Name *

First Name

Last Name

Would You Like To Cancel My Membership? *

Yes

No

If no, what is your request?

I would like to suspend my membership for $20 per month.

I would like to update my credit card on file.

I believe there is an error with my charges.

Extreme circumstances 2 month medical suspension with auto restart (no charge)

Military Deployment (No Charge)

Other

If this is regarding memberships, are there multiple members on the account?

Yes

No

If you are cancelling your membership, can you please provide a reason? *

I'm not cancelling. I have a different request.

I'm cancelling because I am moving.

I'm cancelling because Grotto is too expensive for me right now.

I'm cancelling because I don't enjoy the gym.

I'm cancelling because I can't climb anymore due to injury.

Other

I acknowledge that all members must submit a cancellation 30 days in advance. *

I acknowledge

I acknowledge that suspension requests must be made 30 days in advance and I will be charged $20/month. *

I acknowledge

I acknowledge that a response from the Billing Department may require up to 10 business days. *

I acknowledge