Change of PRG Membership Request Form Change of PRG Membership Request Form Name(Required) First Last Phone(Required)Email(Required) Which PRG location is your home gym?(Required)If you are unsure, please select the gym you climb at most often.OaksEast FallsWyncoteFishtownMalvernWhat change would you like to make to your membership?(Required) Temporarily suspend my membership (requires 10 days notice). Add a family member to your Family Membership Remove a family member Cancel my membership (requires notice by the 25th of the month to cancel for the following month + completion of initial term commitment) Please let us know your reason for cancelation?(Required) Moving away Injury / Health Related Financial Reasons Not climbing enough Joining a different climbing gym I changed my mind, I’ll suspend my membership instead! Other Not climbing enough? Please choose the option below that best suits your situation as we do our best to improve the experiences of all members at PRG.(Required) Not enough time / busy schedule Don’t have a climbing partner Not having enough success with climbing Lost interest in climbing Other We’d hate to see you go!(Required)SAVE $49: We absolutely understand that life can get in the way of climbing. We offer suspensions as an alternative, because sometimes life things are temporary. A suspension will save you from paying the $49 initiation fee when are ready to get back to climbing. What do you say? Yes, I’ll suspend my membership instead! No thanks, I’d like to cancel. How many months would you like to suspend your membership?(Required)Suspensions may be applied to memberships for 1 or 2 months (3 months for student memberships) over the course of a 12-month period. **Please note: There is a $10 fee per billing date during the suspension for all memberships. 1 Month 2 Months 3 Months (Student Memberships Only) Longer Suspension Requested Requested start date for suspension?(Required)10 days’ notice is required for membership suspensions. Please enter the preferred start date for your suspension below. Month Day Year Requested end date for suspension?(Required)Please note: Suspensions can only be processed in one-month increments. Month Day Year Reason for suspension?(Required)Please enter reason below as well as an end date for the suspension. If an end date is not specified, a two-month suspension will be applied. Please note: we may ask for additional documents to help us approve your extended suspension request and/or waive the $10 per month hold fee, i.e. doctor’s note for injury, etc. We’d hate to see you go!(Required)SPECIAL OFFER: $60 Climbing School Credit: Instead of canceling, we think $60 to any of our Climbing School services (classes, clinics, or private lessons) will help you overcome hurdles in your progress, introduce you to others, and keep you motivated and inspired. We’ll help you climb better, get you back in the gym flashing all your projects, and having a blast. What do you say? YES, definitely. Help me grow as a climber and I’ll stay! No thanks, I’d like to cancel. We are so glad to keep you as a member at PRG!(Required)Your climbing school credit of $60 will be applied to your account within 5 business days. **Please note: This is a one-time special offer. The $60 Climbing School credit is only valid while your membership remains active. If you choose to cancel your membership prior to using your credit, the balance will be forfeited.** “I agree to these terms and conditions” We’re bummed, but we hope you’ll be back to see us!(Required)And THANK YOU for being a member at the Philadelphia Rock Gyms. Your support is greatly appreciated. Notice by the 25th is required for cancelations to take place the following month. Memberships will remain active for the following billing date if notice is submitted after the 25th. Some memberships require completion of an initial term. These members are committed to the initial term and may cancel after it is complete. If you are inside your initial term and meet the criteria in the Terms and Conditions to terminate your agreement before the commitment expires, you will be asked to provide the necessary documents in a follow-up email. Termination fees may apply. “I understand that my membership will end on the date selected OR the earliest possible date in accordance with terms and conditions as outlined in my contract. I understand that I may need to provide additional documentation before my cancelation is processed. I agree to any charges associated with my cancelation.” Please provide a date below that you would prefer to be the last day of your membership.(Required) Cancellation Final CommentsEach request will take up to 5 business days to process to complete. If there are any issues with your request, we’ll reach out ASAP to the email provided. Thanks for being a member! Please feel free to add any additional questions, comments or concerns below. Which family member(s) would you like to add?(Required)Excellent, we’re happy to have them join you on your family membership at PRG! A reminder that family memberships are for partners and/or their dependents whom share a household. Please add the full name(s) and birthdate(s) of the family members you wish to add below. You will be asked for proof of address when processing (Proof of address is not required for minors.) Add Family Member DOB(Required) Add Family Member(s) Terms and Conditions(Required)You will see a charge when your request is processed and your billing will be updated going forward. Please visit our website for current membership pricing. Note: Family members added to the Family Annual Membership are the partner/spouse or dependent of the primary member and can provide proof of shared address. Additional family members agree to commit to the remainder of the primary member’s initial term. By clicking below, you agree to these terms and conditions. “I agree to the charges associated with adding family members to my membership.” To remove a family member on your family membership, please enter their full name and birthdate below.(Required) Remove Family Member DOB(Required) CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ asalce2025-08-28T12:38:50-04:00