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Prisma Health team members can now take advantage of the YMCA's special rates offered through a new payroll deduction option. You can enjoy all of the benefits of a membership for as low as $15.00 per pay period

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  NO contract required. 

Cancel at ANY TIME when 3-week written notification is given to the Y.
 
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No Joiner Fee

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Email Address
First Name
Last Name
Gender Male Female
Birthdate
Daytime Phone Number
PH Employee ID/Number
Home Street Address
City, State Zip
Emergency Contact Name
Emergency Contact Number
Primary Work Location Ballentine Baptist Greystone
Richland Parkridge Toumey Other
Membership Type
(Please Check One)
Prices are per pay period
Individual - Orangeburg-Only Membership: $15.00
Family - Orangeburg-Only Membership: $23.00
Individual Association-Wide* Membership: $20.50
Family Association-Wide* Membership: $30.50
Membership Type
(Please Check One)
Prices are per pay period
Individual - Orangeburg-Only Membership: $15.00
Family - Orangeburg-Only Membership: $23.00
Individual Association-Wide* Membership: $20.50
Family Association-Wide* Membership: $30.50
Membership Type
(Please Check One)
Prices are per pay period
Individual - Orangeburg-Only Membership: $15.00
Family - Orangeburg-Only Membership: $23.00
Individual Association-Wide* Membership: $20.50
Family Association-Wide* Membership: $30.50
Membership Type
(Please Check One)
Prices are per pay period
Individual - Orangeburg-Only Membership: $15.00
Family - Orangeburg-Only Membership: $23.00
Individual Association-Wide* Membership: $20.50
Family Association-Wide* Membership: $30.50
Membership Type
(Please Check One)
Prices are per pay period
Individual - Orangeburg-Only Membership: $15.00
Family - Orangeburg-Only Membership: $23.00
Individual Association-Wide* Membership: $20.50
Family Association-Wide* Membership: $30.50
YMCA Waiver of Liability
(Must Agree. Scroll to view & agree)
WAIVER AND RELEASE OF LIABILITY
YMCA of Columbia
The Mission of this YMCA shall be to put Christian principles into practice through programs that promote a healthy spirit, mind and body for all.
IN CONSIDERATION of being permitted to utilize the facilities, services and programs of the YMCA of Columbia for any purpose including, not limited to observation or use of the facilities or equipment, or participation in any off-site program affiliated with the YMCA, the undersigned, for himself or herself and any personal representatives, heirs, and next of kin, hereby acknowledges, agrees, and represents that he or she has, or immediately upon entering or participating will, inspect and carefully consider such premises and facilities or the affiliated program. It is further warranted that such entry into the YMCA for observation or use of any facilities or equipment or participation in such affiliated program constitutes an acknowledgement that such premises and all facilities and equipment thereon and such affiliated program have been inspected and carefully considered and that the undersigned finds and accepts same as being safe and reasonably suited for the purpose of such observation, use or participation
IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER THE YMCA FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO OBSERVATION OR USE OF FACILITIES OR EQUIPMENT. THE UNDERSIGNED HEREBY AGREES TO THE FOLLOWING: THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES AND CONVENANTS NOT TO SUE the YMCA, its directors, officers, employees, and agents (hereinafter referred to as “releasees") from all liability to the under-signed, his personal representatives, assigns, heirs, and next of kin for any loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence of the relessees or otherwise while the undersigned is in, upon, or about the premises or any the facilities or equipment therein or participating in any program affiliated with the YMCA.
THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the releasees and each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in, upon or about the YMCA premises or in any way observing or using any facilities or equipment of the YMCA or participating in any program affiliated with the YMCA whether caused by the negligence of the releasees or otherwise.
THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE due to negligence of releasee or otherwise while in, about or upon the premises of the YMCA and/or while using the premises or any facilities or equipment thereon or participating in any program affiliated with the YMCA. THE UNDERSIGNED further expressly agrees that the foregoing RELEASE, WAIVER AND INDEMNITY AGREEMENT is intended to be as broad and inclusive as is permitted by the law of the State of South Carolina and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducement apart from the foregoing written agreement have been made.
YMCA of Columbia association policy is to monitor the sex offender registry. Persons discovered to be on the sex offender registry will not be eligible for membership, program participation, facility access, volunteer opportunities or employment opportunities
By participating in the YMCA Nationwide Membership Program, I agree to release the National Council of Young Men’s Christian Associations of the United States of America, and its independent and autonomous member associations in the United States and Puerto Rico, from claims of negligence for bodily injury or death in connection with the use of YMCA facilities, and from any liability for other claims, including loss of property, to the fullest extent of the law
I give permission to the YMCA of Columbia to use, without limitations or obligation, photographs, film footage, or tape recordings, which may include my image or voice for purpose of promoting or interpreting YMCA programs.

The undersigned person understands that their employer and its agents, designees and insurance carriers/third party administrator, may request on a quarterly basis, or as necessary, data from the YMCA and such contact is hereby authorized.
ACCEPTANCE
I acknowledge the Waiver set forth above and, being in sympathy with the mission statement of the YMCA, hereby apply for membership.
I AGREE TO THESE TERMS
Prisma Health Waiver
(Must Agree. Scroll to view & agree)
Prisma Health Permission to Use Exercise Equipment/Participate in Fitness Classes Release from Liability
I acknowledge that I am a voluntary participant in the fitness program at Prisma Health, which consists of fitness classes and/or the use of exercise equipment. I acknowledge that I have been properly oriented to the correct use of exercise equipment. I am using this equipment/ participating in fitness classes of my own free will. I release Prisma Health, its employees, officers, and agents from any and all liabilities as it relates to the use of this exercise equipment/participation in fitness classes at Prisma Health.

I am aware of the risk of exercise and I fully understand the possible consequences of such use of equipment/participation in fitness classes. I acknowledge that it solely my responsibility to obtain medical advice regarding potential risks associated with my exercise. I also fully understand that the use of exercise equipment/class participation could result in greater illness or even death and I accept these risks and possible consequences.

I agree that use of the equipment and facilities and participation in fitness classes is on my own time, voluntary, is not work-related, and that any injuries I may sustain do not arise out of and in the course of employment under the Workers' Compensation Act.

I also understand that Prisma Health, its agents, designees and insurance carriers/third party administrator, may request on a quarterly basis, or as necessary, data from the YMCA regarding my use of the facilities, and such contact is hereby authorized.
I AGREE TO THESE TERMS
  *Association-Wide include Columbia & Orangeburg YMCA's

The next page will confirm your submission. We will confirm your submission by email, however we will require you to stop by your home branch to finalize paperwork.