YMCA Arlington Tennis & Pickleball Center Annual Full Facility Membership

YMCA ARLINGTON TENNIS & PICKLEBALL CENTER

2024 - 2025 ANNUAL FULL FACILITY MEMBERSHIP

Thank you for your interest in the annual full facility membership to the YMCA Arlington Tennis & Pickleball Center for the 2024 - 2025 season. Please complete the information requested below.

The mission of the YMCA of Metropolitan Washington is to foster the spiritual, mental and physical development of individuals, families and communities according to the ideals of inclusiveness, equality and mutual respect for all.

Today's date: October 17, 2024

MISSION

I understand that the YMCA of Metropolitan Washington is a non-profit charity with a mission to foster the spiritual, mental, and physical development of individuals, families, and communities according to the ideals of inclusiveness, equality, and mutual respect for all.

I Agree

CONDITIONS OF MEMBERSHIP

I understand that all members are required to present a valid membership card for identification when using YMCA facilities and/or participating in programs. If for any reason members are unable to present membership cards, they are required to present photo identification. Membership cards are not transferable; remain the property of the YMCA; and must be returned to the YMCA upon request. The YMCA conducts regular sex offender screenings on all members, participants and guests. If a sex offender match occurs, the YMCA reserves the right to cancel membership, end program participation, and remove visitation access. Monthly membership drafts continue indefinitely unless members provide written notice of cancellation, or the YMCA terminates the membership. Annual memberships must be renewed.

I Agree

I understand that I will be automatically transferred into a new membership category on my birthday, if I am eligible, in which event dues may increase or decrease. In the event of any other qualifying event that changes the category of membership for which I am eligible, I agree to notify the YMCA on or before the first day of the month following the month in which such event occurs.

I Agree

RELEASE OF LIABILITY

I expressly acknowledge that there are certain dangers, risks, illnesses, personal injuries and death inherent in attending and/or participating in the YMCA's programs, events, classes, and any other activities (including, but not limited to pickleball, tennis, squash, individual exercise, strength training, group exercise, sports, challenges, competitions, horseback riding, self-defense, archery, field trips, waterfront and pool activities, canoeing/boating, campfires, hiking, high ropes and other challenge courses) at and/or sponsored by the YMCA, which may result from falls; accidents or injuries; negligence of any person or organization; my participation in the programs, events, exercises, classes and any other activities; this membership and the affiliated membership benefits; the weather and related condition of the courts/property; the state of any facilities and equipment; or from my or my minor child(ren)'s or ward(s)' physical condition (collectively, the "Activities").

I Agree

I understand that the YMCA, and it's employees, agents, counselors, teachers, trainers, representatives, successors and assigns (collectively "Released Parties") assume no responsibility for loss, damage, illness, injury, or death to person or property that I or my minor child(ren) and ward(s), if applicable, may sustain arising out of, resulting from or in any way connected with the Activities, including by reason of the active or passive negligence of any of the Released Parties. I expressly acknowledge, on behalf of myself and my minor child(ren) and ward(s), heirs and executors, that I voluntarily assume the sole risk for any and all losses, damages, illnesses, personal injuries or death that may result from my or my minor child(ren)s’ or ward(s) Activities at and/or sponsored by the YMCA. In consideration of the Released Parties allowing me and/or my minor child(ren) or ward(s) to attend and/or participate in the Activities, I hereby, for myself, my minor child(ren) or ward(s), heirs and executors, waive, release, and forever discharge the Released Parties from and against any and all rights and claims for any loss, damage, illness, injuries or death to person or property sustained arising out of, resulting from or in any way connected with the Activities, whether or not such loss, damage, illness, injury or death results from the negligence of the Released Parties or from some other cause.

I Agree

In the event I, my spouse/partner or minor children bring any guest to the YMCA of Metropolitan Washington facility or Activity, I also agree to be responsible for ensuring that such guests adhere to the rules and policies of the YMCA and to inform them that they assume all liability for injuries, illness, death, loss or damage which may result from participation in any activities, programs, exercise or the use of any equipment. By participating in the YMCA Nationwide Membership Program, I agree to release the National Council of Young Men’s Christian Associations of the United States of America, and its independent and autonomous member associations in the United States and Puerto Rico, from claims of negligence for bodily injury or death in connection with the use of YMCA facilities, and from any liability for other claims, including loss of property, to the fullest extent of the law. Additionally, I understand that the YMCA of Metropolitan Washington is not responsible for personal property lost or stolen while members and/or program participants are using YMCA facilities or are on YMCA premises.

I Agree

MARKETING RELEASE

I understand that the YMCA of Metropolitan Washington may take pictures or record videos of members and non-members participating in YMCA programs, using YMCA facilities, or attending YMCA special events. Additionally, I understand that the YMCA may permit members of the media to take such pictures or record such videos in order to promote the YMCA‘s charitable mission and for other journalistic purposes. Signing this membership application (if the person named below is under age 18, a parent or guardian of such person must sign on such person’s behalf) releases the YMCA and the media to use such photographs, video recordings, and/or sound recordings of me for any purpose consistent with the YMCA’s charitable mission. I understand and agree to the related Marketing policy outlined in the YMCA of Metropolitan Washington Membership Handbook, which states that I am waiving any and all rights that may preclude the YMCA’s or the media’s use of the pictures or recordings as described above, that I acknowledge that neither the YMCA nor the media has any obligation to use any recordings of me, and that I will receive no monetary payment or other compensation in exchange for the rights to use pictures or recordings of me.

I Agree

PERSONAL PROPERTY

My signature acknowledges that I understand that the YMCA of Metropolitan Washington is not responsible for personal property lost or stolen while members and/or program participants are using YMCA facilities or are on YMCA premises.

I Agree

MEMBERSHIP HOLD AND CANCELLATION

I understand that the annual Full Facility membership payment made to the YMCA Arlington Tennis & Pickleball Center is non-refundable. Annual full facility memberships to the YMCA Arlington Tennis & Pickleball Center may not be placed on hold, as an annual Full Facility membership to the YMCA Arlington Tennis & Pickleball Center is continuous from the date of enrollment through September 1, 2025. Refunds and/or credits will not be issued for non-usage of membership or infrequent facility access. In the event that a YMCA branch closes for a full month in compliance with a government mandate or health official requirement, members have the option of donating the corresponding portion of their annual membership dues payment to the YMCA or receiving a credit for each full month that the Y was closed. No credits will be issued for partial month closure.

I Agree

ACKNOWLEDGEMENT

My signature acknowledges that:

I have been informed of the location of the YMCA of Metropolitan Washington's Membership Handbook on the YMCA of Metropolitan Washington website (https://www.ymcadc.org/membership-handbook/), and that I agree to observe the YMCA's policies and procedures as outlined in the Membership Handbook and as they may be amended from time to time. I reserve the right to request and receive an explanation for any provision of the Membership Handbook that I do not understand.
I understand that I am responsible for reading and complying with notices that are posted or sent to my attention.
I have been made aware of the YMCA of Metropolitan Washington's COVID19 Code of Conduct, which is available online at https://www.ymcadc.org/covid19-code-of-conduct/ and that I agree to observe the YMCA's policies and procedures as outlined on this page and as they may be amended from time to time. I also understand that I am responsible for reading and complying with related notices that are posted or sent to my attention.

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ACCEPTANCE and AGREEMENT

I have read and agree with all Terms and Conditions stated above on the date of this visit and for all future visits to the YMCA.

I Agree

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Please select who will be the primary member purchasing membership to the YMCA today...(select ADULT for all individual, couple, and family membership types. Only select MINOR for a JUNIOR membership).

Adult Minor(s)
1 Minor 2 Minors 3 Minors 4 Minors 5 Minors More Minors 6 Minors 7 Minors 8 Minors 9 Minors 10 Minors

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First Member Name

First Name*

Last Name*

Phone*

First Member Date of Birth*

First Member Information

Gender Identification *

First Member Signature*

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Second Member Name

First Name*

Last Name*

Phone*

Second Member Date of Birth*

Second Member Information

Gender Identification *

Third Member Name

First Name*

Last Name*

Phone*

Third Member Date of Birth*

Third Member Information

Gender Identification *

Fourth Member Name

First Name*

Last Name*

Phone*

Fourth Member Date of Birth*

Fourth Member Information

Gender Identification *

Fifth Member Name

First Name*

Last Name*

Phone*

Fifth Member Date of Birth*

Fifth Member Information

Gender Identification *

Sixth Member Name

First Name*

Last Name*

Phone*

Sixth Member Date of Birth*

Sixth Member Information

Gender Identification *

Seventh Member Name

First Name*

Last Name*

Phone*

Seventh Member Date of Birth*

Seventh Member Information

Gender Identification *

Eighth Member Name

First Name*

Last Name*

Phone*

Eighth Member Date of Birth*

Eighth Member Information

Gender Identification *

Ninth Member Name

First Name*

Last Name*

Phone*

Ninth Member Date of Birth*

Ninth Member Information

Gender Identification *

Tenth Member Name

First Name*

Last Name*

Phone*

Tenth Member Date of Birth*

Tenth Member Information

Gender Identification *

Member Address

Address Line 1:*

Street address, P.O. box, company name, c/o

Address Line 2:

Apartment, suite, unit, building, floor, etc.

Country:*

City:*

State/Province:*

Zip/Postal:*

Parent or Guardian's Email Address

A signed copy of this waiver will be sent to the email address you provide.

Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*

MEMBERSHIP PURCHASE

Please select from the Full Facility membership options in the box below. For 2023 - 2024 members that are renewing their membership for the 2024 - 2025 season, the enrollment fee payment is not required. If you are starting a new membership with the YMCA, or if you did not have an active membership during the 2023 - 2024 season, an enrollment fee payment is required (new Junior and Adult Memberships require a $50 Enrollment Fee; new Couple Memberships require a $75 Enrollment Fee, and new Family Memberships require a $99 Enrollment Fee) .

FULL FACILITY MEMBERSHIP TYPE*

^ Same household

FULL FACILITY MEMBERSHIP ADD-ONS

Unlimited Early Bird Play for Tennis & Pickleball for $540/season/person

Unlimited Squash Play for $215/season/person

If you would like to add additional family members that live in the same household to your YMCA Arlington Tennis & Pickleball Center Full Facility membership (for COUPLE, FAMILY or MULTIPLE JUNIOR membership types only), please use the boxes below (as needed) to share their full name, date of birth, phone number, and email address. If you have additional family members to add (beyond two), please email ATPC@ymcadc.org to share their information.

If you are simply purchasing an ADULT or SENIOR membership, you do not need to complete these two boxes.

As applicable, enter additional family member name, phone number, email address and date of birth (MM/DD/YY) here.

Please enter the total amount of your purchase in the box below (Full Facility Annual Membership Fee plus the enrollment fee plus any Full Facility Membership Add-Ons selected).

TOTAL PURCHASE

METHOD OF PAYMENT*

If you selected "use my credit card on file" above, please enter the last four digits of your credit card in the box below.

Enter the last four digits of your credit card on file.

Please indicate your play preference*

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Last Name*

Phone*

Parent or Guardian's Date of Birth*

Parent or Guardian's Information

Gender Identification *

Parent or Guardian's Signature*

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Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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