Wizarding Wednesdays Primitive Pursuits Boynton Lunch Bunch ...
Wizarding Wednesdays Join us for an after-school session in the Boynton Middle School cafeteria, where we’ll join other Ithaca-area youth to explore the Wizarding World. Youth will have a chance to play Magic, The Gathering, as well as Dungeons and Dragons. The program will also focus on Harry Potter, ending with a fieldtrip to Wizarding Weekend on the Ithaca Commons.
7 Sessions, Wednesdays, 3:25 - 5:30: 9/20, 9/27, 10/4, 10/11, 10/18, 10/25, 10/28* Field Trip: 10/28, Wizarding Weekend
Creative Crafts Try some things you (hopefully) haven’t done before! Activities will include candle-making, jam-making, book-binding, and letterpress t-shirts. Youth will also make an appearance at Danby’s own Harvest Festival, where they will teach community members how to create a fun and simple craft. Location TBA.
5 Sessions, Mondays, 4:30 - 6:00: 9/25, 10/2, 10/9, 10/15*, 10/16, 10/23 Field Trip: 10/15, Danby Harvest Fest
Questions? Contact the new Danby youth program manger, Melis Schildkraut. She is available by phone at (585) 236-6304, or by email at [email protected].
Primitive Pursuits 4th & 5th Grade
Meet behind Dotson Park at June Pollack’s house (45 Hornbrook Rd.) in Danby. A guest instructor from Primitive Pursuits will guide us through various outdoor activities in the park including shelter construction, carving, fire-building, outdoor crafts, and nature awareness activities.
9 Sessions, Thursdays, 2:30 - 5:00: 9/28, 10/5, 10/12, 10/19, 11/2, 11/16, 11/30, 12/7, 12/21
South Hill Lunch Bunch 4th & 5th Grade
Fridays: Join us during lunch for games, snacks, crafts, and bonding with other members of the Danby community.
Boynton Lunch Bunch Wednesdays: Join us during your lunch period in the Boynton cafeteria for games, snacks, and crafts. We’ll join youth from all around Ithaca, as well as youth program managers Beth and Eric.
Cornell Cooperative Extension of Tompkins County is an employer and educator recognized for valuing AA/EEO, Protected Veterans, and Individuals with Disabilities and provides equal program and employment opportunities.
Danby Youth Services Fall 2017 Registration Form Space is limited, please fill out this form and return it ASAP. You will be contacted only if the program or programs you have registered. 1. Fill out a separate form for each youth. Please remember to make a copy of your form for your own records. 2. Payment is voluntary and helps to support Danby Youth Services. If you would like to contribute, please make checks payable to Cornell Cooperative Extension. No one will be turned away due to inability to pay. 3. Please send registration form and check to: Cornell Cooperative Extension or drop off at the Boynton Middle School office.
Check the program(s) your youth would like to attend: Wizarding Wednesdays, 9/20 - 10/28 Creative Crafts, 9/25 - 10/23 Primitive Pursuits, 9/28 - 12/21 Boynton Lunch Bunch South Hill Lunch Bunch YOUTH INFORMATION Youth Name: Birth date: School: Address:
M/F:
Grade:
Ethnicity: Hispanic/Non-Hispanic Race: Black or African American/American Indian or Alaska Native/Native Hawaiian or Pacific Islander/ Asian/White/Prefer Not to State Residence: Farm/Rural or Town less than 10,000/Town or City: 10,000-50,000 Medical Conditions/Restrictions, or special needs? Y/N
Allergies? Y/N Parent/Guardian Name: Phone: Email: Emergency Contact Name: Phone:
Yes, I give permission for my child to fully participate in 4-H Rural Youth Services programs and to ride in Cooperative Extension program van if necessary to get to and from activities, field trips and to transport youth home if necessary. 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, my child requires prescription or over the counter medication during the trip. A PRN order must be obtained by child’s physician, the child must be able to self-administer the medication, which should come in the original container with only the specific dosages necessary for the duration of the trip. Parents must sign the PRN. Yes, I give permission for my child to use a knife for carving and cooking purposes after they have had instruction on safe use and handling. Yes, I give permission for my child to participate in 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 discussion, surveys, observation, or group activities. Any feedback or information gathered will remain anonymous. Yes, I give permission for my child’s photo to be taken during the activity and for any photo to be use for documentation and publicity purposes. If my child is unable to attend a scheduled event, I will alert the program manager at @ (585) 236-6304 or 272-2292 ext. 221. Yes, I understand that my child should dress appropriately for the programs that they are attending. I fully understand and acknowledge that there are inherent risks and dangers in my child’s participation in the above activities and my child’s participation in such activities and use of any equipment related to such activities may result in injury, illness, or death, and damage to personal property. I understand other participants, accidents, forces of nature, or other incidents may cause these risks and dangers and I hereby accept these risks and dangers. Parent/Guardian Signature:
Date:
Fall 2017 Program Schedule Wizarding Wednesdays
Wednesdays 3:25 - 5 :30 PM, 9/2 - 10/28
Creative Crafts
Mondays, 4:30 - 6:00 PM, 9/25 - 10/3
Primitive Pursuits
Thursdays, 2:30 - 5:00, 9/28 - 12/21
South Hill Lunch Bunch Fridays
Boynton Lunch Bunch Wednesdays
Danby Youth Services Fall 2017
7 Sessions, Wednesdays, 3:25 - 5:30: 9/20, 9/27, 10/4, 10/11, 10/18, 10/25, 10/28* Field Trip: 10/28, Wizarding Weekend
Creative Crafts Try some things you (hopefully) haven’t done before! Activities will include candle-making, jam-making, book-binding, and letterpress t-shirts. Youth will also make an appearance at Danby’s own Harvest Festival, where they will teach community members how to create a fun and simple craft. Location TBA.
