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2. First Name*
3. Last Name*
5. Primary Name (First and Last) on the Membership Account, if different
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Primary Phone Number*
17. Email Address*
19. Change Request Policy

    Members will be charged a $25 administration fee for all upgraded and downgraded memberships. Members may be charged a $25 administration fee for adding, removing, or replacing members on the membership.

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

    1. Add someone to my membership (must live in household)
    2. Remove someone from my membership
    3. Change my membership type
    4. Extend Summer Pass to ongoing membership
23. If you selected I wish to change my membership type, please include details here.
25. Add/Delete from Membership
27. 1.

    1. Add
    2. Delete
28. First Name
29. Last Name
30. Date of Birth
    Date of Birth
32. Email (if over 18)
34. 2.

    1. Add
    2. Delete
35. First Name
36. Last Name
37. Date of Birth
    Date of Birth
39. Email (if over 18)
41. 3.

    1. Add
    2. Delete
42. First Name
43. Last Name
44. Date of Birth
    Date of Birth
46. Email (if over 18)
48. 4.

    1. Add
    2. Delete
49. First Name
50. Last Name
51. Date of Birth
    Date of Birth
53. Email (if over 18)
55. When would you like this change to be effective? *
    • Please provide month and year (MM/YY).
    • For bank draft changes and downgrades, 15 days' notice is required. 
    • Prorated membership fees may apply for upgrades based on effective and draft dates.
57. Memberships - Same Household

    I understand that members must live in my same household. 

    1. Yes
    2. No
59. Do you have any comments or questions?
Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field