Club Ice - Charlotte, NC

CLUB ICE Membership Form

Please fill out the form below:

Name Last First Middle
Mobile # (we will NOT call you or share your number with anyone. Used only for text messages of updates and events.) ###-###-####
Email
Date of Birth MM/DD/YYYY
Driver's License #
Address
Street Address

City

State / Province / Region

Postal / Zip Code

Country
Digital Signature
Today's Date MM/DD/YYYY
NOTE:
1) A membership card is not transferable and remains the property of Club ICE.
2) Misconduct will result in revocation of this card by the Management.
3) Club Ice has the right to refuse service to anyone.
4) Affiliates will allow Club Ice to contact them about upcoming special events and privileges.
5) Affiliates will accept responsibility for their guest.
6) By signing, the applicant agrees to all terms set forth.