SUMMER GAME NIGHT

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Trumansburg/Ulysses Youth Services presents:

SUMMER GAME NIGHT What: Join Trumansburg/Ulysses Youth Services for a weekly game night this summer! Capture the Flag, ZOMBIE Tag, Camouflage, Hide and Seek and other games will be played on the middle school playground, the fields around school, and the woods behind school. This is a great way to get outside, exercise and play games with your friends and schoolmates. Snacks provided. You don’t want to miss out!

Who: Incoming 4th graders - 12 graders. All high school students are welcome to play OR help run games for community service credit.

When/Where: Wednesday, 7/12-8/16, 6p-8p. Drop-Off and Pickup at the Middle School Pickup/Drop-off Loop.

Questions/Comments? Call Ethan at 607-387-4910 or email at [email protected]

Trumansburg/Ulysses Youth Services Summer 2016 Program Student Name: ____________________________________________ Grade:_____ DOB:_____________ Address: _____________________________________ Phone(s):_________________________________________ Parent/Guardian: ______________________________________ Email: ___________________________________ Medical Info/Allergies: ___________________________________________________________________________ Emergency Contact: ______________________________________ Phone: _________________ ______ My child has permission to fully participate in the Trumansburg/Ulysses Youth Services program “Summer Game Night” ______ 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. ______ 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, in formal discussions, surveys, observation, and group activities. Any feedback or information gathered will remain anonymous.

This program is supported by New York State, Tompkins County and your local municipality