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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  • FIFO Healthy Life PLUS Membership
  • FIFO Healthy Life Membership

  • Enter your contact details

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  • Date of Birth*
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  • Membership Start Date
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  • Disclaimer

    City of Melville will use the information you provide on this form to administer our bookings and memberships system. Your information will not be used for any other purpose. City of Melville will store your information securely, and in line with the Privacy Act 1993, and you can ask to access it, or correct it if you think it is wrong.

    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.

  • 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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