$25 PER MONTH FOR JUNE, JULY & AUGUST 2014!

NO REINSTATEMENT FEE!

**SPECIAL ENDS MAY 1ST, 2014 OR WHEN PROGRAMS HIT 85% CAPACITY**

**IMPORTANT! YOU WILL RECEIVE A CONFIRMATION EMAIL AFTER THE PROCESS IS COMPLETE. IF YOU DO NOT RECEIVE AN EMAIL, YOU DID NOT SUBMIT THE FORM CORRECTLY.**

Which program do you wish to reactivate/reinstate?:

Students Name (First, Last): (required)

Account Holder's Name. *Who is Paying*
(First, Last): (required)

Your Email: (required)

**You will receive a confirmation email.**

Account you wish to use for payment:

Type of Account:
Name on Account:
Last 4 Digits of Account/Card Number:

I UNDERSTAND (required):

1. All memberships require 31 days written notice to cancel and a minimum of two full paying months after this reinstatement has been made. I understand that I will only be charged $25 per month for three months (June, July & August 2014) which will fulfill the "two full paying months" per the special I am signing up for.

2. By checking the following box I understand and agree to the Membership Policies and have read the FAQ regarding our rules, payments, cancellations, holds, etc.

3. I agree and confirm that I am 18 years or older and if I am not the student who this addition is concerning, I confirm that I am the parent or legal guardian of the above student.

4. I understand that if I am reinstating an account under the special above and the normal $75 reinstatement fee will be waived this time. However, if I cancel and come back, an account which was previously canceled I will incur a reinstatement fee of $75.

5. I understand the my account will be charged $25 for June 2014, $25 for July 2014 and $25 for August 2014. Starting in September 2014 I will automatically get charged the special rate of $75 per month for the program above I am signing up for unless I submit my 31 days notice for July to be my last month.

I UNDERSTAND AND AGREE TO ALL OF THE ABOVE:

Please type in the letters below:
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Then click "Send" below: