Rye Brook Parks and Recreation 2014-2015 Winter Activities
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Happy Holidays
ONLINE REGISTRATION WEDNESDAY, DECEMBER 17, 2014 @ 9:30 PM
Dear Rye Brook Residents: Rye Brook Recreation is committed to providing quality recreation programs. In the winter months, our recreation programs are moved inside the schools, BelleFair gym and the Anthony J. Posillipo Community Center to get our participants out of the frigid temperatures. The Recreation Department offers basketball (youth and adult), bowling, Zumba and many other activities. If you are cooped up, come out and cheer on the participants. This year, we will be offering two new programs, a “Paint Your Dreams” class which is a painting class for children in grades Kindergarten through 12th grade. The other addition to our programming is “Hobby Quest Flying Machines” class which is an airplane building class for grades K-5. On-Line registration for winter activities will begin on Wednesday, December 17th at 9:30pm. For all outside contractor program registration, you may register on-line and mail your payment to the recreation office. If your payment is not received within 7 days, your registration will be cancelled and we will accept the next wait-listed family. If you do not have access to a computer, our recreation staff will guide you through the process. Your data entry will allow us to get the recreation information to your household in a efficient and timely manner. To register for programs, simply go the Village’s website at www.ryebrook.org, scroll down the home page and you will see a section that will prompt you to register for programs. This link will bring you to Community Pass to register. The 3rd annual Spring Carnival will take place on either April 24th, 25th,and 26th or May 8th, 9th and10th at 900 King Street behind Village Hall. There will be rides, games, food and vendors. The Village will sell Vendor space and Food space for the Carnival. For additional information, contact the Recreation Department at 939-7054. The Village of Rye Brook is conducting a “Coats for the Needy” program through Paula’s Pals in memory of long time staff member Paula Bertolacci until December 24th. These coats will be distributed to needy residents throughout the season. The Parks and Recreation Advisory Council wishes to remind the community that: (1) their meetings are open to the public; and (2) the Mmnutes of their meetings also are available to the public. Members of the community are welcome and encouraged to attend these meetings and express their viewpoints towards the betterment of the community’s recreation programs. Increased community participation will serve to avoid confusion and misunderstandings inherent in relating statements concerning our meetings without the full benefit of the context in which such statements were made. Rye Brook Recreation is currently redesigning the playground at Pine Ridge Park. If you are interested in being on a committee to give feedback on the new playground, please contact me at 939-7054. We are looking for adults with young children that would be utilizing the playground apparatus. We hope Rye Brook Recreation is meeting your recreational needs. I join our staff in wishing you and your family a healthy and rewarding 2015 New Year and look forward to seeing you at some of our many recreational activities. Happy Holidays Robert Bertolacci Parks and Recreation Superintendent 2
VILLAGE OF RYE BROOK DEPARTMENT OF PARKS AND RECREATION 938 KING STREET, RYE BROOK, NEW YORK 10573 RECREATION STAFF
MAYOR
Robert Bertolacci, Superintendent Kyle Thornton, Recreation Supervisor Janice Kunicki, Recreation Leader Carmella Swick, Sr. Office Assistant
Paul Rosenberg
VILLAGE BOARD
Susan Epstein - David Heiser Jason Klein - Jeff Rednick
PARKS STAFF
Village Board meets the 2nd and 4th Tuesday of each month.
Paul Vinci, Parks Foreman Ted Warzoha, Parks Attendant Joe Orlando, Parks Attendant John Giordano, Parks Attendant
VILLAGE ADMINISTRATOR Christopher Bradbury
OFFICE LOCATION
PARKS AND RECREATION ADVISORY COUNCIL
The Parks and Recreation office is located At Village Hall, 938 King Street The office hours are 8:30am-4:30pm Monday through Friday
Jamie Schutzer - Chairman Adam Berman - Frank Carbone Christopher Dutra - Traci Erenfryd Brian Funtleyder - Steve Ketchabaw Scott Tillison - Adam Zahl
MAILING ADDRESS Rye Brook Recreation 938 King Street Rye Brook, NY 10573
DIRECTORY
Parks & Recreation Telephone Numbers Office…………….939-3235 Parks Department..939-1796 Senior Adults…….939-7904
General Information Code of Conduct Grievance Policy Youth Basketball Youth Activities Spring Preview Rye Brook Little League Special Events Day Camps Special Population Programs Camp Health Form Adult Activities Rye Brook Seniors Registration Form 3
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GENERAL INFORMATION IMPORTANT NOTICE
For information and referral on drug and alcohol abuse, contact 1-800-522-5353
Youth Employment services (Y.E.S.)
The Y.E.S.Office is located at the Blind Brook High School, second floor conference room. Students wishing employment should register with the office and check for job openings posted on the office bulletin board. If you need the services of a gardener, child’s party aide, hostess helper, baby sitter, etc., around the house, or part-time help with your business, think of using teenagers. Office hours: Thursdays and Fridays from 2:00pm to 3:00pm or a message may be left on the answering machine. Calls will be returned and positions will be filled as quickly as possible. Any student may register with the Y.E.S. Office. Please contact Lisa Benoit, at 914-527-6661 or e-mail lbenoit@ryebrook.org. Boys and girls interested in working for Rye Brook Parks and Recreation should contact the Y.E.S. office at Blind Brook High School. Job possibilities include: staff assistants for basketball, and ice skating. Applicants must be 16 years of age and have a Social Security Card. Anyone under 18 years of age must have working papers. WATCH CABLE T.V. CHANNEL 75 OR VERIZON FIOS CHANNEL 24 FOR PROGRAM UPDATES AND HIGHLIGHTS OF THE RYE BROOK RECREATION PROGRAMMING
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GENERAL INFORMATION Refunds: All refunds requested prior to the SPECIAL NOTE start of the program will be given with a $40.00 Rye Brook Parks and Recration Departhandling fee deducted. ment is always looking for new and innovative talent within its community boundaAll Refunds after the start of the program will ries. If you possess a skill and the ability to be given with the greater of a prorated rate or teach it, please mail us your resume. $40.00 handling fee deducted. There will be NO refunds given for youth sport leagues after Little League Sponsors Sought for Our the teams are made. 2015 Spring Season The sponsorship fee for our spring Little Please note that all programs will not run when League Baseball is $600 for new sponsors and school is closed or cancelled. Residents wishing $400 for returning sponsors. Each sponsor additional information should contact the Rec- will have their company name on a banner that will be placed on the fence at Pine Ridge reation Office at 939-3235. Park for the entire spring, summer and fall Cancellations: Rye Brook Recreation will use seasons and have their company listed on our its Community Pass email system to notify par- website as a sponsor. The sponsors name will ticipants of cancellations, as well as the Villag- also be printed on the back of the jerseys and es website for updates. all team schedules. Sponsors will also receive a plaque with their team picture attached. For Village Parks: additional information, please call the Rye Garibaldi, Harkness, Pine Ridge, Rye Brook Athletic Fields, and Rye Hills Parks Brook Recreation Department at 939-7054.
are available to resident groups on a permit basis. If your organization wishes to reserve a park for a specific date, permits are available at the Recreation office or on our website at www.ryebrook.org/recreation.
Advertising Sponsors Sought for 2015 Spring/Summer Brochure The Rye Brook Parks and Recreation Department will place business card size ads in our Activity Brochure. We are seeking a limited number of area businesses to advertise as The Rye Brook Parks and Recreation Departsponsors in the upcoming Activity Brochure. ment welcomes residents of all abilities. Any resident with a disability needing special assis- Ad Rate (3) times: $125.00 tance should contact the Superintendent at 939- Ad Rate (2) times: $100.00 Ad Rate (1) time: $ 75.00 7054. Anthony J. Posillipo Community Center The Center is utilized for Senior Citizens on weekdays, recreation on week nights and is available for rental on the weekends. The center will be closed on December 25th and 26th and January 1st and 2nd. For more information contact the Center directly at 939-7904.
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Should you have an interest, please enclose your business card and make your check payable to Rye Brook Recreation and mail to Rye Brook Recreation, 938 King Street, Rye Brook, New York 10573. Telephone #: 937-6663 Fax #: 937-7438 Office Hours: 8:30am – 4:30pm Monday through Friday
RYE BROOK PARKS AND RECREATION DEPARTMENT CODE OF CONDUCT The Rye Brook Recreation Department (“Department”) wishes to create rules of conduct that coaches, parents/guardians of youth participants and all spectators shall observe so as to allow our children to mature physically, emotionally and socially and create a positive experience for our children while participating in the Rye Brook Recreation sports programs. A coach/parent/guardian of a player participating in a Department program shall at all times act in the best interests of the children and it is understood that the best interests of the child translates into the best interests of the game and the best interests of the Department. The coach/parent/guardian needs to help players learn and work to improve skills and to ensure that the player’s athletic experience is one of learning, fun and enjoyment. The job of coaching and the job’s success does not depend upon winning. A coach/parent/guardian should always exhibit patience with players, umpires and other parents and coaches. Players should never be pushed beyond limits with regards to practice or in game participation. A coach/parent/guardian should understand that children have many daily pressures and youth sports should not be one of those pressures. The Department recognizes the crucial role that the coach/parent/guardian plays in molding the athletic experience of the child. Accordingly, the coach/parent/guardian should always be demonstrating good sportsmanship and setting the example for all parents and all players by allowing the children to be the center of attention during games and practices. These principles serve as the overriding guideline coaches/parents/guardians participating or otherwise involved in a Department program shall observe and abide by within the following rules of conduct.
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RYE BROOK PARKS AND RECREATION DEPARTMENT CODE OF CONDUCT To the extent that adherence is not inconsistent with adherence of other rules and regulations governing Rye Brook Recreation Department sanctioned activities, A Coach/Assistant Coach/Parent/ Guardian, whether or not assisting the Coach, Shall at all times: 1. Maintain a positive, helpful and supportive attitude towards the players on his/her team and under his/ her supervision as well as maintain a helpful and supportive attitude towards the players/coaches/ parents/guardian on the opposing team. 2. Exercise his/her authority or influence to peacefully control the behavior of spectators. Examples include: Asking spectators politely to control inappropriate or profane language whether directed towards the field of play or other spectators. Attempting to eliminate or limit a spectator from interfering with the progress of the game or practice or the job of the coach or assistant coach Never expressly questioning or substituting one’s own judgment for that of the umpire/referee. 3. Exhibit gracious acceptance of defeat or victory. Examples include: Making sure each child on the team lines up, shake-hands with and thanks the opposing team. Shaking hands and thanking the opposing coach/parent/guardian. Thanking the referee/umpire. Maintaining a positive demeanor with the children regardless of the outcome. 4. Accept and adhere to all Department rules and policies related to participation of adults and children. 5. Play players in accordance with equal participation rules established by the Department and follow the letter, as well as the spirit, of those rules. 6. Fulfill the expected role of a Coach/Parent/Guardian of a child participating in youth sports by adopting and adhering to a “children first� policy. 7. Provide the opportunity and encourage all players to ask questions, listen, learn and play hard within the established rules of the game set by the Department. 8. Place emphasis on the children having fun, participating, winning and losing as a team. 9. Recognize the differences within each child and demonstrate concern for their individual needs and well-being. 10. Encourage all players, regardless of skill level, to be included as a member of the team. 11. Recognize that some physical tasks, drills and demands are not appropriate for all children of the same or similar age and shall consider differences in physical, social and emotional maturation of the children when interacting with children.
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RYE BROOK PARKS AND RECREATION DEPARTMENT CODE OF CONDUCT 12. Establish practices and practice plans that are interesting, varied, and productive and aimed at improving all player skills and individual abilities. 13. Devote appropriate time, to the extent practicable, to the individual improvement of each player. 14. Conduct practices of reasonable length and intensity appropriate for the age and conditioning of the players. 15. Make every effort to attend all scheduled practices and games and attempt to arrive at practices or games at least twenty (20) minutes prior to a scheduled practice or game. In the event a Coach cannot attend a game or practice, (either in a timely manner or at all) it is expected that the Coach make the necessary arrangements to the extent practical and with as much advance notice as possible to ensure that practices and games are being coached and monitored by a capable coach or parent in his/her stead. 16. Demonstrate support and respect for all players, coaches & officials at every game, practice or other sports event. Examples include, but are not limited to: Never yelling at, reprimanding, berating or otherwise humiliating a player or official, whether in view of others or privately for a mental/ physical mistake or error committed during a game or practice. Encouraging a child in a discreet manner to pay attention to the coach and/or game or providing positive feed back to a child designed to help that child learn and improve. Never yelling at or arguing with another coach or parent in the view and/or earshot of others, whether or not such an exchange takes place during the course of a game or practice or elsewhere. 17. Provide an environment conducive to fair and equitable competition. An example includes but is not limited to: Refraining from rotating or interchanging players with superior skill at the same positions or designing plays and/or strategies geared exclusively towards players with superior skill sets. 18. Promote, teach and expect fair sportsmanship and fair play. 19. Maintain a high level of awareness of potentially unsafe conditions and promptly correcting or avoiding said unsafe condition, whether during a game or practice. Examples include but are not limited to: Making sure players and other children not actively participating in a game are safely behind a gate, fence or backstop and are not climbing a gate, fence or backstop. Making sure equipment is not situated where it may be a hazard to others. Making sure players not actively participating in a game are sitting on the bench and/or sideline. 20. Protect players from sexual molestation, assault, physical and emotional harm or abuse. 21. Ensure that the appropriate safety equipment is being used to protect all players.
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RYE BROOK PARKS AND RECREATION DEPARTMENT CODE OF CONDUCT 22. Ensure that all players are provided with adequate adult supervision at all times. 23. Never allow the presence of alcoholic beverages or drugs at any team activities or in the presence of players and shall not consume, or otherwise be under the influence of drugs or alcohol, when attending any team activity. 24. Refrain from the use of any type of tobacco product at all team activities and/or in the presence of players. 25. Become knowledgeable, understanding and supportive of all applicable game rules, league rules, regulations and policies. 26. Teach and require strict compliance of applicable game rules, league rules, regulations and policies so that good sportsmanship can be maintained. 27. Teach techniques that reduce risk of injury to the Coach’s own players and their opponents. 28. Discourage illegal contact or intentional dangerous play and administering swift and equitable discipline to players involved in such activity. 29. Use appropriate language in appropriate tones when interacting with Recreation Department officials, players, game officials, parents and spectators. At no time is the use of profanity ever acceptable. 30. Include all players in team activities without regard to race, religion, sex, body type, national origin, ancestry, disability, or ability. 31. Treat all players, Department Officials, game officials, parents and spectators with dignity and respect. 32. Support Department officials and coaches when working with players and parents. 33. Direct any criticisms, concerns or questions to a Department Official, game official, or coach at an appropriate time out of the presence of children and parents and not during a practice or game.
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CODE OF CONDUCT ENFORCEMENT GRIEVANCE POLICY AND PROCEDURE:
The Rye Brook Recreation Department firmly believes that in order to achieve the goal of providing a positive experience to all participants within the program, coaches, parents, and guardians must be trained and held accountable for their behavior when with and around participants in the program. The Rye Brook Recreation Department realizes that from time-to-time issues may arise where a player and/or his/her parent and/or guardian may conclude that a policy, procedure, rule player, parent, coach or official within our organization requires attention of the Department. The below Grievance Policy and Procedure has been designed to provide a process in which an individual can present an issue for review and resolution. a. In an effort to resolve Grievances in a reasonable and effective manner, complainants need to comply with the below Grievance Policy. Any grievance should be presented on an individual basis; group (pack mentality) methods will not be addressed or tolerated. b. Complaints and/or Grievances will be based on the conduct of parents, players, fans, coaches and officials, during Rye Brook Recreation Department activities. c. Complaints and/or grievances shall be brought to the attention of a Grievance SubCommittee composed of 4 members of the Rye Brook Parks and Recreation Department Advisory Council. The Grievance Sub-Committee shall keep all matters relating to a complaint or grievance confidential, involving only those associated with the grievance. However, any sanctions and/or loss of privileges may be posted and/or shared with other involved Rye Brook Recreation Department members at the discretion of the Parks & Recreation Superintendent. The following procedures should be taken regarding any grievances of an individual affiliated with Rye Brook Recreation Department Programs: 1. Contact the Head Coach personally, by email, telephone or otherwise, to notify him/her of the prospective grievance. The Head Coach may be able to provide additional insight as to whether the prospective grievance violates any portion of the Code of Conduct or other Policy and Procedure. a. If the prospective grievance involves the Head Coach, proceed to Paragraph 2 below.
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CODE OF CONDUCT ENFORCEMENT GRIEVANCE POLICY AND PROCEDURE:
b. If the prospective grievance is determined by the complainant and the Head Coach to violate the Code of Conduct and/or Policies and Procedures, complete the Grievance form found attached and proceed to paragraph 2 below. 2. Contact the Grievance Sub-Committee Chairperson, known as the Grievance Coordinator, and forward your written Grievance to him/her. a. Present in writing, and in sufficient detail, the facts of the grievance via letter or email only. The Grievance Sub-Committee will only review grievances that are in writing. The Grievance Sub-Committee may request additional information, if in its sole discretion, said additional information is deemed necessary in rendering a decision. The information will be discussed and presented in confidence to the Parks & Recreation Advisory Council and the Parks and Recreation Superintendent along with the Grievance sub-committee’s recommendations for disciplinary action. b. The Grievance Sub-Committee’s recommendations to the Parks and Recreation Advisory Council and the Parks and Recreation Superintendent shall be made after considering the following factors and circumstances: First Offense; Remorse or lack thereof; Desire to Reform; Other positive attributes; Dedication to Youth Sports Child Endangerment; Violation of Local, State or Federal law, regulation or ordinance. Prior complaints and review action; Number of rules in the Code of Conduct violated; Breach of duty as a role model. c. A recommendation will be made within ten (10) business days upon the written receipt of all of the information needed for determination of the grievance. All recommendations of the Grievance Sub-Committee shall be final. 3. The Grievance Coordinator along with the grievance Sub-Committee members will attempt to resolve the Grievance and shall have the right to request additional information from the Complainant as well as others involved with, or who may have witnessed, the event comprising the Grievance and prior to rendering a decision or determination. The Grievance Sub-Committee may share the information with the Parks & Recreation Advisory Council and/or the Parks and Recreation Superintendent for advice and counsel, and if necessary for any recommended disciplinary actions. 11
CODE OF CONDUCT ENFORCEMENT GRIEVANCE POLICY AND PROCEDURE:
4. All proceedings, discussions, recommendations and findings of the Grievance SubCommittee shall remain confidential except as set forth herein. 5. The Grievance Sub-Committee shall present its findings to the Parks and Recreation Advisory Council as a whole which shall then make recommendations to the Rye Brook Parks & Recreation Superintendent for possible action to take against an individual found to be in violation of any portion of the Code of Conduct. a. Recommendations for possible actions shall include, but not be limited to: Warning to and/or apology from coach/parent/spectator Probation One game suspension Multiple game suspension Season suspension Permanent revocation of participation in a Rye Brook Parks and Recreation Department Program. b. If at any point during the Grievance process a participant of the Grievance refuses to answer questions, provide information or otherwise becomes uncooperative or hinders the grievance Sub-Committee from performing its assigned function, the Grievance SubCommittee has the right to end the Grievance and make recommendations to the Rye Brook Parks & Recreation Superintendent. c. The Grievance Sub-Committee has the right to make recommendations to the rye Brook Parks & Recreation Superintendent regarding any participant to the Grievance. 6. The recommendations of the Grievance Sub-Committee will be provided to the Parks & Recreation Advisory Council and the Rye Brook Parks and Recreation Superintendent. The Parks & Recreation Superintendent will choose to accept, modify, or reject the recommendations within 72 hours of being notified. The participants, whether directly and/or indirectly involved, will be notified of the Rye Brook Parks & Recreation Superintendent decisions. 7. Filed Grievances, whether acted upon or resolved prior to action being taken, will be retained on file and may be used in the disposition of future Grievances or in decisions regarding involvement in Rye Brook Parks and Recreation activities. Any incident that threatens the life, limb or well-being of an individual should be immediately reported to the Parks and Recreation Superintendent.
