RYE BROOK PARKS AND RECREATION 2015 SPRING/SUMMER ACTIVITIES
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ON LINE REGISTRATION MARCH 16TH @ 9:30PM
Dear Rye Brook Resident: Rye Brook Recreation has been working on its spring and summer programs.. Our Little League season will open on April 18th. Registration for Day Camp, Teen Camp, Little League Baseball and Softball and Rookie League is ongoing. For all other programs, registration will begin on March 16th at 9:30pm. On-line registration allows us to notify you of all programs available to you. Also, if you are interested in other Village functions and would like to be e-mailed, please register on the Village’s home page at www.ryebrook.org. For all other recreation programs you are able to pay on line with a credit card. For outside contractor programs, you can register on-line and mail us your payment. If your payment is not received within seven days, your registration will be cancelled and we will accept the next wait-listed family. We will once again be hosting Movie Nights in the Park this summer. We will offer one movie night each month beginning in June through August. The movies are listed under Special Events in our Brochure. Rye Brook Little League will be entering its 14th season for 3rd through 7th grade players 12 and under. The Rookie League is entering its 9th season for 1st and 2nd graders. The Little League Parade will take place on Saturday, April 18th at 12:30pm to officially commence the Little League season. We invite all of our residents to cheer our youth ball players and emergency service workers along the parade route and throughout the Little League season. This spring the Rye Brook Concession stand at the Rye Brook Athletic Field will be open on Saturday mornings and Sunday afternoons beginning April 25th. Rye Brook Recreation will be hosting its third annual carnival on May 15th through May 17th at 900 King Street. There will be rides, games, and food. Friday May 15th, the carnival will take place from 5:00pm to 10:00pm . The carnival will run from 12:00pm to 10:00pm on Saturday May 16th. On Sunday May 17th, the carnival will begin at 12:00pm and conclude at 6:00pm. We hope the carnival will get the residents of Rye Brook excited to get out of the house and celebrate the spring season. after this very cold and snowy winter. The carnival is seeking food and craft vendors. If you are interested, please contact me at 939-7054. The Recreation Department is open from 8:30am to 4:30pm on weekdays. We welcome any feedback on our programs.. We hope Rye Brook Recreation is meeting the needs of the community. I look forward to seeing you enjoy these fine recreational programs and the beauty of the many parks within the Village. Robert Bertolacci Parks & Recreation Superintendent
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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
Jeffrey Rednick – David Heiser Jason Klein – Susan Epstein
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
James 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 …… Baseball/Softball ……. Youth Activities ……. Youth Tennis ……. Tennis Permits ……. Special Events ……. Day Camps ……. Sports Camps ……. Special Population ……. Camp Health Form ……. Adult Programs ……. Rye Brook Seniors ……. Registration Form …….
Online Registration Begins March 16th @ 9:30pm
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GENERAL INFORMATION Refunds: All refunds that are requested prior to the start of the program will be given with a $40.00 handling fee deducted. All refunds after the start of the program will be given with the greater of a prorated rate or $40.00 handling fee deducted. There will be NO refunds given for youth sport leagues after the teams are made.
SPECIAL NOTE Rye Brook Parks and Recreation Department is always looking for new and innovative talent within its community boundaries. If you possess a skill and the ability to teach it, please mail us your resume.
Little League Sponsors Sought for Our 2015 Spring Season Please note that all programs will not run when The sponsorship fee for our spring Little school is closed or cancelled. Residents wish- League Baseball is $600 for new sponsors and ing additional information should contact the $400 for returning sponsors. Each sponsor will Recreation Office at 939-3235. have their company name on a banner that will be placed on the fence at Pine Ridge Park for Cancellations: To find out about cancellathe entire spring, summer and fall seasons and tions, call our cancellation line at 939-3235 have their company listed on our website as a after 4:30pm and then press 1 on your touch sponsor. The sponsors name will also be printtone phone to access our cancellation line. ed on the back of the jerseys and all team schedules. Sponsors will also receive a plaque Village Parks: Garibaldi, Harkness, Pine Ridge, with their team picture attached. For additionRye Brook Athletic Fields, and Rye Hills Parks al information, please call the Rye Brook Recare available to resident groups on a permit reation Department at 939-7054. basis. If your organization wishes to reserve a park for a specific date, permits are available at Advertising Sponsors Sought for 2015 Fall the Recreation office or on our website at Brochure www.ryebrook.org/recreation. The Rye Brook Parks and Recreation Department will place business card size ads in our The Rye Brook Parks and Recreation Depart- Activity Brochure. We are seeking a limited ment welcomes residents of all abilities. Any number of businesses to advertise as sponsors resident with a disability needing special assis- in the upcoming Activity Brochure. tance should contact the Superintendent at 939- Ad Rate (3) times: $125.00 7054. Ad Rate (2) times: $100.00 Ad Rate (1) time: $ 75.00 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. For more information contact the Center directly at 9397904.
