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Membership Change Form


Only the Head Account Holder of the Membership is allowed to fill out all forms.
I acknowledge that I am the Head Account Holder of the Membership being changed.*
Yes
Downgrade -*Members are allowed 1 free downgrade per year. Any additional downgrade will incur a $10 fee*
Current Membership Type
New Membership Type
Person(s) to be removed from Membership
Upgrade - *No fee for upgrade
Current Membership Type
New Membership Type
Member(s) to be added to membership
Other Changes
Other Changes Please Explain- Ex: (Package Change - Account Group Leader Change)
First Member Name
First Name*
Last Name*
Phone*
First Member Age Acknowledgment*
First Member Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Member Information
Address *
City *
State *
Zip *
First Member Signature*
Second Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Third Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Fourth Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Fifth Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Sixth Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Seventh Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Eighth Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Ninth Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Tenth Member Name
First Name*
Last Name*
Member Date of Birth*
Date of Birth
Information
Address *
City *
State *
Zip *
Parent or Guardian's Email Address
Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Address *
City *
State *
Zip *
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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