Summer 2016 Activity Playbook

Transcription

Page 6
www.townofbethlehem.org
Parks and Summer Activities
Our Parks are open to all Town of Bethlehem residents and their guests. Most facilities are open every day
until dusk. For more complete information including reservations, fees, and hours visit our websitewww.townofbethlehem.org OR call 439-4955 Option 3 or [email protected]
Pavilion Reservations
Residents of the Town of
Bethlehem and Tow n of
Bethlehem based organizations
may reserve the pavilions at Elm
Avenue Park, Henry Hudson Park
and Maple Ridge Park for
recreational functions.
Visit the
T o w n
w e b s i t e
(www.townofbethlehem.org) or
call the Park office (439-4955
Option 3) to determine availability
and obtain request form. Permits
for ALL users will be issued on a first
come, first paid basis.
Elm Avenue Park Large
Henry Hudson Park
Maple Ridge Park
Elm Avenue Park Small (2)
Elm Avenue Park
Warming Area
Groups of 300+
@ Elm Avenue Park
Groups of 200+
@ Henry Hudson Park
$175
$150
$120
$85 each
$50
$350
$240
Other fees may apply for special
setups or requests
Elm
Avenue
Park
Swimming Pool
Pavilion
Tennis Courts
Basketball Courts
Baseball Fields
Softball Fields
Soccer Fields
Lacrosse Fields
Playground
Volleyball Courts
Gazebo
Boat & Kayak
Launch
Fishing
Horseshoe Pit
Shuffleboard
Picnic Area
Grassy Play Area
Trails
Dog Park
See page 13 for a special
“I Love My Park Day” event at
Henry Hudson Park!
Rest Rooms
Portable Toilet
Henry
Hudson
Park
Maple
Ridge
Park
South
Bethlehem
Park
North
Bethlehem
Park
Selkirk
Park
Firefighters
Memorial
Park
Moh-He
Con-Nuck
Nat. Prsv.
Page 7
Special Events
No alcoholic beverages please! Most events are FREE unless otherwise noted.
Spring Events
Delmar Duathlon V
Sunday, April 24 8am
Elm Avenue Park
Run 2 miles, cycle 10 miles, run 2 miles!
This event is co-sponsored by the
Bethlehem area YMCA and Bethlehem
Parks & Recreation Department. For
detailed race, fees, and registration
i nformati on vi si t del mardu.com .
Registration is ongoing and is limited to
300 registrants.
Thursdays in the Park
Bring a picnic, blanket and join us on Thursday
evenings at Elm Avenue Park for some live
children’s entertainment. All shows begin at
7pm on the special events lawn (adjacent to
the pool entrance). In case of rain,
performances will be relocated to the large
pavilion at the back of the park.
Hey Jude
Beatles Cover Band
June 30
See page 17 for details
Bike Expo
Saturday, May 14 9am-12pm
Bethlehem Middle School Front Lot
A day dedicated to safety and
fun for the whole family!
Join us at the Farmer’s Market for
activities that include bike inspections,
skills course, bike sales, prizes and more.
Be sure to bring your bike and helmet.
This event is co-sponsored by the
Bethlehem Police Youth Bureau with
assistance from the Bethlehem Bicycle &
Pedestrian Committee and the Capital
District Transportation Committee.
National Senior Health
& Fitness Day
Wednesday, May 25
“Improve Your Health for a Better Self”
Help us celebrate National Senior Health
& Fitness Day, by participating in various
health and fitness opportunities.
Participation is free and a schedule of
activities will be available late April. For
more information about this event and
other health related information visit:
http://www.fitnessday.com/senior/
A World Mosaic of
Music & Dance
July 7
Experience musical cultures from Africa,
Spain, South America, Russia, Israel, Italy,
Japan, Ireland and more. With a large
selection of native instruments plus jigs,
tarantella, Chinese ribbon and
flamenco dances.
Friday & Holiday
Fun
Family Day
Monday, July 4
Elm Avenue Park Pool &
nearby grounds
(regular pool fees are in effect)
11:00am-Annual
reading
of
the
Declaration of Independence, patriotic
sing along and refreshments. Meet at
Town Park Flag Pole (warming area in
case of rain))
12Noon-Geurtze’s famous Chicken BBQ
($10), sponsored by the Delmar Kiwanis
Club. Held rain or shine!
12:15pm-Magic Show (pool area)
12:45pm-Saxophone Sam
1:00pm-1864 Vintage Baseball game, NY
Mutuals vs. Bethlehem Braves (Field #5)
1:00-3:00pm-Balloonist (pool area) & Air
Bounces
2-4pm-”About Face” air brush face
painting (pool area)
2-4pm-Live Music by E.J. Ray (pool area)
Jester Jim
July 14
This is not your ordinary juggling show!
With a trunk full of props and a looping
machine, all will be glued to every sight
and sound. Voted “Best Family Show”
by Entertainment America.
Zucchini Brothers
July 21
Often called “The Beatles of kid’s
music”, this zany trio will present an
unforgettable musical show which will
keep you on your feet and dancing.
The Science of Magic
July 28
The secrets of magic are scientifically
revealed. Using magnetism, light, air,
condensation, optical illusions and
mental confusion. Audience will learn
to do magic!
Dive-In Movie
Friday, August 5
Join us for a late night swim and movie
under the stars on the big screen. The
movie will start at 8:15pm. Sorry, no floats
allowed in the pools. Free admission after
7pm.
This summer you can help pick the Dive-in
Movie! Simply vote for your favorite out
of a choice of 5 movie candidates, which
will be posted in the pool lobby. Voting
will take place at the Elm Avenue Park
pool, beginning June 8, opening day.
Pool patrons can vote everyday, once a
day until July 17.
Page 8
Elm Avenue Park Pool Complex-Opens Wednesday, June 8th!
Residency Requirements
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Special Notes:
The pool complex is open to Town of Bethlehem residents and their guests.
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Non-resident guests must be accompanied by a resident with a valid pool pass.

Bethlehem Central School District residents who do not live in the Town of 
Bethlehem may obtain a special Pay-As-You-Go pass and pay guest rates.
Bethlehem Central School District tax bill is required to obtain pass.
At times throughout the summer,
sections of the pools may be closed
due to staff limitations.

Weekdays from June 27-August 5,
only a small section of the L-shaped
pool will be open from 11am to
12:05pm and the Diving pool will
open at 12:00pm.

From August 13-September 5 the
pool complex will be open
11:30am-7:30pm, Monday-Friday
and
11am-7pm on Saturday &
Sunday & holidays.

