Winter 2017 Middle School Programs
Trumansburg/Ulysses Youth Services Winter 2017 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: ____________________
Trumansburg/Ulysses Youth Services ----------------------------------------------------
Winter 2017 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 2017. _____ 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 Winter **NO SCHOOL = NO PROGRAM unless otherwise noted**
Magic The (Lunch) Gathering Bring your cards, your lunch and have a bunch of fun! Magic the (Lunch) Gathering is a program designed so that you can have a full period of Magic with your friends. Don’t wait to sign up — this brochure has haste (get it?)! Tuesdays, 1/10 - 6/6 (lunchtime) Meets @ Middle School Chorus Room Big Friend/Middle Friend: This program connects Tburg students in a way no other program does. Learn from highschoolers. Partake in teambuilding activities. Go on adventures. Get an older buddy who can help you in school and in life. Previous participants loved this program. I know you will too! Tuesdays, 1/10-5/30 (2:45-5PM). Meets @ Middle School Room 118 ** If you have previously signed up for BFMF you do not need to sign up again**
Trumansburg Middle School Youth Programs Winter 2017
**A suggested donation of $20/program helps us continue to run youth programs. No one will be turned away due to lack of funds**
Please check programs that your child will be attending. Magic The (Lunch) Gathering Tuesdays, 1/10-6/6 (Lunchtime) @ Middle School Chorus Room
Big Friend/Middle Friend Tuesdays, 1/10-5/2 (2:45-5PM) @ Middle School Room 118
Woodworking: Learn the ins and outs of woodworking while crafting
your own furniture and home accessories. This program uses hand-tools only and will focus on all stages of traditional woodworking from planning to design to construction. Gain skills that will last a lifetime! Space is limited. Wednesdays, 1/11-2/15 (245-5). Meets @ Middle School Technology Room 132
Woodworking
Wednesdays, 1/11-2/15 @ Middle School Technology Room 132
**If there is a waitlist: a student with two consecutive unexcused absences from program will lose their space to the next student on the wait-list.**
Primitive Pursuits Winter Session*:
Get ready for a journey of nature connection and self -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. THURSDAYS, 1/12-2/16 (245-5p) *We will be outside in ALL conditions for 2+ hours each session. WARM OUTDOOR CLOTHES ARE MANDATORY. Students who come unprepared will be sent home for safety. If you have questions or need clothes please speak with Ethan* **If there is a waitlist: a student with two consecutive unexcused absences from program will lose their space to the next student on the wait-list.** Looking Forward: Program (TBD) in collaboration with Cornell University's
EDU 2410 (February), Primitive Pursuits Spring Session (Early March), May Day 5K Training Camp (Late March), and more!
Primitive Pursuits Winter Session Thursdays, 1/12-2/16 @ Middle School Room 118
Youth must be picked up by a parent or guardian at the program site at the conclusion of each program, unless program pickup 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
Trumansburg/Ulysses Youth Services ----------------------------------------------------
Winter 2017 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 2017. _____ 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 Winter **NO SCHOOL = NO PROGRAM unless otherwise noted**
Magic The (Lunch) Gathering Bring your cards, your lunch and have a bunch of fun! Magic the (Lunch) Gathering is a program designed so that you can have a full period of Magic with your friends. Don’t wait to sign up — this brochure has haste (get it?)! Tuesdays, 1/10 - 6/6 (lunchtime) Meets @ Middle School Chorus Room Big Friend/Middle Friend: This program connects Tburg students in a way no other program does. Learn from highschoolers. Partake in teambuilding activities. Go on adventures. Get an older buddy who can help you in school and in life. Previous participants loved this program. I know you will too! Tuesdays, 1/10-5/30 (2:45-5PM). Meets @ Middle School Room 118 ** If you have previously signed up for BFMF you do not need to sign up again**
Trumansburg Middle School Youth Programs Winter 2017
**A suggested donation of $20/program helps us continue to run youth programs. No one will be turned away due to lack of funds**
Please check programs that your child will be attending. Magic The (Lunch) Gathering Tuesdays, 1/10-6/6 (Lunchtime) @ Middle School Chorus Room
Big Friend/Middle Friend Tuesdays, 1/10-5/2 (2:45-5PM) @ Middle School Room 118
Woodworking: Learn the ins and outs of woodworking while crafting
your own furniture and home accessories. This program uses hand-tools only and will focus on all stages of traditional woodworking from planning to design to construction. Gain skills that will last a lifetime! Space is limited. Wednesdays, 1/11-2/15 (245-5). Meets @ Middle School Technology Room 132
Woodworking
Wednesdays, 1/11-2/15 @ Middle School Technology Room 132
**If there is a waitlist: a student with two consecutive unexcused absences from program will lose their space to the next student on the wait-list.**
Primitive Pursuits Winter Session*:
Get ready for a journey of nature connection and self -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. THURSDAYS, 1/12-2/16 (245-5p) *We will be outside in ALL conditions for 2+ hours each session. WARM OUTDOOR CLOTHES ARE MANDATORY. Students who come unprepared will be sent home for safety. If you have questions or need clothes please speak with Ethan* **If there is a waitlist: a student with two consecutive unexcused absences from program will lose their space to the next student on the wait-list.** Looking Forward: Program (TBD) in collaboration with Cornell University's
EDU 2410 (February), Primitive Pursuits Spring Session (Early March), May Day 5K Training Camp (Late March), and more!
Primitive Pursuits Winter Session Thursdays, 1/12-2/16 @ Middle School Room 118
Youth must be picked up by a parent or guardian at the program site at the conclusion of each program, unless program pickup 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
