Please fill out the form below to request a change to your membership or program. Name* First Last Birthdate* MM DD YYYY We want to make sure we have the right person. Barcode ID NumberNumbers onlyEmail* Phone Number*Home Club*Battle CreekKeizerLancasterSouth River RoadWest SalemI wish to*Freeze my accountCancel my membershipUnfreeze Swim MembershipOther (Please specify in comments)Reason*MovingNot UsingCostIllness or InjuryNew GymProblem - Facility/StaffOther: Please specifyReason*Extended TravelIllness or InjuryOther: Please SpecifyOther - Please Specify*How can we assist you?Once submitted, you will receive an initial confirmation email of your submission. Please note that the change process will NOT begin unless you receive this email.* Yes, I have read and understand this. I understand that my membership requires a 30 day notice to cancel.* Yes, I have read and understand this.