Membership Application

Fill in your details below and submit your application. Our team will review it and be in touch soon.

Your Details

First Name *

Surname *

Email Address *

Phone Number *

Emergency Contact*

Last Name*

Contact Number*

Email Address*

Date of Birth*

Membership Type*

First Name*

Address*

Additional Family Members

EXCA Number

Agree to terms and conditions*

Day Membership$10.00/yr

Day Membership Insurance

Non Rider$20.00/yr

Youth$80.00/yr

Open$100.00/yr

Family$200.00/yr