Happy Kid Camp Outdoor summer fun for children ages 3 – 7 at the Ellis Hollow Community Center (111 Genung Rd, Ithaca, NY). We run in the fields, explore the woods, play on the playground, create under the pavilion and are active on the courts. One-week sessions run Monday thru Thursday 9am - 12pm Sign up for one or more weeks. June 15 -18 /June 22 - 25/ July 6 -9/July 13 -16/ July 27 – 30/ Aug. 10 – 13/ Aug. 17 - 20 For questions contact Ellie Biddle at 607-539-7409 or by email [email protected] Send completed registration form with payment (checks made out to Ellie Biddle) to Happy Kid Camp, c/o Ellie Biddle, 20 Eagleshead Rd, Ithaca, NY 14850 Registration Form Child’s Name _______________________________________________________ Age(at camp time) _____ Parent/ Guardian’s Name(s) _________________________________________________________________ Mailing Address __________________________________________________________________________ Home Phone _____________________________________ Cell ____________________________________ Email Address ____________________________________________________________________________ Circle week(s): June 15 - 18 / June 22 - 25 / July 6 -9 / July 13 - 16 / July 27 – 30 / Aug. 10 – 13/ Aug. 17 - 20 EARLYBIRD SPECIAL: Sign up by June 1, 2015 = $80 for first week ($75 for each additional) AFTER June 1 = $85 / WEEK Amount enclosed $________ EMERGENCY INFORMATION (Please list at least 1 emergency contact.) Name _________________________________ Name ________________________________ Relationship to Child _____________________ Relationship to Child ___________________ Contact Phone # _________________________ Contact Phone # _______________________ Medical Conditions/Allergies: ___________________________________________ While we do everything in our power to keep your child safe, accidents can occur. Please be aware that there are no medical personnel available on site. Initials of parent/guardian___________
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