Primitive Pursuits Spring Session

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Primitive Pursuits Spring Session Thursdays, March 9—May 11, 245-5p Meets in Middle School Room 118 Pickup at 5p at Middle School Front Loop **No school = No Program**

Join Trumansburg/Ulysses Youth Services and renown outdoor educators, Primitive Pursuits, for a spring filled with outdoor fun, learning and adventure. Get dirty, learn ancestral skills, build fires and play games! Space is limited. Sign up ASAP. Program will be held outside in ALL conditions for 2 hours. APPROPRIATE OUTDOOR CLOTHES/ BOOTS ARE MANDATORY. Non-cotton under layers are preferred. Students who come unprepared will be sent home for safety. If you have questions or need clothes please contact Ethan. Please return this completed form to the Middle School Main Office. For more information about this and other youth programs, contact Ethan Cramton, Trumansburg/Ulysses Youth Program Manager at (607) 592-5111 or [email protected] **Trumansburg/Ulysses Youth Services programs are always free of cost. If possible, a $20 donation is appreciated to help us continue to provide quality programming. Thank you.**

Name ___________________________ Grade____ Homeroom______________ Date of Birth_______________ Address ________________________Phone _______________________e-mail_____________________________ Parent/Guardian ____________________________________ Work phone__________________________ Medical Info/Allergies:_______________________________________________________________ Emergency Contact ______________________________________ Phone ____________________ ______ My child has permission to fully participate in the Ulysses/Trumansburg Youth program “Primitive Pursuits Spring Session.” ______ I give permission for staff or emergency care personnel to administer first aid in the event of an emergency. ______ I give my child permission to ride in a CCE-TC program van, Town of Ulysses Vehicle, or program manager’s personal vehicle if necessary to get to and from activities/home. ______ I give permission for my child’s photo to be taken during the activity and for the photo to be used for documentation and publicity purposes. ______ I give permission for my child to participate in the program evaluation activities for the purpose of identifying the program’s value and ways to strengthen and improve it in the future. Activities may include skills checklists, informal discussions, surveys, observation, and group activities. Any feed back or information gathered will remain anonymous. Signature of Parent/Guardian ________________________________ Date ________________ This program is supported by Tompkins County, New York State and your local municipality