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MJCCA Membership Renewal

Member Information

First Name : 
Last Name : 
Address : 
City, State, Zip : 
, 
Home Phone # : 
 (555-555-5555)
Cell Phone # : 
 (555-555-5555)
Alt Phone # : 
 (555-555-5555)
Email : 

 By checking this box, I do hereby make formal application to renew my annual or summer membership at the MJCCA at my current level of membership.

I authorize the MJCCA to charge my credit card for my membership dues. (All Summer Memberships must be paid in full before May 15.)
     One-time payment in full
     Monthly Payments (12 equal payments / Summer Memberships: Equal payments from time of renewal to May 15)

Membership Agreement

By checking this box, I /We, the undersigned, hereby apply for membership at the Marcus Jewish Community Center of Atlanta (“Jewish Community Center” or “JCC”) and agree to the following:
  • I /We agree to abide by all the Jewish Community Center rules and regulations which are subject to change without notice.
  • I/We understand that the MJCCA has the right to deny, suspend, and cancel membership at any time.
  • I/We understand that this membership agreement is a one-year contract.
  • I/We understand that I/we may not downgrade my/our membership within the first year of membership.
  • I/We understand that after the first year of membership, the agreement is automatically renewed on a monthly payment plan.
  • I/We understand that after one year, I/we may cancel the membership by notifying the JCC in writing 30 days before the effective date of cancellation.
  • I/We understand that memberships are non-transferable.
  • I/We understand that registration fees and membership are non-refundable.
  • I/We understand that if I am/we are paying dues on a monthly basis, that my/our credit card or account will be charged on the date in which I have agreed to for that month’s dues.
  • I/We understand that I/we will be assessed a service charge of $30.00 in the event electronic fund transfer, credit card payment or check fails due to insufficient funds.
  • I/We agree that in the event of default on this agreement, I/we will pay collection costs, including reasonable attorney’s fees, to the Jewish Community Center.
  • I/We hereby consent to emergency medical care of me or my family member by the Jewish Community Center and its employees, agents or health care providers designated by them, in accordance with their best judgment.
  • I/We agree that it is my responsibility to obtain health and accident insurance to cover injuries arising from my (or my family member’s) participation in Jewish Community Center activities and programs.
  • I/We give unconditional permission to the Jewish Community Center to photograph or film me or my family members and to use photographs and/or films to publicize the Jewish Community Center in any way, including the Jewish Community Center website.
  • In consideration of being permitted to participate in JCC activities and to use the facilities and equipment, I/we accept all risk to my (and my family’s) health and of any injury or death that may result from such participation and I/we hereby release the JCC, its Board of Directors, officers, trustees, employees, and representatives (collectively, the “Releasees”) from any and all liability for any and all claims and causes of action for loss of or damage to my/and my family’s property and for any and all illness or injury to my person (or to my family member), including death, that may result from or occur during participation in a Jewish Community Center activity, whether caused by the negligence of the Releasees, or otherwise. I/we further agree to indemnify and hold harmless from liability for the injury or death of any person(s) and damage to property that may result from me (or my family member’s) negligent or intentional act or omission while participating in any activity.
I HAVE READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CLAIMS AND CAUSES OF ACTION FOR MY (OR MY FAMILY’S) INJURY OR DEATH OR DAMAGE TO MY (OR MY FAMILY’S) PROPERTY THAT OCCUR WHILE PARTICIPATING IN ANY ACTIVITY AT THE JCC AND THAT IT OBLIGATES ME TO INDEMNIFY THE PARTIES NAMED FOR ANY LIABILITY FOR INJURY OR DEATH OF ANY PERSON AND DAMAGE TO PROPERTY CAUSED BY MY (OR MY FAMILY MEMBER’S) NEGLIGENT OR INTENTIONAL ACT OR OMISSION.
 

Waiver

I HAVE READ THE MARCUS JEWISH COMMUNITY CENTER OF ATLANTA RELEASE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE, CONTINUING AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT OF THE LAW.

Payment Information

Card Type : 
 Visa  MasterCard  AmEx  Discover
Name on Card : 
Credit Card # : 
Expiration : 

Online Renewal

Please refer to our membership rates for your membership fees due. This amount will be charged to your credit card.

If you would like to change the level or category of membership you currently have, please contact a membership associate at 678-812-4060 or membership@atlantajcc.org.

If you wish to change the bank or credit card information we have on file, please contact a membership associate at 678.812.4060.

If you are currently on a monthly payment plan for your annual membership dues, your membership will automatically be renewed and you should not fill out this form.

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