Sign up today and SAVE! No Joining FeeSave $99 today and feel the freedom with no lock in contract! Apply Now Yaralla Fitness Centre Direct Debit Application Title*MrMrsMissMsName* First Last Home TelephoneMobile*Email* Address* Street Address Address Line 2 City State Postal Code Date of Birth* Date Format: DD slash MM slash YYYY OccupationEmergency Contact Name*Emergency Contact Number*Please upload a photo of yourself for your membership card*Please supply a high resolution photo in JPG format. Please make sure you are not wearing a hat or sun glasses.Are you interested in Personal Training?YesNoGym MembershipAccess to both the Yaralla Fitness Clinton and Yaralla Fitness South Gladstone are included in Gym Membership. Lifestyle membership is available for people 16 years and over. Membership Type*Gym - Clinton and GladstoneLifestyle PackageCosts IncurredOnce off payment Sign On Fee: $99 Administration Fee: $10Total Weekly Payment $ 0.00 Includes 95c transaction feeTerms & Conditions* I agree to the terms and conditions By checking this box I acknowledge that I understand what is included with my membership at Yaralla Fitness Centre and that I am physically and medically fit to undertake a basic exercise program. I have read, understood & hereby agree to the terms and conditions of membership as set out in Terms & Conditions I also understand that there is a minimum term of 3 months and I am required to provide a written cancellation one month prior to stopping my direct debit payments. A team member will contact you to arrange weekly payments
