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Membership Upgrade/Downgrade Request

2. First Name*

3. Last Name*

5. Primary Name on the Membership Account, if different

7. Address1*

9. Address2

11. City*

12. State*

13. Zip*

15. Primary Phone Number*

16. Secondary Phone Number

18. Email Address*

20. What change are you requesting? (Please select all that apply)*

    1. Add someone to my membership
    2. Remove someone from my membership
    3. I wish to up/downgrade my membership

22. If you selected I wish to up/downgrade my membership, please include details here.

    There is a $25 fee for upgrades to Family or Couples Special Hours memberships.

24. Add/Delete from Membership

26. 1.

    1. Add
    2. Delete

27. Name

28. Date of Birth
    Date of Birth

29. Email (if over 18)

31. 2.

    1. Add
    2. Delete

32. Name

33. Date of Birth
    Date of Birth

34. Email (if over 18)

36. 3.

    1. Add
    2. Delete

37. Name

38. Date of Birth
    Date of Birth

39. Email (if over 18)

41. 4.

    1. Add
    2. Delete

42. Name

43. Date of Birth
    Date of Birth

44. Email (if over 18)

46. When will this change be effective? *

    Please provide month and year. MM/YY For bank draft changes and downgrades, 15-days notice is required. Prorated membership fees apply for upgrades based on effective and draft dates.

48. Do you have any comments or questions?

Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field