New Member Info
Hey There! For a smooth on boarding into our StrengthCity family, we require the following details. Once we receive this info, our admin team can set you up as a member!
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Mobile *
Address *
Date of Birth *
MM
/
DD
/
YYYY
Please tick the following that apply to you
If you ticked yes to Any joint / muscle pain or previous injuries please explain
Payment Method - We require either a BSB and Account Number or a Credit Card Number and Expiry date. There is a $1.20 transaction fee with both options however, providing a CC will in-cure a 2.2% fee. *
Payments are scheduled for 6am Monday mornings. If you default due to insufficient funds, Ezidebit will charge you $20. If this day does not suit, please advise another day for your deduction/s below. If you are joining with a current promotion, please advise below. *
Please select which membership option you are signing onto *
Would you like to add "extras" onto your membership? Extras include personal nutrition programming, weekly accountability, goal setting and review with your personal coach and monthly InBody scans (not applicable for promotions). *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of StrengthCity. Report Abuse