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TOWN OF GUILDERLAND Kenneth D. Runion PARKS AND RECREATION DEPARTMENT Town Supervisor 181 Route 146 Altamont, NY 12009 Dennis Moore Ph. 456-3150 Fax 456-3156 Director of www.townofguilderland.org Parks and Recreation [email protected] SPECIAL EVENT REGISTRATION FORM EVENT: Bus Trip to New York City on December 7, 2008_________________________________________ TIME: Leave Crossgates Mall Macy's Overflow Lot at 7:00 am; Arrive back at Crossgates at approx.10:00 pm DESTINATION: Drop-off & pick-up in NYC at Bryant Park at 6th Avenue between W. 40th & 42nd Streets___ COST: $38 per person (Passengers 18 and under must be accompanied by an adult)______________________ DEADLINE: RSVP with payment by November 15, 2008__________________________________________ DESCRIPTION: Get ready for the Holidays! The Town of Guilderland Parks & Recreation Department is sponsoring a bus trip to New York City open to all Guilderland residents and guests. Spend the day your way - shopping, visiting Rockefeller Center, Central Park, the museums, Times Square or go see a Broadway show! Brown Coach Bus Tours will drop you off at Bryant Park at 6th Avenue between W. 40th & 42nd Streets and will pick you up in the same spot at the end of the day for a relaxing ride home! Reserve your seats today before the bus fills up! To reserve your seats, send registration and payment to Guilderland Parks & Recreation, 181 Route 146, Altamont, NY 12009 or stop by the Parks & Recreation Office at 181 Route 146 (across from Tawasentha Park). Passengers 18 and under must be accompanied by an adult. Bus tour subject to cancellation at the discretion of the Guilderland Parks & Recreation Department. Full refunds will be given in the event of cancellation. No refunds will be given after 12/4/08. --------------------------------------------------------------------------------------------------------------------------------------- NAME: __________________________________________ NUMBER OF SEATS: _____________________ ADDRESS: ______________________________ CITY: ____________________ STATE: ___ ZIP: _______ PHONE #: _______________ CELL#: ________________ (# to reach you during the day on 12/7/08) EMERGENCY CONTACT: ____________________________ PHONE: ______________________________ NAMES OF ADDITIONAL PASSENGERS: ____________________________________________________ AMOUNT DUE: $ _____________________________ MAKE CHECKS PAYABLE TO THE “TOWN OF GUILDERLAND.” NO REFUNDS UNLESS APPROVED BY PARKS & RECREATION. SIGNATURE OF PERSON IN CHARGE: _______________________________________________________ Please indicate if you would like to sit w/others:___________________________________________________ OFFICE USE ONLY: Date Received: Paid in Cash: # of Seats: Amount Received: Paid by Check #: Received By: Prefer to sit with the following people: .

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