Name of Member 1 *

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Will you be using an 'Active and Creative Kids Voucher' for this member?

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Name of Member 2

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What section of Physie applies to this member?

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Ladies

Name of Member 3

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Date of Birth MM/DD/YYYY

••• FORMAT MM/DD/YYYY ***

MM

DD

YYYY

Will you be using an 'Active and Creative Kids Voucher' for this member?

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What section of Physie applies to this member?

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Ladies

Address *

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Have you ever done Physie before? *

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Payment Options *

Please indicate your payment option

Early Bird Payment 10% Discount - Due by 15th MARCH 2024

4 Instalments per year - Due 15th March, 1st May, 1st July and 1st September 2024

Photography Disclaimer *

I give permission for images and footage of me or my children to be used by The Point Physical Culture Inc. for publicity purposes. Photography and video footage may be usedin class, appear on our website, facebook page and/or in various marketing materials.

YES

NO

Accident/Injury Disclaimer *

I understand, acting for myself, agree that participation of Physical Culture classes run by The Point Physical Culture Club Inc., are at my own risk. Any accident or injury incurred at such times is in no way the fault of the teachers, associates or committee members of the club and are my own responsibility.

AGREE

DISAGREE

Declaration *

By clicking 'AGREE' to this declaration, you agree to pay all membership fees by their due date, as set by the Treasurer for 2024.

AGREE

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COVID-19 Declaration *

I agree to abide by NSW Health's advice regarding guidelines and restrictions for COVID-19.

AGREE

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BJP Code of Conduct *

I agree to adhere BjP’s Code of Conduct at all times.

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Almost there! How did you hear about us? *

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