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Team & Pre-Team Gymnastics 2017-18

Team & Pre-Team Selection

Hot Shots 2, $106.10/month
Tues & Thurs 1:30-2:30 pm
Hot Shots 2 Extended, $132.60/month
Tues & Thurs 1:30-3:00 pm
Hot Shots Early, $144.20/month
Tues & Thurs 3:30-5:00 pm
Hot Shots Late, $144.20/month
Tues & Thurs 4:30-6:00 pm
Gymstars, $144.20/month
Tue & Thurs 4:15-6:15 pm
Level 2, $194.60/month
Wed 4:00-7:00 pm & Fri 4:00-6:30 pm
Level 3, $229.90/month
Mon, Wed 4:00-7:00 pm & Fri 4:00-6:30 pm
Xcel Silver/Gold, $229.90/month
Mon, Wed 4:30-7:30 pm & Fri 4:00-6:30 pm
Level 4, $267.30/month
Mon, Tues & Thurs 4:00-7:30 pm
Xcel Gold/Platinum, $229.90/month
Tues & Thurs 5:00-8:00 pm, Sun 2:00-6:00 pm
Level 6, $291.70/month
Tues & Thurs 4:30-8:30 pm, Sunday 2:00-6:00 pm
Level 7-9, $315.10/month
Mon, Tues, Thurs 4:30-8:30, Sun 2:00-6:00 pm

Participant Information

This program is available to MJCCA members only.

First Name : 
Last Name : 
Birthdate : 
 (MM/DD/YYYY)
Age : 
Gender : 
 Male  Female
Grade : 
  (School year 2016-17)
Attends Club J? 
 Yes  No

Parent 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 : 

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.

MONTHLY PAYMENT PLAN AGREEMENT

I understand that if my payment for a particular month is not paid by the 20th day of that month, for the period of August 2016 through May 2017, I may be charged a late fee equaling 5% of my total unpaid monthly balance. I further understand that if my membership is not current and/or I have not made payment in full by the first day of class, that my child may lose their space in the class. I (we) hereby authorize the MJCCA to initiate debit entries to my (our) checking or charge account as indicated above and the bank (Depository), to debit the same such account. This authority is to remain in force and effect until the MJCCA and the Depository has received written notification from me (or us) of its termination in such time and in such manner as to afford the MJCCA and Depository a reasonable opportunity to act on it prior to changing the account. After account has been charged, I have the right to have the amount of the erroneous debit immediately credited to my account by Depository, provided I (we) send written notice of such debit entry in error to Depository within 15 days following issuance of the account statement after posting, whichever occurs first. I (we) understand that a sufficient balance must be maintained to cover this obligation. In the event unforeseen circumstances prevent the drafting of this debit according to the understood schedule, I (we) understand this does not relieve me (us) of this obligation and funds must continue to be available so that the debit can occur as soon as circumstances have been corrected. I (we) understand that if sufficient funds are not available, I (we) may be either directly debited or billed $35 for each returned debit and are obligated to promptly pay this charge. Cancellations must be submitted via email to gymnastics@atlantajcc.org and will be effective 30 days from date received.


Payment Information

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

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