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"Working with children encouraged me to strive to be a good role model in the everyday activities of life."
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Georgia Mountains YMCA Programs Calendar





Person(s) Attending:
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Billing Contact
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Spouse
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Other Parent
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Emergency Contact
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Comments

Statistical Information
Church Attending:
Hall County
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you participated
in the YMCA:
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Donations
No, I will not donate at this time
$5 $10 $25 $50 $75
$100 $250 $500 $1000

Total:
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Expiration Date:


Terms:
I understand the difference between Facility Membership (FM) and Program Membership (PM). I agree that if I register as a Facility Member and I am not a member of the J.A. Walters Family YMCA facility then I will be charged the difference for a Program Membership. I also agree that if the registrant is neither a Facility Member nor a current Program Member then I will be charged an additional $10 for the annual Program Membership fee.

Furthermore, I agree that if I decide to switch or withdraw from the program then I must fill out and submit a refund request at least seven (7) days before the program start date. After that seven (7) day deadline, I cannot expect a refund to be granted unless I have a written medical excuse from a licensed physician. In the event that a refund is desired, I understand that the individual registering must fill out the Refund Request Form and that the refund will be issued to that individual. In unusual situations (registered individual is relocating, illness or physically unable to continue the program, etc.) where a refund is request for the programs services paid for in advance, I accept that the balance of the remaining value may be refunded after receipt of a written request. I understand that all refunds will be forwarded to the Program Director for final approval. Should the Georgia Mountains YMCA be responsible for the cancellation of a program or class, then I can expect a full refund to be issued. Lastly, I understand that behavior related dismissals will not be eligible for a refund.

I understand the nature of sports programs, and give my child full permission to participate. I further understand that neither the YMCA nor any of its staff (paid or volunteer) can be held liable in the event of an accident or accidental death. In case of injury or accident, all efforts will be made to contact a parent, but in the event of an emergency, a parent cannot be contacted, I give permission for the YMCA staff person in charge to authorize medical care for my child. I further understand that the YMCA is a value-based organization and it is my duty to uphold these values through my actions and behavior.

  I have read and agree to the above waiver.




Quick Links

About Us
YMCAs build strong kids, strong families and strong communities. Read more

Our Programs
The YMCA is currently registering and/or preparing for the following programs: Read more

Spiritual
“Mind, Body and Spirit”
Read more



Documents

General Forms
  Financial Assistance Policies and Procedures
  Program Guide SPR 2010


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