Redirecting to mobile view. Please click here if redirection does not work.
×
Please "Confirm" to add payment details for Stripe realtime payment. Please Note the CC details you add now, will NOT be saved.
Loading...
Membership
Details
Terms & Conditions
Payment
Confirmation
Your Personal Details
Club
Please Select Club
Fitness Factory Health Clubs - Lightsview
Fitness Factory Health Clubs - Mount Barker
First Name
Last Name
Date of Birth
Gender
Male
Female
Other
Email
Password
Confirm Password
Cell 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
Notes
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Behavioral Information
How did you hear about us?
Facebook
Friend
Google
Instagram
Other
Are you interested in Personal Training?
No
Yes
Fitness Goals?
General Fitness and Well-Being
Increase Fitness Levels
Muscle and Strength Gain
Weight Loss
Start Date
First Payment Date
promo_impact_start_date
Add Profile Photo
Take Photo
Upload Photo
Connecting to webcam...
Undo
Confirm
Undo
Membership
1 x Evolt Body Scan
Price
$35.00 Full Cost by Billing
Promotion
$0.00 until
Account Credit
applied after sign-up
Membership Start Date
Prorated Upfront Fee
Transaction fees may apply
Back
Sign Up
Membership Software by
GYM
MASTER
×
