Administrative Section
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CITY OF
CHANHASSEN
7700 Market Boulevard
PO Box 147
Chanhassen, MN 55317
Administration
Phone: 952.227.1100
Fax: 952.227.1110
Building Inspections
Phone: 952.227.1180
Fax: 952.227.1190
Engineering
Phone: 952.227.1160
Fax: 952.227.1170
Finance
Phone: 952.227.1140
Fax: 952.227.1110
Park & Recreation
Phone: 952.227.1120
Fax: 952.227.1110
Recreation Center
2310 Coulter Boulevard
Phone: 952.227.1400
Fax: 952.227.1404
Planning &
Natural Resources
Phone: 952.227.1130
Fax: 952.227.1110
Public Works
1591 Park Road
Phone: 952.227.1300
Fax: 952.227.1310
Senior Center
Phone: 952.227.1125 .
Fax: 952.227.1110
Web Site
www.ci.chanhassen.mn.us
November 24, 2008
Mr. John Koch
471 Bighorn Drive
Chanhassen, MN 55317
Dear John:
Congratulations on the successful completion of your Eagle Scout project! The
new benches along Kerber Boulevard look wonderful and will serve as a welcome
addition for walkers. Your ability to coordinate such a significant improvement
project is commendable. Please extend a thank you to your scout leaders, fellow
troop members, parents and other adult helpers for a job well done. Your project
exceeded all expectations and will be recognized as a model Eagle Scout service
project.
John, it was my pleasure to getto know you over the past year as you worked
towards the attainment of the rank of Eagle Scout. You are a fine young man and
your skills as a communicator and project organizer in addition to your pleasant
demeanor will serve you well into the future.
Again, congratulations on the completion of a very impressive Eagle Scout
service project!
Sincerely
;$4f~~
Todd Hoffman
TH:ktm
c: Mayor and City Council
Parkand Recreation Commission II""'
g:\park\th\eagle sCOut projects\koch commendation.doc
Chanhassen is a Community for Life. Providing for Today and Planning for Tomorrow
"Generations of Service"
By Kcvin Danicl
,-- ..'
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~
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Select from tltreefrome options,
The American Legion Post 580 is working hard to bring together the necesarry resources
to build a permanent monument honoring United States Veterans from all Military
branches who have served, are serving or will serve to protect the freedom we enjoy.
A portion of the proceeds from this framed print will go towards this goal. Thank you!
Framed Print: $89
(Plus shipping & handling)
To order:
Visit www.alpost580-chanhassenmn.org
American Legion Post 580 290 Lake Dr. E. Chanhassen, MN 55317
Fax: 952-988c6728
*'*~
,Reader
Winter
2009
. Helping ..
ities Reach Their Full Potential
REACH SELF-ADVOCATES IN ACTION
REACH Self-Advocates had a busy fall prepar-
ing to exercise their rights as citizens in the
November election. They began by participat-
ing in a two-part Voter Education course offered
by REACH in October. The course helped them
identify issues that are important to them, learn
the ins and outs of voting, identify their voting
districts, and develop questions to ask when
evaluating candidates.
Instructor Jay-C Santiago-Alverez was very
proud of the self-advocates who enrolled. "The
group had a lot of energy and we had some
great discussions about issues," she says. Partici-
pant John Wolfe, who has concerns about
supportive employment availability said he
learned a lot from the course and hoped that a
lot more people would get out and vote this
year.
Participants also attended the Third Congres-
sional District Forum on October 16th to meet
candidates Ashwin Madia and David Dillon and
learn about their stances on issues such as ADA
enforcement, Medicaid, transportation,
employment and housing supports for people
with disabilities.
All of the participants reported they were
more confident about voting and planned to
vote in the general election on November 4th.
Ashwin Madia, DFl
candidate for the U,S.
House of Representa-
tives, chats with laura
Cooper and REACH
Executive Director, Mary
Perkins,
Katie Mann, Robert Topp, laura Cooper, Sandra Lindell and John
Wolfe attend a "Meet the Candidates" session in Minnetonka
hosted by the Minnesota Consortium for Citizens with DisabRities,
Tom Carey meets David Dillon, Independence Party
candidate for the U.S. House of Representatives.
. Do You Have a _ a
Special Talent? ~
Display your work at the REACH ~
Annual Meeting & Holiday Party on
December 9th!