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YOUTH BASKETBALL Kindergarten Basketball
This program is set up to help children work on their dribbling and passing skills and introduces them to shooting by utilizing our lower baskets. Games will be played at the end of each session. Who : Kindergarten Boys & Girls Location: Ridge Street School Old Gym Day/Time Wednesday 3:30pm—4:30pm Dates: January 7th—February 11th Max #: 20 (first come, first serve) Fee: $75.00 Checks payable to Rye Brook Recreation
1st Grade Basketball
This program is set up to help children work on their dribbling and passing skills and introduces them to shooting by utilizing our 8’ baskets. Games will be played at the end of each session. Who : 1st Grade Boys & Girls Location: Ridge Street School Old Gym Day/Time Thursdays 3:30pm - 4:30pm Dates: January 8th - February 12th Max #: 20 (first come, first serve) Fee: $75.00 Check payable to Rye Brook Recreation
Youth Basketball Clinic
This mid-winter recess basketball clinic is designed for boys and girls 4th thru 7th grade who want to improve their offensive and defensive skills for the upcoming AAU season, CYO tournament and invitational team tournaments. The clinic is designed to develop the skills in shooting, dribbling, and passing. The last half hour is designed to have the players play games and practice their newly acquired skills. Who: Boys & Girls 4th thru 7th Grade Location: Blind Brook High School Gym Day/Time: Tuesday-Friday 4-7 Boys, 9:00 - 10:30am 4-7 Girls, 10:30am - 12:00pm Dates: February 17th - 20th Instructor: Manny Martinez, BBHS Varsity Basketball Coach Fee: $140.00 Checks payable to Rye Brook Recreation.
8th - 11th Grade Boys Basketball
Location: Blind Brook High School Gym Day/Time: Saturdays, 1:00 - 4:00pm Dates: On-Going Fee: $200.00 Check payable to Rye Brook Recreation Contact Janice Kunicki at the Recreation Office (305-2947) for further information.
Rye Brook Youth Basketball
(in progress) 2nd thru 7th Grade Boys and Girls Location: RSS New and Old Gyms Belle Fair Gym Day/Time: Schedules available on www.ryebrook.org Fee: $200.00 Check payable to Rye Brook Recreation
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YOUTH ACTIVITIES Youth Bowling League
Corbin’s Crusaders Winter Flag
Bundle up and join us on the Rye Brook Athletic Field grid iron and play flag football outdoors this winter with Corbin’s Crusaders. Children will learn pass routes, how to be a quarterback/general, properly defend a player and play in a game each week even in the SNOW! Who: 1st - 2nd Grade Day/Time: Wednesdays, 3:45pm - 4:45pm Who: 3rd – 5th Grade Day/Time: Wednesdays, 3:45pm - 4:45pm Dates: January 7th - March 11th (10 Sessions ) Hobby Quest - Flying Machines Make-Ups: March 18th Hobby Quest’s flight Captain will teach you No Session: February 18th everything you need to know about building Rye Brook Athletic Field and flying amazing machines. Learn to balance Location: $270.00 planes with clay, run a plane with batteries and Fee: Check payable to Corbin Crusaders and mail to make a helicopter! Different planes will be creRye Brook Recreation ated! Who: 2nd – 9th Grade Boys and Girls Location: Spins Bowl of Mount Kisco Day/Time: Monday, 3:15pm-6:00pm Dates: January 5th - March 23rd No-Session 1/19, 2/16, 3/30 Make-Up: April 6th Fee: $240.00 Supervisor: Kyle Thornton Meet at Ridge Street School at 3:15pm Transportation will be provided. Check payable to Rye Brook Recreation
Who: K – 5th Grade Boys and Girls Location: RSS Enrichment Center Day/Time: Monday, 3:10pm - 4:20pm Dates: January 5th - March 9th Make-Up: March 16th Fee: $150.00 Supervisor: Hobby Quest Flight Captain Check payable to Rye Brook Recreation
Teen Center
The Teen Center gives 6th, 7th, 8th and 9th graders an opportunity to go on trips periodically and to attend various events throughout the school year. This helps build new friendships, responsibility and maturity. A completed contract and application is required for membership. Events will be planned throughout the school year. Notification will be by email of these new events.
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YOUTH ACTIVITIES Fun With Piano (in progress)
Piano study offers unique benefits. In addition to the experience of making music, students increase concentration skills, enhance coordination between brain hemispheres and gain self -confidence through performance of increasingly challenging material. The Fun with Piano program, run by Julliard trained instructor, Dinah Basson, emphasizes the fun in learning through the choice of enjoyable repertoire: Ages 6 – 13 and Adults Location: Anthony J. Posillipo Center Day/time: Mondays & Wednesdays Instructor: Dinah Basson New session begins in January 2015 Check payable to Dinah Basson Materials not included. For more information call Dinah Basson (212) 787-2972
Children's Winter Soccer Clinic
Elite Soccer Academy L.C. is offering a 7week winter soccer program for children between the ages of 4 - 8 years old. The curriculum is designed on developing the fundamental skills of dribbling, passing trapping, and shooting. Each session will conclude with a smallsided games. Emphasis will be placed on teamwork and good sportsmanship with the goal of having fun. Who: Boys and Girls 4-8 years old Child must be 4 years old at start of program.