Children under age 9 must be
accompanied by someone age 14
and older.
Pool Hours
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Pools are cleared daily at 7:50pm.
The pool complex will be open daily from June 8-September 5.
Hours of operation are listed below: (weather permitting)
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☼
☼
Olympic, L-Shaped & Splash Islands:……..Daily 11am-8pm
Diving Pool:……………………………………..Daily 12-8pm
Concession Stand:…………………………….Daily 11:30am-6pm
Visa, MasterCard & Discover are
accepted at the pool for
pay-as-you-go admission!!
*Includes Concession Stand*
Family
Changing Area
Available!
FREE
WI-FI
Thanks to the
Bethlehem
Public
Library
Pool Fees
Pay-As-You-Go Rates
Season Pass Rates
☼
Family rates apply to residents at the same address
☼
Family 4+……………………………………$230.00
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Family 3……………………………………..$205.00
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Family 2……………………………………..$155.00
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Individual Adult (age 14-61)…………….$ 95.00
☼
Individual Child (age 5-13)……………...$ 80.00
☼
Child Care Provider (non-resident)…...$115.00
(Must be employed by a Bethlehem family at least 8
weeks & 30 hours per week during the summer)
Pool Complex Rules...
are posted on the website and at the pool.
Your compliance is appreciated.
Adults (age 14-61……………….$4.75
After 5:00pm…………………….$4.00
☼
Child (age 5-13)…….…………..$4.25
After 5:00pm.……………………$3.50
☼
Adult Guest………………………$7.75
After 5:00pm.……………………$6.25
☼
Child Guest (age 2+)…………..$6.25
☼
Senior Guest……………………..$5.00
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Under 5 & 62+(Residents only)..FREE
☼
☼
☼
Refunds cannot be granted.
$5.00-Replacement pass fee.
Rates apply to EVERYONE entering
the pool complex regardless of
whether or not you swim.
After 5:00pm.……………………$5.25
Please Protect Against
Recreational Water Illness!

Individuals with diarrhea shall not
use the pools or Splash Islands.

Shower yourself and your child after
using the toilet.


Use foot showers at Splash Islands.

No urinating, discharging of fecal
matter, expectorating or blowing
the nose in the pool or Splash
Islands.

Please use locker rooms for diaper
changing.

Spray features use recycled water;
DO NOT DRINK.
After 5:00pm….…………………$3.75
Children who are not fully toilet
trained must wear a swim diaper
covered by rubber pants.
Party Reservations at the Pool
Town of Bethlehem residents with a valid pool pass may reserve the “arts & crafts” shelter and surrounding
grass area near Splash Islands for parties according to the following schedule:
Monday-Friday 4pm-close (12noon-3pm available beginning August 8)
Saturday or Sunday 12noon-3pm OR 4pm-close
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The fee is $125 and includes one of the above blocks of time and admission for up to 20 party
attendees (wristbands will be provided). Additional guests are $4.00 each. You will also receive a shout
out on the pool PA system and a white board greeting. A wagon will be available to transport your
party supplies from your car to the pool area. For further information, visit the Parks & Recreation
Department website (www.townofbethlehem.org).
Reserve a date now using the Pool Party Permit form on the website (www.townofbethlehem.org).
Submit form with payment to the Parks & Recreation office.
Page 9
Elm Avenue Park Pool Complex
Pool Passes
REMEMBER: You can renew/obtain your pool pass right at the pool! We do, however,
strongly recommend renewing passes early to avoid waiting in line on hot days.
All residents age 5 & older must have a pool pass with a bar code to enter pool complex.

If you have a pass, don’t throw it away!! You can renew it...here’s how:
Renew online
♦ See details (About Online Services) on Page 10.
♦ Residency for all online pass renewals will be verified using the 2016 tax rolls. Sorry this option is
only available if you are a property owner. All other residents must use option 2 or 3 below.
2 ) Renew by mail
♦ Complete form below.
♦ If you reside in the Town of Bethlehem but are NOT a property owner, you must provide proof
of residency.
♦ Include payment (if season pass).
♦ Passes are not required to be sent with renewal form.
♦ Senior Citizen passes with a bar code do not have to be renewed.
3 ) Renew in person at the pool or the office during the hours listed below.
1)
Acceptable proof
of residency:
Photo I.D. AND a current
utility bill, property tax bill
or lease agreement (all
bills or agreements must
have printed street
address,
NO P.O. Boxes).
POOL: Daily………………………..during pool hours until 30 minutes before closing
OFFICE: Monday-Friday…………..8:30am-4:30pm

If you do not have a pass you must obtain one. Bring a photo I.D. AND proof of residency during
the hours listed above. (see box to the left)

$5.00-Replacement pass fee
Fill out the form below to renew your pool pass early!!
Pool Pass Renewal Form
PLEASE PRINT
Name: ___________________________________________________ Pass Code: _________________ Home Phone: ________________________
(See chart below)
Address: ____________________________________________________________
Cell Phone: __________________________
City: __________________________________ State: __________ Zip: ________________
Work Phone: _________________________
Primary Email address: __________________________________________________________________ Date of Birth: __________________ M F
*(required)
MM/DD/YYYY
Family Member (must be a member of the household at the above address)
(if applicable)
Name: ________________________________________ Pass Code: __________ Date of Birth: *___________________
M
F
Fee: ________
Name: ________________________________________ Pass Code: __________ Date
of Birth: *___________________
MM/DD/YYYY
M
F
Fee: ________
Name: ________________________________________ Pass Code: __________ Date of Birth: *___________________
M
F
Fee: ________
Name: ________________________________________ Pass Code: __________ Date
of Birth: *___________________
MM/DD/YYYY
M
F
Fee: ________
MM/DD/YYYY
MM/DD/YYYY
Pool Pass Types
Residency will be verified
using 2016 property tax
rolls. If you are not a
Town of Bethlehem
property owner, you must
provide proof of
residency. Don’t forget to
include payment for
Season Passes!!
Pass Code
Total Fee Due
Season Individual Adult ( age 14-61)
IA
$95
Season Individual Child (age 5-13)
IC
$80
Season Family of 2
F2
$155
Season Family of 3
F3
$205
Season Family of 4+
F4
$230
Child Care Provider
CC
$115
Pay-As-You-Go Adult
PYGA
N/A
Pay-As-You-Go Child
PYGC
N/A
Mail to: Town of Bethlehem Parks & Recreation Department, 261 Elm Avenue, Delmar, NY 12054 OR Fax (credit card only): 439-2144
INDICATE METHOD OF PAYMENT:
CASH
CHECK
MC
VISA
DISCOVER
(Check payable to: Town of Bethlehem, $20 fee for returned checks)
Credit Card #: _________________________________________________ Expiration Date: _____________ CVV# ___________ (3 digit # on
Signature of card holder: ____________________________________________________________________
back of card)
Page 10
Activity, Registration, & Other Important Information

Activities are open to anyone
regardless of residency! So
bring a friend and take
advantage of this opportunity
(see box to the right for details
about residency).

