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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: _____________

PHYSICIAN’S 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


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 ____


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



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


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 a delicious meal of Prime Rib (alternative menus of Stuffed Breast of Chicken and Vegetable Primavera

with Red Sauce are available upon request at the time of your reservation). This cruise will travel from Sims Store towards route

173 and back, passing over the Aqueduct

When: Thursday, July 30th

Where: Erie Canal Park

Bus: bus will depart Bennett Manor at 5:00) and Heman St. Apts (5:15) Return at

approximately 9:00 pm



Includes: bus transportation, Dinner cruise

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. Registration begins on June

1st .

Erie Canal Cruise 7/30/15

Name ______________________ Address_____________________________ Phone_________

Registration date______ Receipt # ______________ Amt __________

Village of East Syracuse 204 N Center St, East Syracuse, NY 13057

315 – 463 - 6714

Mohegan Sun Poconos

Tuesday, August 11th

The East Syracuse Parks & Recreation Department is offering a trip to Mohegan Sun Poconos on

Tuesday, August 11th. Trip is open to adults 21 years & older. There will be a stop for coffee (donuts

will be provided.)

WHEN: Tuesday, August 11th

COST: VILLAGE RESIDENTS $28.00

NON RESIDENTS $33.00

COST INCLUDES: Motor-coach Transportation,

$25 free play, $5 in food, Motor-coach transportation, bingo on bus

BUS: Will depart Heman Street at 7:30 am & (Bennett Manor 7:15 AM).

We will depart casino at 5:00 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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Mohegan Sun Poconos 8/11/15

Name_______________________________ Address ________________________________

Phone____________ Registration Date _____ Receipt # _________ Amt ____________

Village of East Syracuse Parks & Recreation Dept. 204 N Center St


315 – 463 - 6714

Green lakes State Park

Tuesday, August 18th

The East Syracuse Parks & Recreation Department is offering a Picnic at Green Lakes State Park on

Tuesday, August 18th . Trip is open to adults 21 years & older.

WHEN: Tuesday, August 18th

COST: Village Residents $10.00

Non-Residents $12.00

COST INCLUDES: Picnic Lunch in old administration Building, bingo, refreshments,

bus transportation

TIME: 10:00 – 2:00 pm

TRANSPORTATION; Pick up Bennett manor at 9:15, 9:30 at Heman St Apt.

TO REGISTER: Payment & registration form can be turned in at the Village office, M-F 7:30- 4:00

pm or mailed to the Village of East Syracuse, 204 N Center St., ES, NY 13057.

Registration begins June 1st .

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Green Lakes State Park 8/18/15

Name_______________________ Address___________ Phone________________

Registration Date _____________ Receipt # ________________ Amt_________________

Village of East Syracuse 204 N Center St, East Syracuse, NY 13057

315 – 463 - 6714

NEW YORK STATE FAIR

The East Syracuse Parks & Recreation Department is offering a trip to the State Fair on Tuesday,

September 1st . Trip is open to adults 60 years & older.

WHEN: Tuesday, September 1st

COST: $2.00

COST INCLUDES: School bus transportation, free admission for seniors over 60

BUS PICK UP: Bennett Manor 10:15

Heman St Apt 10:30

Bus will depart fair at 5:00 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

Registration begins June 1st

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STATE FAIR – 9/1/15

Name_______________________________ Address ________________________________

Phone_________________

Registration Date ___________ Receipt # ________________ Amt __________________


204 N Center Street East Syracuse, NY 13057

315 463 – 6714

Suds the Musical Wednesday, September 2nd 2015

Featuring some of the greatest hits from the 1960's! This musical fantasy tells the delightful story of Cindy, a

lovelorn girl working in a "Laundromat of Love" where she is pining for the pen-pal fiancee who dumped her.

However, her life is about to be forever changed when her two guardian angels magically appear to teach her about

boys, true love and how to survive this tough "fluff-n-fold" kind of world. This feel-good musical is loaded with

good clean fun, bubbling energy and more than 40 musical favorites including These Boots Are Made For Walkin',

Respect, Are You Lonesome Tonight?, Walk On By, Don't Make Me Over and Where the Boys Are!

The Village of East Syracuse Parks & Recreation Department is offering a bus to see the musical

“Suds ”. Trip is open to adults 21 years and older

When: Wednesday, September 2nd

Where: Cortland Repertory Theatre

Bus: bus will depart at 10:45 at Heman Street Apts, 10:30 at Bennett Manor

Showtime: 2:00 pm



Includes: ticket to show , School bus transportation, lunch

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

______________________________________________________________________

Suds 9/2/15

Name ______________________ Address __________________

Phone____________ Registration Date_______ Receipt # ______________ Amt _______

Download - 2015 REGISTRATION FORM SUMMER DAY TRIPS - … · 2015 REGISTRATION FORM – SUMMER DAY TRIPS ... The Village of East Syracuse Parks & Recreation Department is offering a bus to see

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