! We'.d like to exhibit paintings, drawings,
i photographs, crafts, woodworking, sculpture
; or ctions from REACH clients, families,
i supp ers & staff.
ContacfBecca at 952-988.:.4178 for details.
.... Metro Mobility Changes... page 2
More Ins ide .... Ghostly Gala Results... page 9
.... REACH Budget To Be Cut... page 10
Metro Mobility Changes:
What They Mean For You
REACH met with representatives from Metro Mobility in August
to gath r information about changes to the certification rules.
Here are answers to some of your important questions.
Why did Met Council chanae the eliaibilitv rules? A federal
audit was conducted and found that the system in the Twin
Citi shad gen rous eligibility rules that went beyond the re-
quirem nts of the American's with Disabilities Act. In addition,
there have be n some abuses of the service by people who
do not really need it. Met Council was req uired by the federal
audit to bring the service in line with the narrower ADA require-
ments or lose f deral transportation funding.
Does ev rvone who is currently certified have to be re-
certified? Yes - but not until your current certification expires.
Who will now be eliaible for Metro Mobilitv? Under the new
guidelines you will be eligible for Metro Mobility if:
. It is impossible for you to take regular public transportation
due to a physical disability, such as using a wheelchair.
OR
. You are unable to navigate the bus system once you are
on a route due to cognitive or physical impairments. This
includ s things like being unable to read schedules, recog-
nize your stop, recognize landmarks, ask for help if you get
lost, or know what to do if your bus route is detoured.
OR
. You are unable to walk or ambulate % of a mile or 9 blocks
to and from a bus stop due to physical or cognitive impair-
ments.
Ther are no fixed bus routes between my house and my iob.
Does that mak me eliaible? NO. A lack of fixed or conven-
i nt bus routes alone is not enough to qualify you for Metro
Mobility under the new rules. To qualify you will have to prove
that your disability prevents you from using any regular bus
route.
What is involved in the recertification orocess? You will have to
compl te an application and provide signed verifications from
professionals who can attest that your disability prevents you
from taking th public bus. Metro Mobility urges people to sub-
. ." -. - .
Please Join "US fo'rt
- - - -~~ . >
Holiday'Party
2
mit as many professional verifications as possible. These can
be from physicians, social workers, psychologists, etc. On your
application you should also list every possible disability-related
issue that may keep you from riding the bus. Under the new
rules, it is uo to yOU to orove that YOU cannot use th reaular
bus system or learn to use it due to your disability. REACH staff
are available to help you fill out your application and gather
the necessary documentation.
After your application is reviewed you may be approved or
you may be asked to complete an in-person assessment and/
or work with a travel trainer to determine how well you can
function on the public bus system. If they have any doubts
about your ability, you will likely be recommended for certifica-
tion.
Can I aooeal the decision if I'm denied? Yes. You simply have
to write a letter to Metro Mobility saying "I want to appeal my
certification decision." At that point your case will be reviewed
by an independent appeals board made up of people with
disabilities. There are agencies that offer help with the appeals
process including REACH and ARC.
I'm ok takina the bus to work every day. but I have trouble a t-
tina to new olaces like the doctor's office and community ac-
tivities. Can I aet helD from Metro Mobilitv? Yes. You may be
able to get "Conditional" certification that would allow you to
use Metro Mobility to get to new locations outside of your daily
route. THIS COULD BE A GOOD OPTION FOR MANY OF YOU!
I think I miaht be able to take the bus if someone helos me.
What services are available? Metro Mobility offers FREE travel
training to help you learn to use as many routes as you need to
get where you want to go. The travel trainer will work with you
one on one until you feel comfortable taking the bus alone.
For more information about Metro Mobility and the new c rtifi-
cation rules, visit www .metrocouncil.ora or call the Metro
Mobility Service Center at 651-.602-1111.
Winter 2009
c e u es
EDUCATION, THERAPY, LEISURE ACTIVITIES
Helping Individuals with Disabilities Reach Their Full Potential
1001 Highway 7, #217
Hopkins, MN 55305
(952) 988-4177 Phone
(952) 988-6728 fox
REACH is an agency that serves individuals with developmental disabilities and their families
in the West and Northwest metro area. Services include counseling, therapy groups, commu-
nity living training and support, therapeutic recreation and leisure, information & referral.