Activities may not necessarily
meet every week due to
facility availability or holidays.
Occasionally school activities
or inclement weather will
force cancellations of some
sessions. In such cases, we will
attempt to reschedule,
however there is no
guarantee.

Children must be age
specified by the first
scheduled class.

*About Residency….
Adults are 18 and older, unless
otherwise specified.


Please attend only the activity
as persons living in, or
owning property
within, the Town of
Bethlehem. The Town
may require proof of
residency when
enrolling a new
household.
(ies) for which you have
registered.

Fees are not pro-rated.

There will be a $20 fee for
returned checks.

Please notify the office if you
have any medical condition,
special need, or you require
special assistance to
participate in an activity.

You Snooze...You Lose!
Nothing ruins an activity quicker
than waiting until the last minute to
register. If there are not enough
registrants five (5) days prior to the
start of an activity, it may be
cancelled. Entering the Lottery
Spin is your best chance to get into
your desired activity!
All grade levels refer to grades
entering in September.
Residents are defined

So don’t wait!!
Non-residents (NR)
may register for
activities beginning
April 22 after the lottery
spin.
(NR denotes non-resident fee)
Online registration for the Lottery Spin begins NOW!
CHOOSE TO: Enter the Lottery Spin (For Town of
(Best Bet)

Bethlehem RESIDENTS* ONLY)
All activity registrations
received from the form on
page 18 will be entered
into the Lottery Spin as
received or you may
enter using our online
registration system.

Your registration fee will
be deposited
immediately.

You will receive an email
(if you provided one on
the household form)
stating you have been
entered into the Lottery.
You must have an email
address to use the online
system.

OR: Telephone, walk-in and
Following the Lottery Spin
(April 22) you will receive
another email informing
you of your Enrollment or
Wait List status.

If you are not selected
for desired activities you
will be placed on a
waiting list. See Wait List
policy on the right.

Household registration
form with payment (see
page 18) may be
mailed, dropped off at
the park office, or
placed in the drop box
at the office after hours.
The deadline to be included in
the Lottery Spin is Friday, April 22
at 9:00am. During the actual
computerized “spin” of the
lottery, the online system will be
unavailable.
ABOUT ONLINE SERVICES...



Use your Household ID # and
Password to register for activities
AND renew your pool passes.
If you are new to online
registration or have forgotten
your Household ID # and
Password, a link is available
under Recreation Registration on
the left side of the homepage on
the Town website.
This ID # will be your permanent
User Name for all future online
activity registrations and pass
renewals. You will be able to:
~Register for activities
from your home or office.
~Renew pool passes.
~Receive email confirmations of
online transactions.
~View facility calendars to check
availability of picnic pavilions.

online registration for
residents & non-residents
Telephone, walk-in and online
registration for all remaining openings
following the Lottery Spin will be
accepted following the Lottery Spin
on Friday, April 22).. Call 439-4955
Option 3, then Option 4 or visit the
Park office between 8:30am-4:30pm,
Monday through Friday. Please have
your Visa, MasterCard or Discover
card ready when calling in. Walk in
payment (s) may be made by cash,
c he c k (p a ya bl e t o T o wn o f
Bethlehem) or credit card. You may
also fax: 439-2144. Online registration
will be available 24 hours a day.
Go to :
Links are available from the
homepage of the Town website
under Recreation Registration
on the left side of page and
from the Parks & Recreation
Please review your household
Department homepage.
information to make sure the
information is correct and
that your email address is up
to date.
ACTIVITY CANCELLATION,
REFUND & WAIT LIST POLICY

To withdraw from an
activity, participants must
notify the office (439-4955
Option 3, then Option 4).
Activity supervisors do not
report cancellations to the
office.

A cancellation fee of
$5.00 per person per
refund request will be
deducted from all refunds
OR your refund may be
applied to your household
as a credit with no
cancellation fee.

A pro-rated refund will be
granted if the office is
notified prior to the
second class following the
participant’s registration
date.

If the Parks & Recreation
Department must cancel
an activity no cancellation
fee is charged.

Refunds
weeks.

