PERSONAL INFORMATION SECURITY
The YMCA of South Hampton Roads is committed to providing the highest level of security to members. Personal information, payment information and other data transmitted through our system are encrypted using 128-bit SSL encryption technology. Security procedures are tested and reviewed on a regular basis.
I am an adult over 18 years of age and wish to participate in YMCA of South Hampton Roads membership / program activities. IN CONSIDERATION of being permitted to utilize the facilities, services and programs of the YMCA for any purpose, including, but not limited to observation or use of facilities or equipment, or participation in any off-site program affiliated with the YMCA, the undersigned, for himself or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees and represents that he or she has, or immediately upon entering or participating inspected and carefully considered such premises and facilities or the affiliated program. In addition, I give my children permission to participate in YMCA of South Hampton Roads activities. I understand that even when every reasonable precaution is taken, accidents can sometimes happen. Therefore, in exchange for allowing me to participate in YMCA activities, I understand and expressly acknowledge that I, for myself, or anyone entitled to act on my behalf, waive and release the YMCA, sponsors, representatives, and successors from all claims or liabilities of any kind arising out of my participation in activities at or sponsored by the YMCA. I further agree to indemnify and save harmless the YMCA from any claims or demands arising out of any such injuries or losses. I understand that this release includes any claims based on negligence, action or inaction of the YMCA of South Hampton Roads, its staff, directors, members and guests. I have read, understand, and am voluntarily signing this authorization and release.
I understand that the YMCA of South Hampton Roads is not responsible for personal property lost, damaged, or stolen while members and / or program participants are using YMCA facilities, on YMCA premises, or involved in YMCA programs.
I give my permission to the YMCA of South Hampton Roads to use limitation and obligation, photographs, film footage, or tape recordings which may include my image or voice for the purposes of promotion or interpreting YMCA programs.
I understand that this membership will remain in effect for as long as I retain the membership card issued to me. I further understand that membership dues are nonrefundable. Membership cards are the property of the YMCA and must be surrendered upon demand. All membership records, files, notes, paper and data are the property of the YMCA of South Hampton Roads.
It is my complete understanding that if I wish to terminate or change my membership in any way, I must give the YMCA a 30-day written notice, prior to my next scheduled draft, to stop my monthly draft. I am encouraged to request and retain a change/cancellation receipt for any transactions that affect payment status or cancellation of draft on my account. The YMCA also recommends that members review their bank/credit statements monthly for accuracy.
All membership rates are subject to change with 30 days written notice. I understand it is my responsibility to notify the YMCA of any change in address, bank account information (if utilizing bank draft for payment of dues) or credit card information/expiration date (if utilizing credit card for payment of dues).
The joining fee is a one-time fee as long as I remain an active member of the YMCA of South Hampton Roads. If I choose to cancel or discontinue my membership for more than 30 days, a joining fee will be charged when I reapply for membership.
I understand that I must provide the Y with contact information changes (address, phone, email) as they occur. I should also receive and retain a copy of the member action form indicating any changes made to my membership.
I authorize the Y to send occasional emails about programs, news and discounts (we promise not to abuse that privilege). I understand that the Y will keep my email address private and will never sell/give out my email address. I also understand that I may opt out at any time by clicking “Unsubscribe” at the bottom of any email message or by contacting Member Services.
I understand that the YMCA has the sole authority to terminate any membership with or without notice to ensure the safety and comfort of the general membership. The YMCA reserves the right to review any application and request additional documentation, at any time, to ensure the accuracy of information and compliance to YMCA of South Hampton Roads membership standards and policies. The YMCA also has the right to request additional documentation. The YMCA further reserves the right to review any membership application and deny membership to any member who may pose a potential threat to the security and/or safety of other members.
I will receive the YMCA New Member Guide that communicates all benefits of a YMCA membership. I further understand that YMCA management has the authority to amend policies and procedures at any time to ensure the delivery of the highest possible services to the general membership.
I acknowledge the waiver and membership agreement set forth above, and understanding the mission of the YMCA of South Hampton Roads, hereby apply for membership. Note: Parent or guardian must sign if applicant is under 18 years of age.
ELECTRONIC FUNDS (EFT) OR CREDIT CARD AUTHORIZATION
I authorize my bank to honor preauthorized Electronic Funds Transfer (or credit card institution) drawn by the YMCA of South Hampton Roads on my account for (membership/program/ contribution) payments as indicated below. When the bank honors the EFT (or credit card) by charging my account, such transfer shall constitute notice of payment due and my receipt for the payment. Should any preauthorized EFT (or credit card) not be honored by said bank when received by them, then it is understood that the payment is to be made by me in the amount of said payment plus posted returned draft/check fee. It is further understood that if such payment is not honored by the bank (or credit card institution), then the YMCA, at its discretion, may resubmit the amount due for payment on a future date.