Update Expiration Date

    **IMPORTANT! YOU WILL RECEIVE A CONFIRMATION EMAIL AFTER THE PROCESS IS COMPLETE. IF YOU DO NOT RECEIVE AN EMAIL, YOU DID NOT SUBMIT THE FORM CORRECTLY.**

    Students Name (First, Last): (required)

    Account Holder's Name. *Who is Paying*
    (First, Last): (required)

    Your Email: (required)

    **You will receive a confirmation email.**

    Account you wish to use for payment:

    Type of Account:
    Name on Account:
    Last 4 Digits of Account/Card Number:
    Expiration Date:

    I UNDERSTAND (required):

    1. All memberships require 31 days written notice to cancel and your payments will stop after the next billing cycle. It is a minimum of two full paying months payment, paid for by the month. This does not include any payment for a special or promotion if it is not a full month's payment.

    2. By checking the following box I understand and agree to the Membership Policies and have read the FAQ regarding our rules, payments, cancellations, holds, etc.

    3. I agree and confirm that I am 18 years or older and if I am not the student who this addition is concerning, I confirm that I am the parent or legal guardian of the above student.

    I UNDERSTAND AND AGREE TO ALL OF THE ABOVE:

    Please type in the letters below:
    captcha

    Then click "Send" below: