Swim Change Form – Courthouse Club Fitness

Child's Name*

First Last

Birthdate*

MM

DD

YYYY

We want to make sure we have the right person.

Barcode ID Number

Email*

Phone Number*

Home Club*

I want to:*

Remain Active
Freeze My Swim
Cancel Swim

Due to the closure, I would like my missed lesson fees applied:*

To make up lessons
As private lessons
As a Courthouse membership

The membership will be for:

An adult
A child
A family

Membership credit is dependent on the total unused swim fees paid. We will contact you with more details.

Any other comments

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.