The Lalla and Max B. Arnstein Jewish Community Center Association, Inc. of Knoxville A Division of the Knoxville Jewish Alliance, Inc. 6800 Deane Hill Drive, Knoxville, TN 37919 Phone: 865/690-6343 Fax: 865/694-4861 Website: www.jewishknoxville.org
POOL/TENNIS SUMMER MEMBERSHIP Primary Applicant Name
Spouse/Partner Name
Address State
City ZipCode
Birthdate
Firm/Occupation
Home Phone
Work Phone
Mobile Phone
Mobile Phone
Birthdate
Firm/Occupation
Email
Work Phone
Email addresses and other private information are never shared or sold. By listing your email address you authorize KJA use to assist us in keeping you informed.
Email
Children Child 1
Birthdate
School
Grade
Child 2
Birthdate
School
Grade
Child 3
Birthdate
School
Grade
Child 4
Birthdate
School
Grade
Child 5
Birthdate
School
Grade
Child 6
Birthdate
School
Grade
AJCC Pool/Tennis Summer Membership fee is $385 for a family (a family is considered individuals living within the same home or dwelling)
Non-refundable payment to KJA or AJCC must be submitted with this application New Summer Members Only:
Returning Summer Member:
New Summer Member
Returning Summer Member
OPTIONAL:
OPTIONAL:
Available to NEW 2007 AJCC Summer Members ONLY, who have never been AJCC members or summer members.
A "New Member Recruitment Incentive" of $25.00 is paid to any returning Summer Member that recruits new AJCC Summer Memberships.
My sponsor is ________________________________. Please send this person(s) the "New Member Recruitment Incentive" of $25.00
Make certain that any friends, family, neighbors or acquaintances you refer to AJCC Summer Membership list your name as "Sponsor" on their AJCC Summer Membership application when they join. When their summer membership applications are received, accepted and processed, you will receive $25.00 for each "New Member" recruited.
How did you hear about the AJCC Summer Membership? _____________ _____________________________________________________________