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, New York 10573. Telephone #: 937-6663 Fax #: 937-7438 Office Hours: 8:30am – 4:30pm Monday through Friday
Online Registration Begins March 16th @ 9:30pm 4
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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BASEBALL/SOFTBALL Major League Baseball This program is a league for boys 11 and 12 years of age prior to May 1, 2015 or 10 year old 5th graders. Teams will be formed using a Blind Draft System. Requests will not be honored. A copy of the participant’s birth certificate is required when registering. Resident teams play against each other. Players pitch for all six innings using official Little League Baseballs. Practices will be held at the coach’s discretion. Fee: $135.00 Checks payable to Rye Brook Recreation. Important Date: Major League Baseball Draft will be March 23rd at 7:30pm in the Recreation Office. Minor League Baseball This program is a league for boys 9 and 10 years of age prior to May 1, 2015 or 8 year old 3rd graders. Teams will be formed using a Blind Draft System. Requests will not be honored. A copy of the participant’s birth certificates required when registering. Resident teams play against each other. Coaches and players pitch throughout the season. Fee: $135.00 Checks payable to Rye Brook Recreation. Important Date: Minor League Baseball Draft will be March 23rd at 6:30pm in the Recreation Office. Major League Softball This program is a league for girls 11 and 12 years of age prior to January 1, 2002 or 10 year old 5th graders. Teams will be formed using a Blind Draft System. Requests will not be honored. A copy of the participant’s birth certificate is required when registering. Resident teams play against each other. Fee: $135.00 Checks payable to Rye Brook Recreation Important Date: Major League Baseball Draft will be March 25th at 7:30pm in the Recreation Office. Minor League Softball This program is a league for girls 9 and 10 years of age prior to January 1, 2015 or 8 year old 3rd graders. Teams will be formed using a Blind Draft System. Requests will not be honored. A copy of the participant’s birth certificate is required when registering. Resident teams play against each other. Fee: $135.00 Checks payable to Rye Brook Recreation Important Date: Minor League Baseball Draft will be March 25th at 6:30pm at the Recreation Office. AN ONGOING ISSUE FOR ALL OF OUR YOUTH PROGRAMS IS REGISTRATION AFTER THE TEAMS ARE MADE WHICH SKEWS THE BALANCE OF THE LEAGUES. THE VILLAGE BOARD HAS INSTITUTED A LATE REGISTRATION FEE WHICH IS $75.00 GREATER THAN THE ORIGINAL FEE. THE FEE TAKES EFFECT AFTER THE DRAFT DATES.
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YOUTH ACTIVITIES Rookie League
This parent-coached league will focus on the fundamentals of team work and the basic skills of baseball/ softball. Teams will be made by the Recreation Department and requests will not be honored. Teams will play two games per week. Games will take place on Thursday or Friday nights and Saturday mornings. Initial rating sessions will take place on Monday, 3/23 or Tuesday 3/24 from 6:30-8:00pm at the Ridge Street School Old Gym. Teams will be formed by the Recreation Department. Who: 1st & 2nd Grade Boys & Girls Location: Rye Brook Athletic Fields Day/Time: Thursdays or Fridays 6:15pm Saturdays, 9:00am or 10:30am Dates: April 30th—June 13th Fee: $110.00 Check payable to Rye Brook Recreation Participants must attend one rating session. If interested in coaching, contact Janice @ 305-2947
Important Dates:
Save the Date: June 20th, 2015
for Little League and Rookie League
Rye Brook’s 33rd Birthday
There will be MANDATORY Rookie and Little League coaches meetings for anyone interested in coaching on March 24th from 7:00pm to 9:00pm Ridge Street School, New Gym.
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. Who: Kindergarten Boys and Girls Location: Pine Ridge Park New Field Day/Time: Tuesdays or Wednesdays 4:00pm - 5:00pm Dates: Tuesdays, April 14th - June 2nd Wednesdays, April 15th-June 3rd Fee: $80.00 Max #: 20 per class (first come, first served) Make check payable to Rye Brook Recreation.
ON LINE REGISTRATION MARCH 16TH @ 9:30PM 7
YOUTH ACTIVITIES Girls Youth Basketball Clinic
Teen Center
This intense Spring basketball clinic is designed for girls 4th thru 11th grade who want to improve their offensive and defensive skills for the upcoming Rebels AAU season. The clinic will focus on developing the skills necessary to play strong team man-defense and half-court offense at a high level. Who: 4th-11th Grade Girls (limited to 12 per session) Location: BBMS Gym Day/Time: Thursday & Friday 4th-6th Grade 5:30pm—7:00pm 7th-11th Grade 7:00pm-8:30pm Dates: March 19th - May 29th Fee: $150.00 Instructor: Manny Martinez, BBHS Girls Basketball Coach. Additional AAU fees may apply. Please make checks payable to Rye Brook Recreation.
