Strategies for Preventing and Coping With Youth Sports Injuries


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Photo by Suzanne Tucker/Shutterstock

When it comes to the safety of our children, we all want the best care possible for them. During or after a sporting event, however, a doctor or professional is not always available. Parents and coaches are often relied on to make an initial medical decision. As parents prepare for the spring sports season, from lacrosse and track to soccer and softball, it’s important to understand basic safety protocol to keep young athletes safe and as injury-free as possible. So, what health care knowledge should you know as your kids get in the game?

1. Know the common injuries in your child’s sport.

No matter what sport your child plays, he or she is at risk of suffering an injury. However, not all injuries are created equal, and some injuries appear to be more common per sport. For example, according to the United States Soccer Federation, ankle sprains account for 16-29 percent of all soccer-related injuries. Diagnosing your child’s injury is easier when you know sprains or strains are common in soccer as opposed to playing the guessing game.

2. Encourage your child to play multiple sports.

Overuse injuries, such as tendonitis or irritation of the growth plates, are common in children — especially if they play the same sport year-round. When any athlete plays one sport for an extensive period, he or she uses the same muscle groups and tendons repetitively. Over time this creates additional stress on that body part. Although playing year-round allows your child to stay competitive, repeated stress to certain areas can lead to more serious injuries down the road. Studies also show multi-sport athletes are much more likely to become professional athletes. Multi-sport athletes use different muscle groups and learn different types of coordinated movements, which expand their skill sets. Encourage kids to be involved in many different sports.

3. Warm up before sports activity.

One of the most important tactics to staying injury-free is ensuring your child warms up his or her muscles before any sporting event. Simply jogging in place increases body temperature; muscle temperature and blood flow to the muscles. Those benefits decrease the risk of strains and sprains, common injuries suffered by young athletes, and allows for improved muscle elasticity during play. A common misconception is to immediately stretch before beginning physical activity. However, stretching is most effective after the muscles have been adequately warmed-up.

4. Never underestimate the possibility of a concussion.

A common medical condition evaluated on the sideline is a concussion, which should never be taken lightly. Concussions occur when the functioning of the brain is interrupted due to a whiplash or direct impact to the head. While most concussions are self-limiting and non-life threatening, the risks of a second injury during a concussion can be very serious, and even fatal. One of the difficulties with concussions is that its symptoms are vague. Dizziness, headaches and nausea are common presenting symptoms. Parents and coaches should not focus on diagnosing concussions but rather whether they suspect a concussion. If you suspect a concussion, remove that child from play and have them assessed further. Some initial screening tests can include:

  • Are you feeling nauseous/dizzy?
  • Are you experiencing changes in vision?
  • Do you have a headache or is your head hurting?
  • Do you feel slowed down on the field?

Once you’ve asked questions regarding symptoms, ask questions dealing with current or recent events.

  • Who did you play last week?
  • What was the score last week?
  • Where are we?
  • What is the score of the game?

If the athlete has symptoms or any abnormalities remove him or her from play until he or she is evaluated by a health-care professional. In most cases, you do not need to take your child to the emergency room, but you should certainly keep an eye on him or her. If your child is acting normally, let him/her rest. However, you should immediately head to the emergency room or call 911 if there are significant changes in vision, facial drooping, repetitive vomiting, or decreasing responsiveness or alertness.

If you ever need a reminder on concussion protocol, there are several free apps available that provide quick access to concussion safety information. Check out the PAR Toolkit for helping diagnose/suspect a concussion and the Center for Disease Control and Prevention’s HEADS UP Concussion Safety app for how to appropriately fit the gear for your sport.

5. Know when to take your child to the doctor.

A question that most parents ask is, “How do I know if I should bring my child to the doctor or just take them home?” As a rule of thumb, parents should look for two symptoms — loss of motion and swelling. If your child’s limb is swollen, immovable or both, it’s time to make a trip to the doctor. Something as simple as a jammed finger can really be a broken bone.

6. Rehab, rehab, rehab.

At Raleigh Orthopaedic, we offer programs to our patients that strengthen musculoskeletal injuries through therapy, but we always encourage at-home treatment. The acronym RICE stands for rest, ice, compression and elevation. RICE is an effective way to initially treat a sports-related injury, both on the sidelines and at home, although the order of implementation is often debated. I recommend that parents immobilize the injury immediately as well as ice and elevate it to avoid swelling while awaiting medical evaluation.

Once your young athlete slowly begins to heal, it will become time to figure out the best time for him or her to enter back into competition. Something to be aware of is just because an injury is still painful, it does not mean your child is not ready for play. Rehab is about regaining the motion and strength of an injured body part. If your young athlete has a minor sprain, but is running back and forth comfortably, he or she may be ready to get back to play.

7. Use your parental wisdom.

You know your children better than any doctor, coach or sideline health personnel. Trust your instincts to recognize if they are in significant pain or if the injury is something you can watch. Pay attention to your child’s mannerisms, and see how often he or she uses the injured limb during play. Reduced use often indicates a larger injury. If you believe the injury is significant, take your child off the field and have him or her checked out by a medical professional.

Dr. Chad Greer, M.D., is one of Raleigh Orthopaedic Clinic’s primary care sports medicine, non-operative and concussion management physicians. Dr. Greer was the first orthopaedic-based non-operative sports medicine physician in Raleigh, North Carolina. He specializes in both pediatric and adult non-surgical orthopaedics, including sports medicine for all ages, non-operative fracture care, arthritis, sports injuries, concussion management and most musculoskeletal injuries. For more information, visit raleighortho.com.

 

 

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June 2018

Run Club meets every Sunday at 8 a.m. in Midtown Raleigh or Wake Forest. Stroller friendly; children invited. 

Cost: $10/run or $100/annual pass

Where:
Optimist Park Community Center/Greenways
5900 Whittier Drive
Raleigh, NC  27609
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Sponsor: FIT4MOM
Telephone: 919-348-0472
Contact Name: Missy Currin
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Dads play free mini golf with each paying player at regular price.

Cost: $7.99/person

Where:
Adventure Landing
3311 Capital Blvd.
Raleigh, NC  27604
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Sponsor: Adventure Landing
Telephone: 191-987-21688
Contact Name: Mike Collins
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Join Mindful Families of Durham, a Buddhist-inspired spiritual community that supports area parents, caregivers, and their children in the practice of mindfulness and the understanding of the...

Cost: Free

Where:
Erwin Road
Durham, NC  27705
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Sponsor: Mindful Families of Durham
Contact Name: Adam, Laura, Josh, Sumi
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Little ones enjoy storytime.

Cost: Free

Where:
Barnes & Noble
5959 Triangle Town Blvd.
Cary, NC  27616
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Take Dad to enjoy food trucks, live music and more at Durham Central Park's food truck rodeo. All ages.

Cost: Free. Food available for purchase.

Where:
Durham Central Park
501 Foster St.
Durham, NC  27701
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For almost 200 years, farmers brought their wheat and corn to what is now Yates Mill to have their grains ground into flour and meal. Today, you can stop by the Yates Mill visitor center to see a...

Cost: Free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
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It`s 1863 at Yates Mill, and the yard is alive with activity! Step back in time with our 19th-century costumed interpreters and watch the millstones at work grinding corn into meal.  Tour fee:...

Cost: $5/Adult, $4/Senior (ages 60+), $3/Child (ages 7-16), Age 6 & under free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
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Barnes & Noble
5959 Triangle Town Blvd.
Cary, NC  27616
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Cost: $1.00 per person

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
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The Art Therapy Institute has been working in the Chapel Hill/Carrboro City Schools with the Exceptional Children's Program for the past ten years. Enjoy a summer art therapy groups in June and...

Cost: $20 per session

Where:
Art Therapy Institute of NC
200 N Greensboro St. Suite D-6 (2nd Floor Carr Mill Mall)
Carrboro, NC  27510
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Telephone: 919-381-6068
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Cost: Free

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Barnes & Noble
5959 Triangle Town Blvd.
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Cost: Free

Where:
Whole Foods Market (North Raleigh)
8710 Six Forks Road
Raleigh, NC  27615
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Learn about law issues including divorce, separation, child custody, child support, landlord-tenant issues, and more. A local attorney will lead the discussion. This event is free and free...