5 Sessions, Mondays, 4:30 - 6:00: 9/25, 10/2, 10/9, 10/15*, 10/16, 10/23 Field Trip: 10/15, Danby Harvest Fest
Questions? Contact the new Danby youth program manger, Melis Schildkraut. She is available by phone at (585) 236-6304, or by email at [email protected].
Primitive Pursuits 4th & 5th Grade
Meet behind Dotson Park at June Pollack’s house (45 Hornbrook Rd.) in Danby. A guest instructor from Primitive Pursuits will guide us through various outdoor activities in the park including shelter construction, carving, fire-building, outdoor crafts, and nature awareness activities.
9 Sessions, Thursdays, 2:30 - 5:00: 9/28, 10/5, 10/12, 10/19, 11/2, 11/16, 11/30, 12/7, 12/21
South Hill Lunch Bunch 4th & 5th Grade
Fridays: Join us during lunch for games, snacks, crafts, and bonding with other members of the Danby community.
Boynton Lunch Bunch Wednesdays: Join us during your lunch period in the Boynton cafeteria for games, snacks, and crafts. We’ll join youth from all around Ithaca, as well as youth program managers Beth and Eric.
Cornell Cooperative Extension of Tompkins County is an employer and educator recognized for valuing AA/EEO, Protected Veterans, and Individuals with Disabilities and provides equal program and employment opportunities.
Danby Youth Services Fall 2017 Registration Form Space is limited, please fill out this form and return it ASAP. You will be contacted only if the program or programs you have registered. 1. Fill out a separate form for each youth. Please remember to make a copy of your form for your own records. 2. Payment is voluntary and helps to support Danby Youth Services. If you would like to contribute, please make checks payable to Cornell Cooperative Extension. No one will be turned away due to inability to pay. 3. Please send registration form and check to: Cornell Cooperative Extension or drop off at the Boynton Middle School office.
Check the program(s) your youth would like to attend: Wizarding Wednesdays, 9/20 - 10/28 Creative Crafts, 9/25 - 10/23 Primitive Pursuits, 9/28 - 12/21 Boynton Lunch Bunch South Hill Lunch Bunch YOUTH INFORMATION Youth Name: Birth date: School: Address:
M/F:
Grade:
Ethnicity: Hispanic/Non-Hispanic Race: Black or African American/American Indian or Alaska Native/Native Hawaiian or Pacific Islander/ Asian/White/Prefer Not to State Residence: Farm/Rural or Town less than 10,000/Town or City: 10,000-50,000 Medical Conditions/Restrictions, or special needs? Y/N
Allergies? Y/N Parent/Guardian Name: Phone: Email: Emergency Contact Name: Phone:
Yes, I give permission for my child to fully participate in 4-H Rural Youth Services programs and to ride in Cooperative Extension program van if necessary to get to and from activities, field trips and to transport youth home if necessary. 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, my child requires prescription or over the counter medication during the trip. A PRN order must be obtained by child’s physician, the child must be able to self-administer the medication, which should come in the original container with only the specific dosages necessary for the duration of the trip. Parents must sign the PRN. Yes, I give permission for my child to use a knife for carving and cooking purposes after they have had instruction on safe use and handling. Yes, I give permission for my child to participate in 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 discussion, surveys, observation, or group activities. Any feedback or information gathered will remain anonymous. Yes, I give permission for my child’s photo to be taken during the activity and for any photo to be use for documentation and publicity purposes. If my child is unable to attend a scheduled event, I will alert the program manager at @ (585) 236-6304 or 272-2292 ext. 221. Yes, I understand that my child should dress appropriately for the programs that they are attending. I fully understand and acknowledge that there are inherent risks and dangers in my child’s participation in the above activities and my child’s participation in such activities and use of any equipment related to such activities may result in injury, illness, or death, and damage to personal property. I understand other participants, accidents, forces of nature, or other incidents may cause these risks and dangers and I hereby accept these risks and dangers. Parent/Guardian Signature:
Date:
Fall 2017 Program Schedule Wizarding Wednesdays
Wednesdays 3:25 - 5 :30 PM, 9/2 - 10/28
Creative Crafts
Mondays, 4:30 - 6:00 PM, 9/25 - 10/3
Primitive Pursuits
Thursdays, 2:30 - 5:00, 9/28 - 12/21
South Hill Lunch Bunch Fridays
Boynton Lunch Bunch Wednesdays
Danby Youth Services Fall 2017
