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ET CC

ElizabethTownship CommunityCenter 5760 Walnut Grove R d, Troy, OH 45373

Summer 2008 Program Schedule May - August 2008

937-335-ETCC

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ET CC

ElizabethTownship Community Center

Meet Our Staff

With this issue of the ETCC Summer Brochure, a new section has been added. Meet Our Staff will highlight one of the ETCC Staff Members. Our staff is here to help you. If you have questions, suggestions or would like assistance while at our community center, don’t hesitate to ask!

Connie Bruggeman, Office Manager

Connie, former office manager for Oberer Gold Key Homes, joined the ETCC staff when we opened in November 2007. She is a 22 year resident of Elizabeth Township. Connie lives on Tipp-Elizabeth Road with her husband George. There they raised two sons, Nathan of Elizabeth Township and Andy of Fairborn, Ohio.

The boys attended Elizabeth Elementary, where Connie served as PTO President.

Connie’s leisure time is crowded with family activities; she’s a grandmother to five. Connie is an accomplished cook of Indonesian cuisine. Connie and her husband also enjoy boating and fishing.

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ET CC

ETCC Advisory Board Ron Swallow – Trustee Richard Goodwin Lou Ann Jess Delores Swallow

ElizabethTownship Community Center

Customer Service Information Hours Monday – Thursday 6 am – 9:30 pm Friday 6 am – 7 pm Saturday 8 am – 5 pm Sunday Closed

Carol Sutherly Laura Sutherly Peggy Smith Patty Taynor

We close for major holidays.

ETCC Leadership

Zlata Garrison – Executive Director

Code of Conduct

Cancellations

The ETCC strives to be a positive influence in the lives of all who participate.

Individuals using the ETCC are expected to conduct themselves in a responsible manner respecting others and the ETCC. Any individual who does not respect the rights of others will lose their membership privileges. YOU MUST BE 13 YEARS OLD TO STAY AT THE ETCC WITHOUT AN ADULT.

When inclement weather affects the area, ETCC will make day-to-day determinations on closings or delays. We will list closings on www.WHIOTV.com.

There will be no make-up classes/programs for those classes canceled due to inclement weather.

Schedule Changes and Cancellations

Notice to Participants

ETCC reserves the right to alter schedules, fees, and instructors as necessary.

Classes are subject to cancellation when minimum enrollment has not been reached.

Participants must recognize that all fitness classes/activities involve some risk, and by registering for a class/activity of this nature, there is an assumption of risk by the participant. ETCC is dedicated to providing safe facilities and equipment, as well as qualified staff for all participants. Every effort is made to ensure the safety of the participants and to provide them with first-class recreational facilities, classes and activities. In the event of a serious accident or illness, it is the policy of ETCC to: 1. Contact EMS to perform First Aid and, when necessary, recommend transport of the victim to the hospital, 2. Reach the parent or guardian as soon as the situation allows.

Fair Share Policy

ETCC is financed through Elizabeth Township. Therefore, to be considered a “Resident” in our registration process, you must live within the township limits.

Non-resident applies to all others. We ask for your understanding when registering.

Resident/Non-resident

To receive resident rates, township residents will be required to present identification such as a valid driver’s license, utility bill, tax record, or pay with a check, with address printed by the bank. Patrons (children or adults) who do not have identification at the time of the transaction will be required to pay the Non-Resident rates.

Age/Grade Requirements for Class Participation

All class participants must be the appropriate age/grade on the first day of class in order to register. No children under the age of 16 are allowed in adult fitness programs or any adult instructional programs, unless otherwise noted.

GIFT CERTIFICATES

A great gift idea for any occasion! Gift certificates can be used toward membership, classes, programs, or facility rentals. Purchase at the member service desk.

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ET CC

ElizabethTownship Community Center

Customer Service Information Facility Rental & Rates

Non-Registered Visitors in the Classroom

Because of space limitations and distractions to other participants, we ask that only registered participants remain in a classroom. Parents (in the case of non-parent participation classes) and siblings may wait in approved areas. Exceptions may be made by the executive director in the case of participants with disabilities, who may need additional assistance.

