About
Aquatics
ECE
Calendar
Fitness
J Adults
J LIFE
Children / Youth / Family
Rentals
Service
DONATE
JOIN
About
Aquatics
ECE
Calendar
Fitness
J Adults
J LIFE
Children / Youth / Family
Rentals
Service
DONATE
JOIN
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Tuition Options
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Name of Parent completing this form*
*
First
Last
Enrolled Child #1
*
First
Last
Enrolled Child #2
First
Last
Enrolled Child #3
First
Last
Tuition Payment Choice
*
Please refund me for the period of July 17th-July 31st.
Please provide a system credit on my account for the period of July 17th-July 31st to be used at a later date
Please use my payment for the period of July 17th-July 31st as a donation to help support our staff during this time.
Are you currently enrolled in the August program?
*
YES
NO
How would you like us to move forward?
*
Please keep me enrolled for the August program at this time (Note: payments will not be processed until we confirm re-opening)
Please withdraw me from the August program at this time; I understand that my spot will not be held and that if I choose to re-enroll for August it would be based on availability
Is your child in the Youth Program?
*
YES
NO
Phone
*
Email
*
Signature
*
Clear Signature
For questions regarding your AJCC Membership please contact Membership Director Shlomit Jackson at sjackson@alpertjcc.org.
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