2015 registration form summer day trips - .2015 registration form – summer day trips ... the...
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2015 REGISTRATION FORM SUMMER DAY TRIPS
Registration begins on June 1st
NAME: __________________________________
ADDRESS: __________________________________
PHONE: _____________________
CHECK TRIPS YOU ARE INTERESTED IN. $ VR $ NR
June 10th Ellis Field Park Picnic _________ 3 3
June 16th Monticello Raceway & Casino _________ 30 35
July 7th Yellow Brick Road Casino _________ 13 15
July 15th The Adams Family Musical _________ 36 41
July 30th Erie Canal Cruise _________ 25 30
August 11th Mohegan Sun - Poconos _________ 28 33
August 18th Green Lakes State Park Picnic _________ 10 12
September 1st New York State Fair _________ 2 2
September 2nd Suds The Musical _________ 36 41
DATE _____________ RECEIPT # ____________________ AMOUNT ____________________
Please fill out the form below. It must be turned in before your first scheduled trip. Thank you
For your cooperation
NAME: _______________________________
ADDRESS: _______________________________
PHONE: _____________
NOTIFY IN CASE OF EMERGENCY
NAME: ________________________
ADDRESS: _______________________________
PHONE: _____________ WORK PHONE _______________
CELL PHONE: _____________
PHYSICIANS NAME _______________________________
PHONE: _______________________________
MEDICINE TAKEN RECENTLY____________________________________________
________________________________________________________________________
RECENT ILLNESS ________________________________
ALLERGIES ________________________________
OTHER IMPORTANT INFO _____________________________________________
I GIVE PERMISSION TO BE TRANSPORTED TO ANY HOSPITAL OR DOCTOR TO RECEIVE EMERGENCY
TREATMENT IF NEED BE.
SIGNATURE: ______________________________________
Village of East Syracuse Parks & Recreation
204 N Center Street
East Syracuse, NY 13057
315 463 6714
ELLIS FIELD PICNIC
WHEN: Wednesday, June 10th, 2015
WHERE: Ellis Field Park (Hanlon Pool)
TIME: Lunch served at 12:00 noon
COST: $3.00 (pay at picnic )
Includes picnic lunch, refreshments, entertainment from
students
PLEASE JOIN US FOR THE FINAL GET TOGETHER OF THE YEAR FOR ESE
STUDENT AND KEENER SENIORS
---------------------------------------------------------------------------------------------------------------------
Ellis Field Picnic 6/10/15
Name ____________________________ Address _____________________________
Phone _________________________
Payments are to be made directly to Peace Inc. at the Picnic
Village of East Syracuse Parks & Recreation Department
204 N Center Street
East Syracuse, NY 13057
315 463 6714
Monticello Raceway &Casino
Tuesday, June 16th
The Village of East Syracuse Parks & Recreation Department is offering a trip to Monticello racetrack & casino on Tuesday, June 16th .Trip is open to adults 21 years and older. Please bring photo ID. There will be a stop for coffee (donuts provided)
When: Tuesday, June 16th
Where: Monticello Raceway & Casino
Bus: bus will depart Heman St Apts. at 7:30 am and Bennett Manor at 7:15 am . Bus
will depart casino at 5:00 pm
Cost: Village residents- $30
Non residents - $35
Includes: Motor-coach transportation, $10.00 free play, buffet lunch , Bingo on bus, 12:50 post
time for horse racing.
To Register: Payment & registration form can be turned in at the Village Office, M-F 8:00 4:00 pm
or mailed to the Village of East Syracuse, 204 N Center St, ES NY 13057.
Monticello Racetrack & Casino 6/16/15
Name ______________________ Address ____________________________
Phone________________ Registration date_______ Receipt # ________ Amt __________
Village of East Syracuse
204 N Center Street
E East Syracuse, NY 13057
463 6714
Yellow Brick Road Casino
Join the East Syracuse Parks & Recreation for a trip to the Yellow Brick Road Casino on Tuesday,
July 7th .Trip is open to adults 21 years & older.
When: Tuesday, July 7th
Cost: $13.00 Village of East Syracuse Residents
$15.00 Non Village residents
Includes Motor-Coach Transportation (Quality Coach), Bingo & Casino
packages TBA
Bus: Motor-coach will depart Bennett Manor at 10:15 am , Heman
Street Apt at 10:30 am
Departure from casino will be at 4:30 pm
TO REGISTER: Payment & registration form can be turned in at the Village office, M-F 8:00 4:00 pm or mailed to the Village of East Syracuse, 204 N Center St, ES, NY 13057. No refunds
unless seats on bus are refilled. There will be a $5.00 fee for all refunds.
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Yellow Brick Road Casino 7/7/15
Name_______________________________ Address __________________________
Phone___________ Registration Date ___________ Receipt # _______ Amt ____
Village of East Syracuse
204 N Center Street
East Syracuse, New York 13057
315 463 - 6714
The Adams Family mBa-da-da-dum Snap! Snap! Based in the iconic TV show and the New Yorker cartoons, here's the whole creepy, kooky family
LIVE (mostly) on stage! Gomez and Morticia Addams are just your everyday, normal parents who love their children as every
parent does. But teenage daughter Wednesday is about to rock their world. She's fallen in love with a "normal" boy and he
and his parents are coming to dinner! The whole Addams clan is hurled headlong into a night that will change the family
forever. Secrets are shared, truths revealed, and everyone learns what it means to be an Addams. Get ready to spend the
night with a family who will raise your spirits, steal your heart and leave you in stitches...in a good wayeans to be an
Addams. Get ready to spend the night with a family who will raise your spirits, steal yo
The Village of East Syracuse Parks & Recreation Department is offering a bus to see the musical
The Adams Family. Trip is open to adults 21 years and older When: Wednesday, July 15th
Where: Cortland Repertory Theatre
Bus: bus will depart at 10:45 at Heman Street Apts, 10:30 at Bennett Manor
Showtime: 2:00 pm
Cost: Village residents- $36
Non residents - $41
Includes: ticket to show , School bus transportation, lunch at Orchard Vali Golf Course , Choice of
Chicken & biscuits, Haddock Fish Sandwich, Beef tips over noodles
To Register: Payment & registration form can be turned in at the Village Office, M-F 8:00 4:00 pm or mailed to
the Village of East Syracuse, 204 N Center St, ES NY 13057. No refunds. Registration will begin on June 1st
______________________________________________________________________
Adams Family 7/15/15
Name ______________________ Address _______________Menu Choice _________
Phone____________ Registration Date_______ Receipt # ______________ Amt _______
Village of East Syracuse Parks & Recreation Department
204 N Center St
East Syracuse, NY 13057
315 463 6714
CAMILLUS ERIE CANAL PARK
DINNER CRUISE
Thursday, July 30th
The Village of East Syracuse Parks & Recreation Department is offering a Dinner cruise on Thursday,
July 30th . Trip is open to adults 21 years and older
Dinner Cruises leave from Sims Store aboard our spacious new Iroquois (wheel chair accessible). While enjoying this scenic
cruise, you'll be served
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