ETCC is available for rental. The center houses a gym, multipurpose room, kitchen, and meeting rooms. Call 335-3822 for more information.

A $35 deposit is required for all room rentals. The listed are rates during regular open hours. After hours rentals will include a security and staff charge of $20 an hour.

Lost Articles

ETCC, its representative, agents, and successors, are not responsible for the safe keeping of personal property, while using the ETCC facilities. It is strongly recommended that patrons do not bring valuables to the center.

Community Room Use of the community room will be free to approved 5013c organizations (4H, scouts, etc).

Photo Release

By participating in ETCC programs, you agree to allow publication of any photos taken during any program, event or open facility time. If you do not wish to have your picture taken, please inform the photographer.

Meeting Rooms

Supervision of Children

Children under 13 must be accompanied by an adult (18 years or older) in the center. Parents are required to maintain supervision and discipline of their children at all times.

Resident rate $10 for 2 hours (2 hours minimum) $5 for each additional hour $40 day rate (8+ hours)

Locker/Equipment Usage

Non resident rate $20 for 2 hours (2 hours minimum $10 for each additional hour $80 day rate (8+ hours)

It is strongly recommended that patrons do not bring valuables to the center.

Participants are encouraged to bring their own locks to use while at the center.

No locks are to be left on lockers overnight. Any locks left on for more that 24 hours will be cut off and contents put in lost and found.

Board Room or Kitchen

Volunteers Needed

ETCC volunteer program gives you an opportunity to serve and give back to your community. Volunteer opportunities will be matched to your interests. Commitment ranges from just a few hours a year to a regular weekly schedule. Stop by and find out more about our volunteer program.

Resident rate $15 for 2 hours (2 hours minimum) $7.50 for each additional hour $50 day rate (8+ hours)

Errors and Adjustments

Non resident rate $30 for 2 hours (2 hours minimum) $15 each additional hour $100 day rate (8+ hours)

While we try to be accurate in presenting information in our publications, some unavoidable errors or changes to the programs, fees, schedules, and other information may occur. ETCC apologizes for any inconvenience that results from these necessary adjustments.

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Visit www.335-ETCC.com to view room photos and 360 views.

Multipurpose Room (has kitchenette)

Resident rate $25 for 2 hours (2 hours minimum) $12.50 for each additional hour $75 day rate (8+ hours) Non resident rate $50 for 2 hours (2 hours minimum) $25 for each additional hour $150 day rate (8+hours)

Gym

Resident rate $20 for 2 hours (2 hours minimum) $10 for each additional hour $63.50 day rate (8+ hours) Non resident rate $40 for 2 hours (2 hours minimum) $20 for each additional hour $125 day rate (8+ hours)

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ET CC

ElizabethTownship Community Center

Activities and Programs

Gym Schedule Monday

Got Talent?

Share it with area youth.

We are looking for additional youth programs. Interested?

Contact Zlata at 335-ETCC.

Tuesday

Wednesday

Thursday

Friday

7- 8 pm Kung Fu 8-9:30 pm Family Open Gym

7:30-9:30 pm Adult Volleyball

5:30-7 pm Youth Open Gym 7-8 pm Kung Fu 8-9:30 pm Family Open Gym

Saturday 9:00-12p Tumbling (May) 12-2pm Family Open Gym

10:00-1:00 pm Tumbling (Jun-Aug)

7:30-9:30 pm Adult Basketball

Gym will be open unless scheduled for a rental or activity. Schedule changes will be posted at the front desk.

Youth Activities

Sports

Classes are designed to develop strength, flexibility, balance and tumbling skills. Classes are grouped by age and ability. Instructor: Dawna Hellyer

Join us for drop-in volleyball.

Days: Tuesday 7:30-9:30 pm Fee: Free for members and $7.00 for guests.

Adult Drop-In Volleyball

Tumbling – Ages 5 and up

MAY Saturdays: Session 1 - May 3-31, no class May 24

Adult Drop-In Basketball

Times: 9-9:55 am, 10-10:55 am, 11-11:55 am Cost (per session): Member: $20 Tuesdays: Session 1 - May 6-27 Times: 6:30-7:30 pm Cost (per session): Member: $20

Non member: $30

Times: 10-10:55 am, 11-11:55 am, 12-12:55 pm Cost (per session): Member: $20

Non member: $30

Days: Thursday 7:30-9:30 pm Fee: Free for members and $7.00 for guests.

Non member: $30

Adult Activities

Scrapbook and Stamping Club

Meet with others to share your scrapbook and stamping ideas and supplies.

Day: 1st Saturday of the month (May 3, June 7, July 5, August 2) Time: 9 am - 5 pm Cost (per session): Members: Free Non Member: $2

JUNE, JULY, AUGUST Tuesdays: Session 2 - June 3-24, Session 3 - July 1-22, Session 4 - July 29-Aug 19

Card Club

Martial Arts - See Martial Arts section on page 4.

Meet for your favorite card games in our “card room.” Contact us and give us your day and time availability and we will connect you to others.

Cost (per session): Members: Free Non Member: $2

Weight Workout - See Weight Workout for Teens info on page 6.

Hanging Baskets and Container Gardens

SCRAPBOOKING FOR KIDS Your child (ages 4 and up) will make and gift wrap a mother’s day and/ or father’s day

Renee Lavy from Garden Stone will teach proper planting methods and soil mixes for container gardening. Learn the proper maintenance of your container garden. You will make a container to take with you! Pre register by April 28, 2008.

Day: Monday, May 5, 7 - 9 pm Cost: Members: $20 Non Member: $25

project. The classes with be taught by Dawn Wallace, Close to My Heart consultant.

Minimum 3, maximum 10 participants for this class.

Mother’s Day Class

Day: Tuesday, May 6, 6:30-8 pm Cost: Member: $12

Non member: $18

Day: Tuesday, June 10, 6:30-8 pm Cost: Member: $12

Non member: $18

Father’s Day Class

Garden Club

Come to an organizational meeting! We will decide on times and dates to meet as well as topics we would like to address.

Day: Wednesday, May 14, 1:00 pm

Visit www.335-ETCC.com or call 335-3822 for the latest programs.

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ET CC

ElizabethTownship Community Center

Activities and Programs

Martial Arts Schedule

CLASS MINIMUMS

All classes have a four (4) participant minimum in order to be held. Classes that do not have the required minimum will be cancelled and payments refunded.

Classes will run monthly.

6-7 pm 7:00-8:00 pm

Monday

Tuesday

Wednesday

Thursday

Tai Chi Chuan Beginners Seiei Kan Shaolin Kung Fu

Tai Chi Chuan

Tai Chi Chuan Beginners Seiei Kan Shaolin Kung Fu

Tai Chi Chuan

7-8:30 pm

Kenpo Karate

Kenpo Karate

Adult Activities, continued...

Martial Arts

Meet John Ryman, President and General Manager of Quality Lawn, Landscape and Fence, Inc. for an informative program on care of your lawn and landscape. Time will be allowed for questions. We appreciate your pre registration.

Day: Saturday, June 21, 2-3:30 pm Cost (per session): Members: Free Non Member: Free

Ages 10 – Adult American Kenpo is a martial art form characterized by the use of quick moves in rapid-fire succession intended to overwhelm the opponent. It uses linear and circular movements, focused self-defense techniques executed with power and precision designed to protect the individual by any and all means necessary. Some benefits are: excellent workout; improved ability to focus and concentrate; higher self-esteem and more self discipline.

Instructor: Mike Rectenwald, 2nd degree black belt Days: T/TH 7-8:30 pm Cost (per session): Member: $30 Non Member: $45

Basic Lawn & Landscape Maintenance

American Kenpo Karate

American Red Cross Adult CPR/AED

This American Red Cross course will teach you the necessary skills to perform CPR Cardio pulmonary resuscitation for adults. The course also teaches the use of an AED automatic external defibrillator. This class is open to both members and non members. To register call the American Red Cross at 332-1414.

