Field Trips to LWSRA LWSRA staff members facilitate interactive activities for special services students from area school districts during scheduled visits to the Lincolnway Special Recreation Center in New Lenox. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Select Field Trip Option *A - 1 hourB - Up to 1.5 hoursC - 30 minutesContact InformationApplicant Name *FirstLastEmail *Phone *School Name *Billing Address *Address Line 1Address Line 2CityIllinoisAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeTrip InformationNote: Trip may be extended beyond your field trip time by taking advantage of the Leigh Creek South Park and outdoor amenities, located adjacent to the LWSRC.Special DatesDates that are unavailable in '24-'25 9/2/24 | 10/7/24 | 12/16/24 | 12/23/24 | 12/30/24 | 1/6/25 | 1/20/25 | 2/17/25 | 4/28/25 Tuesday-Friday dates only available the weeks of: (Please add under additional comments if interested in one of these dates) 10/21/24 to 10/25/24 2/24/25 to 2/28/25 4/21/25 to 4/25/25 4/29/25 to 5/2/25 5/5/25 to 5/9/25 5/12/25 to 5/16/25 5/19/25 to 5/23/25First Choice for Date/Time *DateTimeWe will confirm if available.First Choice for Date/Time (option C) *DateTimeWe will confirm if available.Second Choice for Date/Time *DateTimeIf first choice not available.Second Choice for Date/Time (option C) *DateTimeIf first choice not available.# of Students *Age Range of Students *# Teachers/Aides *Option A Activity Selection20 minutes of gym activities, 20 minutes of classroom activities and 20 minutes of sensory room time. Depending on size of classroom, students can stay together as one group or be separated into stations. Select Gym Activities (pick 2 options) *BasketballBatting CageBowlingFreeze DanceKickballOmnikin BallParachuteScootersVolleyballSelect Classroom Activities (pick 2 options) *Board GamesSensory ActivityNintendo Wii GamesScience Projects (+$1 per student)*Art Project (+$2 per student)**Extra cost will be waived if school provides needed supplies.Sensory Room *IncludedOption B Activity Selection30 minutes of gym activities, 20 minutes of classroom activities, 20 minutes of making and eating a snack, and 20 minutes of sensory room time. Depending on size of classroom, students can stay together as one group or be separated into stations. Select Gym Activities (pick 3 options) *BasketballBatting CageBowlingFreeze DanceKickballOmnikin BallParachuteScootersVolleyballSelect Classroom Activities (pick 2 options) *Board GamesSensory ActivityNintendo Wii GamesScience Projects (+$1 per student)*Art Project (+$2 per student)**Extra cost will be waived if school provides needed supplies.Snack (to make and eat) *Dirt PuddingFruit Parfait*Snack supplies provided by LWSRA.Please list any allergies with students in the group: *Sensory Room *IncludedOption C Activity Selection30 minutes of either a gym activity or classroom activity. Select Gym or Classroom Activities *GymClassroomYou'll be able to choose specific activities once you select gym or classroom.Select Gym Activities (pick 3 options) *BasketballBatting CageBowlingFreeze DanceKickballOmnikin BallParachuteScootersVolleyballSelect Classroom Activities (pick 2 options) *Board GamesSensory ActivityNintendo Wii GamesScience Projects (+$1 per student)*Art Project (+$2 per student)**Extra cost will be waived if school provides needed supplies.Additional Comments & ConfirmationUpload your Certificate of Insurance (district may send to LWSRA after submission) Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. A Certificate of Insurance provided by the School District is required (in lieu of individual waivers). You may contact the LWSRA office to see if one is already on file for your district. Is there any additional info you would like us to know about your specific group of students?Confirmation *Yes, I agree to the below statement.The above named agrees to abide by the rules set forth by the Lincolnway Special Recreation Association (LWSRA) and agree to save and hold harmless, and reimburse LWSRA, with respect to any claims, suits, attorney fees, and any other expenses which may arise due to personal injury or property damage suffered or incurred in connection with or incident to the use of the Lincolnway Special Recreation facilities by the undersigned. I also understand that the fee paid by us is to reimburse LWSRA for the additional time required of staff and maintenance personnel in connection with the use of the facilities. I (we) agree that I (we) will be responsible for the conduct of the group which has been granted the use of the Lincolnway Special Recreation Facilities, and shall conform to the official operation policies relating to buildings and properties established by LWSRA. I (we) further agree to reimburse LWSRA in full for the the fee as agreed upon for the above mentioned field trip in addition to any loss due to the breakage, defacing of property, or other damage to the premises.Hit next to review then submit. A copy of your selections will be emailed to you.NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit