Instructions for completing the Henry Hudson Park Pavilion Request Form This facility may only be reserved by a resident of the Town of Bethlehem or a Town of Bethlehem based organization. The fee for use of this facility is $155. For groups of 150+ there is also a mandatory dumpster fee of $50. Other fees may apply for special set up or other requests. For availability contact the Parks and Recreation Department at 518-439-4955 option 7. You may also check general availability here or https://register1.vermontsystems.com/wbwsc/nybethlehem.wsc/splash.html > Quick Links > Pavilion Availability Please note the online calendar may not be completely up to date. Complete the form and remit with payment (cash, check, or card) to: Town of Bethlehem Parks and Recreation Dept. 261 Elm Avenue Delmar, NY 12054 Parks@townofbethlehem.org All credit card transactions include a 3.25% transaction fee Updated 5/2023
TOWNOF BETHLEHEM Albany County – New York PARKS & RECR EATION DEPARTMENT ELM AVENUE PARK 261 ELM AVENUE, DELMAR, NY 12054 (518)439-4955 Ext. 2131 FAX (518) 439-2144 Email: parks@townofbethlehem.org HENRY HUDSON PARK Please Print Neatly! PAVILION PERMIT Today’s Date: ________ Date Pavilion Requested: ___________________ Time: ______To: ________ Size of Group: ______ (Include set-up & clean-up in your times) Any Special Requirements or Requests: ________________ (Certain requests may be subject to an additional fee) Purpose of Facility Use: (Be Specific) : ________________ Name of Organization/Individual: _________________ Organization/Individual Address: __________Zip: ______ Organization Phone #:________________ Name of Person Responsible: ________________ Address: _________________ Zip: _______ Phone (H): ________ (W): ______ (Cell): ______ E-Mail Address: ______________________ The reservation contact listed above is legally responsible for any and all actions of the pavilion users while they are at Henry Hudson Park. This person will be held financially responsible for any and all damages to park property caused by a member of his/her group. This person is responsible for his/her group’s adherence to all permit guidelines including those pertaining to alcohol use. The reservation contact hereby acknowledges that he/she has read, understands and agrees to comply with the guidelines outlined on the back of this form. The reservation contact further verifies that he/she is 18 years of age or older (21 or older if beer or wine is being served). The reservation contact hereby requests reservation of the Town of Bethlehem pavilion named above, for the date(s), times and purpose shown. He/she further agrees to hold harmless and completely indemnify the Town of Bethlehem, its officers, agents and employees, in any claim of personal injury or property damage in any way arising from use of this facility. Credit Card #: ___________________ Exp. Date: ____ Print Name of card holder: __________________ *All credit card transactions include a 3.25% transaction fee
HENRY HUDSON PARK PAVILION INFORMATION & GUIDELINES Water: Water is available from the rest room sinks. Pavilion Hours: Daily, 10:00am-Dusk Electricity:One electrical outlet available in the Location: See directions below. pavilion. The pavilion is not lit after dark so we recommend you clean up prior to darkness. A generator Pavilion Use: The pavilions must be reserved by may be necessary when using large electrically operated residents of the Town of Bethlehem or Town of Bethlehem cooking equipment. based organizations. The pavilion is to be used for recreational purposes only. The permit must accompany Accessibility: The parking lot, eating area and rest the person(s) responsible to the picnic. rooms are accessible for wheelchairs. Wheelchair accessible picnic tables are also available. Seating Capacity: 150 adults comfortably at one time. Beverages: All beverages must be served in non- glass containers. Glass bottles are not permitted. Beer and wine are the only alcoholic beverages which may be Additional Facilities Available: The nearby served (must be 21 or older). Alcoholic beverages may softball field, volleyball court and horseshoe pit are not be sold on the premises. available on a first come, first served basis. A volleyball and horseshoes may be obtained at the Park office, Monday through Friday from 8:30am to 4:30pm. Music: Amplified and live music is allowed after 12:00 Equipment must be returned to the Park office on Monday pm at reasonable volume levels only. following a weekend picnic. Decorations: Do not use tacks, nails, or staples on Rest Rooms: Rest rooms are available not far from the tables or pavilion. Decorations must be removed. the pavilion. Pets: Dogs on leash are allowed. Barbecue Grills: There are two 12”x18” grills and one large grill pit available. Items needed for cooking Restrictions: Firearms, fireworks, unlicensed must be supplied by the user. When finished using the motorized vehicles and soliciting are prohibited. grill for the day DO NOT EXTINGUISH THE COALS, REMOVE THE COALS, OR POUR WATER ON THE UNIT. Cleanup and Damages: Cleanup and any Please do not burn anything other than charcoal in the damages are the responsibility of the group or individual grills. holding the permit. The Parks and Recreation Department will remove all trash placed in trash Parking: All vehicles must park in the parking lot. receptacles. Please do not leave trash bags outside of Vehicles may not park on the grass or the roadway. the receptacles. Mother Nature: Mother Nature has a way of leaving Cancellations: If you decide to cancel, this office her mark (bird droppings, pine needles, tree sap, etc.) on must be notified a t least 2 weeks prior to your picnic in and around our facilities. We strive to provide a clean order to receive a refund. There is a processing fee of picnic environment, however we cannot guarantee it. 10% from the amount you paid. DIRECTIONS TO HENRY HUDSON PARK FROM THE DELMAR BY-PASS Take Elsmere Avenue to Feura Bush Road, left on Feura Bush Road. Take your first right onto Wemple Road cross Route 9W and continue on Wemple Road to the end. Take a right onto Route 144 and continue south on Route 144 for approximately 2 miles. Take the first left after the ELKS Lodge (Barent-Winne Road) continue on Barent-Winne, road forks, bear to the right down the hill to Henry Hudson Park .
Original PDF: Henry-Hudson-Park-Pavilion-Request-form - 2023-09-24.pdf