About Us
Calendars
Classes
Cultural Arts
Sports
Early Childhood
Kids & Youth
Adults & Senior Adults

Giving
Camps

Silent Auction Online Proxy Bid Form

Buyer Information  
Name:
Date of birth: (MM/DD/YYYY)
Home address:
City/State/Zip:
Home phone:
Work/cell phone:
Email:
Proxy Bid Item Description:
Proxy Bid Item#:
Maximum Bid :
(Read more about proxy bidding here)
Card type:
Card number:
Security Code: (the last three digits on the back of your card)
Expiration date: (MM/YYYY)
 
 

ADD LEGAL FOR AUCTION HERE:

 

I/We, the undersigned, hereby make application for membership to the Carole and Marcus Weinstein Jewish Community Center. New members are obligated to join one full year and I/We agree to abide by its rules and by-laws. Membership is not transferable nor refundable and automatically renewed and payable unless 30 days written notice of cancellation is received by the Weinstein JCC. Membership is a privilege which may be revoked with or without cause at any time by the Executive Director, Membership Director or the Board of Directors. If paid in full any unused prepaid membership fees will be returned on a pro-rated basis upon revocation of membership.

Participation in any Weinstein JCC activity and use of recreational and workout facilities involves a risk of accidental injury despite all safety precautions. I/We acknowledge that all Weinstein JCC facilities including, without limitation, the saunas, steam rooms, whirlpools, weight equipment, pools, and all sports facilities are used at my/our own risk. I/We assume all risks (injury or illness) to our children or me/us that may occur during participation in any activities or use of facilities at the Weinstein JCC.

By signing this form, I/We acknowledge that I/We am/are aware of the potential risks of participating in activities and/or programs at the Weinstein JCC and agree to in no way hold the management, agents, or employees of the Weinstein JCC liable for any injury that I/We or members of my/our family sustain. I/We have read and understand the above statement.

Checking the box below acts as your authorized, legally binding signature, stating your approval that all of the above information is truthful and correct.

Yes, I agree to these terms.