--------------------------------
Counseling & Education
Counseling
Reach for Resources specializes in
working with people with developmen-
tal disabilities such as mental retarda-
tion, down syndrome, autism, and mild
to borderline cognitive difficulties, and
their families. We believe in a friendly,
supportive, person-centered approach,
and in setting personalized goals for
each client.
Reach accepts: Medical Assistance,
Blue Cross Blue Shield of MN, Medica,
America's PPO.
To schedule an intake interview or for
information on counseling options call
Lisa Rivers, MA. LP at
(952) 988-4177
Empowerment Group
Men and women in this group learn to
support each other, solve their own prob-
lems, advocate for themselves, and form a
strong social network. Participants must
arrange their own transportation and be
able to wait independently for their ride.
WHERE: Eisenhower Center
1001 Highway 7, Hopkins
WHEN: Tuesdays 6:30-8:00 pm
Begins January 13
FEE: $10
An intake is required for new participants.
Call Mary Meyer at 952-988-4177 to register
or schedule an intake.
ARMHS
For Adults with Mental Health Disorders and
Mild Cognitive Impairments
REACH for Resources offers Adult Reha-
bilitative Mental Health Services
(ARMHS) that can help you successfully
live on your own in the setting of your
choice. An ARMHS case worker can
teach you skills to:
. Cope with sress, fear ald alxiety
. Rnd sae, affordct>le housing
. Rnd ajob ald learn job skills
. Malcg9 your money
. Develop a healthy lifestyle
. Learn to use community rerources
To be eligible for R.EACH ARMHS you
must: <
.
r!:>>>, . ....><<':<,.:,c.,
Hayea Mental.~~althDiag~~~is
Have a Mild Cognitive Disability (ie. Bor-
derline la, Autism ~rum Dioorder, Fetal
Alcohol ~drorne, lea'ning Disal:lility, or
1ri~maliC Branlmi.ury) .. .....<<
BE;ilSyears or~jder '<i<'"
Qualify for Medical Assistance
.
.
.
Support Group
Young Women in
Transition
(Ages 18-30)
This group provides an opportunity for
women with borderline to mild cogni-
tive disabilities to talk with other women
about their concerns and experiences
regarding relationships, sexuality, grief
and loss, or other topics of interest.
This therapeutic group will meet one evening
per week at the Eisenhower Community
Center in Hopkins. If you would like to be a
part of the group, an intake is required. Call
Lisa at 952-988-4177 for more information.
REACH OUT
Independent Living
Support for
Adults with Disabilities
Reach Out is an in-home support
service for adults with disabilities who
want to live independently, but have
been denied eligibility for other public
assistance programs.
Clients are assigned a case manager
who provides on-going support with:
. Finding Housing
. Finding Employment
. Managing Finances
. Cooking & Cleaning
. Health & Safety Training
. Socialization
. Transportation
. Government Benefits Application
. Regular phone Check Ins
. Crisis Support
Reach Out is tailored to your individual
needs and offered at an affordable per
session fee.
Sliding scale or no-cost outreach
scholarships may be available based on
family income.
Call Mary Perkins at 952-98-4177 for a Free
Preliminary Assessment
;............................................................................................................................
. .
: Did You Know? Reach is also 0 SILS
: and Waiver provider. If you ore look- :
! ing for 0 worker who con meet your :
! needs, give us 0 call!
. .
...................................,..............................................................,..........................
3
Youth Programs (Ages 5 - 12)
Soccer
6 Weeks of non-competitive soccer for
kids! Learn the basic skills, rules, and
sportsmanship.
WHERE: Garden City Elementary, 3501
65th Av . N. Brooklyn Center
WHEN: Mondays
Jan 26-Mar 9
TIME:
6:00-6:45 pm
FEE:
$40 Resident
$48 Non-Resident
Bowling
Join us for fun,
non-competitive
open bowling.
You will bowl two
games each
w k.
d~
Northwest
WHERE:
Doyle's
5000 W Broadway
Crystal
Saturdays
Jan 17-Mar 7
12:00-2:00 pm
$35.00 Resident
$43.00 Non-resident
Plus $3.00 Per Saturday
WHEN:
TIME:
FEE:
West
WHERE:
Park Tavern
3401 Louisiana Ave S
St Louis Park
Saturdays
Jan 17-Mar 7
9:30-11 :30 am
$35.00 R sid nt
$40.00 Non-r sident
Plus $3.00 Per Saturday
WHEN:
TIME:
FEE:
4
Family
Yoga
Open to ages
5-21
This class is designed for children/teens
with disabilities and their parents to learn
yoga together. Increase attention span,
focus, muscle tone and flexibility! Siblings
welcome too. All children must be ac-
companied by at least one adult.
WHERE: St. Louis Park Rec Center
3700 Monterey Dr.
WHEN: Tuesdays
Jan 2Q-Feb 24
TIME: 5:30-6:30 pm
FEE: $50 for parent/child pair
$55 for non-residents
$20 for each additional person
Kid Fu
Fun martial arts programs for
kids. Come learn the moves
of Jackie Chan! Now 8
weeks!
Session 1: Wed nesdays
Jan 14-Mar 4
WHERE: Chanhassen Rec. Ctr.
2310 Coulter Blvd.
TIME:
FEE:
6:00-6:45 pm
$56.00 Resident
$61.00 Non-resident
Thursdays
Jan 15-Mar 5
Plymouth Creek Center
14800 -34th Ave N
5:30-6:15 pm
$56.00 Resid nt
$64.00 Non-resident
Session 2:
WHERE:
TIME:
FEE:
Program Minimum 5, Maximum 10
Registration Notes
and Information
. Residents of our consortium cities
are aiven orioritv in reaistration.
Non-resident reaistrations will be
held until one week before the start
of the oroaram.
. If you are a new participant in On the
Town, call Becca at (952) 988-4178 for
information and to schedule an intake
interview.
. Please Note: Participants may only reg-
ister for one social program per quarter.
. Please do not sign up unless you will be
able to attend!
. If you are concerned about your
program filling up quickly, please feel
free to stop by the Reach for Resources
office to complete a registration form in
person.
. You will receive a letter confirming your
registration along with schedules for all
programs you have been registered for
at least one week prior to the start of
the program.
Winter registration begins November 24
Spring registration will b gin Feb. 16
NOTE: REFUNDS ARE NOT GIVEN IF YOU
CANCEL 1 WEEK OR LESS BEFORE THE
PROGRAM BEGINS!
Teen Programs (Ages 13
!
Bowling
Join us for fun, non-
competitive bowling.
You will bowl two
games ach week
Northwest
WHERE:
Doyle's
5000 W Broadway
Crystal
Saturdays
Jan 17-Mar 7
12:00-2:00 pm
$35.00 Resident
$43.00 Non-resident
Plus $3.00 Per Saturday
WHEN:
TIME:
FEE:
West
WHERE: Park Tavern
3401 Louisiana Ave S
St Louis Park
WHEN:
Saturday
Jan 17-Mar 7
9:30-11 :30 am
$35.00 Resident
$40.00 Non-resident
TIME:
FEE:
Plus $3.00 Per Saturday
Program Minimum 5, Maximum 10
Weekend Ventures
(Ages 14-23)
WINTER: Enjoy holiday fun in down-
town Minneapolis. Stay in a hotel, visit
the Macy's holiday display and see the
Holidazzl parade!
WHEN: Dec. 5th-7th
FEE: $350 for entire weekend
SPRING: We will stay at a hotel in
Bloomington and go to the Mall of
America. Shopping, rides, movies, mini-
golf, Und rwater World. There is so
much to do!
WHEN: Mar 2Oth-22nd
FEE: $350 for entire weekend
Call Becca at 952-988-4178 for an
application
Active
Adventures
Make friends while trying
new activities. This is a
social group with an emphasis on outdoor,
active outings.
WHERE:
Various northwest metro
locations
Thursdays
Jan 15-Feb 26
WHEN:
TIME:
FEE:
Evenings
$40.00 Resident
$48.00 Non-resident
-
21)
West Teen Explorers
A weekly social group that will explore
your community by enjoying activities
like concerts, plays, shopping, swim-
ming, movies, and eating out.
Various West Metro locations
Tuesdays, Jan 13-Feb 24
6:30 - 8:30 pm
$40.00 Resid nt
$45.00 Non-r sident
Plus additional activity fee
WHERE:
WHEN:
TIME:
FEES:
Program Minimum 5, Maximum 20
Social Seekers
Social Seekers is designed to meet the needs of those with High-Functioning Autism
or Asperger's Syndrome. These fun, age appropriate groups are designed to help
teens and young adults gain confidence in their social interaction skills and make
new friends in a safe environment.
