but TRX Gold will meet you at your skill level. Walk-n-Talk This all-ages program meets Monday through Friday, 5:30-9 a.m., for walking and weekly blood pressure checks. Twice-a-month educational briefings focus on senior-related health concerns. $10 a month. 9 For more information visit www.The-W.org ADULT LEAGUES AND ACTIVITIES Adult Men’s Racquetball League APRIL Self-Defense Training for Women APRIL Doubles Pickleball League (NEW) AUG.-SEPT. T-shirts will be given to the league champions. This course was developed for women and will be taught in two two-hour sessions. You will learn simple, effective skills that may help you prevent and/or survive an assault. Participants will learn awareness, assertiveness, mind-set, safety strategies, and how to use simple, effective techniques to vulnerable areas of the body. The class will be taught by Frank Martinez, a Shinkyudo Karate Association, Inc. certified black belt karate instructor. No prerequisite training required. This is a great refresher for those with experience. Wear comfortable clothes and socks — no shoes on mats. T-shirts will be given to the league champions, determined by pool play and a tournament. Any combination of doubles is allowed. Dates: Play begins week of April 4, ends May Time: Schedule own weekly match Code: ARL1 Registration Deadline: Friday, April 1 Place: The W Fee: $25 just singles or just doubles, $40 both leagues Registration: www.the-w.org Adult Art Class APRIL-MAY This class, taught by Kathy Klinge, will allow adults to explore their creative side and experience some of the many different forms of art! Paint, draw, sculpt … CREATE … and have fun learning new things! Session 1: Monday/Wednesday, April 4-20 Time: 10-10:45 a.m. Code: SA1 Session 2: Monday/Wednesday, May 2-18 Time: 10-10:45 a.m. Code: SA2 Registration Deadline: Friday, April 1 and Friday, April 29 Location: The W, Wet Classroom Enrollment: Minimum 6, Maximum 20 Fee: $30 per session, participants may sign up for one or both sessions. The W Sand Volleyball Leagues Don’t stop playing now. Come outside and get a feel for playing in the sand! Join us this spring-summer season, playing the ever-popular sand volleyball. T-shirts are given to the winning teams. Women’s Doubles League (minimum age 16) Code: SV1 Registration Deadline: Thursday, May 26 Location: Wartburg Sand Volleyball Courts League Dates: Tuesdays, May 31-July 26 Time : Evenings *More specific information will be emailed to team captains. Fee: $50 Minimum Age: 16 Dates: April 4 and 11 Days: Mondays Time: 6:30-8:30 p.m. Code: SD1 Place: Walker Wrestling Room, The W Fee: $30 Registration: www.the-w.org The W Shinkyudo Karate Adult Classes by Frank Martinez Karate classes provide exploration and experience in the martial arts. The martial arts offer a blend of benefits including physical fitness, self-control, discipline, self-confidence, and self-defense. NEW: Extreme MA workout Saturdays, 9:45-11 a.m. Code: KAR + number of corresponding month Example: KAR4 = April, KAR5 = May Dates: Year-round with monthly sign-up Time/Day: Monday/Thursday, 7:30-8:30 p.m.; and Saturdays, 9:45-11 a.m. Place: Aerobics Room, The W Fee: $30/month payable at beginning of each month's session Enrollment: Minimum 6, maximum 20 Contact: Frank Martinez at 319-352-9038, [email protected], or www.newoldwaykarate.com. Register at www.the-w.org or drop off form at The W. Adult Co-Rec 6s League (3 male/3 female) Code: SV2 Registration Deadline: Monday, May 30 Location: Wartburg Sand Volleyball Courts League Dates: Thursdays, June 2- Aug. 4 Time : Evenings *More specific information will be emailed to team captains. Fee: $80 Mixed Martial Arts YEAR ROUND This class will focus on mixed martial arts training with an emphasis on Brazilian jiu-jitsu. Workouts will include takedown techniques, sprawling, offensive and defensive strategies, and submissions and control for MMA-type situations. The striking portion of the class will include footwork drills, shadowboxing, and the use of pads and mitts to work strike combinations. Dates: Year-round with monthly sign-up Day/Time: Tuesdays, 7:15-9 p.m. and Sundays, 6:30-8 p.m. Location: Walker Wrestling Room, The