Cost: Free

Where:
Compass Center for Women and Families
210 Henderson Street
Chapel Hill, NC  27514
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Sponsor: Compass Center for Women and Families
Telephone: 919-968-4610
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Every year on June 21, we enjoy the most hours of sunlight during the whole year. Discover the science and cultural celebrations behind this special summer day. Make a pretty suncatcher to hang in...

Cost: Free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
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Enjoy "Kate Writes a Song."

Cost: Free

Where:
Barnes & Noble
760 S.E. Maynard Rd.
Cary, NC  27511
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Budding naturalists ages 2-6 enjoy a craft, engaging activity, and guided walk along the greenway. Register online. Choose course #219939.

Cost: $2/person

Where:
Walnut Creek Wetland Park
950 Peterson St.
Raleigh, NC  27610
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Sponsor: City of Raleigh Parks, Recreation and Cultural Resources
Telephone: 919-996-2760
Contact Name: Stacie Hagwood
Website »

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Little ones enjoy storytime.

Cost: Free

Where:
Barnes & Noble
5959 Triangle Town Blvd.
Cary, NC  27616
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Join Preston Sharp, a 12-year-old who was recently recognized by President Trump at the State of the Union, to honor U.S. veterans by placing flags and flowers on their graves...

Cost: Free

Where:
Raleigh National Cemetery
501 Rock Quarry Rd.
Raleigh, NC
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Telephone: 1-530-515-3825

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Join park staff for an informal fishing experience for the whole family. Take your own poles or borrow one from the park through the Tackle Loaner Program. Bait and basic instruction are...

Cost: Free

Where:
Lake Crabtree County Park
1400 Aviation Parkway
Morrisville, NC  27560
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Sponsor: Lake Crabtree County Park
Telephone: 919-460-3355
Contact Name: Carol Cunningham
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Little eyes, ears and hearts are always watching and learning how to navigate life through Moms. Explore what it means to manage your mind and how important it is for your family as well as...

Cost: $10

Where:
Center for Excellence
3803B Computer Drive, Suite 106B
Raleigh, NC  27609
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Sponsor: Tracy Nolin Beerman
Telephone: 919-612-4608
Contact Name: Tracy
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Every year on June 21, we enjoy the most hours of sunlight during the whole year. Discover the science and cultural celebrations behind this special summer day. Make a pretty suncatcher to hang in...

Cost: Free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Join us at Chatham Marketplace in Pittsboro every Thursday at 10 a.m. for a casual storytime on the porch or even out in the yard. 

Cost: Free

Where:
Chatham Marketplace
480 Hillsboro St.
Pittsboro, NC  27312
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Sponsor: Chatham Marketplace
Telephone: 919-542-2643
Contact Name: Craig Kolman
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Enjoy an easy-paced and stroller-friendly walk along the greenway. Suggested for ages 3 and younger with parent. Register online. Choose course #219870.

Cost: Free

Where:
Walnut Creek Wetland Park
950 Peterson St.
Raleigh, NC  27610
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Sponsor: City of Raleigh Parks, Recreation and Cultural Resources
Telephone: 919-996-2760
Contact Name: Stacie Hagwood
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Cost: Free

Where:
Raleigh State Farmers Market
1201 Agriculture St.
Raleigh, NC  27603
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Cost: Free

Where:
Barnes & Noble
5959 Triangle Town Blvd.
Cary, NC  27616
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What do Historic Yates Mill County Park and the woodland faeries have in common? They both love nature! Take a short walk near the millpond to search for evidence of faeries (sightings are not...

Cost: Free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
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Kindergarten students entering year-round school practice a lunch line, get moving at recess, hop on a school bus and explore circle time.   

Cost: Free

Where:
Marbles Kids Museum
201 E. Hargett St.
Raleigh, NC  27601
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Enjoy a family-friendly movie and a slice or two of pizza. Purchase tickets online.

Cost: $5/person. Free for ages 2 and younger

Where:
The Halle Cultural Arts Center
237 N. Salem St.
Apex, NC  27502
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Website »

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Every year on June 21, we enjoy the most hours of sunlight during the whole year. Discover the science and cultural celebrations behind this special summer day. Make a pretty suncatcher to hang in...

Cost: Free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
View map »


Telephone: 919-856-6675
Website »

More information

Go nutty for nature as children satisfy some of their curiosity about the world around them and parents share in the joy of discovery. Ages 3-5 with parent. Register online.

Cost: $10/resident, $13/nonresident

Where:
Stevens Nature Center/Hemlock Bluffs
2616 Kildaire Farm Rd.
Cary, NC
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Telephone: 919-387-5980
Website »

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Take part in a class that teaches individualized ways to foster motor development for your child. Learn about tummy time alternatives, best positions for your baby, how to help your child learn to...

Cost: $18

Where:
Open Arts
1222 Copeland Oaks Dr
Morrisville, NC  27560
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Sponsor: Babies On The MOVE
Contact Name: Rebecca Quinones
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A wonderfully kid-paced hour featuring music, play and dancing with toddler stars singing on the mic at Cotton's gently amplified & participatory music show. Children delight in...

Cost: Free with admission

Where:
Pump It Up Raleigh
10700 World Trade Blvd, #112
Raleigh, NC  27617
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Sponsor: Pump it Up
Telephone: 919-828-3344
Contact Name: Owner/manager Kellie Paterson McHugh
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Little ones enjoy storytime.

Cost: Free

Where:
Barnes & Noble
5959 Triangle Town Blvd.
Cary, NC  27616
View map »


Website »

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Take part in a class that teaches individualized ways to foster motor development for your child. Learn about carry positions, best positions for your baby, how to help your child learn to crawl,...

Cost: $18

Where:
Open Arts
1222 Copeland Oaks Dr
Morrisville, NC  27560
View map »


Sponsor: Babies On The MOVE
Contact Name: Rebecca Quinones
Website »

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Join the folks at Open Table UMC in the Mordecai Neighborhood for free music and food trucks.

Cost: Free

Where:
Open Table United Methodist Church
824 N. Bloodworth Street
Raleigh, NC  27604
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Sponsor: Open Table UMC
Telephone: 919-561-2637
Contact Name: Andrea Chapman
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See the remake of Jeghetto’s hit puppet show co-written by Pierce Freelon of The Beast. This show was awarded two grants from the Henson Foundation. This Afrofuturistic puppet show,...

Cost: $15/person

Where:
The ArtsCenter
300-G East Main Street
Carrboro, NC  27510
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Sponsor: The ArtsCenter
Telephone: 191-992-92787
Contact Name: Patrick Phelps-Mckeown
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See the critically acclaimed documentary p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 11.0px Arial; -webkit-text-stroke: #000000} span.s1 {font-kerning: none} from Academy Award-winning...

Cost: See website for fees

Where:
Alamo Drafthouse Cinema
2116-D New Bern Ave.
Raleigh, NC  27610
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Website »

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The summer heat is back, and so are the insects! Join us in the Finley Center exhibit hall to do some fun insect-themed crafts. We will make butterflies, dragonflies, ladybugs, and other insect...

Cost: Free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
Website »

More information

After a shaded walk out to the creek entrance, take nets into the water to see some of these creek critters up close. Discuss some of the reasons it’s so important to keep these aquatic...

Cost: Free

Where:
Johnston Mill Nature Preserve
6001 Turkey Farm Rd.
Chapel Hill, NC  27514
View map »


Sponsor: Triangle Land Conservancy
Telephone: 191-990-80054
Contact Name: Molly Richard
Website »

More information

Go nutty for nature as children satisfy some of their curiosity about the world around them and parents share in the joy of discovery. Ages 3-5 with parent. Register online.

Cost: $10/resident, $13/nonresident

Where:
Stevens Nature Center/Hemlock Bluffs
2616 Kildaire Farm Rd.
Cary, NC
View map »


Telephone: 919-387-5980
Website »

More information

Transform a plastic storage box into a worm bin suitable for indoor use. Materials provided. Suggested for ages 6 and older. Register online by June 17. Choose course #220017.