Location: Day: Session 1: Session 2: Dates:
BelleFair Gym Wednesdays 4:00 - 5:00pm Beginners 5:00 - 6:00pm Pre-Travel All-Stars January 7th - February 25th No session 2/18 (Make-Up) March 4th Fee: $140.00 Min. # 10 Children Minimum to run each session. Checks payable to Elite Soccer Academy, LLC and mail to Rye Brook Recreation.
Ice Skating Instruction II
Students will be escorted to the designated area to meet the Recreation staff by their teachers. Skaters will receive a half hour lesson and free skate for a half hour. Skaters can bring their own skates or rent them for $4 per day. Who: 1st - 8th Grade Location: Hommocks Ice Rink Day/Time: Tuesdays, 3:10pm - 6:00pm Dates: January 13th - March 10th (no session February 17th) Fee: $240.00 Supervisor: Janice Kunicki Should you require additional arrangements to meet the bus, please contact Janice at (914) 305-2947. Check payable to Rye Brook Recreation
Paint Your Dreams
The paint your dreams class description is as follows: “The artist of this surrealistic painting uses the shades of red, blue, and black to (with perfect harmony, perfection and precision) bring out visual illusions and abstract figures similar to those found in works of some of the world's renowned artists. Abstract arts like these ones, unlike paintings of objects, know no boundaries. The shapes that make up the arts meld together and the different shades of colors used to make the painting often flow together to create a harmonious pattern. Max 20 per class. Who: Location: Day/Time:
Boys and Girls K-12 RSS Enrichment Center Tuesdays, K-2nd 3:30pm - 4:30pm Grades 3-6 4:30pm - 5:30pm Grades 7-12 5:30pm - 6:30pm Dates: January 6th - March 3rd Instructor: Michelle Marmion Fee: $150.00 Checks payable to Rye Brook Recreation
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SPRING PREVIEW 2015 Rye Brook Pee Wee Soccer and Pre Travel All Star Soccer
Elite Soccer Academy, L.L.C. is offering a 7-week Pee Wee and Pre Travel Soccer program for children between the ages of 4 - 8 years old. The curriculum is designed on developing the fundamental skills of dribbling, passing, trapping and shooting. Each session will conclude with small-sided games. Emphasis will be placed on teamwork and good sportsmanship and having fun.
Kindergarten T-Ball
This fundamental program will teach the basics of baseball with an emphasis on teamwork and improving one’s ability in throwing, catching, hitting and running through a variety of fun drills and games in an instructional format. This is a staff run program.
Rookie League
This parent-coached league will focus on the fundamentals of teamwork and the basic skills of baseball/softball for 1st and 2nd graders. Teams will be made by the Recreation Department. Requests will not be honored. Teams will play two games per week. Games will take place on Thursday and Friday nights and Saturday mornings.
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Rye Brook Little League This Spring Rye Brook Little League will begin its’ 12th season as an accredited Little League program. We plan on getting your 2015 Little League season underway earlier so that we can have more structured practices prior to the start of the season. The Little League baseball and Little League softball ratings will take place after the February break and the teams will be formed at the beginning of March. Practices will begin indoors during the month of March until the weather breaks. Coaches will attend a mandatory coaches clinic to enhance their ability to teach the skills to our Little Leaguers. There will be practices built into the first half of the season on a weekly basis. Rye Brook Little League will have a dedicated website. The website will be the location to go to find out your league standings, scores, rosters, cancellations and statistics. The opening day parade will take place on Saturday April 11th. Rye Brook Little League will once again place teams in the District 20 Tournament vying for a chance to play in the Little League World Series in Williamsport Pennsylvania. To qualify for a chance to make the team, individuals must be registered for Little League, must be 9-12 years old, participate in a minimum of 60% of the games and be available from June through August. The minor league baseball program will utilize a pitching machine for all league games. We are also working with Port Chester Little League on an interleague schedule.. The 2015 Rye Brook Little League will have playoffs for all Major league teams culminating in a Rye Brook Champion. We hope to see everyone at the ratings and hope to provide you with a wonderful and memorable Little League season.
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Rye Brook Little League RYE BROOK LITTLE LEAGUE OPENING DAY PARADE/CEREMONIES
The Little League opening day parade/ceremonies will take place on Saturday, April 11, 2015. All Little League and Rookie League players in uniform will report to the parking lot near Ridge Street School New Gym at 12:30pm to participate in the parade.
Little League Sponsors Being Sought for our 2015 Spring Season.
The sponsorship fee for our spring Little League Baseball is $600 for new sponsors and $400 for returning sponsors. Each sponsor will have their company name on a banner that will be placed on the fence at Pine Ridge Park for the entire spring, summer and fall seasons as well as being listed on the Little League website as a sponsor. The sponsors name will also be printed on the back of the jerseys and all team schedules. Sponsors will also receive a plaque with their team picture attached. For additional information, please call the Rye Brook Recreation Department at 937-6663.
Little League Girls Softball Ratings: Little League Boys Baseball Ratings Minor League Girls: February 24th February 26th Major League Girls: February 24th February 26th
7pm 7pm
New Gym New Gym
8pm 8pm
New Gym New Gym
Minor League Boys: February 23rd February 25th Major League Boys: February 23rd February 25th
7pm 7pm
New Gym New Gym
8pm 8pm
New Gym New Gym
If you did not play in the Major League last year or you are a If you did not play in the Major League last year or you are a newcomer you have to be rated. All others do not have to newcomer you have to be rated. All others do not have to atattend. All participants must be registered prior to ratings. tend. All participants must be registered prior to ratings.
Minor League Girls Softball
Minor League Baseball
Major League Girls Softball
Major League Baseball
This program is for girls 9 and 10 years of age prior to January 1, 2015 or 8 year-old 3rd graders. League teams play against each other. Coaches pitch to batters. Fee: $135
This program is for girls 11 and 12 years of age prior to January 1, 2015 or 10 year old 5th graders. League teams play against each other. Players pitch for all six innings using official Little League softballs. Fee: $135
This program is for boys 9 and 10 years of age prior to April 1, 2015 or 8 year old 3rd graders. Resident teams play against each other. A pitching machine will be used for all league games. RIF # 5 baseballs are used.
This program is for boys 11 and 12 years of age prior to April 1, 2015 or 10 year old 5th graders. Resident teams play against each other. Players pitch for all six innings using official Little League baseballs. Fee: $135
Baseball/Softball Coaches Clinic
Who: All Rookie League and Little League Coaches Location: Ridge Street School New Gym Date/Time: TBA All Little League Coaches are required to be in attendance for this hands on clinic to help coaches with drills to enhance the skills of Little Leaguers. 18
Special Events Lunch with the Bunny
This event will feature lunch, entertainment, and a visit from a special friend. The deadline to sign up is March 20, 2015. Registration is free and limited for this event. Who: 3 - 9 year olds (Rye Brook Residents Preference) Location: Anthony J. Posillipo Community Center Day/Time Saturday, 11:30am Date: March 28th, 2015 Max#: 70 children Fee: Free
Rye Brook’s 33rd Birthday Celebration Date: Saturday June 13, 2015
Volunteers are needed for the Birthday Celebration. Volunteers are needed for rides supervision, food distribution, and parking. As in the past we will again be holding a food drive. Please bring canned goods with you the day of the event. For additional information, please contact the Recreation Office at 937-6663.
Scott’s Pitch, Hit and Run
The Scott’s Pitch, Hit and Run is a free event for boys and girls 7-14** years of age. Partici-
pants will participate in a pitching event, running event and hitting event. The winners* of each individual event and overall score will move onto the sectionals. The age groups are 7/8, 9/10, 11/12 and 13/14. Pre-registration is required for this event. No onsite registration will be taken. Contact Kyle Thornton with any questions at 914-305-2948. When: TBA Where: Pine Ridge Park - New and Old Fields Time: 9:00am– 11:00am for the Event. Fee: Free Registration forms will be located in the Recreation Department during the month of February. Volunteers needed for this event. *Winners of the local event will be notified within 1 week of the competition date. **Your child’s age as of July 17th, 2015 will determine his or her age for this years competition.
Rye Brook Spring Carnival
There will be rides, games and food throughout the carnival. Location: TBD Dates: Either April 24, 25 and 26 or May 8, 9, and10 Times: Friday 5-10pm Saturday 12-10pm Sunday 12-5pm Come join us to bring in the Spring season and get out of your winter hibernation. The Rye Brook Carnival is seeking food vendors and craft vendors for the 3 day event. 19
DAY CAMPS Rye Brook Recreation Day Camp
Rye Brook Teen Summer Craze
Rye Brook Day Camp will be offered to children entering Kindergarten in September 2015 to 6th grade. The camp will be limited to 250 children. Residents are given preference until May 1, 2015 (first come first served). All campers will attend camp at Crawford Park. A limited number of scholarships are available for Rye Brook residents only. Those in need of camp scholarships should contact Kyle Thornton by April 3, 2015 at 3052948. Rye Brook Day Camp will run for 6 weeks from July 6th through August 14th Fee: Res Non Res Prior to 5/1 (6 weeks) $960 ——— Add Child $760 ——— After 5/1 (6 weeks) $1110 $1240 Add Child $860 $1040 2 weeks $520 $750 Add Child $420 $650
Rye Book Teen Summer Craze is a travel camp for 7th, 8th, & 9th graders (September 2015) . Campers will go on 5 trips a week. All trips are included in the registration. The camp is limited to 110 campers who will be accepted on first come, first serve basis.. If you have any questions/concerns please call Janice at 305-2947. Who: 7th,8th, & 9th Grade Boys & Girls Location: Harkness Park Day/Time: Monday - Friday 8:30am - 3:30pm Dates: July 6th - August 14th Trips: TBA Fee: Res. Non-Res. Prior to 5/1 (6Wks.) $1690 ——— After 5/1 (6 wks.) $1790 $2140 2 weeks $ 910 $1160
SPECIAL POPULATION PROGRAMS
Southeast Consortium
The Village of Rye Brook Recreation Department is part of the South East Consortium for Special Services Inc., which is a “not-for-profit” organization, dedicated to providing leisure services to eligible citizens with developmental or other disabilities. The South East Consortium offers a variety of programs and services in an effort to meet the physical, social, cultural and quality of life needs of children and adults of all ages and functioning abilities. We try to base all activities on the appropriateness of the participant and availability of resources. We welcome your participation. For further information, contact the South East Consortium, 740 West Boston Post Road, Suite 312, Mamaroneck, New York 10453 or call (914) 698-5232
Rye Brook/Port Chester Association for Retarded Citizens
Special recreation programs are offered for people who are trainable for employment. For further information contact Letitia Chuckas at 939-7917. Location: King Street School Day/Time: Saturdays, 1:00pm - 3:30pm 20
RYE BROOK RECREATION CAMP HEALTH AND REGISTRATION FORM Please fill out form and return to the Recreation Department with a check. Questions 1 through 6 are to be completed by your child’s physician and Questions 7-13 is to be completed by a legal guardian. LAST NAME ADDRESS SCHOOL
FIRST NAME CITY/STATE
DATE OF BIRTH ZIP CODE
PHONE #
SEX BUSINESS#
Grade entering in Sept. 2015
ALL CHILDREN ATTENDING DAY CAMP MUST HAVE AN UP TO DATE IMMUNIZATION RECORD THAT INCLUDES THE FOLLOWING (PLEASE HAVE YOUR DOCTOR LIST THE DATES).
Date of shot
1. Four or more doses of Diphtheria/Tetanus Toxoid ____/_____/ 2. Three or more doses of Oral Polio Vaccine or four or more doses of Inactive Polio Vaccine Salk given after 1968 ____/_____/ 3. One dose of live Measles Vaccine given after 1 year of age. ____/_____/ 4. One dose of live Mumps Vaccine given after 1 year of age. ____/_____/ 5. One dose of live Rubella Vaccine given after 1 year of age. ____/_____/ 6. Is the child taking any prescribed medication? YES NO If the answer is yes, what is the medication? Would your child be taking the medication during the camp day? YES NO _______________ Physician’s Signature Date 7. Has your child had any recent operation or injury? YES NO If yes, please explain 8. Has your child been exposed to any communicable disease within the last 3 weeks? YES NO If yes please list 9. Please list food, which your child is allergic to if any Please list drug, which your child is allergic to if any Is your child allergic to insect/bee bites? YES NO 10. is there any emotional or physical disturbance? YES NO If yes what treatment or care has been given? 11. Is your child permitted to take Advil or Tylenol for minor discomforts? such as headache, colds, etc. YES NO 12. Do you want your child to participate in our swim program? YES NO 13. Is there any reason why your child may not participate in any activities? YES NO___ If so, please explain FOR EMERGENCY USE: Name Name Parents Names and numbers ( ) ( ) If a parent cannot be reached: Name/Relationship Telephone numbers ( ) ( ) Neighbor or relative who would know where a parent could be reached, or who would be able to pickup the child if necessary: Name: Address Phone ( ) Child's Physician: Address Phone ( ) I hereby authorize my child/children whose name(s) appears above to participate in the above program/s sponsored by the Rye Brook Parks and Recreation Department. I hereby release the Village of Rye Brook, Carver Center, their servants and employees from any liability for personal injuries or property damage sustained by my child/children, in connection with such participation. In case of injury, I authorize a Recreation Staff member to take my child/children to the hospital for treatment. I hereby authorize my child to swim at the Carver Center.
