Form - Add/Delete a Member - Osher Marin Jewish Community Center

Membership changes have a 3-month minimum. All changes take effect on the first of the month. Please fill out and submit this request form on or before the first of the month that you would like the change to start on. Requests received after the 7th day of the month will not be accepted for the current month. Please note that all upgrades to the membership require proof of residency. Submission of this form is not a guaranteed change. All requests are subject to approval regarding our membership policies. Membership staff will follow up with you to confirm the change and new fees.(Required)

First Last

Primary Member - Name

Effective Date Request(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Gender(Required)

Birthdate(Required)

Phone (xxx) xxx-xxxx format(Required)

Please complete the information below to inform us of the membership change requested.

Upgrade Membership: Add people

Add Name

First Last

Gender

Birthdate

Phone (xxx) xxx-xxxx format

Downgrade Membership: Remove people.

Remove Name

First Last

Gender

Birthdate

Phone (xxx) xxx-xxxx format

I understand that any JCC activity and use of recreational and workout facilities involves the risk of accidental injury despite all safety precautions. I acknowledge that I/we use all sports equipment and facilities at my/our own risk, I/we will assume all risks (injury or illness) to any family or household member that may occur during participation in any activities or use of facilities at the JCC. I acknowledge that I am aware of the potential risks of participating in activities and/or programs at the JCC and agree to in no way hold the management, agents, or employees of the JCC liable for any injury that I or members of my membership household might sustain. By typing your first and last name below, you agree to the terms and conditions of the Marin JCC.(Required)

First and Last Name
If you don't receive a confirmation email within 5 business days, please reach out to membership@marinjcc.org.

Comments

This field is for validation purposes and should be left unchanged.

JCC Closed All Day for Rosh Hashana Mon. 9/26 and Tues. 9/27

Add/Delete a Member

Please complete the form below.