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 of new events will be emailed. Who: 6th, 7th, 8th and 9th graders
Rye Brook Pee Wee Soccer
Elite Soccer Academy, L.L.C. is offering a 7 – week soccer program for children between the ages of 4 to 6 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 with the overall goal of having fun. Who: Boys and Girls 4 - 6 Years old Child must be 4 years old at start of program Location: Rye Brook Athletic Field Day/Time: Saturdays 10:05am-11:05am (1 hr. session) Dates: April 11th - May 30th No Session ( May 23rd ) Make-Up: June 6th Fee: $140.00 per child (non-refundable) T-Shirt included Max #: 40 each 1 hr. session Checks payable to Elite Soccer Academy and mail to Rye Brook Recreation.
Pre-Travel Soccer All Stars
Elite Soccer Academy L.L.C. is offering a 7week soccer program for children between the ages of 6-8 years old. The class is designed to fine tune technical skills and to teach players the finer points of soccer. During scrimmage time, specific attention will be placed on tactical skills and the rules of the game to prepare participants for travel soccer in the upcoming years. Who: Boys and Girls 6-8 years old Location: Rye Brook Athletic Field Day/Time: Saturdays, 9:00am-10:00am Dates: April 11th - May 30th No Session (May 23rd ) Make-Up: June 6th Fee: $140.00 Max #: 40 each 1 hr. session Make check payable to Elite Soccer Academy. and mail to Rye Brook Recreation. 8
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 Check payable to Dinah Basson Materials not included. For more information call Dinah Basson (212) 787-2972
TGA Golf Instruction
TGA makes it convenient and fun for your child to learn and play golf right on their school campus or recreation department. Our curriculums were specially designed to ensure that the lesson plans are age appropriate and easy to understand. Students will experience golf instruction, rules, etiquette lessons, and physical activity as they advance through the five level program. Who: K-2nd Grade Boys & Girls Location: Rye Hills Park Fee: $200.00 per player April 11th - May 30th Make-Up: June 6th Time: 11:30 - 12:30pm Check payable to TGA Gold
Rye Brook Carnival 900 King Street Rye Brook , NY
Who: Location: Fee:
3rd - 5th Grade Boys & Girls Rye Hills Park $200.00 per player April 11th - May 30th Make-Up: June 6th Time: 12:30 - 1:30pm Check Payable to TGA Golf
Dates:
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May 15th 5pm - 10pm May 16th 12pm - 10pm May 17th 12pm - 5:00PM
YOUTH TENNIS Registration closes Monday, April 27, 2015 for all tennis programs that begin the week of May 5, 2015 . In order to accommodate as many participants as possible, juniors may register for one tennis program unless space is available after the end of the registration period.
Pee Wee Tennis
This program is designed to introduce 4 & 5 year olds to tennis in a fun and rewarding way. Players need to provide their own racket. No phone or mail registrations will be taken for this program. Who: 4 & 5 year-olds (MUST be 4 years old by 5/5/2015) Location: Pine Ridge Park Tennis Courts Time: 1:45pm – 2:30pm OR 2:30pm – 3:15pm Fee: $90 Residents $100 Non-Resident Dates: Tuesdays May 5th– June 16th (7 lessons) or Wednesdays May 6th– June 17th (7 lessons) Max: 12 participants per class Make Up: If Needed June 23th &24th Make checks payable to Future Stars and mail to Rye Brook Recreation.
Tuesday/Wednesday Youth Tennis
Players need to bring their own racket. No phone or mail registrations will be taken for this program. Who: K, 1st & 2nd Grade Boys and Girls Location: Pine Ridge Tennis Courts Time: 4:00pm – 5:00pm Dates: Tuesdays May 5th– June 16th (7 lessons) OR Wednesdays May 6th– June 17th (7lessons) Fee: $110 Residents $120 Non-Residents Max: 12 participants per class Make Up: If Needed June 23th & 24th Make checks payable to Future Stars and mail to Rye Brook Recreation.
Tuesday/Wednesday Youth Tennis
Players need to bring their own racket. No phone or mail registrations will be taken for this program. Who: 3rd, 4th, & 5th Grade Boys and Girls Location: Pine Ridge Tennis Courts Time: 5:00pm – 6:00pm Dates: Tuesdays May 5h– June 16th (7 lessons) OR Wednesdays May 6th– June 17th (7 lessons) Fee: $ 110 Residents $120 Non-Residents Max: 12 participants per class Make Up: If Needed June 23th &24th Make checks payable to Future Stars and mail to Rye Brook Recreation.
Tuesday/Wednesday Youth Tennis
Players need to bring their own racket. Each player should bring an unopened can of tennis balls to the first lesson. No phone or mail registrations will be taken for this program. Who: Grade 6 and up Location: Pine Ridge Park Tennis Courts Time: 3:15pm—4:00pm Dates: Tuesdays May 5th– June 16th OR Wednesdays May 6th— June 17th Fee: $110 Residents $120 Non-Residents Max: 12 participants per class Make Up: If Needed June 24th &25th Checks payable to Future Stars and mail to Rye Brook Recreation
Tennis Rain Policy If it is raining at the time of your lesson and the weather is questionable, DO NOT CALL. It is the players’ responsibility to go and check the condition of the courts at the scheduled time of the lesson. If it is possible to determine in advance that lessons will be cancelled due to inclement weather, a recorded message on the Rye Brook Recreation answering machine will announce the cancellation. 10
Tennis Permits
Facilities The Rye Brook Recreation Department operates nine tennis courts at three facilities. Four are located at Pine Ridge Park (corner of Mohegan Lane and Latonia Road), four at Harkness Park (at Blind Brook High School), and 1 court at Garibaldi Park (on Garibaldi Place, across from the Anthony J. Posillipo Community Center). Opening Day Tennis Courts will officially open for the season on May 4, 2015. NOTE: Non-residents are not permitted to play tennis on Village Courts without being accompanied by a resident with a valid permit or a non-resident may purchase a non-resident permit. Tennis Court Usage Tennis Courts 1 & 2 at Pine Ridge Park are reserved for Rye Brook approved lessons Monday – Friday from 8:30am – 12:00noon, Tuesday and Wednesday from 1:30pm-6:00pm, and Monday – Thursday 6:00pm – 8:00pm. League schedules are posted at Harkness Park Tennis Courts. The Blind Brook High School Tennis Teams use the Harkness and Pine Ridge Courts during April, May and the first week of June, weekdays from 3:00pm – 6:00pm. SCHEDULE OF HOURS Tennis Courts Weekdays April: 9:00am – 7:00pm May: 9:00am – 7:00pm June: 8:00am – 8:00pm July & August: 7:30am – 8:00pm September: 9:00am – 7:00pm All residents must have a valid tennis permit by May 4, 2015 or be charged a daily fee of $5.00, guest fee $3.50. Permits may be purchased throughout the season. Mail or bring in application to Rye Brook Recreation Department, 938 King Street, Rye Brook, NY 10573. Tennis lessons approved by the Recreation Department have priority on Pine Ridge Park Courts 1 & 2. Schedule to be determined by registration demands.
On Line Registration begins MARCH 16, 2015 @ 9:30PM 11
2015 TENNIS PERMIT APPLICATION
Rye Brook Parks and Recreation Department, 938 King Street, Rye Brook, NY 10573 Name:_____________________________DOB:_____________Tel.#__________________ E-Mail Address:_____________________________________________________________ Type of Permit: (Please Check Choice) [ ] $25 Jr. Membership (8-18years) [ ] $50 Adult Membership (19 years and older) [ ] $70 Family Membership (includes children up to 21 living at home) [ ] $25 Senior Citizen Membership (60 years and older) [ ] $117.50 Non-Resident (Limited number available) [ ] $3.50 Guest Fee (With Resident Permit Holder) [ ] $5 Resident (No Permit) Please charge my Master Card, VISA, or Discover Card: Type of Card:_______________________________Security Code:___________________ Account #:__________________________________Expires:_________________________ For Family Tennis Permit Only: Please List the following: Name of Spouse:__________________________________D.O.B._____________________ Children must be 8 years or older to obtain a Tennis Permit List Children using
{ 1}_________________________D.O.B._____________________
Family Membership
{2}_________________________D.O.B.______________________
And their Ages.
{3}_________________________D.O.B.______________________ {4}_________________________D.O.B.______________________
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Special Events Lunch with the Bunny
Rye Brook’s 33rd Birthday
This event will feature lunch, entertainment, and a visit from a special friend. The deadline to sign up is March 13, 2015. Registration is free and limited for this event. Who: 3 – 9 year olds Location: Day/Time Date: Max#: Fee:
Date: Saturday, June 20, 2015 Volunteers are needed for the Birthday Celebration. On the day of the event, volunteers are needed for ride supervision, food distribution and parking cars. Again this year, we will be holding a food drive. Please bring canned goods with you on the day of the event. For more information, please contact the recreation office at 937-6663
(Rye Brook Residents Preference)
Anthony J. Posillipo Community Center Saturday, 11:30am March 28th 70 kids Free
Scott’s Pitch, Hit and Run
Rye Brook Recreation will host a free Pitch, Hit & Run. An exciting baseball/softball skills competition that provides boys and girls, ages 7 to 14 the opportunity to showcase their pitching, hitting and running abilities. Pitch, Hit and Run participants can advance through four levels of competition, including Local and Sectional competitions, team Championship events at all 30 Major League ballparks, and the National Finals at the MLB All-Star Game. PRE-REGISTRATION IS REQUIRED
Rye Brook Carnival 900 King Street Rye Brook , NY Dates:
May 15th 5pm - 10pm May 16th 12pm - 10pm May 17th 12pm - 5:00PM
Who: Date/Day Time:
Movie Night in the Park
Who: All Rye Brook Residents Location: Pine Ridge Park Dates/Movies: June 26th - When the Game Stands Tall July 17th - Paddington August 7th - Dolphin Tale 2 Day/Time: Fridays, 8:00pm Fee: Free Refreshments will be sold.
Location: Fee:
Girls & Boys Ages 7-14 Saturday, April 25th 9:00am Ages 7 - 10 10:00am Ages 11 - 14 Pine Ridge Park New & Old Field Free
Online Registration Begins on MARCH 16 , 2015 @ 9:30pm 13
DAY CAMPS Rye Brook Recreation Day Camp
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 20, 2015 at 305-2948. Rye Brook Day Camp will run for 6 weeks from July 6th through August 14th , 8:30am - 4:00pm. Fee: Prior to 5/1 (6 weeks) Add Child After 5/1 (6 weeks) Add Child 2 weeks Add Child
Res $960 $760 $1110 $860 $520 $420
Non Res ____ ____ $1240 $1040 $750 $650
Tim Hardaway Basketball Camp
Rye Brook Recreation in connection with Terry Teachout basketball camps presents the Tim Hardaway Basketball Camp. Tim Hardaway, New York Knicks player, will be at this camp to help with clinics for children in grades 2-10. The camp will focus on teaching the individual how to improve their basic fundamentals. This is a great learning experience for both experienced and non-experienced players. Who: 2nd - 10th Grade Boys and Girls Location: BBHS and BBMS Gyms Dates/Times: June 29th - July 2nd 9:00am - 3:00pm Fee: $425.00 Checks payable to Rye Brook Recreation and mail to Rye Brook Recreation, 938 King St. Each participant will be allowed to bring one item to be autographed by Tim Hardaway on a specified day of camp.
Rye Brook Teen Summer Craze
Rye Brook Teen Summer Craze is a travel camp for 7th, 8th, and 9th graders (September 2015).Campers will go on 5 trips each week. All trips are included in the registration (movie days are paid for by campers). The camp is limited to 110 campers who will be accepted on a first come, first serve basis. If you have any questions/concerns please call Janice Kunicki at 305-2947. Rye Brook Teen Summer Craze will run from July 6th - August 14th. Who:
7th,8th, and 9th Grade Boys and Girls Location: Harkness Park Day/Time: Monday - Friday 8:30am - 4:00pm Dates: July 6th - August 14th Trips: TBA Fee: Res. Non-Res. Prior to 5/1 (6 Weeks) $1690 _____ After 5/1 (6 Weeks) $1790 $2140 2 Weeks $ 910 $1160
Steve Novak Basketball Camp
Rye Brook Recreation in connection with Terry Teachout basketball camps presents the Steve Novak Basketball Camp. The Oklahoma City Thunder and former New York Knick player, will be at this camp to help with clinics for children in grades 2-10. The camp will focus on teaching the individual how to improve their basic fundamentals. This is a great learning experience for both experienced and non-experienced players. Who: 2nd - 10th Grade Boys and Girls Location: BBHS and BBMS Gyms Dates/Times: July 20th - July 24th 9:00am - 3:00pm Fee: $425.00 Checks payable to Rye Brook Recreation and mail to Rye Brook Recreation, 938 King St. Each participant will be allowed to bring one item to be autographed by Steve Novak on a specified day of camp.
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SPORTS CAMPS Youth Tennis Clinic:
Future Stars will have a summer tennis clinic for 6 weeks. Who: Kdg.-6th Grade Boys & Girls Location: SUNY Purchase Day/Time: Tuesdays 4:00pm - 5:00pm Or 5:00pm - 6:00pm Wednesdays 4:00pm-5:00pm Or 5:00-6:00pm Dates: July 7th– August 11th or July 8th –August 12th Fee: Res. $ 110 Non-Res. $120 Check payable to Future Stars and mail to Rye Brook Recreation.
Youth Tennis Camp.
Youth tennis camp is a 4-day summer program for boys and girls K- 6th grade. Who: Boys & Girls, K- 6th Grade Location: SUNY Purchase Day/Time: Mon.-Thurs. 4:00pm-6:00pm Dates: July 27th - July 30th And/Or Aug. 3rd - Aug 6th Fee: Res. 120 $ Non-Res. $130 Check payable to Future Stars and mail to Rye Brook Recreation.
SPECIAL POPULATION PROGRAMS 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 914-939-7917. Location: King Street School Day/Time: Saturday 1:00pm—3:00pm
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 301, Mamaroneck, New York 10543.
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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 #
AGE
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: Parents’ daytime numbers/names ( ) ( ) 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 16
ADULT ACTIVITIES Zumba: Ditch the Workout – Join the Party!
Total Fitness Class:
Rye Brook Men’s Softball League
Women’s Tennis Team
Come and join us for a low impact aerobics Tired of exercises, Let’s Zumba! Zumba is de- class, weight work for your heart, bones and rived from a Colombian word meaning move strength, ending class with stretching and refast and have fun”. It is a Latin-inspired dance laxation. All ages welcome. Please bring a fitness class that incorporates high-energy in- mat, weights, towel and water. ternational music and easy-to-follow dance Who: Adults movements. People who’ve tried this muscle- Location: Anthony J. Posillipo Center pumping, caloric-burning workout say its so Day: Mondays much fun, you’ll get a workout without feeling Time: 7:15pm - 8:15pm like you’ve worked out! Dates: April 13th - June 8th Instructor: Martha Oceguera No session May 25th When: Thursdays, 7:30pm – 8:30pm Fee: $140 Dates: On Going Instructor: Linda DiSisto Location: Anthony J. Posillipo Minimum: 6 participants to run class Fee: 5 classes $50.00 or Please make check payable to Linda DiSisto 11 classes for $100 and mail to Rye Brook Recreation. You must Walk Ins: $12.00/class sign up before start of class. The Men’s Softball League will play a 14game schedule. The top 8 teams will make the playoffs. For more information, please contact Robert Bertolacci at 939-7054. Location: PCMS, RBAF, and RSS Softball Fields Day/Time: Weekdays, 6:30pm Dates: April – August Fee: $1650 per team + $150 forfeit (2 separate checks) Deadline: March 15th for team entry
Rye Brook Recreation will sponsor a Women’s A Tennis Team in the Westchester Challenge League. The season is from mid April through June. The A team matches are on Tuesday mornings. Adult residents, who are interested, should contact the recreation Department at 939-3235, or Ilene Finder at 937-9141. Dates for the tryouts will be announced. Team members are required to have a valid 2015 tennis permit.
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ADULT ACTIVITIES If it is raining at the time of your lesson and the weather is questionable, DO NOT CALL. It is the players’ responsibility to go and check the condition of the courts at the scheduled time of the lesson. If it is possible to determine in advance that lessons will be cancelled due to inclement weather, a recorded message on the Rye Brook Recreation answering machine will announce the cancellation.
Adult Group Tennis Instruction SESSION I Mornings: Tues.-Thurs between 9am and 12pm Afternoons: upon request if available Evenings: Tues OR Wed, 6pm – 8pm upon request if available RYE BROOK RESIDENTS HAVE PRIORITY DURING EVENING LESSON HOURS Location: Pine Ridge Tennis Courts Dates: Week of May 6th –June 17th (make-up week of June 24th) Fee: 1 hour: $135 Residents; $145 Non-Residents: 1½ hour: $195 Resident $210 Non-Resident Please specify 1 or 1 ½ hour lesson Checks payable to Future Stars and mail to Rye Brook Recreation.
Adult Individual Tennis Instruction
SESSION I Mornings: 9am to 12pm (every ½ hour) List 3 days in order of preference Afternoon: upon request if available Evenings: Tues OR Wed, 6pm – 8pm upon request if available RYE BROOK RESIDENTS HAVE PRIORITY DURING EVENING LESSON HOURS Location: Pine Ridge Tennis Courts Dates: Week of May 6th-June 17th (make-up week of June 24th) Fee: (½ hr) $165 Resident $175 Non-Resident (1 hr) $310 Resident $320 Non-Resident Checks payable to Future Stars and mail to Rye Brook Recreation.
SESSION II Same as Session I Location: SUNY Purchase Dates: week of July 1st-August 12th (make-up week of August 19th) Fee 1 hour: $135 Residents; $145 Non-Residents: 1½ hour: $195 Resident $210 Non-Resident Please specify 1 or 1 ½ hour lesson Checks payable to Future Stars and mail to Rye Brook Recreation. Players from Session I have priority when signing up for Session II. Registrants for Session II will be placed in groups based on openings that become available due to attrition from Session I.
SESSION II Same as Session I Location: SUNY Purchase Dates: week of July 1st-August 12th (make-up week of August 19th Fee: (½ hr) $165 Resident $175 Non-Resident (1 hr) $310 Resident $320 Non-Resident Make checks payable to Future Stars and mail to Rye Brook Recreation. Players from Session I have priority when signing up for Session II. .Registrants for Session II will be placed in groups based on openings that become available due to attrition from Session I.
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RYE BROOK SENIORS 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 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 Centerr. All activities listed below take place at the Anthony J. Posillipo Community Center.
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
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. 19
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 9397904 for more information.
FITNESS FOR THE MIND, BODY & SOUL General Fitness/Strength Training
Early Bird Walking Program
Date: Tuesdays (Tif) & Thursdays (Jodi)
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 walkers must be ready to leave the AJP Community Center at 8:30am prompt and to depart the Galleria Mall by 10:30a.m.
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.
Tai Chi
Date: Mondays Time: 1:00 p.m. Session 4 3/2, 3/9, 3/16, 3/23, 3/30, 4/6, 4/13, 4/20, 4/27– 9 Classes $28 or pay a drop in fee of $5 per class) Instructor Domingo Colon will teach 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.
New Gentle Yoga
Date: Fridays Time: 10:30 a.m. Session 4 -3/6, 3/13, 3/20, 3/27, 4/10, 4/17, 4/24 – 7 Classes $21 or pay a drop in fee of $5 per class) Experience a new beginning in 2015 Join Instructor Patricia Gleason with gentle movements coordinated with the breath to improve flexibility, focus, balance and well-being of body, mind and spirit. All postures are using chairs or standing. Classes will close with relaxation and a brief guided meditation practice.