Parent/Guardian's Signature
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ADULT ACTIVITIES Men’s Softball League Organizational Meeting
.Men’s
Adult Basketball
A recreation staff person will confirm with the school each week for this program. In case the Location: Village Hall school will not be available, participants in the Date: February 3rd program will be notified by e-mail prior to the Day/Time: Wednesday, 7:00pm weekend. Fee: $1650 & $150 Forfeit Fee Rules and regulations will be discussed at this Who: Adult Men time. For more information contact Rob Bertolac- Location: BBHS & BBMS ci at 939-7054 Day/Time: Sundays, 8:30am - 11:30am Dates: On Going to April 5th Piece Corp Quilting Group Fee: $300.00 If you know the basics of sewing and would like to share ideas with a group, come and join other quilters on Wednesday evenings. Novices wel- . come. This group as always will be there to encourage and support other group members. Who: Adults Location: AJP Community Center Day/Time: 2nd and 4th Wed. of the Month 7:30pm - 9:30pm Date: On going through May Fee: Free
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ADULT ACTIVITIES
Zumba: Ditch the Workout – Join the Party!
Total Fit:
Come join us for a low impact aerobics class, weight work for your heart, bones and strength, ending class with stretching and relaxation. All ages welcome. Please bring your mat, weights, small towel and most important: WATER!!!! Taught by Linda DiSisto, Certified Fitness and Personal Trainer, Yoga Instructor. Who: Adults Location: Anthony J. Posillipo Center Date: January 12th 8 Sessions Time: 7:00pm - 8:00pm Fee: $140.00 Must have 6 Participants to run program. Check payable to Linda DiSisto.
Tired of exercises, Let’s Zumba! Zumba is derived from a Colombian word meaning move fast and have fun”. It is a Latin-inspired dance fitness class that incorporates high-energy international music and easy-to-follow dance movements. People who’ve tried this musclepumping, caloric-burning workout say its so much fun, you’ll get a workout without feeling like you’ve worked out! Taught by: Martha Oceguera, a licensed Zumba instructor,. When: Thursdays, 7:30pm - 8:30pm Dates: On Going Location: Anthony J. Posillipo Fee: 10 Class card for $100.00 Plus 1 Free Bonus Class. Walk Ins: $12.00
ONLINE REGISTRATION WEDNESDAY, DECEMBER 17, 2014 @ 9:30 PM 23
RYE BROOK SENIORS Winter 2014—2015 Coordinator: Location: Phone: Membership: Fee: Day/Time:
Elizabeth Rotfeld AJP Community Center - 32 Garibaldi Place, Rye Brook, NY (914) 939-7904 Fax: (914) 939-7843 60 & Older and a Rye Brook Resident $15.00 annually Mon-Thu. 9:00 am -4:00 pm Friday 9:00 am – 2:00 pm. The center will be closed on December 25th, 26th, 2014 and January 1st ,2nd, 2015. For more information contact the Center directly at 939-7904. The mission of the Rye Brook Seniors is to create an environment where individuals can congregate, receive services and participate in activities that promote life long learning, enhance their dignity, support their independence and encourage their involvement in and with the community. If you are interested in becoming a member or obtaining information about available programs or services please contact the Senior Center. All activities listed below take place at the Anthony J. Posillipo Community Center. PROGRAMS Quibble & Nibble Lunch Program Monday - Friday, at 12:00 p.m. Resident:$3.50 Non Res: $7.00 Rye Brook Senior Center members enjoy a nutritious and delicious hot meal at the Anthony J. Posillipo Community Center. Each meal includes entree, starch, vegetable or salad, dessert, 2% milk, juice, coffee/tea and companionship. Call for menu and to reserve a lunch. Meals provided by Hubbards Cupboard. Blood Pressure Screening 3rd Thursday of each month unless noted. Time: 9:30 – 10:30 a.m. Fee: FREE This program is sponsored by Greenwich Hospital and offered monthly at the Anthony J. Posillipo Community Center. Call 939-7904 for more information. Healthful Hints w/Lucille Porto, R.N. 4th Thursday of each month unless noted. Time: 11:00 a.m. Fee: FREE Join our resident Nurse, Lucille for various topics relating to your health and well being. Each month seniors will be treated to a lively lecture on a wide range of topics led by different members of the medical profession 24
Apple Computer Instruction w/Ellen Elmaleh 3rd Thursdays (unless otherwise noted) 10:30 a.m. FREE Bring your Apple Computer, IPad, IPhone or IPod and learn how to maximize its use from Rye Brook’s own Ellen Elmaleh who generousPainting & Art Instruction Date: Tuesdays (unless otherwise noted) Time: 10:00am – 12:00 pm Res: FREE Non Res: $3.00 Designed for the beginner as well as accomplished painter to perfect your skills or learn from step one in this class that offers individual instruction in a group setting by an experienced artist who has been teaching for over 15 years. Spanish Instruction
Date: Every Wednesday Time: 10:00 – 10:30 Advanced Conservation 10:30 – 11:30 Beginner Instruction FREE Enjoy learning a new language in a relaxed atmosphere! Yoheris Phillips teaches this class free – all are welcome!
PROGRAMS Senior Dial-A-Ride Transportation Reliable door-to-door transportation is available to and from most club functions and to local medical appointments, grocery shopping and errands for FREE!!! This service is available to all Village of Rye Brook Senior residents. Advance reservations are required by calling the Center at 939-7904. Monday: To and from Walking Program Tuesday: Senior Center round trip, Local Shopping and Medical Appointments Wednesday: To and from Senior Center for outings only Thursday: Senior Center round trip, Medical Appointments Fridays: No Transportation unless otherwise noted Acting Group w/Camille Linen Date: Fridays (beginning 2/5) Time: 1:30 – 3:00 pm Fee: FREE Are you a past thespian? Do people tell you to “stop being so dramatic?” Well then we are looking for you! Stop by and check us out and join our talented group! AARP Driving Course Monday, April 6, 2015 Time: 9:00 a.m. to 4:00 p.m. Location: AJP Community Center Fee: $20.00 w/AARP membership and $25.00 w/ o AARP membership This one-day course is offered to people age 50 and older. Class is limited to 25. Once course is completed you will receive a certificate good for a 3 year reduction on auto liability. Payment not due until April 6th!
