Membership

Membership Form

Please only fill out this section if you would like to give this membership as a gift to somebody else.

Please print all names to be included on membership cards.

Additional people (such as a child, caregiver, grandparent, friend, etc.) may be added for $20 each.
Children ages 12 months and younger do not need membership cards.
Membership cards are non-transferable.
You & Me Membership = Two membership cards
Family Membership = Five membership cards

You & Me - $90

Family - $105

I would like to automatically renew my membership

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First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

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Gifted From:

Giver Email:

Giver Adress

Giver Town & State

Giver Zip Code

Special Note?

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Member 1 Name and Age *

Member 2 Name and Age *

Member 3 Name and Age

Member 4 Name and Age

Member 5 Name and Age

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Include a submember in your membership registration

Include a submember

SUBMEMBER {{index+1}}: {{getSubMemberName(index)}}

Membership Level *

I would like to automatically renew my membership

Name *

Age *

Add a submember

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{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}

{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}

{{sm.userName}} (Submember)

{{sm.startDate}} - {{sm.endDate}}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Donation

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

ACH

PayPal

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Routing Number *

Account Number *

Account Type *

Account Holder First Name *

Account Holder Last Name *

You will be charged

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Amount:

{{formatAmount(totalAmount)}} USD

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