Cost: $45/family for City of Raleigh residents; $60 for non-residents

Where:
Walnut Creek Wetland Park
950 Peterson St.
Raleigh, NC  27610
View map »


Sponsor: City of Raleigh Parks, Recreation and Cultural Resources
Telephone: 919-996-2761
Contact Name: Stacie Hagwood
Website »

More information

Get the real scoop on turtles, how they “earn a living," and hear a story. Ages 5 and older. Register online.

Cost: $1/person

Where:
Blue Jay Point County Park
3200 Pleasant Union Church Rd
Raleigh, NC  27614
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Telephone: 919-870-4330
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Read stories together and enjoy an arts and crafts activity based on the books.

Cost: $5

Where:
Read With Me
111 E. Hargett St., #110
Raleigh, NC  27601
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Website »

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Enjoy Little Golden Books' "Jurassic Park." This action-packed and age-appropriate title is great for dinosaur lovers, both new and old. Activities to follow. 

Cost: Free

Where:
Barnes & Noble
760 S.E. Maynard Rd.
Cary, NC  27511
View map »


Website »

More information

Little ones enjoy storytime.

Cost: Free

Where:
Barnes & Noble
5959 Triangle Town Blvd.
Cary, NC  27616
View map »


Website »

More information

Enjoy food trucks, games and dog-related vendors.

Cost: Free

Where:
Dorothea Dix Park
2105 Umstead Dr.
Raleigh, NC  27603
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Pilobolus delivers a one-hour family friendly performance as part of the American Dance Festival. Enjoy an all-ages party in the lobby featuring live music, face-painting,...

Cost: $17.25/person

Where:
Durham Performing Arts Center
123 Vivian Dr.
Durham, NC  27701
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Sponsor: American Dance Festival
Telephone: 919-684-6402
Contact Name: Sarah Tondu
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Want to get inside Historic Yates Mill? Join us for a half-hour tour (starting at 1, 1:30, 2, 2:30 or 3 p.m.) to view the main power drive and milling machinery while exploring the mill's...

Cost: $5/Adult, $4/Senior (ages 60+), $3/Child (ages 7-16), Age 6 & under free

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
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Enjoy a one-hour family friendly performance, followed by a party in the lobby featuring live music, face-painting, snacks and additional activities. The 2018 Children’s Matinee...

Cost: $17.25

Where:
Durham Performing Arts Center
123 Vivian Drive
Durham, NC  27701
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Sponsor: American Dance Festival
Telephone: 919-684-6402
Contact Name: Sarah Tondu
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Enjoy all-things blueberry, food trucks and more at Vollmer Farms' annual Blueberry Festival. Vollmer Farms' Back-40 Country Playground will be open and features a giant...

Cost: $15/person. Free for ages 12 and younger

Where:
Vollmer Farm
677 NC Hwy 98 East
Bunn, NC  27508
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Sponsor: Vollmer Farm
Telephone: 919-496-3076
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Explore the historic heart of downtown Raleigh on a walking tour of Fayetteville Street. Tours highlight the people, places, architecture and political movements that have shaped...

Cost: Adults (18+) $10; Youth (7-17) $4; Children (6 & under) Free.

Where:
City of Raleigh Museum
220 Fayetteville St.
Raleigh, NC  27601
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Learn basic canoeing skills and a bit about the millpond's history, then head out to explore the pond's many features as seen only from the water. Canoes, paddles, and life jackets are provided,...

Cost: $10.00 per boat

Where:
Historic Yates Mill County Park
4620 Lake Wheeler Rd.
Raleigh, NC  27603
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Telephone: 919-856-6675
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As the Triangle continues to grow, it is increasingly important to tell the stories of North Carolina so that natives, newcomers and visitors alike feel at home in our great places. Celebrate North...

Cost: $15-$20

Where:
Historic Adams Farm
2601 Broad St.
Holly Springs, NC  27540
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Cost: See website for fees

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Alamo Drafthouse Cinema
2116-D New Bern Ave.
Raleigh, NC  27610
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