Membership Change - First Ascent Climbing and Fitness

Name *

First

Last

Email *

Which First Ascent Location would you consider your main gym? *

What area of Membership can we help you with? *

I understand that all freezes will be for full months beginning on the 1st and continue until First Ascent receives notification that I'd like to unfreeze. A freeze cannot start in the current month.

By checking box I'm indicating I understand there is a $10/month freeze fee

I acknowledge that FA Bonus (Perkville) points are only available for use with active memberships. Freezing a membership retains points for use when a membership is activated in the future.

Please indicate which month you’d like your freeze to begin. *

Cancellation reason *

How likely are you to recommend First Ascent to a friend? *

Please tell us why you're not satisfied. *

I'd like my free month to be: *

If redeeming a Family Free month (for 20,000 points) please indicate which family members will be contributing points.

Membership restart month *

If you would like to unfreeze your membership in the middle of the month (still paying the $10 freeze fee and a pro-rated membership cost for that month), please include the specific date you would like to restart your membership in the text box at the bottom of this form.

Reason for freeze *

Travelling
Injury
Illness
Other

What would you like to change your membership to?

I visit FA less frequently than I'd like because

Proof *

Click or drag a file to this area to upload.

Anything else you'd like us to know?