Membership Change Request Thank you for visiting our membership change request page. Please choose from the drop down menu below to get started with the change you wish to make. When asked, please ensure that the names of all members on family accounts are listed for which a change needs to occur. If a name is not provided that account will remain active. Change Request*-- Select Action --Freeze MembershipTerminate MembershipAccept to Continue* I understand that freezing a membership costs $10 per account per month. For example, a family of 3 would still only be $10 per month to freeze, not $30. Frozen members avoid paying start up fees associated with terminating and restarting a membership at a later date. Accept to Continue* I understand that by terminating my account I must repay the start up fee should I choose to rejoin at a later date. I understand that if/when I return I will be subject to the current going monthly rate for the membership and forfeit any current discounts being received. Effective Date*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberEffective Year*201620172018Please be aware that memberships freezes or terminations cannot take effect mid-month. However, members can re-activate memberships mid-month by seeing a staff member at the front desk.Gym Location*-- Select Location --CambridgeGlastonburyHadleyRandolphWatertownWorcesterMember Name(s)*Please list first and last name of all family members on account for which a change is occurring.Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Please select the date of birth of primary member.Email Address* Membership ID Number*Please enter the 6 digit code on the back of your member ID card.Reason for Status Change*-- Select Reason --Moving awayNot using enoughCannot affordPoor serviceToo crowdedToo far awayJoined another gymTravelingWorkOtherOther...*List all members on account to apply change toSurvey Questions Your feedback is an invaluable part of Central Rock Gym growing and adequately serving the needs of members. Please take a moment to briefly answer a few questions to help us serve our community better. Thank you!How did you like climbing at Central Rock Gym?*Did you enjoy the membership benefits?*What did you like the most about climbing at CRG?*What did you like the least about climbing at CRG?*Would you consider getting a membership again in the future?* This iframe contains the logic required to handle AJAX powered Gravity Forms.