Day: Saturday, June 14, 12:00 pm Cost: $30

Seiei Kan Shaolin Kung Fu

Ages 7 – Adult Seiei Kan Shaolin Kung Fu is an internal fighting art where the power comes from within.

The fundamental principle behind the internal art is to evade or yield to an oncoming force and use that force against itself. Some benefits of Seiei Kan Shaolin are increased self-satisfaction, deeper inner calm, and greater comfort in dealing with confrontation. Forty percent of the art is kung fu weaponry, and sixty percent is self-defense and various types of empty-hand forms. Instructor: Master Robert Lisle, 6th degree black belt Days: M/W 7:00-8:00 pm Cost (per session): Member: $20 Non Member: $30

The Senior Club

Carry-In Luncheon Programs

Meet at noon on the first Wednesday of the month for carry-in luncheon and a variety of programs, activities and lectures.

Cost : Members: Free Non Member: $1 May 7 at 12:00 pm Nutrition for Seniors

– Diane Birchfield, Clinical Dietican UVMC Nutrition Services Find out how nutrition needs change with age.

Tai Chi Chuan

June 4 at 12:00 pm Flickering Light Program, Cell Phone Program, and Project Lifesaver

Tai chi chuan is a traditional Chinese form of soft martial arts focused on moving meditation. It improves health, balance, fitness and reduces stress while promoting longevity. The use of slow, repetitive movements makes this an ideal exercise form for all ages. Instructor: Master Robert Lisle, 6th degree black belt Beginners (Session - June 3 - Aug 21): Days: M/W 6-7 pm Cost (per session/ 3 months): Member: $60 Non Member: $90 Intermediates: Days: T/TH 6-7 pm Cost (per month): Member: $20 Non Member: $30

– Doug Swallow, Miami County Deputy

Overview of the programs available to the citizens of Miami County

July 2 at 12:00 pm Identifying the Birds in your Backyard

– Marian Moeckel, Certified Volunteer Naturalist

Learn how to identify and entice birds to your backyard.

August 6 at 12:00 pm Elderly Fraud

– Ray Foeller, Ohio Consumers’ Counsel

Discover how to protect yourself from fraud.

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ET CC

ElizabethTownship Community Center

Fitness Department

PLEASE CHECK WITH YOUR DOCTOR BEFORE BEGINNING ANY FITNESS PROGRAM FITNESS CENTER USE BY YOUTH

Fitness center may be used by youth ages 13-15 only when accompanied by a parent or guardian. Youth 12 and under are not allowed in the fitness center unless they have a medically determined need on file (see director for further guidelines) and are accompanied by a parent or guardian.

Our fitness center is available to both Elizabeth Township residents and non-residents.

We offer individualized fitness programs that will meet all your health and fitness goals.

For additional information about our fitness facility contact Zlata Garrison at 335-3822.

Amenities:

Cardio theater system HD Plasma TV’s Aerobic Dance Studio Cardiovascular Room Strength Training Room Free Weight Room

Cardiovascular Equipment: Star Trac Treadmills Star Trac cross trainers Star Trac Bicycles Sci-Fit Arm Ergometer Concept II rowing machine Nu-Step fitness trainer

PARENT OR GUARDIAN MUST SIGN

A parent or guardian must sign a release prior for youth up to age 17 attending any activity.

Strength Training Equipment:

Cybex selectorized strength machines Olympic free weights and benches Dumbbells 5-100 pounds Max Rack Cable crossover

Please Note!

A staff member is scheduled for your orientation appointment, fit test, or personal training.

We require 24 hours notice if canceling. This enables us to schedule another appointment for that time period. We appreciate your consideration. Call 335-3822.

Body Composition Testing

Ages 18+ Schedule an appointment for a skin fold body fat assessment. Testing is performed with a skin fold caliper. Shorts and a short sleeve shirt must be worn to the test.

