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Registration Drop-off Registration

If you don’t want to register on line you can drop off completed forms at either JCC cashier’s office. After hours, please drop them off at the front desk. Registration forms will be processed in order of receipt. If paying by check, please staple payment to your registration form.

Late Registration

If you are interested in a class/program just before, or soon after, it begins, or if you are concerned about class availability please contact the staff person listed for that class/program to see if you can sign up.

Fax Registration Credit Card Payments only can be faxed directly to Accounting: If your class is in Owings Mills fax to: 410.356.3192 If your class is in Park Heights fax to: 410.578.0103

Note: If faxing on the weekend please be advised that your form may not be reviewed until the following Monday, Please write all information clearly in dark ink.

Let us help you register... In person or over the phone. Call or visit the JCC cashier’s desk in either building. In addition to our regular 9am-5pm hours, Monday through Friday, we will have additional staff on hand to help!

QUESTIONS? Call the Cashiers’ Desk: PH: 410.500.5911 • OM: 410.559.3519

Mail-in Registration

Send in completed registration form with FULL PAYMENT (checks should be stapled to form) to the JCC facility at which the activity takes place. Mail to Registration Forms to the appropriate JCC: Rosenbloom JCC, Attn: Ellen Sztajer 3506 Gwynnbrook Ave., Owings Mills, MD 21117 Weinberg JCC, Attn: Lilya Shafir, 5700 Park Heights Ave., Baltimore, MD 21215

Payment

Full payment is required at time of registration. Current membership is required at the time of registration and throughout the session to take advantage of the member price or a memberonly offering. All payments for CSA classes must be made directly to CSA. Visa, Mastercard, Discover and checks payable to CSA, Ltd. are accepted.

Cancellation & Refunds

The JCC reserves the right to cancel any activity due to insufficient enrollment or unforeseen circumstances. In such a case, a refund (full or prorated as applicable) will be given. The JCC is responsible for make-up classes only in the event of an instructor’s cancellation or a building closing. If a participant withdraws from a class or activity before the session has begun, a full refund is made. After the first class, a prorated refund plus a $5.00 processing fee will be charged (this applies to each class). No refunds are made after the second class. Refund policies for Preschool, Kindergarten, Childcare, Kids Center, and summer camps are specified on their applications. No refunds are issued for CSA; only class credits are given.

Please PRINT all information. Use one form per class, per person. BE SURE TO LIST CLASS BY CODE # & NAME. Account #_________________________________

Are you a JCC member? r Yes r No

Participant’s Name _______________________________________________

r

Male

Today’s Date ______________________________ r

Female

Parent’s Name if under 18___________________________________________________________________________________________________ Address/City/Zip___________________________________________________________________________________________________________ Phone (work)_______________________________ (home)________________________________ E-mail __________________________________ Date of birth_______________________________ Grade & school, if child__________________________________________________________ JCC Preschool/ Kindergarten Teacher’s Name _________________________________________________________________________________ CLASS NAME CODE #

TOTAL AMOUNT: $ r Cash r Charge

DAY

r check # r VISA

r MC

r Discover

Name on Card Cardholder Signature Address of Cardholder Phone # of Cardholder Credit Cd. Acct. # Credit Cd. Expiration Date OFFICE USE: Date Rec’d. Rec’d by

/ Time Rec’d. Receipt #

r AmEx

TIME

START/END

LOCATION

FEE

Full payment is due at the time of registration. Please include charge information when registering by fax. If a participant withdraws from a class or activity before the session has begun, a full refund is made. After the first class, a prorated refund plus a $5.00 processing fee will be charged (this applies to each class). No refunds are made after the second class. ALL WITHDRAWAL AND REFUND REQUESTS MUST BE MADE IN WRITING. Send completed form to: JCC, Attn: Lilya Shafir, 5700 Park Heights Ave., Baltimore, MD 21215, OR JCC, Attn: Ellen Sztajer, 3506 Gwynnbrook Ave., Owings Mills, MD 21117 Fax completed form to 410.356.3192 (OM) or 410.578.0103 (PH).



2012 Fall Guide