Membership

Please Pay by Direct Deposit or Cash fill out the online form below and then press the Submit Button.

Wangaratta Pickleball Club Online Membership Registration Form

Full Name

Full Address including Postcode

Phone Number

Email

Date of Birth DD/MM/YYYY

For Family Memberships other Family Members to be added below Please add Name, Date of Birth and Gender

First

Middle

Last

First Member

First

Middle

Last

Second Member

First

Middle

Last

Third Member

Emergency Contact Name

Emergency Contact Phone Number

Gender

Permission to use Photos for Publicity

Membership Fees (Please Select)

I will be paying by (Please Select)

Bank Account Details

Please use your Surname as a reference on the Direct Deposit