Welcome and congratulations on making the decision to invest in your health and fitness with a Latrobe Leisure membership. We are excited to have you on board. Our members are the lifeblood of our facilities and we are here to help you maximise your experience. Your membership options include: Gold – Access to Aquatics, Gym and Group Fitness Silver - Aquatics & Gym | Aquatics & Group Fitness | Gym & Group Fitness Bronze – Either: Aquatics | Group Fitness | Gym Your membership is valid at each of our facilities: Latrobe Leisure Churchill, Latrobe Leisure Moe Newborough and Latrobe Leisure Morwell, as well as the Gippsland Regional Aquatic Centre. Preferred location Latrobe Leisure Churchill Latrobe Leisure Moe/Newborough Latrobe Leisure Morwell Gippsland Regional Aquatic Centre (Traralgon) Membership Membership Type Gold - Access to Gym, Pool, Sauna, Group Fitness Silver - Select an option Bronze - Select an option Silver Membership Options Gym and Pool Gym and Group Fitness Pool and Group Fitness Bronze Membership Options Gym Pool Group Fitness Do you have a concession card or student ID? Yes No Please note a valid concession card must be presented at your first visit. Are you wanting an off-peak membership? Yes No Off-peak members have access limited from 11am to 3pm weekdays and normal operating hours for weekends and public holidays. Information message Concession/Student and Off-peak memberships available. Please discuss with our friendly staff when you attend the centre. Direct debit payments are made each fortnight on a Friday. Personal Details First Name Last Name Date of Birth (Month/Day/Year Phone Number Email Address Postcode Motivation for becoming a member Weight loss Get active Improve health Sport specific Increase strength Improve flexibility Increase fitness Other… Enter other… What else can you tell us to help us support you to reach your goals ? How and when would you like to be contacted? (phone/email, morning/afternoon/evening) Emergency Contact Emergency Contact Full Name Relationship Phone Number Promo Code If you have a promotional code enter it here How did you hear about us? Facebook Instagram Radio Newspaper From a friend Other Leave this field blank