Young Adult Group
For Ages 19+
WHERE: The Depot Coffee House in Hopkins
WHEN: Wednesdays, Jan 7-Mar 11
TIMES: Group 1 4:00 - 5:30 pm (Jr. Hi)
Group 2 5:45 -7:15 pm (H.S) TIME: 6:30-8:00pm
FEE: $200.00 for 10 sessions FEE: $200.00 for 10 Sessions
NEW!! We are adding a Thursday teen group in Robbinsdale. Call for details. I
Teen Groups
WHERE:
WHEN:
The Depot Coffee House in Hopkins
Mondays, Jan 5-Mar 9
TEEN PERSONAL PURSUITS: In this supplemental program, activities will be organized by the
Social Seekers Teen groups with the help of staff. These activities will be held on Thursdays or
Saturdays. There will be no additional registration fee, but certain activity costs may apply.
Returning participants should contact REACH to register. An intake is reauired for new
carticicants. Please call (952) 988-4176.
Take Five Respite
Looking for something fun to do over Win-
ter Break? Come meet new friends at this
great all-clay program filled with field
trips, friends and fun!
WHEN:
WHERE:
TIME:
FEE:
Dec. 22,23,26,29,30, & Jan. 2
Elim Lutheran in Robbinsdale
9:00 am-3:30 pm
$70 per day
Transportation may be avaHable tor an additional tee.
Payment Options: Private pay, Waiver, PCA &
COCS. Some scholarships are available.
For an application, please
call St phen at (952) 988-5321
Girls Club
This club is designed for girls ages 13-17
who are independent in th ir personal
care and want to meet new friends and
have fun!
WHEN:
One Saturday per month,
beginning in January
Various locations
$40.00 Resident
$45.00 Non-resident
WHERE:
FEE:
5
Adult Fitness
Adult Bowling
Join us for fun, non-
competitive bowling.
You will bowl two
gam s ach week
I(/'~I
~
Northwest
Doyl 's
5000 W Broadway
Crystal
Saturdays
Jan 17-Mar 7
12:00-2:00 pm
$35.00 Resident
$43.00 Non-resident
Plus $3.00 Per Saturday
Program Minimum 5, Maximum 30
WHERE:
WHEN:
TIME:
FEE:
Earl Brown Bowl
6440 James Cir N
Brooklyn Center
Saturdays
F b 14-Mar 21 (6 wks onlY)
3:00-5:00 pm
$28.00 Resident
$36.00 Non-resident
Plus $4.00 Per Sunday
Program Minimum 5, Maximum 30
WHERE:
WHEN:
TIME:
FEE:
West
WHERE: Park Tavern
3401 Louisiana Ave S
St Louis Park
WHEN: Saturday
Jan 17-Mar 7
TIME: 9:30-11 :30 am
FEE: $35.00 Resident
$40.00 Non-resident
Plus $3.00 Per Saturday
Program Minimum 5, Maximum 30
Yoga for Adults
(ages 18+)
Non-Competitive ~
Basketball )W
Have fun and get some exercise in this
great non-competitive league!
WHERE: Forest Elementary School
6800 47th Ave. N.
Crystal
WHEN: Thursdays
Jan. 8-Mar 12
TIME: 6:30 - 8:00 pm
FEE: $40.00 Resident
$45.00 Non-resident
A Competitive Basketball League is
offered by the Ridgedale YMCA on
Mondays. Call Molly at 952-982-8264
for information.
SPONSOR A REACH
BASKETBALL TEAM!
Help adults with disabilities have
fun playing basketball
Sponsorship Benefits:
. Your business logo on t am
t-shirts and choose your team
name.
. Recognition at th basketball
awards ceremony and in the
Reach Reader (circ. 4000+)
Full sponsorships
ar $275
Contributions of
any amount wel-
comed!
Call Becca at 952-
988-4178 if you'd
like. to help
Relax, gain flexibility, and get in shape at
this great program.
WHERE: St. Louis Park Recreation Center
3700 Monterey Dr.
St. Louis Park
WHEN: Tuesdays
Jan 20-Feb 24
6:45 - 7:45 pm
$40.00 Resident
$45.00 Non-resident
Program Minimum 5, Maximum 20
Call Becca at (952) 988-4178 for details
TIME:
FEE:
Walking Club
Keep that body moving and enjoy the
community! We will walk at various in-
door and outdoor locations.
