PLEASE READ: If you are NEW to the Springfield JCC, please complete this Guest Account Application.

If you are already in our computer system, there’s no need to complete another Guest Account Application. You are likely in our system already if you have been a prior member, participated in programming, or visited the Springfield JCC in the past three years. If you are unsure, please call us at (413) 739-4715 to check if you're in our system.

Step 1: Account/Household Information

Step 2: Account/Household Details

Home Address

Emergency Contact Information

Step 3: Individual Information

Step 4: Terms & Agreement

Estimated Monthly Recurring:  

 

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

IMPORTANT: RELEASE AND WAIVER OF LIABILITY AND INDEMNITY

You hereby acknowledge and agree that use by Member and/or by Member’s spouse and/or by minor children of The Jewish Community Center of Springfield (The J) facilities, services, equipment, or premises, involves risks of injury or illness to persons and property, including those described below, and Member assumes full responsibility for such risks. Risk of injury or illness includes (but is not limited to): injuries arising from use by Member or others of exercise equipment and machines; injuries arising from participation by Member or others in supervised or unsupervised activities or programs at The J; injuries and medical disorders arising from exercising at The J such as heart attacks, strokes, heat stress, sprains, broken bones, and torn muscles and ligaments, among others; and accidental injuries occurring anywhere in The J dressing rooms, showers and other facilities; illness including any airborne or contact colds, flus or diseases. Member further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of Kansas and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect. Member has read this release and waiver of liability and indemnity clause, and agrees that no oral representations, statements, or inducement apart from this Agreement have been made.

My name affixed here affirms approval

Step 5: Review & Submit

 

Note: You're all set. Please click 'Submit Application' to complete.

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