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Support Allez Up through the COVID-19 closures


Use this form to voluntarily support Allez Up through these uncertain times. Keep your membership going through the Covid-19 closures.


Please note that by default,  your membership will be automatically frozen free of charge.


Thank you for your consideration!

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
I want to support Allez Up! *
Please keep my membership going throughout the COVID-19 closures
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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