WHERE: Various Locations
WHEN:
Mondays
Jan 19-Feb 23
6:30 - 8:00 pm.
The Adaptive Recreation program is a cooperative effort between REACH for Resources nd the Northwest Consortium and West Consortium of
cities. The Northwest Consortium consists of: Brooklyn Park, Brooklyn Center, Crystal, Golden Valley, Maple Grove, New Hope, Plymouth and Rob-
binsdale. The West Consortium consists of: Chanhassen, Chaska, Hopkins, Minnetonka, and Sf. Louis Park. For information and registration pro-
cedures, call Tara or Becca at 952-988-4177. NOTE: For persons not living in one of the above communities, you are considered a "non-residenf"
and need to add a $8 to the registration fee for Northwest city programs and $5 to the registration fee for West city programs.
6
TIME:
FEE:
$25.00 Resident
$30.00 Non-Resident
Program Minimum 5, Maximum 15
Adult Social Pro
On the Town I
A social group for young adults, ages 18 -25,
who are independent and would like to
e>eplore ther community. Meets twice per
month.
WHERE: Various locations in the Northwest
& West Suburbs
TIME:
FEE:
Every other Friday evening
Beginning Jan 16
Varies with activity
$20.00 R sident
$25.00 Non;esident
Plus additional activity fees
Program Mininum 5, Ma><inum 15
WHEN:
On the Town II
A social group for adults, ages 26 - 50, who
can access the community independently
with mininal supervision. Two Saturdays per
month.
WHERE: Various locations in the Northwest
& West Suburbs
WHEN: Every other Saturday evening
Beginning Jan 17
Varies with adivity
$20.00 Resident
$25.00 Non;esident
Plus additional activity fees
Program Mininum 5, Ma><inum 15
TIME:
FEE:
SUPERBOWL
PARTY!!
Join your friends for food, fun, prizes
& the big gamel
Sunday, February 1st
5:00-9:00 pm
Brookview Golf Grill
200 Brookview Pkwy, Golden Valley
Cost: $7.00
Register on page 8
rams
Club West (west metro) and Wednesday Night Social (northwest metro )are
social programs for adults age 18 and older. Meet new friends and visit with
old friends while enjoying games, dances, movies, bingo, etc.
Staff to participantralio is 1:10
Program Minimum 5, Ma>dmum 30 (for each program)
Club West Wednesday Night Social
WHERE: Various west metro WHERE: Crystal Community Center (and
locations other nearby locations)
WHEN: Wednesdays WHEN: Wednesdays
Jan 14-Mar4 Jan 14-Mar 4
TIME: 6:30 - 8:30 pm TIME: 6:30 - 8:30 pm
FEE: $40.00 Resident FEE: $40.00 Resident
$45.00 Non;esident $48.00 Non;esident
Plus additional activity fee Plus additional activity fee
!".W~.~.k~.~.d."V~~t~.~~~""J
(Ages 24+)
; WINTER: Enjoy holiday fun in down-
~ town Minneapolis. Stay at a hot I, visit .
! the Macy's holiday display and see the:
: Holidazzle parade! :
i WHEN: December 5-7 i
I FEE: $350 for entire weekend :
j SPRING: We will stay at a hot I in
j Bloomington and go to the Mall of
: America. Shopping, rides, movies,
j mini-golf, Underwater World. There is so j
: much to do! :
: WHEN: Mar 2Oth-22nd :
: FEE: $350 for entire weekend
Friday Night Dances
Join your friends and groove to all the
latest hits! Sponsored in collaboration
with Project Soar.
TIME:
FEE:
WHEN:
7 - 9 pm (all dances)
$5.00 at the door
Jan. 23
Feb 13
Mar 13
St. Louis Park High School
6425 W. 33rd St.
For an application, please call
Becca at (952) 988-4178
. .
,........................................................................................60
WHERE:
WHEN: Feb. 27
WHERE: Maple Grove Jr. High
7000 Hemlock Ln.
7
Registration Form-Winter 2009
Advance paym nt is required for all programs. NO REGISTRATION AT PROGRAMS OR BY PHONE. To nsure a spot in the program(s)
of your choice, mail in payment and registration form as soon as possible. Residents of th W st & Northwest consortium of citi s
rec ive preferenc in registration. See bottom of page 6 for list of cities. Registration is then op n to non-residents one week prior
to th start of th programs (unless program is full). Registration Begins November 24, 2008
Name:
Birth date:
Addr ss:
City:
Zip Code:
Home Phone:
Work Phone:
Email:
Emergency Contact: Emergency Phone:
o Y s 0 No I have waivered services and an authorization for Reach For Resources to bill for these programs.
