Online Program Registration

Sign Up for Classes Today! Enroll early – classes may be cancelled due to insufficient enrollment.

Instructions: Please enter all the information requested below, type your name where indicated for signature, read the refund policies and release, and click on the "Submit" button at the bottom to send your registration. On-line registrations are subject to verification.

Section I — Personal Information:

 
 
 
Gender:  
 
 
 
 
 
 
        (optional)
    
  
     (check one if applicable)

Section II — Program Information:

 
 
   

Section III — Payment Information:

     
     

Refund Policies:

  • Cancellation requests made at least 7 days prior to the first day of the program will receive full reimbursement minus a $5 administrative fee.
  • NO REFUNDS WILL BE MADE AFTER THIS TIME UNLESS BSRCC CANCELS THE CLASS/PROGRAM/WORKSHOP. (A full or pro-rated refund will be made for any BSRCC cancellation.)
  • To cancel and receive a refund (minus a $5 administrative fee) you must submit a signed letter requesting cancellation of participation to the Front Desk of the Community Center.
  • Participants assume risk and responsibility for changes in personal schedules or health.
  • Please allow four (4) weeks for processing refunds.

Release of all claims & promise not to sue:

As a participant in this and any other program of the Berkshire South Regional Community Center, I recognize and acknowledge that there are certain risks and I agree to assume all such risks, including any damage resulting from physical injuries, loss of services or consortium, loss or damage to property, or any other loss I may sustain as a result of participating in any and all activities connected with or associated with such programs.

In consideration of the Berkshire South Regional Community Center accepting my or my child’s registration, and with the intent to be legally bound, hereby, for myself, for my child, all heirs, executors, administrators, and assigns, do hereby forever release, waive and relinquish all claims I have or may have as a result of participating in this and all other programs of the Berkshire South Regional Community Center. Furthermore, I promise not to sue the Berkshire South Regional Community Center and agree to indemnify and hold harmless and defend the Berkshire South Regional Community Center and its officers, agents, servants, employees and insurers from any and all liabilities, claims, demands, actions or causes of action resulting from my or my child’s participation in this or any other programs of the Berkshire South Regional Community Center.

By signing this form, I hereby acknowledge that all information contained herein is true and correct and that I may give up legal rights.

  (or parent or guardian if participant is under the age of 18)
 
I hereby      give BSRCC permission to photograph or videotape me/my child for promotional use in perpetuity.