• LeisureFit Workshop - Healthy Life and Healthy Life PLUS Member sign-up form

    2025/2026 Fees and Charges applied
  • Course Type
  • Handstand Workshop Sessions*
  • Women's Lifting Workshop Sessions*
  • Group Training at Shirley Strickland Sessions*
  • Payment Type*
  • Enter your contact details

  • Date of Birth*
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  • 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 Conditions of Entry 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.

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