DYes 0 No Do you require wheelchair access?
Photo Waiv r: My photo may be taken at Reach programs and used for promotional materials, unless I check below:
o No, I DO NOT wish to have my photo used.
Disability (please include specific information such as seizures, allergies, special diet etc.):
Social Worker:
Parente s)/G uardia n(s):
Home Address:
Par nt(s) E-Mail:
Parent(s)Employer:
Employer Address:
Annual House- 0 $0 - $24,999
hold Income: 0 $100,000 - $124,999
Social Worker's Phone:
Parent/Guardian's Phone:
City:
Parent(s) Cell Phone:
Employer Phone:
Zip:
0$25,000 - $49,999
0$125,000 - $149,999
City:
o $50,000 - $74,999
o $150,000 - $174,999
Zip:
o $75,000 - 99,999
0$175,000 - $199,999
0$200,000+
I, the undersigned, certify that the above information is accurate. I understand that participation in this activity is completely voluntary and the activity is being offered
for the benefit of the participant. Reach for Resources shall not be Rabie for any claims, injuries, or damages of whatever nature, incurred by the participant arising out
of, or connected with, the activity. On behalf of myself and the participant, I expressly forever release and discharge Reach for Resources, its agents or employees, from
any such claims, injuries or damages. I have received a copy of Notice of Privacy as required by HIPAA. I have read, understood and agree to these privacy practices.
Legal Guardian:
Date:
0 Program Resident/Non-Res
0 Adult Bowling Doyle's $35.00/$43.00
0 Adult Bowling Earle Brown $28.00 / $36.00
0 Adult Bowling Park Tavern $35.00 / $40.00
0 Youth/Te n Bowling Doyle's $35.00/$43.00
0 Youth/Teen Bowling ParkTav. $35.00 / $40.00
0 Kid Fu Session # $56.00 / $61 or $64
0 Family Yoga (# attending_) $50.00 / $55 (+$20)
0 Youth Soccer $40.00/ $48.00
0 Active Adventures $40.00 / $48.00
0 West Teen Explorers $40.00 / $45.00
Winter
2009
0 Program Resident/Non-Res
0 Girls Club $40.00 / $45.00
0 Basketball-Adult $40.00 / $45.00
0 Adult Yoga $40.00 / $45.00
0 On the Town I $20.00 / $25.00
0 On the Town II $20.00 / $25.00
0 Club West $40.00 / $45.00
0 Wednesday Night Social $40.00 / $48.00
0 Walking Club $25.00 / $30.00
0 Holiday Party (# attending ) $5.00 ea
0 Superbowl Party $7.00
0 Take Five Respite Send me info
0 Weekend Ventures S nd me Info
Please mail compl t d form with paym nt to Reach at:
1001 Highway 7 #217Hopkins, MN 55305
Office (952) 988-4177 www.reachforr sources.org
Best Male Costume winner Alex Luther (aka
Michael Phelps) poses with Executive Director
Mary Perkins
We had a record turnout at the
Reach Ghostly Gala Fundraiser on
October 25, 2008!
REACH raised over $5000 and all
proceeds will be used to support a
scholarship program that helps
people in need access our services.
Thank you to all of our guests,
sponsors, and volunteers for making
the Ghostly Gala such a success!
Allison Henley as Cruella DeVille won
Best Female Costume
Thank You Ghostly Gala Contributors
QQrporate & Civic Sponsors
"
~) [~,~?"S,"~
LARSON'KING
In-Kind Donors
Applebee's
Arbys
Brunswick Zone
Chipotle
Country Glazed Ham
Cub Foods
Erbert N Gerbert's
Fantastic Sam's
Famous Dave's
50' s Grill
Leeann Chin
Minnesota Timberwolves
Minnesota Twins
Minnesota Vikings
Noodles & Company
Old Log Theater
Olive Garden
Papa Murphy's
Potbelly Sandwiches
Red Lobster
Rocky Rococo Pizza
Sam's Club
Stages Theatre Company
Subway
Taco Bell
Target
Three Squares Restaurant
Brooklyn Park Lion's Club
Hopkins American Legion
Maple Grove Lions Club
Individual Sponsors
Jim and Cyndi Bade
Mary Beckering
Tony Boldon
Patrick Boley
Steve and Marcia Crist
Ruth Ann Kempf
Barb and Dav KI ist
Maxin and Jeff Skold
@
OpportumtyPmtners
Hammer
The Goldbrick Club
Volunteers
Twin Cities Single Volunteers
Park Center High School
Champlin Park High School
l---sp-;~i~IThank~--t~th;-m-1
! Brooklyn Park Community !