W Fee: $25/month or $20/month for Wartburg students Contact: Jerod Botts at [email protected] or 319-939-1882 Register at www.the-w.org or drop off form at The W. Dates: Play begins week of August 1, ends late September or after tournament play is completed Time: Schedule own weekly match Code: PB1 Registration Deadline: Wednesday, July 27 Place: The W, Hoover Fieldhouse and Racquetball Courts Fee: $30 per team Registration: www.the-w.org Eighth Annual Community Wellness Fair Sponsored by The W, Waverly Health Center, and Hy-Vee Date: Saturday, April 16 Time: 9-11 a.m. Location: The W • Free admission. • Local businesses will offer health information and free screenings. • Come for the season’s first Waverly Farmers Market at the northwest public entrance to The W. Silver&Fit® The W is a Silver&Fit® participating fitness facility. Silver&Fit is designed to help older adults achieve better health through regular exercise and health education. It provides eligible members with nocost or low-cost fitness memberships through arrangements with certain health plans. Silver&Fit is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated. If your health plan offers Silver&Fit and you would like more information about The W, please visit the gym or call 319-352-8716. You also may visit Silver&Fit at www.SilverandFit.com. SilverSneakers® The W is an authorized location for Healthways SilverSneakers®, a health, exercise, and wellness program for older adults. SilverSneakers is a benefit offered to members of many Medicare plans. If you are part of a Medicare health plan or if you are a group retiree, you may already qualify, which provides you with a basic membership at The W. Local residents with Humana Medicare Advantage and UnitedHealthcare AARP MedicareComplete are eligible. To find out if your health plan qualifies visit www.silversneakers.com; call 1-888-423-4632 Monday through Friday, 7 a.m.-7 p.m.; check with your Medicare insurance provider to see if they offer this benefit; or call Jill Eckenrod at 319-352-8716. 10 Community Recreation Program Spring & Summer 2016 YOUTH ACTIVITIES/YOUTH SPORTS P.E. 101 APRIL-MAY Tumbling JUNE Soccer JUNE-JULY P.E. 101 teaches young children basic motor/movement patterns, introduces sport skills and concepts, and shows kids the fun they can have participating in fitness activities and games. This is a great program for kids who might one day be interested in gymnastics. It teaches basic tumbling movements and games incorporating those movements, as well as use of the balance beam. Building skills in ball handling and dribbling, all fundamental skills, teamwork, and fair play. Boys and girls are all invited to join the fun. This class fills quickly, so register early. Dates: Saturdays, April 2, 9, 30, May 7, 14 2-3 years: 9:30-10:20 a.m. Code: PE1 4-5 years: 10:30-11:20 a.m. Code: PE2 Registration deadline: Wednesday, March 30 Place: The W Fee: $25 Enrollment: Minimum 4, maximum 15 Dates: June 7-23* Days: T/Th 3-4 years: 11:30a.m.-12:20 p.m. Code: BT1 4-6 years: 12:30-1:20 p.m. Code: BT2 6-8 years: 1:30-2:20 p.m. Code: BT3 Place: The W Fee: $30 Enrollment: Minimum 4, maximum 12 Deadline: Friday, June 3 *Schedule may be adjusted due to W-SR snow days. Dates: June 6-17*, Days: M-F, Deadline: Friday, June 3 Age/Time: 7-9 years, 8:30-9:20 a.m. Code: S1 Dates: July 11-22, Days: M-F, Deadline: Friday, July 8 Age/Time: 6-8 years, 9-10 a.m. Code: S2 9-11 years, 10-11 a.m. Code: S3 Place: Wartburg Football Field** Fee: $35 Enrollment: 30 *Schedule may be adjusted due to W-SR snow days. Pee Wee Art APRIL-MAY Let their imaginations rule! This program is designed for children ages 3 to 5. Pee Wee Art offers art projects to stir your child’s creative juices — drawing, painting, watercolors, and beads. Children need to be able to stay engaged for 45 minutes. Session 1: Monday/Wednesday, April 4-20 Code: PWA1 Session 2: Monday/Wednesday, May 2-18 Code: PWA2 Time: 9-9:45 a.m. Registration deadline: Friday, April 1 and Friday, April 29 Location: The W, Wet Classroom Enrollment: Minimum 6, maximum 20 Fee: $30 per session, participants may sign up for one or both sessions Rock Climbing Program JUNE-JULY Participants