Change Membership Category Form

Please complete the form below to request a change to your membership category. Changes to membership types must be made by the 25th of the prior month for the new rate to be effective for the next month’s draft. For example, a change must be submitted by June 25 to be effective for July.

Member Name: *

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Last

Person Completing Form: *

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Last

Phone *

Email *

Change Membership Type

Note: Changes to membership types must be made by the 25th of the prior month for the new rate to be effective for the next month's draft. For example, a change must be submitted by June 25 to be effective for July.

Change From: *

To: *

Family (up to 2 Adults and children under 26 years in same household) $126/ Month
Adult (Ages 26-61) $85/ Month
Senior Couple (Both Ages 62+) $95 / Month
Senior Adult (Age 62+) $68/ Month
Young Adult (Ages 18-25) $59/ Month
Teen (Ages 13-17) $49/ Month
Youth - 1 Child (Age 12 & Under) $41 / Month
Youth - 2 Children (Age 12 & Under) $82/ Month

Which members would you like to remain active? *

Please provide the name and birthdate of all members you would like to activate. Please provide an email address for each member 18+ years old. They will be emailed our waiver that would need to be signed prior to their first visit: *

I understand that any changes to membership type must be made by the 25th of the month for the new rate to be effective for the next month's draft. Please sign by entering your name below: *

Today's Date: *

Name

Change Membership Type

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