A Stitch in Time w/Anita Penchina Tuesday & Thursday Mornings at 9:30 A.M. Join our group and work on knitting and crocheting projects together in a warm and friendly atmosphere! Donations of Yarn needed!
Word’s R us Writing with Peter Brancucci Date: Tuesdays Time: 11:15 a.m. Fee: FREE All are encouraged to bring your creativity, draw on past experiences and put pen to paper!
FITNESS FOR THE MIND, BODY & SOUL Early Bird Walking Program Date: Mondays Res: FREE Time: 8:30-10:30 am Non Res: $2.00 Hop on the Senior Van to the Galleria Mall for the County-wide Mall Walker Program. Mall
General Fitness/Strength Training
Yoga w/ Pat Gleason Date: Fridays at 10:30 a.m. Res: $3.00 Non Res: $5.00 Join Instructor Pat Gleason on an exploration in the practice of Yoga. You will see an increase in flexibility, body strengthening and may even counteract insomnia. Learn breathing techniques that will help to put you into a state of well being in body and mind. (Must sign up in advance class size is limited to 10)
Tai Chi w/Domingo Colon Date: Mondays at 1:00 p.m. Res: $3.00 Non Res: $5.00 Learn the art of Tai Chi which involves slow, relaxed, graceful movements, each flowing into the next. The body is in constant motion, and posture is important. Tai Chi will also help improve your balance as well as have a calming effect on your mind. Please bring a balance stick and wear comfortable clothing.
Date: Tuesdays (Tif) & Thursdays (Jodi)
Resident: FREE Non Res: $3.00 Time: 9:00 am Treat your body to an aerobic workout concentrating on building muscle mass and stronger bones. Includes chair exercises.
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SPECIAL EVENTS Must register and pay in advance New Years Party Tuesday, January 6, 2015 12:00pm Res: $3.50 Non Res: $7.00
Mardi Gras Celebration Tuesday, February 17, 2015 Res: $3.50 Non Res: 7.00 Join us as we ring in 2015 with a delicious lunch, special Enjoy a special lunch, dessert and entertainment! dessert, a champagne toast! Sign up 12/6!
Empire City Casino Wednesday, January 28, 2015 Res: $2.00 Non Res: 4.00 Join your friends for a day at the Casino, lunch on your own. Bus departs AJP at 9:30 a.m. and in Yonkers at 3:15 p.m. Empire City Casino Wednesday, February 4, 2015 Res: $2.00 Non Res: 4.00 Join your friends for a day at the Casino, lunch on
Chinese New Year Party Thursday, February 19, 2015 Res: $3.50 Non Res: 7.00 Enjoy a special lunch, dessert and entertainment! Davey Byrnes Luncheon Wednesday, March 11, 2015 Res: $25 Non Res: $27 Enjoy a traditional corned beef and cabbage lunch on our annual trip to this yummy pub!tertainment!
Hawthorne Movies
St. Patrick’s Day Party Tuesday, March 17, 2015 Res: $3.50 Non Res: 7.00 Enjoy a special lunch, dessert and entertainment!
Danbury Mall
Empire City Casino Wednesday, March 25, 2015 Res: $2.00 Non Res: 4.00 Join your friends for a day at the Casino, lunch on your own. Bus departs AJP at 9:30 a.m. and in Yonkers at 3:15 p.m.
Wednesday, January 7, 2015 Fee: $2.00 Non Resident $4.00 Enjoy an afternoon movie and lunch on your own. Bus departs AJP at 11:00 a.m. Sign up 12/6!
Wednesday, January 21, 2015 Fee: $2.00 Non Resident $4.00 Enjoy a day out shopping with friends. Lunch on your own. Bus departs AJP at 10:00 a.m. Sign up 12/6
Passover Seder Tuesday, March 31, 2015 11:30 AM Valentines Day Party Res: $3.50 Non Res: 7.00 Thursday, February 12, 2015 Guests will participate in our Senior Center Seder, Res: $3.50 Non Res: 7.00 followed by a traditional Passover meal. Do not Enjoy a special lunch, dessert and entertainment by miss our special homemade Matzo Ball Soup! our Friends at the Blind Brook Middle School.! Rye Brook
Make and Eat Chicken Egg Rolls Thursday, February 12, 2015 Fee: $10.00 class size limit 10 Learn how to make yummy chicken egg rolls from scratch with Liz! Must sign up!
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RYE BROOK PARKS & RECREATION Winter 2014 – 2015 REGISTRATION FORM
You may register by mail or in person. Checks or Credit Card information must accompany this registration from. Mail to Rye Brook Recreation Department, 938 King Street, Rye Brook, N. Y. 10573. (unless otherwise specified in the brochure). Name:__________________________________________Sex: M__________F _ Address:_________________________City:_____________State:__________Zip:________ Home Telephone #:(____)______-_________Business Telephone #(____)____-___________ In Case of an emergency contact person___________________________________________ Telephone #: (_____)____-_________E-Mail_______________________________________ School:___________________________Grade:____________D.O.B.___________________ Any Concerns/Requests________________________________________________________ Program:_______________________________Fee:__________________ Program:_______________________________Fee:__________________ Program:___________________________ Fee:__________________ Total fee enclosed:_______________ I hereby authorize myself whose name/s appears above to participate in the above program, sponsored by the Rye Brook Parks and Recreation Department. I hereby release the Village of Rye Brook, their servants, employees and volunteers from any liability for personal injuries or property damage sustained by my child/children in connection with such participation. In case of injury, I authorize the Recreation staff members to take my child to the hospital for treatment. __________________________________ Parent/Guardian Signature Billing Information: We Accept the Following Cards: Discover – MasterCard – Visa Name:_____________________________________ Address:___________________________________ Address 2:__________________________________
City:_________________________________ State:_____________ Zip Code:_____________________________ Phone #:_____________________________(use format xxx-xxx-xxxx) Credit Card Information: Type of Card:_______________________________ Card Number:_______________________________ Security Code:_______________________________ Expiration Date:______________________________
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