We will provide you with a body composition score and show you how that compares to health standards. Call 335-3822 to schedule your appointment.

Cost: Fitness Member - Free Basic Member - $5

Classes/Programs:

Group Exercise Classes Group Strength Classes Personal Training

Fit Test

The ETCC offers complete fitness assessments. We will assess your cardio respiratory fitness, flexibility, muscular strength and endurance as well as body composition. These assessments will give you a starting point so that you can measure your fitness progress.

You can call or visit the member service office to schedule an appointment.

You must be a fitness member to schedule an appointment.

Cost: $35 Member

Fitness Orientation

Free fitness orientations with a member of the fitness staff are optional and can be scheduled before using the fitness center. We will train you on proper use of equipment, how to choose correct weight resistance, and seat settings. Please call 335-3822 to schedule an appointment.

Fitness orientations will be provided to all members after completing a required health history. Those with certain medical concerns may need a doctor’s release prior to the orientation. It is strongly recommended that anyone beginning a fitness plan see their physician prior to beginning a program.

Personal Training

Work with a qualified personal trainer and have a program designed especially for you.

Whether you want to increase your health, improve athletic performance, or become physically fit, we can help you achieve your goals. Sign up at the member service office and we will get you in touch with a certified trainer that will help you get results.

You must be a fitness member to schedule an appointment.

Cost: $35 hr/Member

A parent or legal guardian must accompany youth 13-15 years of age during their orientation, and youth ages 16-17 must present a release signed by parent or guardian before they can begin using the fitness facilities. Releases may be obtained at the membership desk.

Group Training is also available: Cost: for 2 individuals $20 hr each Member (Total $40 hour)

ELIZABETH TOWNSHIP “GET IN SHAPE CHALLENGE”

Join us to see how much weight the township can lose. Sign up to participate and report weekly (by email, fax, or in person) the amount of weight you’ve lost. We will track the weekly group weight loss at the center. At the end of the summer we will report the total group’s loss in the Township Newsletter! This is a free program for anyone.

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ET CC

ElizabethTownship Community Center

CLASS MINIMUMS

All classes have a four (4) participant minimum in order to be held. Classes that do not have the required minimum will be cancelled and payments refunded. Classes will run monthly.

Fitness Classes

Fitness Classes Schedule 9-9:50 am 10 -10:50 am 5-5:50 pm

Monday Weight Workout Senior Fitness

6-6:50 pm 7-8 pm

Hi Energy Cardio Classes

7:30-8:30 pm

Tai Chi Chuan

Spinning

Tuesday Spinning

Wednesday

Teen Weight Workout Zumba Tai Chi Chuan Total Body Workout

Senior Stretch

Tai Chi Chuan

Thursday Spinning Weight Workout Senior Fitness Zumba Tai Chi Chuan Total Body Workout

Weight Workout

Indoor exercise bikes are used as the basis of this exercise class. Using music as a motivational background, this exercise class begins with a warm-up followed by 40 minutes of cardio exercise and concludes with a cool down and stretch segment.

Class size limit 11.

Days: T/TH 9-9:50 am Fee: Member: $20 Non Member: $30

This class is designed to improve overall strength for both men and women. This class will teach you how to develop an exercise program using weight machines and free weights.

Days: M/TH 9-9:50 pm Fee: Member: $20 Non Member: $30

Weight Workout for Teens

This class is designed to improve overall strength for teens. This class will teach you how to develop an exercise program using weight machines and free weights.

Class is open to youth ages 13 and older.

Days: T 5-5:50 pm Fee: Member: $10 Non Member: $15

Zumba!!

ZUMBA is a fusion of Latin and International music-dance themes creating a dynamic, exciting, effective fitness system! The routine features aerobic/ fitness interval training with a combination of fast and slow rhythms that tone and sculpt the body.

