Membership / Climbing Team / Climbing Club Change Request Form

Which gym is your home gym? If you don't know, just take your best guess. *
Name*



Date Of Birth*




Key Tag Barcode (optional)

Click the blue button to add all family members impacted by the change.

Include Additional Family Member

Contact Info

How can we reach you with questions about the request?

Email Address*
Phone Number *
Change Request

Choose all that apply...

Update Contact Information

Please provide new contact information for your account.

Email Address*
Street Address*
City*
State/Province*
Zip/Postal Code*
Country
Mobile Phone
Home Phone
Work Phone
Update Payment Information On Account

To update your billing information on your membership account (or youth climbing team or club if applicable) select the appropriate button below. These changes will apply to both the processing of your membership dues and on-account purchases if any.

New Credit Card Details
 OR 
New Bank Account Details
I hereby authorize debit entries to the Credit Card, Checking or Savings Account named above and/or adjustments for any debit entries made in error. I hereby authorize the financial institution named above to credit and/or debit the same to such account. This authorization is to remain in full force and effect until written notification is provided from me of its termination.
Membership Freeze Details

Freezes must begin on the 1st of the month.
PLEASE NOTE: A freeze fee is billed in place of regular monthly dues for the duration of your freeze. Annual freezes pay per calendar month frozen.

For more information on freezes, please see the FAQs for your gym!

Planet Granite Members: https://planetgranite.com/membership/#faqs
Earth Treks Members: https://earthtreksclimbing.org/membership-faq/

Freeze Start Date *
Membership Cancellation

Memberships renew automatically on a month to month basis, but you can schedule a cancel for the end of any calendar month.

Be aware that any outstanding balance on the account will be processed at the time the cancellation is processed.

Unsure about cancelling? Freezes can be placed on the account!  More info can be found here:
Planet Granite: https://planetgranite.com/membership/#faqs
Earth Treks: https://earthtreksclimbing.org/membership-faq

Cancel Date *
Reason for Cancellation *
Membership Un-Freeze

Please let us know the details of your un-freeze/thaw request. PLEASE NOTE: a prorated amount for the remainder of the billing month will be placed on your account if un-freezing today.  This will be billed, along with regular monthly dues, on the 1st of the upcoming month.

Un-Freeze Date *
Additional Comments

Anything else we can help you with?

Requests are processed based on the date submitted. 

We will confirm your request has been completed with a separate reply within 3 business days.  If you have not received confirmation within 3 business days, we have not received/processed your request!

Please contact us if you have not received confirmation within 3 business days - membership@planetgranite.com or membership@earthtreksclimbing.com

... and don't forget to check your junk folder :)

Please complete the required fields shown in RED above.
Please enter a new credit card or banking details above.
Please select at least one change request type.
Please complete the robot test.
Routing number is invalid.
Account numbers do not match.
Please check the box indicating you agree to the payment change requirements.
Powered by Rock Gym Pro
Form hosted by https://www.rockgympro.com

Thank you for contacting the Earth Treks / Planet Granite Membership Department!  Your request is being processed.

We will confirm your changes with an email reply to the address provided. If you do not receive a confirmation email within 3 business days, we have not yet received your request!  

We can be reached at - membership@planetgranite.com or membership@earthtreksclimbing.com

...and don't forget to check your spam folder :)