General Membership and Program Participation Waiver and Agreement

Waiver for Program Participation (REQUIRED):

I understand that Y activities have inherent risks and hereby assume all risks and hazards as a result of my or my family members, who are included as part of this membership, participation in all Y programs and facilities, including transportation to and from said activities. I further release, absolve, indemnify and agree to hold harmless, the Y, the organizers, supervisors, directors, staff, volunteers, participants, coaches, referees, as well as persons or parents transporting participants to or from such activities from any claims or injury sustained during my use of Y facilities or participation in any Y activity, whether located on Y property or not. I shall assume liability for, and defend the Y, its branches, camps, agents, servants, employees, officers and directors for any expenses including, but not limited to, attorney’s fees, reasonable investigative and discovery costs, court costs, and all other sums which the directors my pay or become obligated to pay on amount of any, all, and every demand for claim or assertion of liability, or any claim or action founded thereon, arising or alleged to have arisen as a result of any action or omission by USER, its agents, servants, or invitees. USER also acknowledges that the use of the real or personal property is at risk of the USER. The Y highly recommends that you consult your physician before participating in any physical fitness program.

Sex Offender Policy (REQUIRED):

In the interest of maintaining a safe environment for members, guests and employees, the Kettle Moraine YMCA conducts regular sex offender screenings on all members, participants, and guests. If a sex offender match occurs, the Y reserves the right to cancel membership, end program participation, and remove visitation access. Any individual listed on any state or national sexual offender registry shall be denied access to the Kettle Moraine YMCA facilities, grounds and program venues.

Membership Policies Waiver (REQUIRED):

I understand that membership to the Y is a privilege and may be revoked for conduct unbecoming a member as stated in the rules of the facility or at the discretion of the Executive Director/CEO. I further understand that membership dues are not refundable. It is my understanding that if I wish to terminate my membership in any way, I must give the Y a 10-day written notice from my original draft date. All new facility members will pay a non-refundable joining fee. Anyone whose membership has lapsed more than 30 days must pay the full joining fee.

Bank Draft/Continuous Membership (REQUIRED):

I hereby authorize the Kettle Moraine YMCA to initiate debit entries to my account. The Y Bank Draft Plan is a continuous plan. I understand that this membership will remain in effect until I provide written notice of cancellation. Should any membership draft not be honored by my bank for any reason, I realize that I am held responsible for that payment plus a charge of $25. This is in a addition to any fee(s) my bank may charge. The Kettle Moraine YMCA reserves the right to change rates upon the approval of the YMCA Board of Directors. The YMCA will notify all members in writing of any rate changes 30 days in advance. Bank changes and cancellations require a written notice of 10 days prior to bank draft date. All membership fees are non-refundable and non-transferable. No terminations are accepted over the phone, fax or email.

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