Fitness Membership Status Change Form

Fitness Membership Status Change Form
Please fill out the below membership status change form to change your membership account.

• Membership change requests must be submitted before the first of the month

• Membership changes are for the entire calendar month(s) that you choose, example January 1st-31st or January 1st-March 31st.

Questions? Email membership at memberservices@jccmetrowest.org

We hope to see you at the J soon!

Thank you
Change Status (Internal Use)
Name

First NameLast Name
Email
example@example.com
Membership Number or Membership Key Tag Number
Please change my membership to:
Please include the name(s) and date(s) of birth of whom you would like to ADD to your membership account.
Please include the name(s) and date(s) of birth of whom you would like to REMOVE to your membership account.
Please include any additional notes of information we should know.
Signature
Notes from staff (internal use)
Should be Empty: