Fall 2015 Middle School Programs
Trumansburg/Ulysses Youth Services ----------------------------------------------------
Trumansburg/Ulysses Youth Services Fall 2015 Registration Form Name of Participant: __________________________________________ Address:____________________________________________________ Date of Birth: ________________ Grade: ______ Parent/Guardian Name____________________________________________ Home Phone: ___________________ Work Phone: _____________________ E-mail Address: ______________________________________________ Emergency Contact (other than parent/guardian): Name: ________________________________Phone: ____________________ Relation: ____________________
Fall 2015 Middle School Programs
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 Trumansburg Youth Service’s Youth Programs in Fall 2015. _____ 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 Trumansburg School District Guidance Office Russel I. Doig Middle School and the Trumansburg Youth Services.
Parent Signature: ____________________________________________
Date: __________
Please direct any and all questions to: Ethan Cramton Trumansburg/Ulysses Youth Program Manager Phone: (607) 387 4910 Email: [email protected]
FOLLOW US ONLINE! Facebook: www.facebook.com/ trumansburgulyssesyouthservices Instagram: Trumansburg_youthservices
What’s Happening for Trumansburg Middle School Youth this Fall **No programs when school is not in session**
Chris Bond Training Camp*: No cross country for 5th and 6th graders?
THINK AGAIN! Join the Trumansburg Varsity Cross Country coaches and team in training for the annual Chris Bond 5K held October 25th! Work to build bonds through exercise and reach personal goals. Last year was amazing! This year will be too! Mondays, 9/21-10/26 (2:45-5 PM) Meets @ Russel I. Doig MS Guidance Office
Dine or Dash: Chris Bond Training Camp is over. What to do now!? Come join this program focusing on sports, exercise, teamwork and healthy eating/living. We will run, jump, snowshoe, play active games and cook the most delicious food geared towards keeping your active body running (yes, pun intended). Mondays, 11/2-12/14 (2:45-5 PM) Meets @ Ulysses Town Hall, 10 Elm St. Trumansburg, NY
Big Friend/Middle Friend: A popular program which we
are so pleased to continue! Pairing Middle School students with trained High School mentors, this program connects Tburg students in a way no other program does! Learn the ropes from a High Schooler! Partake in teambuilding activities. Get an older buddy who can help you in school and in life. Previous participants loved this program and built lasting bonds. I KNOW YOU WILL TOO! Tuesdays, 10/27-5/31 (2:45-5PM). Meets @ Russel I. Doig Middle School Room 118
4th Grade Friends: Open to 7th graders only, this program is designed to build
Trumansburg Middle School Youth Programs Fall 2015 **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**
Please check programs that your child will be attending. Chris Bond Training Camp: Mondays, 9/21-10/26 (2:45-5PM) Meets @ Russel I. Doig Middle School Guidance Office Race on Sunday, October 25 @ 10am. Race registration begins @ 8:45am
Dine or Dash: Mondays, 11/2-12/14 (2:45-5PM) Meets @ Ulysses Town Hall, 10 Elm St., Trumansburg, NY
Big Friend/Middle Friend: Tuesdays, 10/27-5/31 (2:45-5PM) Meets @ Russel I. Doig Middle School Room 118
4th Grade Friends: Tuesdays, 9/22-12/15 (lunchtime) Meets @ Russel I. Doig Middle School Lunch Room
Lunch Bunch: Thursdays, 9/24-12/16 (lunchtime) Meets @ Russel I. Doig Middle School Lunch Room
lasting bridges between 7th graders and 4th graders and acts as a runway into Big Friend/Middle Friend. Meet at recess and have some fun; in the spring give tours of the middle school! You don’t want to miss out on this opportunity! Tuesdays, 9/2212/16 (lunchtime) Meets @ Russel I. Doig Middle School lunchroom
Primitive Pursuits: Thursdays, 9/24-12/17 (2:45-5)
Lunch Bunch: This IN-SCHOOL program lets you break away and join other
Friday Fun-Day: Fridays, 9/25-12/18 (2:45-5PM)
students in crafts, games, special snacks, meeting new people, and more! Thursdays, 9/24-12/17 (lunchtime) Meets @ Russel I. Doig Middle School lunchroom
Primitive Pursuits*: Get ready for a journey of nature connection and self
discovery! Primitive Pursuits has been offering THE BEST programs in the outdoors for over ten years. Get dirty, explore and learn while joining us in the woods behind our school. Thursdays, 9/24-12/17 (2:45-5) Meets @ Russel I. Doig Middle School Room 118
Friday Fun-Day: The busy school week is over. Time to relax and hang out.
We’ll cook, play games, go on adventures, create art, make friends and much much more! Anything can happen! Some field trips with van transport provided. Fridays 9/25-12/18 (2:45-5 PM) Meets @ Ulysses Town Hall, 10 Elm St. Trumansburg, NY *Outdoor programs require weather-appropriate clothes that may get dirty
Meets @ Russel I. Doig Middle School Room 118 Meets @ Ulysses Town Hall, 10 Elm St., Trumansburg, NY
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/dropoff is arranged otherwise. Detach this half of form, complete (front & back), and return to: Russel I. Doig Middle School Office or Ulysses Town Hall, 10 Elm Street, Trumansburg, NY 14886 Attn: Ethan Cramton
Space is limited, so register now!
Trumansburg/Ulysses Youth Services Fall 2015 Registration Form Name of Participant: __________________________________________ Address:____________________________________________________ Date of Birth: ________________ Grade: ______ Parent/Guardian Name____________________________________________ Home Phone: ___________________ Work Phone: _____________________ E-mail Address: ______________________________________________ Emergency Contact (other than parent/guardian): Name: ________________________________Phone: ____________________ Relation: ____________________
Fall 2015 Middle School Programs
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 Trumansburg Youth Service’s Youth Programs in Fall 2015. _____ 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 Trumansburg School District Guidance Office Russel I. Doig Middle School and the Trumansburg Youth Services.
Parent Signature: ____________________________________________
Date: __________
Please direct any and all questions to: Ethan Cramton Trumansburg/Ulysses Youth Program Manager Phone: (607) 387 4910 Email: [email protected]
FOLLOW US ONLINE! Facebook: www.facebook.com/ trumansburgulyssesyouthservices Instagram: Trumansburg_youthservices
What’s Happening for Trumansburg Middle School Youth this Fall **No programs when school is not in session**
Chris Bond Training Camp*: No cross country for 5th and 6th graders?
THINK AGAIN! Join the Trumansburg Varsity Cross Country coaches and team in training for the annual Chris Bond 5K held October 25th! Work to build bonds through exercise and reach personal goals. Last year was amazing! This year will be too! Mondays, 9/21-10/26 (2:45-5 PM) Meets @ Russel I. Doig MS Guidance Office
Dine or Dash: Chris Bond Training Camp is over. What to do now!? Come join this program focusing on sports, exercise, teamwork and healthy eating/living. We will run, jump, snowshoe, play active games and cook the most delicious food geared towards keeping your active body running (yes, pun intended). Mondays, 11/2-12/14 (2:45-5 PM) Meets @ Ulysses Town Hall, 10 Elm St. Trumansburg, NY
Big Friend/Middle Friend: A popular program which we
are so pleased to continue! Pairing Middle School students with trained High School mentors, this program connects Tburg students in a way no other program does! Learn the ropes from a High Schooler! Partake in teambuilding activities. Get an older buddy who can help you in school and in life. Previous participants loved this program and built lasting bonds. I KNOW YOU WILL TOO! Tuesdays, 10/27-5/31 (2:45-5PM). Meets @ Russel I. Doig Middle School Room 118
4th Grade Friends: Open to 7th graders only, this program is designed to build
Trumansburg Middle School Youth Programs Fall 2015 **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**
Please check programs that your child will be attending. Chris Bond Training Camp: Mondays, 9/21-10/26 (2:45-5PM) Meets @ Russel I. Doig Middle School Guidance Office Race on Sunday, October 25 @ 10am. Race registration begins @ 8:45am
Dine or Dash: Mondays, 11/2-12/14 (2:45-5PM) Meets @ Ulysses Town Hall, 10 Elm St., Trumansburg, NY
Big Friend/Middle Friend: Tuesdays, 10/27-5/31 (2:45-5PM) Meets @ Russel I. Doig Middle School Room 118
4th Grade Friends: Tuesdays, 9/22-12/15 (lunchtime) Meets @ Russel I. Doig Middle School Lunch Room
Lunch Bunch: Thursdays, 9/24-12/16 (lunchtime) Meets @ Russel I. Doig Middle School Lunch Room
lasting bridges between 7th graders and 4th graders and acts as a runway into Big Friend/Middle Friend. Meet at recess and have some fun; in the spring give tours of the middle school! You don’t want to miss out on this opportunity! Tuesdays, 9/2212/16 (lunchtime) Meets @ Russel I. Doig Middle School lunchroom
Primitive Pursuits: Thursdays, 9/24-12/17 (2:45-5)
Lunch Bunch: This IN-SCHOOL program lets you break away and join other
Friday Fun-Day: Fridays, 9/25-12/18 (2:45-5PM)
students in crafts, games, special snacks, meeting new people, and more! Thursdays, 9/24-12/17 (lunchtime) Meets @ Russel I. Doig Middle School lunchroom
Primitive Pursuits*: Get ready for a journey of nature connection and self
discovery! Primitive Pursuits has been offering THE BEST programs in the outdoors for over ten years. Get dirty, explore and learn while joining us in the woods behind our school. Thursdays, 9/24-12/17 (2:45-5) Meets @ Russel I. Doig Middle School Room 118
Friday Fun-Day: The busy school week is over. Time to relax and hang out.
We’ll cook, play games, go on adventures, create art, make friends and much much more! Anything can happen! Some field trips with van transport provided. Fridays 9/25-12/18 (2:45-5 PM) Meets @ Ulysses Town Hall, 10 Elm St. Trumansburg, NY *Outdoor programs require weather-appropriate clothes that may get dirty
Meets @ Russel I. Doig Middle School Room 118 Meets @ Ulysses Town Hall, 10 Elm St., Trumansburg, NY
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/dropoff is arranged otherwise. Detach this half of form, complete (front & back), and return to: Russel I. Doig Middle School Office or Ulysses Town Hall, 10 Elm Street, Trumansburg, NY 14886 Attn: Ethan Cramton
Space is limited, so register now!
