Membership Application Form (Page 3 of 4) in pdf

Membership Application, continued

Mandatory Risk Waiver and Membership Understanding

YMCA participants understand that recreational activities do have inherent risks which are beyond the control of the

Treasure Valley Family YMCA and its staff, volunteers and members. We, the undersigned, do understand that upon using

the facility and/or services that we hereby assume all risks for the behavior, actions, and safety of myself, my minor child

or children while involved in the activities. Therefore, I assume full responsibility for personal injury to myself and/or to

members of my family, or for loss or damage to my personal property and expenses thereof as a result of my negligence,

the negligence of my family participating in said activities, or the negligence of the Treasure Valley Family YMCA. I have

read and understand this agreement and release of liability, and do voluntarily agree to sign. I also understand that I can

be denied access to the YMCA if my account is not current. I understand that to enter the YMCA on each visit, I will need

to provide the proper access code. While on the premises of any Treasure Valley Family YMCA facility or enrolled in any

YMCA programs, my family and I agree to act with Caring, Honesty, Respect and Responsibility.

•

PHOTOGRAPHIC RELEASE: I also give the YMCA permission to take and utilize pictures/videos of me and/or my family

in YMCA marketing, promotions, social and print media.

Primary adult name

Signature

Date

Second adult name

Signature

Date

Name(s) of minor child(ren) I am responsible for:

Not A Sex Offender (MEMBER SIGNATURE REQUIRED)

The Treasure Valley Family YMCA will deny all applications for membership and / or program participation

privileges to anyone who is known by us to be a registered sex offender. By signing below I acknowledge that I am NOT a

registered sex offender nor is anyone else included on our membership application.

Signature

Date

For questions or additional information regarding the Treasure Valley Family YMCA’s registered sex offender policy please

contact the Branch Director.

Membership Application Form Page 3