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Membership
Details
Terms & Conditions
Payment
Confirmation
Your Personal Details
Club
JT Performance Centre
First Name
Last Name
Date of Birth
Gender
Male
Female
Other (non-binary, intersex, gender diverse, transgender)
Email
Password
Confirm Password
Mobile Phone
Home Phone
Work Phone
Street
Suburb
City
State
Please select an option
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postal Code
Country
Australia
How did you hear about us?
Please select an option
Facebook
Family/ friend
Google Search
Instagram
Other
Website
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Medical Information
Behavioral Information
What type of membership are you interested in? e.g. General Fitness or Sports Performance
What sport do you play? (if applicable)
Start Date
First Payment Date
promo_impact_start_date
Membership
7 Day Trial
Price
$0.00 Full Cost by Billing, Fixed Term
Promotion
$0.00 until
Account Credit
applied after sign-up
Membership Start Date
Membership Length
1 weeks
Prorated Upfront Fee
Transaction fees may apply
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