Registration & Payment

A this time our online Registration is closed. To be placed on a waiting list please email bhblsummerrec@gmail.com

We, as an organization, want to work with the families in the community to ensure that each child who wants to attend Burnt Hills-Ballston Lake Summer Recreation can. Please email the director with any questions regarding payment. If you are in need of financial assistance, please click here for our financial assistance application. Looking for more information on what you and your child can expect this Summer? Please click here to view our Parent Handbook.

The Burnt Hills-Ballston Lake Summer Recreation Program is open Monday
through Friday from 8:30 am-2:30 pm. Summer Recreation will run from
Tuesday, June 30th to Friday, July 24th (closed on Friday, July 3rd).

Full Day Program

Full Day Program: (One-time fee paid at the time of registration)
1st child: $550.00
Each additional child: $500.00 ($50.00 discount per child)

A convenience fee of $15 per child will be added if using the online payment option to secure your registrations.

Early Hours

Early morning drop off starting at 7:30 am

Daily: $15
Weekly: $60
Full Length of Program: $125

If you have opted to mail in a payment, please do so to secure your registration.

Please mail checks to:
Burnt Hills-Ballston Lake Summer Recreation Program
170 Stage Road
Ballston Lake, New York 12019

A this time our online Registration is closed. To be placed on a waiting list please email bhblsummerrec@gmail.com

Name

This field is for validation purposes and should be left unchanged.

Participant Information

Name(Required)

First Last

Age(Required)

Date of Birth

Grade for September 2026(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Township(Required)

Please select one from the dropdown menu.

T-Shirt Size(Required)

Please select one from the dropdown menu.

May We Use Your Child’s Photograph on Social Media/Website?(Required)

Yes

Parent/Guardian Information

Name(Required)

First Last

Home Phone

Cell Phone(Required)

Work Phone

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name(Required)

First Last

Home Phone

Cell Phone(Required)

Work Phone

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Child's Medical Information

Insurance Carrier(Required)

ID Number(Required)

Please List Any Medical Information That Is Pertinent

Emergency Contact

Must list two adults other than yourself.

Name(Required)

First Last

Home Phone

Cell Phone(Required)

Work Phone

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship To Child(Required)

Name(Required)

First Last

Home Phone

Cell Phone(Required)

Work Phone

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship To Child(Required)

Authorized Adults To Pick Up Your Child

Please List Name & Relationship To Child(Required)

PAYMENT OPTIONS

You have 2 payment options at this time Pay Online through the PayPal Portal (You can pay with an existing PayPal account, a credit or debit card, or your bank account) or simply mail in/ drop off a check. If using the mail-in option, please reference the child(ren)'s full names so that we can match the payment with the online registration. Full Day Program Full Day Program: (One-time fee paid at the time of registration) 1st child: $550.00 Each additional child: $500.00 ($50.00 discount per child) If paying online, a $15 convenience fee will be charged per child.

Option 1: Summer Rec Registration Fee - PAID ONLINE (Includes Convenience Fee $15 )(Required)

PLEASE CHOOSE ONE - Select "MAILING IN PAYMENT" if you are not paying online today.

Option 2: Mail in Summer Rec Registration fees

Are You Interested in Early Drop Off?(Required)

You will be invoiced separately for Early Drop Off if you select this option.

Please Confirm Payment Method(Required)

Please mail a check in to the following address in order to secure your 2026 Summer Rec Registration. CHES
Attention: Andy Haluska
170 Stage Road
Ballson Lake, NY 12019

Total

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name