Word’s R us Writing with Peter Brancucci
Healthful Hints w/Lucille Porto, R.N.
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!
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
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 generously volunteers her time so that our Rye Brook Seniors can master their Apple Product!
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!
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!
Spanish Instrution
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! 20
OUTINGS AND SPECIAL EVENTS Davey Byrnes Luncheon
Wednesday, March 11, 2015 Fee: $25 Enjoy a traditional corned beef and cabbage lunch on our annual trip to this yummy pub! tertainment!
St. Patrick’s Day Party
Tuesday, March 17, 2015 Res: $3.50 Enjoy a special lunch, dessert and entertainment!
Empire City Casino
Wednesday, March 25, 2015 Res: $2.00 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.
Camelot @ WBT
Wednesday, April 1, 2015 Fee: $56.00 Lerner and Loewe’s beloved musical masterpiece about the tale of King Arthur, his passion for his new bride Guenevere, and his devotion to chivalry and peace. But when the gallant Sir Lancelot joins Arthurs Knights of the Round Table, he swears his allegiance to Arthur but is uncontrollably drawn to Queen Guinevere and she to him. Beautiful songs such as “If Ever I Would Leave You, Camelot, What Do The Simple Folk Do and The Lusty Month of May. Don’t miss this beautiful show, accompanied by a yummy meal! Sign up is 1/8 – only 20 spaces available! Sign up is 1/8. Bus departs 11:00 a.m.
Easter Celebration & Lunch
Tuesday, April 7, 2015 Fee: $3.50 11:15 Guest Speaker Enjoy a delicious spring lunch complete with Easter Bread and beautifully Colored Easter Eggs. Put on your Easter Bonnet with all the frills upon it and you’ll be the grandest one in the Easter Parade. Prizes will be awarded for the three most creative bonnets.
Museum of The City of New York
Wednesday, April 8, 2015 Fee: $20.00 Founded in 1923 by Henry Collins Brown, a Scottish-born writer with a vision for a populist approach to the city, this museum connects the past, present, and future of New York City. Bus departs AJP at 10:00 am for an 11:30 Scholarled tour. Afterwards, we will have lunch on your own at a local eatery and depart for home.
Passover Seder & Lunch
Thursday, April 9, 2015 11:30 AM Seder Fee: $3.50 The celebration of Pesach (Passover) is one of the oldest ceremonies in the Jewish calendar. The Seder is a dramatic way in which Jews relive history. Join us in celebration of the Passover Seder and seize an opportunity to learn something about this Jewish tradition. Menu: Gefilte Fish w/horseradish, Matzo Ball Soup, Brisket of Beef, herbed carrots, oven roasted potato, sponge cake, tea or coffee.
West Side Story @ WBT
Wednesday, April 15, 2015 Fee: $56.00 West Side Story is set in the Upper West Side of NYC in the mid-1950s, an ethnic, bluecollar neighborhood. The musical explores the rivalry between the Jets and the Sharks, two teenage street gangs of different ethnic backgrounds. Bernstein's score for the musical includes "Something's Coming", "Maria", "America", "Somewhere", "Tonight", "Jet Song", "I Feel Pretty", "A Boy Like That", "One Hand, One Heart", "Gee, Officer Krupke", and "Cool". Truly a timeless musical must see! We have 25 tickets – 20 can ride our bus and 5 must get there on their own. Sign up is 1/8. Bus departs 11:00 a.m. Sharp!
Clino’s Pizza & Pasta Luncheon
Wednesday, April 22, 2015 Fee: $20 Enjoy a delicious lunch at Clinos Pizza & Pasta! Bus departs AJP at 11:45 a.m.
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OUTINGS & SPECIAL EVENTS Must sign up and pay in advance!
Empire City Casino
Wednesday, April 29, 2015 Fee: $2.00 Join your friends for a day at the Casino, lunch on your own. Bus departs AJP at 9:30 a.m. and Yonkers at 4:00 p.m. 20 person limit. Sign up is now.
Cinco de Mayo Party
Tuesday, May 5, 2015 Fee: $3.50 Enjoy traditional Mexican fare, special dessert and Super Bingo!!
Sands Casino
Wednesday, May 6, 2015 Fee: $25.00 Enjoy a day at the casino with friends. Lunch on your own. Package includes $30 slots free play and $5 meal coupon. Bus departs center at 8:00 a.m. Bus returns to center at 6:00 p.m.
Lobster Festival @ Platzl Brauhaus
Wednesday, May 20, 2015 Fee: $ 40.00 Join us as we return to an oldie but goodie for a delicious Lobster Festival, Live Music & Dancing. On arrival guests will be treated to coffee, tea, scones and homemade donuts. Lunch includes Clam Chowder, Crab Cakes, Choice of Twin Lobster Tails or Roasted Half Chicken or Top Sirloin Roast Beef with Mixed Veggies and Rice Pilaf followed by Lemon Meringue Pie, Coffee and Tea for dessert. Beer and Soda served until 5pm. At 4pm everyone will be given a Ham or Turkey Sandwich from the Carving Station to go! Coach bus departs AJP at 9am and departs Pomona at 5pm.