If an activity fills you will be
placed on a waitlist and
your payment processed.
You will be notified if an
opening occurs.
If not
selected, your payment
will be applied to your
household as a credit or
you may request a refund.
may
take
4-6
Page 11
Adult Fitness & Athletics
Active Aging
Yoga-Dynamic
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Town Hall Auditorium
Thursdays (4 classes)
$23/33 (NR)
Instructor: Diane White
Add years to your life and life to your years using weights, bands,
chairs & walls to focus on slower movement, holding poses to
improve balance & strengthen core muscles. Bring an 8” rubber
“play” ball.
#342056-A
May 5-26
9:00-10:00am
#342056-B
June 2-July 7 (not 6/9 & 6/23)
9:00-10:00am
#342056-C
July 14-August 4
9:00-10:00am
High School age welcome!
Mondays (6 classes) (not July 4)
$46/$56 (NR)
Instructor: Shannon Guastella
Yoga combines movement, breathing and meditation to create a
challenging and dynamic workout. Also included is yoga theory
and relaxation. Bring a yoga mat.
#342082-A
June 6-July 25 (not 7/11)
5:15-6:30pm
#342082-B
June 6-July 25 (not 7/11)
6:45-8:00pm
Healthy Bones for Life
Yoga-50+
Elm Avenue Park Office
Monday (14 classes) &/or Thursday (16 classes)
Monday: $14/$24 (NR); Thursday: $16/$26 (NR)
Progressive weight training & instruction program designed to
increase bone health in adults with osteoporosis. Ankle weights
needed. Sponsored by Retired Senior Volunteer Program.
#352038-A
May 9-August 22 (not 5/30 or 7/4) 9:00-10:15am
#352038-B
May 12-August 25
9:00-10:15am
Tuesdays (8 classes)
$56/$66 (NR)
Instructor: Dorothy Russell
Yoga integrates body & mind through postures, breathing,
meditating & stretching exercises. This program is designed to
increase mobility & relaxation.
Poses can be modified to
accommodate decreased range of motion. Bring a yoga mat.
#341086-A
May 31-July 26 (not 6/28)
2:30-3:45pm
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Seniors in Motion
Zumba® Sentao™
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Tuesdays and/or Fridays
May 31-August 19 (19 classes total) (not 6/28,7/5,7/8,7/12,7/15)
9:00-10:00am
$4.00 per class/$6.00 (NR) Pay as you go.
Instructor: Theresa Mattson
Must pre-register. Low level aerobic exercise to music. Must have
Dr.’s approval if not in the program before. Forms obtained from
the instructor.
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Elm Avenue Park Office
Tuesdays and/or Thursdays (8 classes each)
$58/$68 (NR)
Instructor: Nicole Passino
The Zumba Sentao™ workout takes the thrill of the fitness party and
partners it with explosive, chair-based choreography to strengthen,
balance and stabilize your core and step up your cardio work in a
whole new way. Grab a chair, feel the beat and learn how to use
your own body weight to enhance muscle strength, improve
definition and endurance, and tone your physique. Strut, shake
and shimmy as you work your core in a high-energy fitness-party
that will keep you on the edge of your seat. Don't forget a water
bottle and a towel.
#342090-A
May 24-July 19 (not 6/28)
5:00-6:00pm
#342090-B
May 26-July 14
5:00-6:00pm
50+ Softball
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Elm Avenue Park Pavilion Field #7
Tuesdays (15 classes)
$49/$59 (NR)
Recreational softball games. No standings. Bring your own mitt.
#341050-A
May 10-August 16
6:00pm-dusk
Tennis Clinic
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High School age welcome!
Elm Avenue Park Tennis Courts
Mondays (6 classes per session) (Wednesdays of same
$72/$82 (NR) (not May 30)
week-Raindate)
Instructor: USPTR & USPTA Pro-Larry Yakubowski
Quality instruction in all strokes. In case of rain, call the Park office at
4:15pm.
#331065-1A
May 16-June 27 (not 5/30) Beg/Int.
5:30-6:55pm
#331065-1B
May 16-June 27 (not 5/30) Adv.
7:05-8:30pm
#331065-2A
July 11-Aug. 15
Beg/Int.
5:30-6:55pm
#331065-2B
July 11-Aug. 15
Adv.
7:05-8:30pm
Cardio Tennis
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Elm Avenue Park Tennis Courts 5-8
Tuesdays (6 classes) (Thursdays of same week-Raindate)
$72/$82 (NR)
Instructor: Mike Muscato
Get fit, have fun, burn more calories. This high energy fitness activity
combines the best features of tennis with cardiovascular exercise.
Achieve the ultimate full body, calorie burning workout. Bring a
tennis racquet.
#331066-A
May 24-June 28
5:30-7:00pm
#331066-B
May 24-June 28
7:05-8:35pm
Interested in donating a Tree or
Park Bench to be placed …




In your neighborhood park?
Along the river at Henry Hudson Park?
At the Elm Avenue Park pool complex?
By the new canoe/kayak launch soon to be
installed at Henry Hudson Park?
Visit the Friends website at
friendsofbethlehemparks.org and click on
the “Tree & Bench Program” tab to see the
full brochure.
Page 12
Aquatic Activities
ACTIVITY NOTES & GUIDELINES:
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All children must be the age specified by the first scheduled lesson.
Please bring your ARC Learn to Swim card from previous year. This will help with skill level placement.
All lessons are held rain or shine at the Elm Avenue Park Pool. During inclement weather, the class will
meet, but may not swim. (Will not meet July 4)
Register for any number of sessions.
During early morning lessons, the pool complex will close at 10:40am and will reopen at 11:00am.
Town residents who participate in aquatic activities after 11:00am must leave their updated pool
pass at the front desk prior to the start of class and must pick up their pass within 1/2 hour after
their class ends.
Non-residents (NR) who participate in aquatic activities after 11:00am must leave their Driver’s
License at the prior to the start of class and must pick up their Driver’s License within 1/2 hour after
their class ends.
Learn to Swim



Choose your session and time below:
Grades 1 & older
Monday-Friday (not July 4)
Session I: $62/$72 (NR); Session II & III: $69/$79 (NR)
Our experienced staff offers small group instruction.
Skills are taught based on levels established by the
American Red Cross. Your child will learn new aquatic
skills and refine/reinforce skills that they may already
possess, all while maintaining a fun and enjoyable
experience! On the first day meet along the Splash
Islands fence.
Tiny Tot Swim



Ages 3-6 only
Monday-Friday (not July 4)
Session I: $72/$82 (NR); Session II & III: $80/$90 (NR)
Individual instruction for beginners, a great way to
learn! Various swimming skills will be taught based on
your child’s ability and comfort level in the water.
When registering, please indicate anything we should
know about your child that would help us pair him/her
with an instructor. Class meets at the gazebo.
The last day of each session will be “Show Off
Day”. This long standing activity tradition gives
your child the opportunity to “show off” their
accomplishments to parents and friends.
Bring your camera!!
One on One Swim