i Center and Jen Gillard for i
! hosting the Ghostly Gala! I
9
l____________~_____
**~
Address Service Requested
NON-PROFIT ORG.10
US POSTAGE PAID
LITTLE FALLS, MN
PERMIT NO.9
1001 Highway 7 #217
Hopkins, MN 55305
(952) 988-4177
1.1.1..1.1'1111'11.111'1111111111.11.1..11...1.11111...1.11..1
8*1 *************3-DIGIT 553
TODD H0FFMAN
CllY OF CHANHASSEN
PO BOX 147
CHANHASSEN MN 55317-0147
"' ~
. CITY OF
CHANHASSEN
7700 Market Boulevard
PO Box 147
Chanhassen, MN 55317
Administration
Phone: 952.227.1100
Fax: 952.227.1110
Building inspections
Phone: 952.227.1180
Fax: 952.227.1190
Engineering
Phone: 952.227.1160
Fax: 952.227.1170
Finance
Phone: 952.227.1140
Fax: 952.227.1110
Park & Recreation
Phone: 952.227.1120
Fax: 952.227.1110
Recreation Center
2310 Coulter Boulevard
Phone: 952.227.1400
Fax: 952.227.1404
Planning &
Natural Resources
. Phone: 952.227.1130
Fax: 952.227.111 0
Public Works
1591 Park Road
Phone: 952.227.1300
Fax: 952.227.1310
Senior Center
Phone: 952.227.1125
Fax: 952.227.1110
Web Site
www.ci.chanhassen.mn.us
November 21, 2008
Ms. Kyle Billadeau
Chan/Chaska Hockey Association
PO. Box 1006
Chanhassen, MN 55317
Dear Kyle:
. .
Thank you for taking the time to submit facility applications to the City of
Chanhassen for outdoor hockey space. CCHA has been assigned the following
days and times.
Location
Rink No.
Days
City Center Park
Chanhassen Rec Center
CCP. #1
CRC#l
5:30-7:30 p.m.
5:00-9:00 p.m.
Please look closely at your pennits and letllle, know ifmeteareanychanges. If
you have any questions; pleaseca~lme at (952) 227-1l21. . ...
Sincerely,
Jk:'~:... .
g:\park\jerry\CCHAhockeyrinks09
Chanhassen is a Community for Life. Providing for Today and Planning for Tomorrow
CITY OF
CHANHASSEN
7700 Market Boulevard
PO Box 147
Chanhassen, MN 55317
Administration
Phone: 952.227.1100
Fax: 952.227.1110
Building Inspections
Phone: 952.227.1180
Fax: 952.227.1190
Engineering
Phone: 952.227.1160
Fax: 952.227.1170
Finance
Phone: 952.227.1140
Fax: 952.227.1110
Park & Recreation .
Phone: 952.227.1120
Fax: 952.227.1110
Recreation Center
2310 Coulter Boulevard
Phone: 952.227.1400
Fax: 952.227.1404
. Planning &
Natural Resources
Phone: 952.227.1130
Fax: 952.227.1110
Public Works
1591 Park Road
Phone: 952.227.1300
Fax: 952.227.1310
Senior Center
Phone: 952.227.1125
Fax: 952.227.1110
. Web Site
www.ci.chanhassen.mn.us
November 21,2008
Mr. Jack Holstrom
Minnetonka Youth Hockey
5516 Kipling Ave
Minnetonka, MN 55345
Dear Jack:
Thank you for taking the time to submit facility applications to the City of
Chanhassen for outdoor hockey space. Minnetonka Youth Hockey has been
assigned the following days and times.
Location
Rink No.
Time
Days
M-T...W-Th
M&W.
5 :30-7~30p.m.
5 :30~9:00p.m.
Please look
you have any
If
g:\park\jerry\minnetonkahockeyrinks09
Chanhassen is a Community for Life. Providing for Today and Planning for Tomorrow