FIFO Member Signup Form

FIFO Member Signup Form

2026/2027 Fees & Charges applied
Required confirmation letter from place of employment stating roster arrangement and working away status.Roster/flight details will not suffice.

Casual employment and/or inconsistent rosters will not be approved due to working hours being irregular or unsystematic.
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Membership Option 1
Membership Option 2

FIFO Healthy Life PLUS Membership
FIFO Healthy Life Membership

Enter your contact details
First Name
Last Name
Please attach member photo

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Date of Birth

DayMonthYear
Date
Mobile Number
Email address
Address

Street Address

Suburb

Post Code
Emergency Contact Details

First NameLast Name
Phone number
Membership Start Date

DayMonthYear
Date

Disclaimer

Direct Debit Service Agreement
I authorise Ezidebit Pty Ltd ACN 096 902 813 (User ID No 165969, 303909, 301203, 234040, 234072, 428198) to debit my/our nominated account identified above through the Bulk Electronic System (BECS) in accordance with the Debit Arrangement stated above by, and as per the Ezidebit Direct Debit Agreement Terms & Conditions.

I declare that I am medically and physically fit and free from impairment, and able to participate in fitness activities. I have undertaken or will undertake all necessary medical and/or fitness assessments and examinations. I agree to obtain medical clearances if requested by City of Melville prior to commencing exercise. I also agree to inform the site immediately should any of the information on this form change. I assume with full knowledge the dangers in my participating in fitness activities and do so at my own risk and I agree to the Membership Terms and Conditions.
Your personal information is collected by the City of Melville LeisureFit for the purpose of administering your request and providing relevant updates about LeisureFit programs and services. Your information may be shared with authorised City staff and trusted systems we use to manage bookings and communications. You can request access to or correction of your information at any time. If you choose not to provide this information, we may be unable to process your request.

Read our Privacy Policy and find further information about your privacy rights and personal information.

Thank you {firstName} for joining LeisureFit! A customer service officer will now assist you with your membership sign up (which includes a $50.00 joining fee) and collection of your LeisureFit Membership Pack.
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FIFO Member Signup Form

Enter your contact details