Irvine, CA · Orange County
Jazzercise Membership Pass
Irvine residents use this form to register for a Jazzercise membership pass and authorize recurring credit card payments.
What this form is
This form registers a cardholder for an annual, six-month, or monthly Jazzercise membership pass and authorizes the City of Irvine to charge a credit card. It asks for cardholder and payment details, a payment date, pass option and effective dates, and signatures. The form also includes a waiver and release, photo permission, and terms about pass duration and cancellation.
Who needs it
Anyone registering for a Jazzercise membership pass in Irvine should complete this form and provide the requested cardholder and payment information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This pass form is signed without a notary; no notarized or sworn attachment is identified, so the cardholder signs and dates it.
How to submit this form
- 1
Download The Form
Download the Jazzercise Membership Pass PDF.
- 2
Complete The Form
Enter cardholder and payment information, choose a pass option and payment date, and fill in the requested effective dates.
- 3
Review And Sign
Review the waiver and release, then provide the required signatures and date.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Jazzercise Membership Pass?
- No. The form is signed without a notary and identifies no notarized or sworn attachment; the cardholder signs and dates it.
- How do I submit the Jazzercise Membership Pass?
- The form does not provide submission instructions for registration. Submit it to the city department named on the form and check the city website for current contact details.
- What membership options does the form list?
- The form lists annual, six-month, and monthly pass options. It asks the cardholder to select a payment deduction date and provide effective dates.
- What information does the form ask for?
- It requests the cardholder's name, phone, signature, credit card number, expiration date, and CVV, along with pass and payment details and waiver signatures.
Need something notarized?
This Jazzercise Membership Pass doesn’t need a notary — but if you have another Irvine form that does, a commissioned online notary can help.
