Happy Kid Camp

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