Danby Youth Programs Spring 2016
Danby Youth Programs
Danby Youth Programs Spring 2016 Registration Form Name of Participant: __________________________________________ Address:____________________________________________________ Date of Birth: ________________ Grade: ______ Parent/Guardian Name____________________________________________ Home/Cell Phone: ___________________ Work Phone: __________________ E-mail Address: ______________________________________________ Emergency Contact (other than parent/guardian): Name: ________________________________Phone: ____________________ Relation: ____________________
Lickbro ok March, Falls 2016
Any allergies, special needs, or medical conditions of which we should be aware?
Please Check All That Apply _____ Yes, I give permission for my child to participate in selected Danby Youth Programs in Spring 2016. _____ Yes, I give permission for the Program Manager to transport my child if necessary. _____ Yes, I give permission for my child to participate in program evaluations in order to assess the program’s value. Any information gathered will remain anonymous. _____ Yes, I give permission for program staff and/or other emergency care personnel to administer first aid or medical treatment in the event of an emergency involving my child. _____ Yes, I give permission for my child’s photo to be taken during activities and for these photos to be used for documentation and publicity purposes (including on social media like Facebook & Instagram) _____ Yes, I understand that I must pick up my child at the end of each program and that supervision of my child is not provided beyond program time, unless otherwise arranged. _____ Yes, I give permission for the release and exchange of my youth’s records and information (progress reports, etc.) to be shared between the Ithaca City School District Guidance Office at Boynton Middle School and the Danby Youth Program Manager.
Parent Signature: ____________________________________________
Date: __________
Spring 2016 Please direct any and all questions to: Travis Judd JYC/ Danby Youth Program Manager Phone: (607) 272 2292 ext. 222 Email: [email protected]
Facebook: www.facebook.com/DanbyYouthPrograms Instagram: danbyyouthprogams
Spring 2016 Programs
Danby Youth Programs Spring 2016
Make It Mondays (Mondays, 5/2-6/13) 3:30-6:00 pm @ The Danby Community Church
**A suggested donation of $20/program helps us continue to run incredible youth programs! No one will be turned away due to lack of funds**
This participant driven program will cater to the interests of the group daily. Participants will brainstorm what they would like to see and have a heavy role in activity selection for the following week. Options are (almost) limitless with what we can do, whether it is hiking, local trips, field games, Mythbuster challenges, natural crafts, Frisbee, orienteering, and others. Come ready for anything- indoors, or out!
Back to the Future (Wednesdays, 3/16-6/15) 3:30-6:00 pm @ The Danby Community Church How can you move forward if you don’t know where we’ve been? Ever heard of the Underground Railroad? Harriet Tubman? How about the Woodlawn National Cemetery in Elmira ? This program will be heading out on adventures to de-code local (and not so local) locations of action, museums, cemeteries, people and buildings. Period appropriate meals, practices and challenges will also be enjoyed. Come enjoy the comradery, travel and experiences of looking into the somewhat recent past. For the finale of the program, we will get to attend a live Civil War reenactment right here in Danby at Dotson Park. Come ready for awesome adventures and stories you wouldn’t believe!
Iron Chef (Fridays, 3/18-4/22) 3:30-6:00 pm @ The Danby Community Church Back in action for the end of the school year, bring your cooking expertise, an open mind and be ready to eat some great food. Each week will be exciting as challenges will vary greatly with the weather, cuisine for the day, and cooking locations. Food preparation, taste, ingenuity, teamwork, and leadership will be the areas of focus, with the ever-popular “Mystery” category to shake it up!
Lunch Bunch (Wednesdays, 3/16-6/15) Boynton Cafeteria @ Lunchtime Games, food, fun and friends. Bring your lunch to our table, have some special snacks and relax. Exotic fruits and veggies are arriving daily! All Outdoor programs require weather-appropriate clothing and footwear that may get dirty. *Please note– Program is cancelled when school sponsored Afterschool Activities are cancelled*
Please check programs that your child will be attending. Make It Mondays (Mondays, 5/2-6/13) 3:30-6:00 pm @ The Danby Community Church Back to the Future (Wednesdays, 3/16-6/15) 3:30-6:00 pm @ The Danby Federated Church
Iron Chef (Fridays, 3/18-4/22) 3:30-6:00 pm @ The Danby Community Church
Lunch Bunch (Tuesdays, 3/15-6/14) Boynton Cafeteria @ Lunchtime
Youth must be picked up by a parent or guardian at the program site at the conclusion of each program, unless program takes place during lunchtime or pickup/drop-off is arranged otherwise. Detach this half of form, complete (front & back), and return to: Cornell Cooperative Extension– Tompkins County 615 Willow Ave, Ithaca Attn: Travis Judd
Space is limited, so register now!
Danby Youth Programs Spring 2016 Registration Form Name of Participant: __________________________________________ Address:____________________________________________________ Date of Birth: ________________ Grade: ______ Parent/Guardian Name____________________________________________ Home/Cell Phone: ___________________ Work Phone: __________________ E-mail Address: ______________________________________________ Emergency Contact (other than parent/guardian): Name: ________________________________Phone: ____________________ Relation: ____________________
Lickbro ok March, Falls 2016
Any allergies, special needs, or medical conditions of which we should be aware?
Please Check All That Apply _____ Yes, I give permission for my child to participate in selected Danby Youth Programs in Spring 2016. _____ Yes, I give permission for the Program Manager to transport my child if necessary. _____ Yes, I give permission for my child to participate in program evaluations in order to assess the program’s value. Any information gathered will remain anonymous. _____ Yes, I give permission for program staff and/or other emergency care personnel to administer first aid or medical treatment in the event of an emergency involving my child. _____ Yes, I give permission for my child’s photo to be taken during activities and for these photos to be used for documentation and publicity purposes (including on social media like Facebook & Instagram) _____ Yes, I understand that I must pick up my child at the end of each program and that supervision of my child is not provided beyond program time, unless otherwise arranged. _____ Yes, I give permission for the release and exchange of my youth’s records and information (progress reports, etc.) to be shared between the Ithaca City School District Guidance Office at Boynton Middle School and the Danby Youth Program Manager.
Parent Signature: ____________________________________________
Date: __________
Spring 2016 Please direct any and all questions to: Travis Judd JYC/ Danby Youth Program Manager Phone: (607) 272 2292 ext. 222 Email: [email protected]
Facebook: www.facebook.com/DanbyYouthPrograms Instagram: danbyyouthprogams
Spring 2016 Programs
Danby Youth Programs Spring 2016
Make It Mondays (Mondays, 5/2-6/13) 3:30-6:00 pm @ The Danby Community Church
**A suggested donation of $20/program helps us continue to run incredible youth programs! No one will be turned away due to lack of funds**
This participant driven program will cater to the interests of the group daily. Participants will brainstorm what they would like to see and have a heavy role in activity selection for the following week. Options are (almost) limitless with what we can do, whether it is hiking, local trips, field games, Mythbuster challenges, natural crafts, Frisbee, orienteering, and others. Come ready for anything- indoors, or out!
Back to the Future (Wednesdays, 3/16-6/15) 3:30-6:00 pm @ The Danby Community Church How can you move forward if you don’t know where we’ve been? Ever heard of the Underground Railroad? Harriet Tubman? How about the Woodlawn National Cemetery in Elmira ? This program will be heading out on adventures to de-code local (and not so local) locations of action, museums, cemeteries, people and buildings. Period appropriate meals, practices and challenges will also be enjoyed. Come enjoy the comradery, travel and experiences of looking into the somewhat recent past. For the finale of the program, we will get to attend a live Civil War reenactment right here in Danby at Dotson Park. Come ready for awesome adventures and stories you wouldn’t believe!
Iron Chef (Fridays, 3/18-4/22) 3:30-6:00 pm @ The Danby Community Church Back in action for the end of the school year, bring your cooking expertise, an open mind and be ready to eat some great food. Each week will be exciting as challenges will vary greatly with the weather, cuisine for the day, and cooking locations. Food preparation, taste, ingenuity, teamwork, and leadership will be the areas of focus, with the ever-popular “Mystery” category to shake it up!
Lunch Bunch (Wednesdays, 3/16-6/15) Boynton Cafeteria @ Lunchtime Games, food, fun and friends. Bring your lunch to our table, have some special snacks and relax. Exotic fruits and veggies are arriving daily! All Outdoor programs require weather-appropriate clothing and footwear that may get dirty. *Please note– Program is cancelled when school sponsored Afterschool Activities are cancelled*
Please check programs that your child will be attending. Make It Mondays (Mondays, 5/2-6/13) 3:30-6:00 pm @ The Danby Community Church Back to the Future (Wednesdays, 3/16-6/15) 3:30-6:00 pm @ The Danby Federated Church
Iron Chef (Fridays, 3/18-4/22) 3:30-6:00 pm @ The Danby Community Church
Lunch Bunch (Tuesdays, 3/15-6/14) Boynton Cafeteria @ Lunchtime
Youth must be picked up by a parent or guardian at the program site at the conclusion of each program, unless program takes place during lunchtime or pickup/drop-off is arranged otherwise. Detach this half of form, complete (front & back), and return to: Cornell Cooperative Extension– Tompkins County 615 Willow Ave, Ithaca Attn: Travis Judd
Space is limited, so register now!
