The Stamford JCC - Create an Account

Use this form to create an account so you may register for programs, classes, and events open to all community participants. If you have previously signed up for a program as a community participant, please click here.

Please note that many programs and events are exclusive to JCC members and those open to all community participants feature reduced or eliminated registration fees for JCC members. To learn more about the many benefits of becoming a member, please click here.

Step 1: Account/Household Information

Number of Adults

Children ( Under the age of 22)

Step 2: Account/Household Details

Account Name

Primary Phone

Account Formal Addressee

Informal Addressee

Billing Address

Address

Apt., Unit, Etc.

City

State

Zip

Home Address same as Billing Address

Home Address

Address

Apt., Unit, Etc.

City

State

Zip

Step 3: Individual Information

Step 4: Terms & Agreement

IMPORTANT INFORMATION: Please read carefully and check the box indicating your understanding.

Abide: I agree to abide by the policies, rules and regulations of the Center, as amended from time to time by the JCC and to behave with appropriate conduct which would include but is not limited to damage or destruction of JCC property, theft, follow proper safety precautions and practices, appropriate behavior, no fighting, no harassment (including physical and verbal abuse) of other participants and staff

CEO: The CEO, at his/her discretion, may suspend, cancel or revoke a membership or access to the JCC at any time for any reason.

I hereby grant, by participating in a Stamford Jewish Community Center (the “JCC”) program, the JCC and its legal representatives the irrevocable right and unrestricted permission to use and publish photographs or video images of me and/or my children, or in which we may be included, for any purpose authorized by the JCC, including but not limited to: website use, social media, editorial publications, catalog and advertising use. This grant includes the right to modify and retouch the images in the discretion of the JCC. I understand that the circulation of such materials could be worldwide and that there will be no compensation to me for this use. Furthermore, I understand that I will not be given the opportunity to inspect or approve the finished products or the advertising copy or the printed matter that may be used in connection therewith. In granting this permission to the JCC and its legal representatives, I am fully and without limitation releasing it from any liability that may arise from the use of the images. I understand that if I do NOT want my name or image, or that of my child or family member, to be published I must submit a written letter to the JCC stating this, along with a photo or photos of the individual(s) concerned.

Membership: Although this form is for the creation of a Community (non-member) account, I understand that, if I become a member at a later point in time, membership is for an initial 12 month period. Memberships to the JCC being paid monthly will be charged a $100 early termination fee for cancelling within the first 12 months, and require written notice a minimum of 30 days before cancellation takes effect. Registrations that received pricing at the member rate will be charged the prorated difference in price between the member and community rate. There are no refunds for memberships paid in full. The JCC may adjust the monthly rates no more than once in any 12 month period.

Terminate: If I become a member and I wish to terminate after a minimum of 12 months, or change my membership in any way, I agree to give the JCC a minimum of 30 days written notice. Membership is not transferable or refundable.

Secure Entry: If available to participants of a program I register for, I will use the OpenPath mobile app to gain secure entry to the JCC or will carry my OpenPath key fob with me when visiting the Center. I agree to pay a $10 replacement fee if my OpenPath key fob is lost or damaged.

Permission: I hereby give permission for my child(ren) to participate in all JCC activities. In the event that I cannot be reached, I hereby give permission to the JCC to act on my behalf to have medical treatment administrated to my child(ren) in the event of an emergency. I understand that I will be fully and directly responsible for the cost of medical attention.

I agree N/A I do not have children participating

Risk: In consideration of being permitted to participate in JCC activities and to use the facilities and equipment, I accept all risks to my (and my family’s) health including but not limited to risk of injury or death, that my result from such participation, and I hereby release the JCC, its Board of Directors, officers, employees and representatives from any and all liability for any and all claims and causes for action from loss or damage to me and/or my family’s property and for any and all injury to my person (or to my family member), including death that may result from or occur during participation in a JCC activity. I further agree to indemnify and hold the JCC its Board of Directors, officers, employees and representatives harmless from liability for the injury or death of any person(s) and damage to property that may result from my (or my family’s) negligence, intentional acts or omissions, arising from participation in any JCC activities.

My name affixed here affirms approval

Signature

Step 5: Review & Submit

To complete the application please click submit application to continue

Membership
Caregiver		$25.00
Discount
Estimated Recurring
Join Fees
	Join Fees Total:
Estimated Price to Join

Create an Account