Community Bridge July-September 2017 | Page 2

Fall Riverboat Cruise Join your friends from around the state of Minnesota for a two-hour narrated cruise of the Mississippi River and view the beautiful fall colors. The Anson Northrup Paddleboat departs from Harriet Island located across the river from downtown St. Paul. Travel up the river through the wooded Great River National Park to Fort Snelling. The Mississippi River has a tremendous history that all Minnesotans should encounter. Come and enjoy an afternoon on the “Ol’ Miss!” Box lunch with sandwich, salad, dessert and a beverage included. Gluten free and vegetarian option available as well. Indicate if need gluten free/ vegetarian option when registering. Meet at Paddelford Riverboats. CBNR1 Sunday, Oct 1 Boarding :10:30 AM, Cruise: 11 AM (sharp) – 1 PM $30.00 (Staff $30) COMMUNITY BRIDGE REGISTRATION - PARTICIPANT FORM Name______________________________ Day Phone_______________ Evening Phone____________ Address____________________________________________ City________________ Zip___________ Group Home Name_______________________Contact Person__________________ Phone__________ Group Home E-MAIL________________________________ Class # Class Name Participant Fee Staff Attending # attending Total Staff Fee _____________ __________________________________ $____________ ___________ $___________ _____________ __________________________________ $____________ ___________ $___________ _____________ __________________________________ $____________ ___________ $___________ Total Participant Fee $ ___________ Total Staff Fee $ __________ Staff fee must accompany __________ Uses a wheelchair. __________ Requires one-to-one assistance? registration Roller Skating: _____Quad skates ( 4 wheels ) _____ Inline Skates; Shoe size: Men’s ______ Women’s _____ Paddleford Cruise - please indicate if you are _____Gluten Free _____Vegetarian All other sandwich choices will be made at the time lunch is served List any medical, seizure, behavioral, or other conditions that instructor should be aware of: _______________ ______________________________________________________________________________________________ Checks payable to Community Bridge. Mail: Community Bridge, 1945 Manton St, Maplewood MN 55109 or Visa, MasterCard or Discover ______ ______ _____ _____ Exp________Total Charge $________ Signature ___________________________________ Name on Card_______________________________ (Print) • • • • 2 Guidelines for Participation Registration is required for all classes and activities. Participants should be accompanied to the classroom or pick-up site if supervision is necessary. All Community Bridge activities are school-sponsored, so there is no smoking or drinking. Participants who require one-to-one assistance must be accompanied and supervised by a primary care giver. View this brochure online at www.isd622.org/communitybridge • 651-748-7232