'TIS THE SEASON

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‘TIS THE SEASON HOLIDAY CAMP

Holiday Camp Price includes: Arts & Crafts, Games, Gym Activities, Sports, Etc. Children are asked to please bring lunch and snack.

For more information, please contact Marie Turenne at 718-551-9336.

Days & Date: Place: Times& Prices:

TUESDAY, DECEMBER 27TH FRIDAY, DECEMBER 30TH CROSS ISLAND Y $70-8HRS [8AM-4PM/9AM-5PM] $75-9HRS [8AM-5PM/9AM-6PM] $80-10HRS [8AM-6PM] Last day to register is Wednesday, December 21st at 6pm.

Current after-school program members receive 50 % off daily rates. Current Members receive 25% off daily rates. Cannot be combined.

GET CONNECTED:

ymcanyc.org/crossisland Facebook.com/CrossIslandYMCA

Must have 10 participants to run program.

CROSS ISLAND YMCA

238-10 HILLSIDE AVENUE, BELLEROSE, QUEENS 718-551-9300 ymcanyc.org/crossisland

OPEN TO PARTICIPANTS 5 & OLDER

Download our APP: YMCA of Greater New York

Child’s Name: __________________________________________________ Sex: (Circle One): Male or Female

Age: _____

DOB: _____/_____/_____

Grade: _____

Address: __________________________________________________ City: ____________________ State: _____ Zip Code: __________ Home Phone: __________ - __________ - _______________

Cell Phone: __________ - __________ - _______________

PARENT’S NAME AND PLACE OF EMPLOYMENT: Parent’s Name: __________________________________________________

Work Address: __________________________________________________

City: ____________________ State: _____ Zip Code: __________

Work Phone: __________ - __________ - _______________

PERSON TO CONTACT IN CASE OF EMERGENCY (OTHER THAN PARENTS) Contact’s Name: __________________________________________________

Address: __________________________________________________

Phone: __________ - __________ - _______________

Relationship to Child: ____________________

Name: __________________________________________________

Phone: __________ - __________ - _______________

Walks home alone (must be 10 years or older)

Parent’s Signature: ___________________________________

Date: _______________