Membership Status Change

Per Nosotros' Waiver and Member Agreement:

  • Membership dues, plus tax, are auto-charged monthly on the 1st, via bank ACH (0% processing fee) or credit/debit card (4%)
  • Regardless of facility usage, Membership dues continue until a member initiates written cancelation

  • Membership status changes (freeze/cancellation) must be submitted five days before month-end. Late requests apply next billing cycle

Email *
Full Name *
Date of Birth *
MM
/
DD
/
YYYY
Change Request *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of NOSOTROS Rock Climbing Gym.

Does this form look suspicious? Report