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Zaban Sharks
Competitive Swim Teams

Group Selection*

 Silver Competitive: $143/month
MON-THURS: 5:30-6:30 pm | FRI: 4.30-5.30 pm & SUN: 8.00-9:30 am

 Gold: $152/month
MON-THURS: 5:00-7:00 pm | FRI: 4.30-5.30 pm & SUN: 8:00-10:00 am

Participant Information

First Name*
Last Name*
Birthdate (MM/DD/YYYY)*
Gender*
 Female
 Male
Attends Club J?*
 Yes
 No

Parent/Guardian Information

Grade (School year 2018-19)*
First Name*
Last Name*
Address*
City*
State*
Zip*
Home Phone*
Cell Phone*
Alt Phone
Email*

 

Monthly Payment Plan Agreement

 I have read and agree to terms of the monthly payment plan.

 

Payment Information

Credit Card*
Name on card*
Credit Card Number*
Expiration*

Waiver


 I HAVE READ THE MARCUS JEWISH COMMUNITY CENTER OF ATLANTA, INC. 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.

Details

Location
MJCCA Zaban Park

contact


Contact Thomas Rey at 678.812.4126.

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