Days: T/TH 6-6:50 pm Fee: Member: $20 Non Member: $30

Stretch/ Mind - Body Classes

Senior Stretch

Strength Classes

Improve your flexibility with this class. After a warm up to loosen muscles, stretching exercises will be done in a seated or standing position. The class will conclude with a relaxation segment.

Days: W 10-10:50 am Fee: Member: $10 Non Member: $15

Total Body Workout

Tone and sculpt your body using resistance bands, dumbbells and the fitness ball in this workout. This class does not include an aerobic segment.

Days: T/TH 7-7:50 pm Fee: Member: $20 Non Member: $30

Tai Chi Chuan

Senior Fitness

Tai chi chuan is a traditional Chinese form of soft martial arts focused on moving meditation. It improves health, balance, fitness and reduces stress while promoting longevity. The use of slow, repetitive movements makes this an ideal exercise form for all ages. Instructor: Master Robert Lisle, 6th degree black belt

This class is designed to improve strength and endurance. Exercises can be performed either seated or standing with a chair for support. Class begins with a warm up. Exercises using dumbbells, tubes and balls follow and the class ends with a cool down and stretch segment. This class does not get on the floor.

Days: M/TH 10-10:50 am Fee: Member: $20 Non Member: $30

Beginners:

Days: T/TH 6-7 pm

Fee: Member: $20

Non Member: $30

Days: M/W 7:30-8:30 pm Fee: Member: $20

Non Member: $30

Intermediates:

AGE GUIDELINE

Fitness classes are for ages 16 and older, unless specifically noted.

Senior classes are not only for seniors, but would be appropriate for those wishing to have a chair as support, are overweight, or new to exercise.

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ET CC

ElizabethTownship Community Center

Registration and Membership ETCC MEMBERSHIP RATES

REGISTRATION

Registration for classes with limited enrollments will be open to ETCC members any time. Because the Elizabeth Township Community Center is a township government organization, members who are township residents shall be given priority registration. Individuals who are not members of the ETCC (non- members) but are Elizabeth Township Residents may register ten days prior to the start of the session. Non-member, non-residents may register 6 days prior to the start of the session. Phone registrations for classes cannot be accepted at this time.

Registrations must be made with payment in full. Payment must be received before attending the first class of each session.

*In order to purchase a fitness center membership, you must be a basic member.

Waiting List

MEMBERSHIP CATAGORIES

Township Resident Rates Basic Individual year: $25 Family year: $50 Fitness* Individual year: $120 Family year: $300

Non-Resident Rates Basic Individual year: $37.50 Family year: $75 Fitness* Individual year: $190 Family year: $440

Daily drop-in rate: $7

If a class limit is reached, a waiting list will be established. If a vacancy occurs, individuals will be contacted in the order they appear on the list.

Individual: Family:

Telephone Registration

Includes ages 16 and up (with proper ID) Includes husband, wife and legal dependents

Basic membership includes use of the gym and reduced rates for classes.

Fitness membership includes the use of the fitness center and a complimentary fitness orientation.

Telephone registrations cannot be accepted at this time.

Mail-in / Drop-in Registrations

Mail in registrations must include a fully completed registration form and full payment. Mail-in registrations will be processed for confirmation 5 days prior to the start of the session. Drop-in registrations will be processed according to resident and member status.

Payment

Membership fees are to be prepaid. We accept the following methods of payment: Cash or check – payment in full We cannot provide payment plans or billing at this time.

Cancellations

Fair Share Policy

If the ETCC cancels a program for any reason, a full refund will be given. No cash refunds shall be given. If a class is cancelled due to inclement weather, there will be no refunds or adjustments.

ETCC is financed through Elizabeth Township. Therefore, to be considered a “Resident” you must live within the township limits. Non-resident applies to all others. In order to receive resident rates, township residents will be required to present identification such as a valid driver’s license, utility bill, tax record, or pay with a check that has your address within the township printed by the bank.

GIFT CERTIFICATES

A great gift idea for any occasion! Gift certificates can be used toward membership, classes, programs, or facility rentals. Purchase at the member service desk.

