Client Information Update Name* First Last Would you like to upgrade or downgrade your membership?YesNoIf yes, please select a membership. 3-Month Classic ($120) 6-Month Classic ($180) 12-Month Classic ($240) 3-Month Premier ($249) 6-Month Premier ($349) 12-Month Premier ($499) (Receive 20% off membership rates if renewed on or before membership expiration.)Do you need a new membership discount program card?YesNoDo you need a new Family Care GuideYesNoWhat information needs to be updated? Select all that apply. Parent/Guardian Phone Numbers Parent/Guardian Email Address/Gate Codes Number of Children in Home Long-Terms Guests in Home Marital Status (please explain below.) Children's allergies/medical conditions Pets Emergency Contact Info Insurance/Physician/Preferred Hospital Care Instructions Other (Please explain below.) Please tell us which phone numbers have changed and provide us with updated contact numbers.Please tell us which emails have changed and provide us with updated addresses.Please provide your new address below and/or gate code below. Please indicate the address type (mailing, billing, home, etc.)Please explain changes regarding children in the home. For new additions please provide child's sex, DOB and any medical conditions below.Please share any new information regarding long-term guests in your home below.Please describe any changes in marital status that we should be aware of.Please list any new or changing allergies/medical conditions that pertain to your children.Please tell us about what has changed regarding pets in your home.Please provide us with your updated emergency contact information.Please provide us with your new Insurance/physician name and contact number/preferred hospital.Please share any changes you would like to make to the care instructions we have on file.Please share any other information that needs to be changed or updated below.