Ages 4-12
Monday-Wednesday
$36/$46 (NR)
A 45 minute one on one
personalized instruction class
that is tailored to the
participant’s level of swim
ability. Meets 3 consecutive
days, choose as many weeks
as you like.
Thursday and
Friday will be makeup days in
case of weather related pool
closures. Meet your instructor
at the Gazebo and choose
between the Olympic or Lshaped pool to conduct the
lesson. (Will not meet July 4),
Join us at the Arts & Crafts
area between
9:30-10:40am as we
provide a creative outlet for
you and your siblings
during your early morning
swim lessons!
See Poolside Arts & Crafts
on page 15.
#323029-1B
#323029-1C
Session I
Session I
June 27-July 8
June 27-July 8
9:35-10:05am
10:10-10:40am
#323029-2B
#323029-2C
Session II
Session II
July 11-22
July 11-22
9:35-10:05am
10:10-10:40am
#323029-3B
#323029-3C
Session III
Session III
July 25-August 5
July 25-August 5
9:35-10:05am
10:10-10:40am
#313073-1B
#313073-1C
#313073-1D
#313073-1E
Session I
Session I
Session I
Session I
June 27-July 8
June 27-July 8
June 27-July 8
June 27-July 8
9:35-10:05am
10:10-10:40am
11:10-11:40am
11:45am-12:15pm
#313073-2B
#313073-2C
#313073-2D
#313073-2E
Session II
Session II
Session II
Session II
July 11-22
July 11-22
July 11-22
July 11-22
9:35-10:05am
10:10-10:40am
11:10-11:40am
11:45am-12:15pm
#313073-3B
#313073-3C
#313073-3D
#313073-3E
Session III
Session III
Session III
Session III
July 25-August 5
July 25-August 5
July 25-August 5
July 25-August 5
9:35-10:05am
10:10-10:40am
11:10-11:40am
11:45am-12:15pm
#323024-1A
#323024-1B
#323024-1C
#323024-1D
#323024-1E
#323024-1F
I
I
I
I
I
I
June 27-29
June 27-29
June 27-29
June 27-29
June 27-29
June 27-29
2:15-3:00pm
3:05-3:50pm
3:55-4:40pm
4:45-5:30pm
5:35-6:20pm
6:25-7:10pm
#323024-4A
#323024-4B
#323024-4C
#323024-4D
#323024-4E
#323024-4F
IV
IV
IV
IV
IV
IV
July 18-20
July 18-20
July 18-20
July 18-20
July 18-20
July 18-20
2:15-3:00pm
3:05-3:50pm
3:55-4:40pm
4:45-5:30pm
5:35-6:20pm
6:25-7:10pm
#323024-2A
#323024-2B
#323024-2C
#323024-2D
#323024-2E
#323024-2F
II
II
II
II
II
II
July 5-7
July 5-7
July 5-7
July 5-7
July 5-7
July 5-7
2:15-3:00pm
3:05-3:50pm
3:55-4:40pm
4:45-5:30pm
5:35-6:20pm
6:25-7:10pm
#323024-5A
#323024-5B
#323024-5C
#323024-5D
#323024-5E
#323024-5F
V
V
V
V
V
V
July 25-27
July 25-27
July 25-27
July 25-27
July 25-27
July 25-27
2:15-3:00pm
3:05-3:50pm
3:55-4:40pm
4:45-5:30pm
5:35-6:20pm
6:25-7:10pm
#323024-3A
#323024-3B
#323024-3C
#323024-3D
#323024-3E
#323024-3F
III
III
III
III
III
III
July 11-13
July 11-13
July 11-13
July 11-13
July 11-13
July 11-13
2:15-3:00pm
3:05-3:50pm
3:55-4:40pm
4:45-5:30pm
5:35-6:20pm
6:25-7:10pm
#323024-6A
#323024-6B
#323024-6C
#323024-6D
#323024-6E
#323024-6F
VI
VI
VI
VI
VI
VI
August 1-3
August 1-3
August 1-3
August 1-3
August 1-3
August 1-3
2:15-3:00pm
3:05-3:50pm
3:55-4:40pm
4:45-5:30pm
5:35-6:20pm
6:25-7:10pm
Page 13
More Aquatic Activities
Springboard Diving
Toddler Splash







Ages 7 & older
Elm Avenue Park Diving Pool
Meets rain or shine
Monday-Friday
Session 1: $60/$70 (NR); Session 2 & 3: $67/$77 (NR)
Classes are limited
There will be a show off event during the last half of the last class for
each session
Must be able to swim to the ladder in the diving pool. Participant will
learn basic springboard diving skills on the 1 meter board working toward
moving skills to the 3 meter board. Goal: Be able to dive off the 1 meter
board by the end of the session. Intermediate and advanced diving will
tailor lessons to their skill set with goal to learn back dives, twisters and
flips from 3 meter board.
#323050-1A
June 27-July 8 (not July 4)
9:00-9:30am
#323050-2A
July 11-22
9:00-9:30am
#323050-3A
July 25-August 5
#323050-1B
9:35-10:05am
#323050-2B
#323050-3B
July 11-22
July 25-August 5
9:35-10:05am
9:35-10:05am





Ages 2 & 3
Elm Avenue Park Olympic Pool
Meets rain or shine (not July 4)
Mondays, Wednesdays, Fridays (6 classes)
$47/$57 (NR)
P a r e n t / c h i l d participation class filled with songs, toys and
games. Designed to develop a comfort level in the water and
readiness for learning to swim. Also emphasizes water safety. One
parent to one child.
#313074-1A
June 27-July 11
6:00-6:30pm
#313074-1B
June 27-July 11
6:35-7:05pm
#313074-2A
July 18-29
6:00-6:30pm
#313074-2B
July 18-29
6:35-7:05pm
9:00-9:30am
Springboard/Learn to Swim Combo







Ages 7 & older
Save
Elm Avenue Park Diving Pool
$16!
Meets rain or shine
Monday-Friday
Session 1: $106/$116 (NR); Session 2 & 3: $120/$130 (NR)
Classes are limited
There will be a show off event during the last half of the last class for
each session
This small group program includes instruction on springboard diving the
first half hour and stroke development the second half hour.
#323054-1A
9:00-10:05am
#323054-2A
July 11-22
9:00-10:05am
#323054-3A
July 25-August 5
9:00-10:05am
#323054-1B
9:35-10:40am
#323054-2B
#323054-3B
July 11-22
July 25-August 5
9:35-10:40am
9:35-10:40am
Gift Cards Available!!
Gift cards in any denomination
are available at the Park office.
They may be used for any Parks
& Recreation purchase including
activity fees, pavilion rentals,
pool fees, etc.
We think you’re “Picture Perfect”
We’re proud of our programs & we like to show it. So picture
this….we have friendly staff photographers who visit our
programs & events looking for a picture perfect you. These
photos are used in our Park Playbook or on our website. So
keep smiling!! Please advise the photographer if you have an
objection to photos being taken of you or your child.
Show Bethlehem parks some love!! Volunteer on Saturday, May 7th!
WHEN:
WHERE:
PROJECT:
Saturday, May 7, 2016 9am-12noon
Henry Hudson Park, Barent-Winne Road (off Rt. 144), Selkirk
Getting the park ready for the summer season ahead-cleaning, raking,
planting ,etc.
VOLUNTEER REGISTRATION: For more details and registration information, go to:
http://www.friendsofbethlehemparks.org/news.php
Page 14
Camp Corner
Camp Adventure





Entering grades 4-7 in September
Elm Avenue Park Large Pavilion
Monday-Friday
9:00am-4:30pm (Bring a bag lunch)
$140/$150 (NR)-2nd week; $175/$185 (NR)-All other weeks
Campers take advantage of all the amenities at the Elm Avenue
Park including pools, trails, fields, courts, playground and more! Also
includes off site trips, conducted twice a week. For a camp trip
schedule visit www.townofbethlehem.org, under Parks & Recreation
Department, Camp Corner. Camp is inspected twice and licensed
by the Albany County Health Department. Inspection reports can
be reviewed at the Park office. Use the form on page 18 and
include payment for your first week. Payment for all other weeks
due by June 1. Online registrations must be paid in full.
#327015-A
#327015-B
#327015-C
#327015-D
#327015-E
#327015-F
June 27-July 1
July 5-8 (not July 4)
July 11-15
July 18-22
July 25-29
August 1-5
Sunny Day Camp





