2015 registration form summer day trips - .2015 registration form – summer day trips ... the...

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

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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