will learn the fundamentals all the way up to advanced climbing techniques. It is a great way to exercise, learn a new skill, and have fun. *No gear needed Days: Saturdays Session 1: June 11, 18, 25 Session 2: July 16, 23, 30 PeeWee Climbing (4-6 year olds) Time: 8:30-9:30 a.m. Code: PWC1 Fee: $25 *for one month Basic Climbing (6-12 year olds) Time: 9:30-11 a.m. Code: BC1 Fee: $30 *for one month Intermediate Climbing (13 and up) Time: Noon-2 p.m. Code: IC1 Fee: $35 *for one month Deadline: Session 1: Saturday, June 4 Session 2: Saturday, July 9 Location: The W rock climbing wall Enrollment: Minimum 3, maximum 12 Look for more detailed class descriptions online at www.the-w.org. *Advanced class will be offered in the spring of 2017 for those who have taken and passed Intermediate Climbing or received permission from the director. Interested in an adult class? Contact Steve Walker at 319-352-8492 or [email protected]. The W Shinkyudo Karate Kids’ Classes by Frank Martinez The martial arts offer a blend of benefits, including physical fitness, awareness, self-control, discipline, self-confidence, and self-defense. The classes are available to children age 6 or older. Register ONLINE! Code: KAR + number of corresponding month Example: KAR9 = September, KAR10 = October Dates: Year-round with monthly sign-up Time/Day: Monday/Thursday, 6:30-7:30 p.m. Place: The W, Walker Wrestling Room Fee: $30/month payable at beginning of each month's session Enrollment: Minimum 6, maximum 20 Contact: Frank Martinez at 319-352-9038, [email protected], or www.newoldwaykarate.com Ninja Kids Class Now kids can begin learning the fundamentals even earlier. This class is designed for children ages 3 to 6. Dates: Year-round with monthly sign-up Day/Time: Saturdays, 9-9:40 a.m. Location: The W, Aerobics Room Fee: $20/month payable at beginning of each month's session Enrollment: Minimum 6, maximum 20 Contact: Frank Martinez at 319-352-9038, [email protected], or www.newoldwaykarate.com. Pee Wee Soccer JUNE Dates: June 6-17**, Days: M/W/F Deadline: Friday, June 3 Age/Time: 4-6 years, 9:30-10:20 a.m. Code: S4 Place: Wartburg Football Field* Fee: $30 Enrollment: 30 *Schedule may be adjusted due to W-SR snow days. **Site subject to change. Youth Baseball/Softball Program JUNE Hit, catch, throw… Boys and girls will learn fundamentals, fair play, and good sportsmanship in one of our two levels of baseball. Any parents interested in coaching in this program should contact The W at 352-8738. Year after year this program is one of the most popular… register early. Ages determined by the 2015-16 school year. Minor League - This league is designed to build on skills introduced in Tee Ball. Youngsters will participate in two weeks of practice and play two weeks of games. T-shirt provided (indicate size on registration form). Dates: June 6-July 1* Days: M/W/F Level/Time: Boys grades 1-3, 9:30-10:20 a.m. Code: MLB1 Girls grades 1-3, 10:30-11:20 a.m. Code: MLB2 Place: Wartburg Softball Field Fee: $50 Enrollment: 60 Deadline: Friday, June 3 *Schedule may be adjusted due to W-SR snow days. Tee Ball - Introduces boys and girls to the proper mechanics of throwing, fielding, and hitting off a tee. Youngsters will learn the positions in the playing field and play games in the final weeks. T-shirt provided (indicate size on registration form). Year after year this program is one of the most popular…register early! Dates: June 7-30*, Days: T/Th Level/Time: Girls Pre-K-1, 9:30-10:20 a.m. Code: TB1 Boys Pre-K-1, 10:30-11:20 a.m. Code: TB2 (minimum age 5 years old) Place: Wartburg Softball Field Fee: $40 Enrollment: 60 Deadline: Thursday, June 2 *Schedule may be adjusted due to W-SR snow days. 11 For more information visit www.The-W.org YOUTH SPORTS Wartburg Sports for Shorts JULY *Sponsored by Wartburg Athletic Coaches This is a fun and active introductory sports program for girls and boys ages 4-6. The basic concepts of a variety of sports will be introduced and taught by Wartburg athletic coaches. This class fills quickly, so register early. Dates: July 11-29 Days: M/W/F Age/Time: Girls 4-6 years, 9:30-10:20 a.m. Code: SS1 Boys 4-6 years, 10:30-11:20 a.m. Code: SS2 