Entering grades 1-3 in September
Monday-Friday
9:00am-4:30pm (Bring a bag lunch)
$116/$126 (NR)-2nd week; $145/$155 (NR)-All other weeks
Enjoy all of Elm Avenue Park including swim at the Town Park pool.
Age appropriate games and arts & crafts with special events and a
few trips are part of what will make this camp so much fun! Camp is
inspected twice and licensed by the Albany County Health
Department. Inspection reports can be reviewed at the Park office.
Use the form on page 18 and include payment for your first week.
Payment for all other weeks due by June 1. Online registrations must
be paid in full.
#327017-A
#327017-B
#327017-C
#327017-D
#327017-E
#327017-F
June 27-July 1
July 11-15
July 18-22
July 25-29
August 1-5
Little Dudes Play Time







Ages 4 & 5
Delmar Reformed Church
(386 Delaware Avenue, Delmar)
Monday-Friday
9:00-11:30am
$48/$58 (NR) (B) (4 classes)
$60/$70 (NR) (A,C,D,E,F) (5 classes)
Supervisor: Kim Ganley
Lots of fun in this program with games, arts & crafts, puzzles, music
& more. Bring your own snack.
#317032-A
June 27-July 1
#317032-B
#317032-C
July 11-15
#317032-D
July 18-22
#317032-E
July 25-29
#317032-F
August 1-5
Play Factory




Grades 1-6 (includes 6 yr. olds)
June 27-August 5 (not July 4)
Monday-Friday
Meets at various locations (See below). Locations are limited due
to extensive bond issue work at elementary schools.
Stop by any one of our fun “factory outlets”. This free program, will
include games, arts & crafts, music, special events and much more!
Come one day or every day! Parent/guardian must complete a
contact information form on their first day. Children may attend
morning and afternoon sessions, but must go home between 11:30 and
12:30.
Glenmont
9:00-11:30am & 12:30-3:00pm
Hamagrael
9:00-11:30am & 12:30-3:00pm
Total Play Multi Sports Camp






Ages 5-11
Elm Avenue Park Field #10
(Soccer Field across from small pavilions)
Monday-Friday (5 classes)
9am-12:30pm; $165/$175 (NR) Includes T-shirt & medal
9am-4pm; $195/$205 (NR) Includes T-shirt & medal
Bring water, snacks & sunscreen. Bring a bag lunch also if full day.
Experience over 16 different sports from around the world including,
soccer, basketball, lacrosse, volleyball, disc golf, cricket, floor hockey
and many more at this camp. All activities will take place in an
atmosphere which promotes good sportsmanship, teamwork and most
of all, fun! Campers are divided up by age and will receive technical
instruction, with the chance to experience the sport in a realistic game
situation, and participate in the exciting USSI World Cup Competition.
All participants will receive a t-shirt and certificate. This is the only sports
camp truly dedicated to children of all abilities.
#327065-A
August 15-19
9:00am-12:30pm
#327065-B
August 15-19
9:00am-4:00pm
Amazing Athletes






Ages 3-8
Elm Avenue Park Field #10
(Soccer Field across from small pavilions)
9-10:30am (Ages 3-4) $65/$75 (NR) (Includes a t-shirt)
9am-12pm (Ages 5-8) $125/$135 (NR) (Includes a t-shirt)
Please bring a snack, water bottle and sun screen
The 3-4 year old camp is designed to introduce children to 9 different
sports, while focusing on age-approriate areas of motor development.
Children will learn the basic fundamentals and mechanics of Baseball,
Basketball, Football, Golf, Hockey, Lacrosse, Soccer, Tennis and
Volleyball. Will also focus on the 7 key areas of motor-development
through games, obstacle courses and other fun fitness activities! By
introducing kids to a variety of sports and physical activities at a young
age, they have a greater chance of finding a few things they like.
The 5-8 year old camp delivers the same 9 sports. Acitivities will
incorporate exercises for gross motor development, hand-eye
coordination, cardio-vascular fitness, speed and agility and stretching
and muscle tone. The sports will be divided up throughout the week
#321088-A
August 8-12 (Ages 3-4)
9:00-10:30am
#321088-B
August 8-12 (Ages 5-8)
9:00am-12:00pm
Story Hours
No pre-registration required for this program. Incorporated into Play
Factory. Sponsored by Bethlehem Public Library.
*Parent must remain with child(ren) during story hours*
July 12-August 2
Tuesday
9:30-10:00am Glenmont (Gr. 1-6)
1:00-1:30pm
Hamagrael (Gr. 1-6)
Tobacco Free Zones in our town parks are part of the Young
Lungs at Play initiative through the Capital District Tobacco Free
Coalition. Tobacco free areas include all playgrounds, athletic
fields, pool complex and tennis and basketball courts. Thank
you for your compliance!
Page 15
History Hikes & Kayak Paddle
Art
KidzArt






Ages 6-12
Monday, Wednesday, Friday OR Monday-Friday
Mon-Fri; $245/$255 (NR) 9am-3pm; $145/$155 (NR) 9am-12pm
Mon,Wed,Fri; $175/$185 (NR) 9am-3pm; $105/$115 (NR) 9am-12pm
Please bring bag lunch, 2 snacks & beverage for full day campers.
For half day, bring snack & beverage
WORLD EXPLORERS: Let your child’s creativity take flight this summer!
Join us on five exciting days as we explore other countries and cultures
through their art. At each stop, campers will create unique art as a
souvenir. Sculpture, drawing, water color and new techniques, all
inspired by famous artists and monuments from around the world. Learn
how to draw the easy KidzArt way! Friends and family are invited to join
us for our end of camp art show. All artist quality materials included.
#324063-A
August 8-12 (Ages 6-12) (M-F)
9:00am-3:00pm
#324063-B
9:00am-12:00pm
#324063-E
August 8-12 (Ages 6-12) (M,W,F)
9:00am-3:00pm
#324063-F
August 8-12 (Ages 4-6) (M,W.F)
9:00am-12:00pm
CARIBBEAN ADVENTURE: Join us where the sun is always shining, the
sand is warm and the water is just right...Take a dip and come on in!
Campers will have fun using many different art materials to make
drawings the easy KidzArt way. We will even use the sun to create a
piece of art! Learn how to do 3-D projects and painting too. Friends and
family are invited to join us for our end of camp art show. All artist quality
materials included.
#324063-C
9:00am-3:00pm
#324063-D
9:00am-12:00pm
#324063-G
9:00am-3:00pm
#324063-H
9:00am-12:00pm
Poolside Arts & Crafts





All ages
Elm Avenue Park Pool Arts & Crafts Area
June 27-August 5 (not July 4)
Monday-Friday (weather permitting)
11:00am-12Noon & 1:00-3:30pm
Drop in for a daily arts & crafts project. Parents please stay with your
children. Elm Avenue Park Pool admission is the only fee. See page 12
for Arts & Crafts during early morning swim lessons.
Drama
Much Ado About Theater





Grades 9-12
High School Auditorium
$150/$160 (NR)
Instructor: James Yeara
Learn acting skills and be a part of a Shakespeare play. Here’s your
chance to be on stage. Everyone gets a part. Features advanced
scene study. Must be able to attend most classes. Bring a bag lunch.
Final Performance at Henry Hudson Park on Friday, August 19, time TBD.
#334036-A
August 8-19
10:00am-2:00pm
Safety Services
Red Cross Babysitting Course





Ages 11 & up
Saturday
$56/$66 (NR)
Instructor: Kim Gallo
Learn about child supervision, first aid, and other safety strategies.
Certification received upon completion of the course. Bring a bag lunch, a
pen and a baby doll.
#325008-A
June 11
9:00am-4:00pm



Saturdays

In case of inclement weather, check website:
bethlehemhistorical.org for cancellations by 8am on the
day of hike and/or 5pm on the day of paddle.
FREE!
Please pre-register for hikes/paddle desired. See page 10
for registration details. If unable to attend registered dates,
kindly call the office to cancel. 439-4955 Ext. 2131

Hike Guide: Susan Leath-Town Historian. For questions, email
[email protected]
Co-sponsored with the Bethlehem Historical Association.
Centered on local parks, History Hikes explore six of Bethlehem’s
hamlets. Susan will provide a wealth of historic information as we
walk about these historic areas, each with its own unique
character.
Henry Hudson Park
Meet at the gazebo for a loop through the park on the shores of the
Hudson River and along Lyons and Barent Winne Roads. Catch a
glimpse of the historic Nicoll Sill House, the water fall on the Vloman Kill
and the Gov. Glynn Mansion. Learn about the days of ice harvesting,
steam boats and summer homes.
#695001-F
April 9
9:30-10:30am
Delmar Four Corners
Beginning at Bethlehem’s Town Hall, the walk highlights historic
Adamsville and the Four Corners. Find out about the Adams Hotel,
Paddock Place and the passenger station on the old D&H Railway.
The route is level on the sidewalks of Delaware, Kenwood and
Borthwick Avenues.
#695001-A
May 14
9:30-10:30am
Normanskill Farm Park
Meet at Albany’s Normanskill Farm Park parking lot, for a walk along
the yellow brick road and over the Normans Kill to the hamlet of
Normansville. Look at the historic Whipple bridge, the remains of
Pappalau’s ice house and wonder about the days when visitors to
Hinkel’s Hotel enjoyed a sandy beach and boat rides. The route
includes unpaved trails as well as Rockefeller Road. Finish with a stop
at the Education Center.
#695001-G
June 18
9:30-10:30am
Hudson River & Vlomankill Kayak
Meet at the Henry Hudson Park Boat Launch.
Learn about
Bethlehem’s historic river connections from the unique perspective of
actually being on the water. Experience the historic Nicoll-Sill House,
Winne’s dock, Parda Hook, and if the creek is passable, the waterfall
on the Vlomankill.
Participants MUST bring all of their own gear,
including personal flotation device, and be proficient paddlers. Ms.
Leath will provide the history info, but is not a boating instructor. High
tide is predicted for 7:46pm.
#695001-K
Thursday, July 7
6:30-7:30-pm
South Bethlehem Park
Meet in the parking lot for an exploration of South Bethlehem, now a
quiet hamlet, once a bustling community with a hotel, stores and
station on the West Shore Railroad. Take in the Onesquethaw Creek,
Baumes-Snyder House and the Methodist Church. The route is on
sidewalks with one steep hill up from Willowbrook Avenue to Bridge
Street.
#695001-E
July 16
9:30-10:30am
Bethlehem Fire Fighters Memorial Park
Meet at the memorial to start a walk in the Slingerlands Historic
District. The history of the hamlet and its lovely Victorian homes will be
discussed as we walk along New Scotland Road and Bridge Street.
Learn about the old Home Lawn Hotel, Slingerlands Printing Company
and the Ironweed House.
#695001-C
August 6
9:30-10:30am
Page 16
Pre-School Activities
Traveling Tots





Ages 18 mos-4 yrs.
Various Park Playgrounds
Tuesdays (Will meet on Thursday in case of rain) (6 classes)
$44/$54 (NR)
Supervisor/Instructor: Kara Kosoc
Each week meet at a different Town Park playground to play, make a
craft and play group games. A schedule with all Park directions will be
distributed at the first class at the Elm Avenue Park playground. (Siblings
are welcome). Bring your own snack.
#312002-A
May 24-June 28
10:00-11:00am
Youth/Teen Athletics
Basketball




Grades 2-5
Elm Avenue Park Basketball Courts (High School Gym “A”
in case of rain-Call Park ofc.)
$58/$68 (NR)
A fun program that introduces the skills of basketball.
#321012-A
July 11-15
9:00-11:00am
#321012-B
July 18-22
9:00-11:00am
Field Hockey




Grades 6-12
Elm Avenue Park Volleyball Courts
$44/$54 (NR)
This program will include instruction, skill development and recreational
games. Join the summer fun at the park!!
#331064-A
June 6-10
5:00-6:30pm
10 & Under Tennis Clinics




Grades 4-12
Elm Avenue Park (along Rt. 32)
$68/$78 (NR)
Learn this exciting, fast moving sport. Skill development and games are all
included. Required equipment: shin guards, mouth guard, goggles and a
stick.
#331021-A
July 11-15
4:00-7:00pm
Flag Football




Grades 2-5
Elm Avenue Park grass field (front of Park office)
Monday-Thursday (8 classes) (Friday-Makeup)
$71/$81 (NR)
A fun introduction to football. Learn the rules and positions of the game
through drills, skill development and recreational games. Cleats are
recommended.
#321022-A
July 11-21
4:30-6:00pm
T-Ball




Grades K-1
Elm Avenue Park Field #6 (behind tennis courts)
Monday-Thursday (8 classes) (Friday-Makeup)
$69/$79 (NR)
An early introduction to America’s past time. Learn the basics of the
game through instruction, skill development and recreational games.
Bring a glove.
#321057-A
July 11-21
10:00-11:15am
S.C.R.E.A.M.S!
Students Craving Really Exciting
Activities at the Middle School
Visit www.townofbethlehem.org or call 439-4955 Option 3 for specific
information. Activities Coordinator: Kara Kosoc
Club Membership #-625034-A $10
May 28
Teen Volleyball
Six Flags Great Escape
June 10 “Teen Luau” Party at Elm Avenue Park. Pool and Snack Bar open
8-10pm for middle school age students only. DJ, dancing, contests and
more!! Raindate: June 17 (Sorry, not for incoming 6th graders).







