Member Information

Please complete all of the member information below.

Type of Membership  
 
   
Enter the name of each member and their date of birth:
   
Address: City:
   
State: Zip Code:
   
Phone Number:  
 
   
Email Address:  
 
   
Parent Name (if applicable)  
 

Membership Agreement

Conduct: I agree to conduct myself in a decorous and respectful manner at all times. I take full responsibility for behaving in a manner that protects my physical safety and health. I understand that breach of the above constitutes grounds for revocation of my membership.

Provisional Status: Submission of this application along with payment confers provisional, not full, membership, and initiates a probation period. Full membership can only be granted by approval of a Director of the Club following the probation period. If an applicant is not granted full membership following the probation period, s/he will receive a pro-rated refund.

Cancellation/Refund Policy: Memberships can be cancelled at any time after 12 months at the request of the customer. No refunds shall be given upon cancellation. Governing Law: Any and all disputes arising from this membership contract shall be governed by the laws of the State of Connecticut.

Contract Scope: The provisions of this membership contract form the entirety of the agreement between Customer and Chess Club of Fairfield County. No oral agreements outside of this contract can be treated as binding on CCFC.

I have read and agree to abide by the above provisions.


Payment Information

Cardholder Name  
 
   
Credit Card Number Expiration Date (MMYY)
   
Security Code  
 

 

 

 
 
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