Jewish Community Centre of Greater Vancouver
PROGRAM REGISTRATION

JCC Member      No      Yes Membership #
Family Name:
Address
City Postal Code
Home Phone Number E-mail
Emergency Contact Person Phone Number
 
Registration Information
Participant's Name
 Date of birth
 Comments:
  
Course/Program name Date / Time Code Fee
   
5% g.s.t. (age 15 & over)
   
TOTAL FEE:
Payment Options:
Registrations cannot be processed without payment. Please charge my Credit Card:
      Credit Card Information

Name on Card:
Type:
Number:
Expires:


Please check Terms Agreement box
I, ( the Parent/Guardian of) the participant, agree by submitting this form, to give the JCC staff permission to act on my behalf in case of emergency and for the physician in attendance to hospitalize and secure all proper treatment that may be needed for the person(s) registered above. The person(s) registered above may participate in all the activities associated with the course(s) registered for and understand and accept the risks that may be associated with any of the activities. Photos taken of the person(s) registered may be used for publicity purposes.

Thank you for registering with the JCC!    


Program Cancellation and Refund Policy
A) Program schedules, prices and content are subject to change without notice. The JCC reserves the right to cancel, adjust or alter programs dependent upon
registration, availability of facilities/program locations and weather conditions. Such changes may include cancellation in which case a full or pro-rated refund
of the fee will be made.
B) You may withdraw from a course and receive a refund up to two weeks before starting date. There will be a 10% charge (of the program fee) for this service.
(Minimum $10, unless otherwise specified)
C) You may withdraw from a course during the two weeks prior to starting date.There will be a 20% charge (of the program fee) for this service.
(Minimum $20, unless otherwise specified)
D) No refunds are issued after the first class without medical documentation. There is a $12.00 charge for this service.
E) Transfers between programs will be allowed subject to space and coordinator’s approval. $10 service charge.
F) Some programs have non-refundable deposits and fees.
G) For CAMP and EARLY CHILDHOOD EDUCATION Cancellation & Refund Policies, please refer to separate information sheets, upon applying for spaces for your children.