Grades K-5
Monday-Thursday (Friday-Makeup)
$74/$84 (NR)
Choose any number of sessions (8 classes each session)
Bring a tennis racquet (loaner racquets available)
Instructor: Dan Cremo
10 & Under Tennis is a revolutionary change in the way kids learn to play
tennis. The equipment and courts utilized are adapted to the child’s
size and age, which helps eliminate frustration and build confidence
right from the start. This will help your child develop skills faster and grow
their love for the game. Participants will be divided up accordingly to
age.
#321068-A
9:00-10:15am
#321068-B
July 11-21
9:00-10:15am
#321068-C
July 25-August 4
9:00-10:15am
#321067-A
#321067-B
July 11-21
10:20-11:35am
10:20-11:35am
Top Spins Tennis Clinic






Grades 6-8
Monday-Thursday (Friday-Makeup) (8 classes)
$74/$84 (NR)
Bring a tennis racquet (loaner racquets available)
Instructor: Dan Cremo
#331069-B
July 25-August 4
10:20-11:35am
Track & Field




Grades 2-6
Bethlehem High School Track
Monday-Thursday (Friday-Makeup) (4 classes)
$20/$30 (NR)
Join the Delmar Track & Field coaches for a fun introduction to basic
track, field and cross country skills. Concentration will be on safe
conditioning skills and giving participants the chance to try different
events. Will meet on Friday in case of rain.
#321076-A
July 18-21
6:00-7:30pm
Page 17
Featured Summer Concert!!
Sponsored by:
Hey Jude...The Tribute
Thursday, June 30
7pm
Bethlehem Central Middle
School Auditorium
FREE fun for the whole
family!
A Musical History Tour
Through The Entire Ten Year
Career Of The Beatles
Coming this Spring!!
A new canoe/kayak dock system (similar to
photo) will be installed at Henry Hudson Park
this spring! The dock will be manufactured by
The Dock Doctors who also constructed our
very popular fishing platform. It will be
located at the south end of the park with
access on the Vloman Kill near the entrance to
the Hudson River.
Youth Services
YOUTH EMPLOYMENT SERVICE
The Youth Employment Service (Y.E.S.) is a free, year round job matching program for teens.
Want some extra cash??
Need part-time help??
Town of Bethlehem residents, ages 14-21, can register
with Y.E.S. in several ways:
The Youth Employment Service (Y.E.S.) has a large
database of reliable teens eager for part-time work.

Download form from the Town website (Y.E.S. Dept.)
and email it to the Director.

Mail form to Y.E.S. Director at 261 Elm Avenue, Delmar,
NY 12054.
Town of Bethlehem residents needing help with
housework, yard work, babysitting, animal care or
handyman work, should contact Y.E.S. Businesses can
also contact the service for help finding part-time staff.

Drop form off at Park office.
For more information, contact Rachel Johnson, Y.E.S. Director at 439-4955 Ext. 1608 or [email protected]
While Y.E.S. does not have scheduled office hours, emails and phone messages are checked regularly
and mail is picked up at the Parks & Recreation office once a week.
Page 18
Household Information & Registration Form
PLEASE READ CAREFULLY!



Complete the household information form below. All of the
information on the form is required for each family member.
**Complete Section I to help us build your household database.
**Complete Section II to enroll household members in activities.

Activity dates and other pertinent information will be included on
your receipt/confirmation.

If you are enrolled in your 2nd choice, you will not be put on the
wait list for your 1st choice.

For activity cancellation, refund and waitlist policy, see page 10.
Send household form & payment to the address on the right or
place in the drop box located near the front door of the Park
office building.
2016 Summer Registration
Elm Avenue Park
261 Elm Avenue
Delmar, NY 12054
Your receipt/confirmation will be emailed to you. In the event
that you do not have an email address, or one is not supplied on
the household information form, a self-addressed stamped
envelope is required.
Remember! The Lottery Spin deadline is April 22nd at 9:00am!
HOUSEHOLD INFORMATION
SECTION I
(Please Print Clearly)
(Please Print Clearly)
Primary Adult/Parent/Guardian
Secondary Adult/Parent/Guardian
Name: ___________________________________________ male female
Name: ___________________________________________ male female
Address: _________________________________________ Zip:__________
Address: _________________________________________ Zip:___________
Phone: (Home)_________________ (Work)_______________Ext_______
Phone: (Home)____________________ (Work)_____________Ext_______
(Cell) _______________________ Date of Birth: ______ /______ /______
(Required for online registration)
Email:
(Cell) _________________________Date of Birth: ______ /______ /______
Email: _________________________________________________________
Email: __________________________________________________________
(Required for online registration)
(Required for registration confirmation/receipt)
(Required for registration confirmation/receipt)
Yes! I would
like toNOT
startreceiving
receiving
FREE
monthly
Town
e-newsletter
by email.
am currently
thethe
FREE
monthly
Town
e-newsletter
but would
like to. (Please provide email address above)
REGISTRATION FORM
SECTION II
Participant Name
Grade
School
Date of
(Sept. 16)
(Ex: Glenmont)
Birth
M/F
Activity #
Activity Name Fee
2nd Choice
Activity #
Indicate any medical conditions or other special needs for your child(ren):
________________________________________________________________________
________________________________________________________________________
INDICATE METHOD OF PAYMENT:
CASH
CHECK
Total Amount: $ _____________
MC
VISA
DISCOVER
(Check payable to: Town of Bethlehem, $20 fee for returned checks)
Credit Card #: ___________________________________________________________ Expiration Date: _________ CVV# _________ (3 digit # on
Signature of card holder: ___________________________________________________________________________
back of card)

Summer 2016 Activity Playbook

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