Summers 4 Youth 2011*June 24th Paintball & Disc GolfColchester Paintball10am-4pm, $20.00 per person, lunch included. Paintball is a mix of action, strategy, and adrenaline. If you’ve never played before, now’s your chance! We’ll also play disc golf on the 9-hole course.

*July 1st Sailing & Scuba Burlington Community Sailing Center & North Beach8am-4pm, $30.00 per person, lunch included.Learn to sail Lake Champlain on a catamaran in the morning and then walk down the bike path to North Beach to get a taste for scuba diving and to enjoy lunch!

July 8th Photography in MontrealMontreal’s Biodome & Downtown 9am-6pm, $25.00 per person, lunch included. Explore the art of photography in Montreal! There will be lots of photo opportunities whenwe visit the Biodome in the morning and then travel to other parts of Montreal. Bring your own camera or use your phone camera and get creative!

July 15th Montreal Museum of Science 9am-6pm, $25.00 per person, lunch included.Relive the adventures of Indiana Jones, the movie’s most popular, globe-trotting archaeologist, by exploring the science and secrets of his many on-screen archaeologicaldiscoveries. After that, we will watch the I-Max movie showing at the museum. If there istime, we will walk around Old Montreal too!

*Trip is pending funding

Drop o� and pick up of participants will be at the Milton Elementary School.

Montreal trips require an original birth certi�cate. Paintball, Sailing & Ropes Course trips require additional waiver forms available for download at www.miltonyouth.org.

Scholarships are available for Summers 4 Youth programs. Contact MCYC at 893.1009 for more information.

Space is limited so send in your registration and payment now to reserve your spot! T-Shirts will be awarded to the �rst 50 teens who send in their registration with payment for their programs.

July 22nd Cirque du SoleilOn the pier in Old Montreal2pm-11pm, $35.00 per person, dinner included.Don’t miss Cirque du Soleil’s spectacular show, “Totem,” showing in Montreal this summer! Inspired by many founding world beliefs, Totem illustrates, through visual and acrobatic performances, the fascinating journey of the human species.

July 29th Hiking at Little River State ParkLitte River State Park, Waterbury, Vermont9am-5pm, $10.00 per person, lunch included.A piece of Old Vermont awaits you on these hiking trails. Experience historic sites on the hillside that was once a farming community in the early 1800’s. Walk along old country roads and view the remains of stone walls, foundations,cemeteries, orchards, the last standing farmhouse and what once was open farmland. After the hike we’ll head over to Ben & Jerry’s Factory for ice cream!

*August 5th Ropes CourseNorthern Lights Rock and Ice at The Essex Resort & Spa9am-5pm, $20.00 per person, lunch included.Have fun playing together, bonding and socializing. Whatever your ability level is, there is something for you! Take an adrenaline pumping walk on the ropes course,rock climb and more!

*August 12th The Great EscapeLake George, New York 7am-7pm, $25.00 per person, lunch included.The Great Escape is a a 140-acre theme park featuring awesome rides, great shows, and incredible attractions, plus Splashwater Kingdom water park. Thereis something for everyone. What a fun way to spend a summer day!

August 19th Picnic at North Beach 10am-4pm, $10.00 per person, lunch included.The last hurrah of the summer season! Sit back, relax, swim and enjoy the sun. Spend the day dreaming about the summer while snacking on hot dogs, pasta and even S’mores. Don’t forget your swimsuit and SPF!

Milto

n Community Youth Coalition

Bringing the Milton Community Together for Youth

Milton Community Youth Coalition165 Rt 7 S, #01P.O. Box 543Milton, VT 05468www.miltonyouth.org

Summer is Coming! Let the fun begin!!

Yeah! Summer is Coming!The Milton Community Youth Coalition (MCYC) is proud to present Summers 4 Youth 2011, a fun summer program for Milton youth in grades 7 -12. Summers 4 Youth is an opportunity for young people to enjoy new and exciting experiences, all at a discounted rate! The program is partially funded by the Drug Free Communities Grant.

The mission of the MCYC is to foster a community that values youth by reaching out to, educating and supporting families in making positive, healthy and substance free choices. We are a committed group of community members who live, work and play in Milton, Vermont. We are parents, teachers, teens, business owners, concerned citizens, mentors, kids, community leaders and friends.

For more information on the MCYC, please visit www.miltonyouth.org, call us at 802.893.1009 or stop by our o�ce at 165 Rt 7 South in Milton!

Participant RegistrationName: ___________________________________________________________ Date of Birth:________________________

Address: _________________________________________________________ City: __________________ Zip:__________

Home Phone: _____________________________________________________ Cell: _______________________________

Email: _______________________________________________________________________________________________

Please list any special dietary needs: ______________________________________________________________________

Please list any allergies: ________________________________________________________________________________*If necessary, please provide a Summers 4 Youth chaperone with an emergency allergy kit or other medication with directions for use.

Are there any medical concerns or additional information about the participant the MCYC should be aware of? YES / NO (If YES): ____________________________________________________________________________________

Parent/Guardian #!: ________________________________________________ Day Phone: _________________________

Parent/Guardian #2: ________________________________________________ Day Phone: _________________________

Emergency Contact: ________________________________________________ Day Phone: _________________________

Relationship:_________________________________________________

Please check here _______ if the MCYC does NOT have permission to use the participant’s likeness for publicity purposes.

Please check o� the trips you would like to sign up for:

6/24: Paintball & Disc Golf ($20)* 7/29: Hiking at Little River State Park ($10)

7/1: Sailing and Scuba ($30) * 8/5: Ropes Course ($20)*

7/8: Photography in Montreal ($25) ** 8/12: The Great Escape ($25)

7/15: Montreal Museum of Science ($25)** 8/19: Picnic at North Beach ($10)

7/22: Cirque de Soleil ($35)**

*Trip requires additional waiver form(s) available for download at www.miltonyouth.org. **Montreal trips require an original birth certi�cate.

Amount Enclosed $_______________________.

Permission:The undersigned gives his/her permission for the aforementioned participant to attend the selected Summers 4 Youth 2011 trip, hereby releasing the Milton Community Youth Coalition (MCYC), its sta� members, board members, volunteersand partnering organizations from all liability to the participant for any and all loss, damage or claims resulting from injury. Knowing that any risk, dangers and/or unpredictable circumstances may exist with such chosen activities, the participant hereby assumes full responsbility for the risk of bodily injury while participating in the MCYC programs. The undersigned also gives his/her permission to have the participant transported by ambulance, should the situation require.

Parent/Guardian Signature: ______________________________________________________ Date: __________________

Refund Policy:Unless otherwise stated, refunds will only be available until one week prior to the day of the program. A $5.00 administrative fee will be charged for processing the refund. If a program is canceled by the Milton Community Youth Coalition, a full refund will be issued. I have read and understand the Refund Policy: ____________________ (initial here)

PLEASE RETURN COMPLETED REGISTRATION FORM, ADDITIONAL WAIVER(S) AND PAYMENT TO:MILTON COMMUNITY YOUTH COALITION, P.O. BOX 543, MILTON, VT 05468

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Milto

n Community Youth Coalition

Bringing the Milton Community Together for Youth