Winter 2016 Middle School Programs
Trumansburg/Ulysses Youth Services ----------------------------------------------------
Trumansburg/Ulysses Youth Services Winter 2016 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: ____________________
Winter 2016 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 Winter 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 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
What’s Happening for Trumansburg Middle School Youth this Winter **No programs when school is not in session except February and Spring Break**
*Outdoor programs require weather-appropriate clothes ESPECIALLY during winter. Students must come prepared to be outside for 2+ hours. Students who come unprepared will be sent home. Winter Expeditions*: This program takes us out to explore our local winter wonderland. Each week we will snowshoe or hike up, down, around and to places of beauty and mystique. We will exercise, make fires, build shelters and snow forts, tell tales and learn and play in the great frozen outdoors. Mondays, 1/11-3/7 (2:455PM) Meets outside of Russel I. Doig MS Room 118
Magic the (Lunch) Gathering: For 6th graders only, bring your cards, your
Trumansburg Middle School Youth Programs Winter 2016 **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. Winter Expeditions*: Mondays, 1/11-3/7 (2:45-5 PM) Meets in Russel I. Doig MS Room 118
lunch and have a bunch of fun! Magic the (Lunch) Gathering is a program designed so that your 6th grader can have a full period of Magic with his/her friends. Don’t wait to sign up — this brochure has haste (get it?)! Tuesdays, 1/5-3/15 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
Magic the (Lunch) Gathering: Tuesdays, 1/5-3/15 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
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, 1/12-6/7 (2:45-5PM). Meets @ Russel I. Doig Middle School Room 118 **If your student has already signed up for BFMF there is no need to sign up again**
6/7 (2:45-5PM) Meets @ Russel I. Doig Middle School Room 118
Where in the World: Oh the places we’ll go! This IN-SCHOOL
Big Friend/Middle Friend: Tuesdays, 1/12-
Where in the World: Thursdays, 1/14-3/17 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
Primitive Pursuits: Thursdays, 1/14-3/24 (2:45-5) Meets @ Russel I. Doig Middle School Room 118
geography program brings the world to Tburg middle school. Expand your geographic knowledge, test your skills with games and trivia, learn to read maps, and explore the vast earth on which we live! Thursdays, 1/14-3/17 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
Friday Fun-Day: Fridays, 1/8-3/18 (2:45-5PM)
Primitive Pursuits*: Get ready for a journey of nature connection and self -
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 otherwise arranged.
discovery! Primitive Pursuits offers THE BEST programing in outdoor education. Get dirty, explore and learn while joining us in the woods behind our school. SPACE IS LIMITED. Firstcomers and program newcomers receive preference. If enrollment exceeds capacity there will be a waiting list. Thursdays, 1/14-3/24 (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! Fridays 1/8-3/18 (2:45-5 PM) Meets @ Ulysses Town Hall, 10 Elm St. Trumansburg, NY
Meets @ Ulysses Town Hall, 10 Elm St., Trumansburg, NY
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
Trumansburg/Ulysses Youth Services Winter 2016 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: ____________________
Winter 2016 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 Winter 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 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
What’s Happening for Trumansburg Middle School Youth this Winter **No programs when school is not in session except February and Spring Break**
*Outdoor programs require weather-appropriate clothes ESPECIALLY during winter. Students must come prepared to be outside for 2+ hours. Students who come unprepared will be sent home. Winter Expeditions*: This program takes us out to explore our local winter wonderland. Each week we will snowshoe or hike up, down, around and to places of beauty and mystique. We will exercise, make fires, build shelters and snow forts, tell tales and learn and play in the great frozen outdoors. Mondays, 1/11-3/7 (2:455PM) Meets outside of Russel I. Doig MS Room 118
Magic the (Lunch) Gathering: For 6th graders only, bring your cards, your
Trumansburg Middle School Youth Programs Winter 2016 **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. Winter Expeditions*: Mondays, 1/11-3/7 (2:45-5 PM) Meets in Russel I. Doig MS Room 118
lunch and have a bunch of fun! Magic the (Lunch) Gathering is a program designed so that your 6th grader can have a full period of Magic with his/her friends. Don’t wait to sign up — this brochure has haste (get it?)! Tuesdays, 1/5-3/15 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
Magic the (Lunch) Gathering: Tuesdays, 1/5-3/15 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
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, 1/12-6/7 (2:45-5PM). Meets @ Russel I. Doig Middle School Room 118 **If your student has already signed up for BFMF there is no need to sign up again**
6/7 (2:45-5PM) Meets @ Russel I. Doig Middle School Room 118
Where in the World: Oh the places we’ll go! This IN-SCHOOL
Big Friend/Middle Friend: Tuesdays, 1/12-
Where in the World: Thursdays, 1/14-3/17 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
Primitive Pursuits: Thursdays, 1/14-3/24 (2:45-5) Meets @ Russel I. Doig Middle School Room 118
geography program brings the world to Tburg middle school. Expand your geographic knowledge, test your skills with games and trivia, learn to read maps, and explore the vast earth on which we live! Thursdays, 1/14-3/17 (lunchtime) Meets @ Russel I. Doig Middle School Chorus Room
Friday Fun-Day: Fridays, 1/8-3/18 (2:45-5PM)
Primitive Pursuits*: Get ready for a journey of nature connection and self -
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 otherwise arranged.
discovery! Primitive Pursuits offers THE BEST programing in outdoor education. Get dirty, explore and learn while joining us in the woods behind our school. SPACE IS LIMITED. Firstcomers and program newcomers receive preference. If enrollment exceeds capacity there will be a waiting list. Thursdays, 1/14-3/24 (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! Fridays 1/8-3/18 (2:45-5 PM) Meets @ Ulysses Town Hall, 10 Elm St. Trumansburg, NY
Meets @ Ulysses Town Hall, 10 Elm St., Trumansburg, NY
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
