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Download 2015 REGISTRATION FORM SUMMER DAY TRIPS - .2015 REGISTRATION FORM – SUMMER DAY TRIPS ... The Village

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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.

    -------------------------------------------------------------------------------------------------------------

    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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