Place: The W, Wartburg Football Field Fee: $35 Enrollment: 20 Deadline: Thursday, July 7 Fun in the Sun JULY Boys and girls join all the fun in the sun this summer with crafts, games, musical activities, storytelling, and nature walks. Classes fill quickly, so sign up early. Program will be indoors at The W if weather is bad. Pee Wee Tennis JUNE-JULY Youth Basketball Skills Clinic JUNE Younger participants learn the fundamentals and skills of the game using age-appropriate equipment. Emphasis will be on skill development, games, and fun. Ageappropriate racquets will be provided and available for purchase at the end of the program. Emphasis will be skill development in areas of ball handling, shooting, offensive and defensive play, teamwork, and learning basic game rules. Games will be played within the context of teaching and developing skills. Code: PWT1 Dates: June 13-24 Days: M/W/F Time: 11:30 a.m.-12:20 p.m. Deadline: June 9 Dates: June 13-23 Days: M-Th Age/Time: Girls 6-8 years, 11:30 a.m.-12:20 p.m. Code: BBC1 Boys 6-8 years, 12:30-1:20 p.m. Code: BBC2 Boys 9-10 years, 1:30-2:20 p.m. Code: BBC3 Girls 9-10 years, 2:30-3:20 p.m. Code: BBC4 Place: The W Fee: $35 Enrollment: 20 Deadline: Thursday, June 9 Code: PWT2 Dates: July 11-22 Days: M/W/F Time: 8:30-9:20 a.m. Deadline: July 7 Ages: 5-7 Place: Wartburg Tennis Courts Fee: $30 Enrollment: 8 Tennis JUNE-JULY Learn the basic fundamentals and skills of the game. Emphasis will be on skill development, games, and fun. Participants bring their own rackets. Dates: June 13-24, Days: M-F Level/Time: Beginner, 9:30-10:20 a.m., Code: T1 Advanced Beginner, 10:30-11:20 a.m., Code: T2 Deadline: Thursday, June 9 Dates: July 11-22, Days: M-F Level/Time: Beginner, 9:30-10:20 a.m., Code: T3 Beginner, 10:30-11:20 a.m., Code: T4 Advanced Beginner, 11:30 a.m.-12:20 p.m., Code: T5 Deadline: Thursday, July 7 Ages: 8-14 Place: Wartburg Tennis Courts Fee: $35 Enrollment: 20 Creative Arts Program JULY with Kathy Klinge This program explores different art media and is designed to bring out creativity and imagination in children. Activities may include painting, drawing, ceramics, sculpture, and more. Classes fill up quickly, so sign up early. Dates: M-F, July 11-22 Age/Time: 9-12 years, 11 a.m.-noon Code: CA1 4-5 years, 12:15-1:15 p.m. Code: CA2 6-9 years, 1:30-2:30 p.m. Code: CA3 6-9 years, 2:45-3:45 p.m. Code: CA4 Place: The W Fee: $35 Enrollment: 20 Deadline: Thursday, July 7 Dates: July 12-28 Days: T/Th Age/Time: 3-4 years, 8:30-9:20 a.m. Code: FS1 5-6 years, 9:30-10:20 a.m. Code: FS2 Place: The W Fee: $30 Enrollment: 15 Deadline: Friday, July 8 NFL Flag Football SEPT.-OCT. The NFL flag football program is growing and expanding! The program is an instructional league that teaches the basic fundamentals of flag football through team practices and games. The style of play is a 5-on-5 format, and teams will have distinct NFL uniforms. Participants will be required to wear mouth guards. Fee includes jersey and flags. Parent volunteer coaches needed and desired. Please contact us at 352-8738 if interested. No online registration for NFL flag football. You must mail or drop off the registration form at The W. Dates: Sept. 6-Oct. 8 Grades: K-2, 3, 4, 5, 6 *Structure subject to change based on rosters *Practice times will be set in fall and will be based on each coach's availability. Practices are 1 hour and typically in the 4-7 p.m. timeframe, 1 time per week on a M,T,W, or Thurs. After Saturday, Sept. 10, which will be a practice, all Saturdays will be games played in the morning to midday. Grades based on 2016-17 school year Location: Droste Shelter, Fairgrounds *Saturday, Sept. 10 (practice), 17, and Oct. 1 games will be played on Wartburg’s Zimmerman Field. Fee: $60 Enrollment: Variable Deadline: Sunday, Aug. 29 to ensure NFL jersey and flags (deadline may change based on NFL requirements) 12 Community Recreation Program Spring & Summer 2016 REGISTRATION cut along dotted line Community Recreation Registration Form Mail or drop off at The W 100 Wartburg Blvd., P.O. Box 1003, Waverly, IA 50677-0903 Participant (over 18) Last name __________________________________ First name ____________________________________________________ Parent/guardian (under 18) Last name _____________________________ First name ____________________________________________________ Address _____________________________________________________ City ________________________________ Zip code _________________ Home phone _________________________________________________ Cell phone ___________________________________________________ Work phone __________________________________________________ Email address _________________________________________________ Private Swim Lessons—Estimated swimmer level ____________________ Guard name requested _________________________________________ Private Lessons—Days and times preferred ______________________________________________________________________________________ T-shirt size: Youth S (6-8): _____ Youth M (10-12): _____ Youth L (14-16): _____ Adult: S _____ M _____ L _____ Medical Information—Please list child’s name and special information (allergies, injuries, etc.) ____________________________________________ _________________________________________________________________________________________________________________________ What accommodations can we make to help your child be successful in our program? __________________________________________________ _________________________________________________________________________________________________________________________ If you would like to receive emails regarding information about future programs, please add your email address here: _________________________________________________________________________________________________________________________ o Yes o No The W has permission to use photographs of me and/or The W members in my family for advertising and publicity purposes. Participant Information Last Name Program Information First Name Sex 2015-16 Grade Date Age Birth Mo/Day/Year Complete if paying by credit card Class Code Start Date Location Time Cost Total Cost Credit Card Number Expiration Date o MasterCard o Visa Signature as stated on credit card Please keep a copy for your records. The W will not call to confirm your classes. PERMISSION FOR MEDICAL TREATMENT Upon registering for any Community Recreation program or activity, it is assumed that in the case of a parent’s or guardian’s absence or unavailability, The W staff is authorized to arrange for whatever medical treatment is considered necessary for the minor child enrolled in the activity. If a parent/guardian does not wish to authorize The W staff to arrange for medical treatment, a revocation of permission form must be filed with The W. RELEASE OF LIABILITY By my signature, I signify that I have read, understand and agree to the following for myself or my children who participate in activities at The W. In consideration of the Wartburg-Waverly Sports & Wellness Center at Wartburg College granting the participant permission to participate in activities/programs, I hereby assume all risks of personal injury (including death) and property damage that may result from any activity/program. I do hereby release and agree to indemnify, defend, and hold harmless Wartburg College, the Board of Regents, the Wartburg-Waverly Sports & Wellness Center, their employees, officials and agents, and all participants in the program/activity from and against all liability, including claims and suits at law or in equity, for damages or injuries, fatal or otherwise, which may result from any negligence or the participant taking part in activities/programs offered by the Wartburg-Waverly Sports & Wellness Center at any location that these activities may take place. Parent/Guardian ___________________________________________________ Date _____________________________________________________________ Online registrations will receive an email confirmation. Emergency contact name _______________________________________ Relationship _________________________ Phone ___________________ Register online @ www.The-W.org Parent/guardian (under 18) Last name _____________________________ First name ____________________________________________________
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