Membership Signup – San Feliz Care Pass

Membership Type(Required)

Please select a membership type to get started.

How Many Adult Members?(Required)

How Many Student Members?(Required)

Membership Details

Student Membership

Price:

$39 / Month

Individual Membership

Price:

$49 / Month

Adult Memberships

Price: $0.00

Price above is per month for the adult family members.

Student Memberships

Price: $0.00

Price above is per month for the student family members.

Coupon

If you have a coupon code, apply it here. Discount will be reflected in the total field below.

Member 1 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Member 2 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Member 3 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Member 4 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Member 5 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Student Member 1 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Student Member 2 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Student Member 3 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Student Member 4 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Student Member 5 Details

Name(Required)

First Middle Last

Phone(Required)

Email(Required)

Address(Required)

Street Address City State ZIP Code

Gender(Required)

DOB(Required)

Billing Details

Billing Address(Required)

Street Address City State ZIP Code

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Total Due Today

This amount will be charged to your credit card on a monthly basis.