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ET CC

ElizabethTownship Community Center

Registration Form

ELIZABETH TOWNSHIP COMMUNITY CENTER PROGRAM REGISTRATION FORM

Household Last Name:

First Name:

Member

Mailing Address City

Ŀ

Non-Member

Ŀ

Email Address

State

Home Phone

Zip I give permission to be included in ETCC e-mail newsletter mailings

Cell Phone

Yes

Ŀ

No

Ŀ

Participant Participant’s Name

Age

Name of Program

Day

Time

Make Checks payable to Elizabeth Township Waiver of Liability I understand that while I participate in the class, I will participate at my own risk. I also agree to and do hereby release and forever discharge Elizabeth Township, the Elizabeth Township Community Center thereof and its officers, agents, or employees from or in any manner arising out of injury or damage which may be sustained in the aforementioned program(s).

Photo Release By participating in Elizabeth Township Community Center programs, you agree to allow publication of any photos taken during any program, event or open facility time. If you do not wish to have your picture taken, please inform the photographer.

Class #

Fee

Total

Refund Policy Participants will be given a 24 hour time limit after registering to cancel or transfer with no penalty. Any cancellation or transfer after 24 hours, but prior to the second class, will only be refunded 50% of the course fee.

This fee will not exceed $35 per class.

No refunds will be given once the second class/event has begun. No refund will be given, if by doing so, it reduces the participation level below the required minimum. When a class is cancelled or closed by the ETCC due to low enrollment or other circumstances, you will be notified and receive a full refund. One Day Program Refunds: Prior to the day of the event, the above policy applies. No refunds will be given if notified the day of the activity or class.

A $5 Administration Fee will be charged to cover processing fees for approved medical refunds.

Transfers: Transfers will be honored for a $10 fee if availability permits.

RESIDENCY MUST BE PROVEN, in the form of a valid driver’s license, utility bill, tax record, or check with bankprinted address.

REFUNDS will be approved during Trustee Meetings, generally held the 1st rd and 3 Wednesday of the month.

Payment will be received in the form of a check and mailed to the patron.

There are no cash refunds.

I have read and understand the above policies. (Your signature is required before this registration will be processed.)

Signature Date

FOR OFFICE USE ONLY Refund Amount_________

Total Amount Due______ Refund Check #________

Check #_____ Cash____ Initials___ Township Meeting Date_____________

ET CC

ElizabethTownship Community Center

Rental Form

APPLICATION AND AGREEMENT AS TO USE OF THE ELIZABETH TOWNSHIP COMMUNITY CENTER Date of Application

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Name and Address of Responsible Party of Parties

Name and Address of Group

Contact Telephone Number(s) Intended Use Duration of use

Date Requested

Alternate Date

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Room Requested

REQUEST APPROVED By

On

****************************************************************************************************************************************** FEES AND DEPOSITS ARE TO BE PAID TO THE CLERK Usage Fee Total Payment Due

Refundable Deposit

Received Cash

Check #

Money Order#

Date Paid

Receipt#

Received by Key Issued on

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To

Key Returned on

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at

To

****************************************************************************************************************************************** Inspected by

On

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Deposit Release by

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Refund Check Issued by

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****************************************************************************************************************************************** ACKNOWLEDGEMENT, AGREEMENT, AND RELEASE The undersigned, acting individually and for the renting group, acknowledge that he or she has been provided with a copy of the Rules of Regulations related to the use of the Elizabeth Township Community Center, and that the participants in the renting group’s activity will comply fully with the same. Further, the undersigned, acting individually and for the renting group agrees to indemnify and to hold harmless Elizabeth Township Community Center, Elizabeth Township, Miami County, Ohio, and any agent, employee or officer of the same fro any liability or claim related to the proposed group use.

RESPONSIBLE PERSON

Date

5760 Walnut Grove Rd Troy, OH 45373

Fitness Center

ElizabethTownship E T CommunityCenter CC

Kitchen

Meeting Rooms

Historical Museum