Magnanini Farm Winery Luncheon and Wine Tasting, Wallkill, NY
Sunday, June 7, 2015 Fee: $54.00 Enjoy a Wine Tasting followed by a delicious Card Party & Chinese Rafıle lunch with musical entertainment and dancing! Friday, May 8, 2015 Menu includes: Assorted Antipasto, Homemade Fee: $10.00 Noon to 4 PM Soup, Homemade Tagliatelle with a tomato/basil cream sauce, mixed garden fresh salad with a Join us for a yummy Pizza Lunch, cards and homemade balsamic dressing, Rolatini with a Swiss chard & Ricotta filling, and Marinated games. Bring your friends! Volunteers needed broiled Chicken, Vegetable of the day, Rosemary to get prizes! Transportation is available, but you must make a reservation and let Angie know baked potato, dessert, coffee and tea. Bus departs AJP at 10:00 a.m. Sign up is now. that you need a ride. Lunch is included in this price and guests pay the same price!
Mothers Day Party & Lunch
Honeymoon in Vegas, Broadway
Wednesday, July 22, 2015 Fee: $99 The show tells the story of Jack, a Brooklynite with an extreme fear of marriage, who finally gets up the nerve to ask his girlfriend Betsy to marry him. But when smooth-talking gambler Tommy – looking for a second chance at love – falls head over heels for Betsy, Jack must go to extreme On The Twentieth Century, Broadway heights to win her back. A romantic romp from Wednesday, June 10, 2015 NY to Vegas to Hawaii, Honeymoon is non stop, Fee: $89 laugh out loud Broadway fun! Tony Danza (Taxi Its nonstop laughs aboard the Twentieth Century, a and Who’s the Boss) stars in this uproarious new luxury train traveling from Chicago to NYC. Stars musical about the crazy things we do for love. Peter Gallagher and Kristin Chenowith. Front Mez- Orchestra Seating – Bus departs AJP at 10:30 a.m. zanine Seating – Bus departs AJP at 10:30 a.m. Tuesday, May 12, 2015 Fee: $3.50 Today we celebrate all of you fabulous Mothers out there with a delicious lunch, Apple Pie with Ice Cream and special guest entertainer “Elvis the King” in your honor.
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SPECIAL EVENTS Jersey Boys, Broadway
Wednesday, October 7, 2015 Fee: $101 They were just four guys from Jersey, until they sang their very first note. They had a sound nobody had ever heard and the radio just couldn’t get enough of them. Go behind the music and the inside story of Frankie Valli and the Four Seasons in the Tony Award Winning True Life musical phenomenon, Jersey Boys. From the streets of New Jersey to the Rock and Roll Hall of Fame, this is the musical that’s just too good to be true. Featuring the legendary top ten hits “Sherry, Big Girls Don’t Cry, Walk Like a Man and Can’t Take My Eyes Off Of You”. This show is for people of all ages. Orchestra Seating – Bus departs AJP at 10:30 a.m.
Wicked, Broadway
Wednesday, November 11, 2015 Fee: $77 Winner of over 50 major awards including a Grammy Award and three Tony Awards®, WICKED is the untold story of the witches of Oz. Long before Dorothy drops in, two other girls meet in the land of Oz. One, born with emerald-green skin, is smart, fiery and misunderstood. The other is beauı ful, ambiı ous and very popular. WICKED tells the story of their remarkable odyssey, how these two unlikely friends grow to become the Wicked Witch of the West and Glinda the Good. Orchestra Seaı ng – Bus departs AJP at 10:30 a.m.
COMMUNITY OUTREACH Sunday, June 7, 2015 ST. PETER’S SOUP KITCHEN INTERGENERATIONAL MEAL PREPARATION There are many ways to get involved. Make a monetary donation toward our cause so we can purchase Soup, Salad, Veggies, Potatoes or Rice, Chicken and Dessert. Join us from 10:00 a.m. to 1:00 p.m. at the AJP Community Center as we prep our meal. Join us from 1:30 p.m. to 4:30 at St. Peters Church as we organize and then serve the meals to those in need. The folks that we serve really enjoy our meals and doing this really warms ones heart. MANY THANKS to those who have donated $$ and participated in the past! Also, working with the kids was really special! We hope you can participate! If you are interested in “giving back” and helping neighbors in need, see Liz or Angie to sign up. Sign up in the office!
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RYE BROOK PARKS & RECREATION Spring-Summer 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 or child/children 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: Name:_____________________________________ Address:___________________________________ Address 2:________________________
City:_________________________State:_____________Zip:_______________ Code____________ Phone #:_____________________________(use format xxx-xxx-xxxx) Credit Card Information:We Accept the Following Cards: Discover – MasterCard – Visa Type of Card:_______________________________ Card Number:_______________________________ Security Code:_______________________________ Expiration Date:______________________________
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