Register Page - Project Better West

First name

Last name

Email address

Mobile phone

Date of birth

Address

Gender

Upload a profile photo

Location

Trial Date

Password

Confirm Password

Are you aged over 60 years of age:

Yes

No

Do you have any joint or muscular problems that may affect your ability to train:

No

Yes Please explain:

Do you have any other conditions or injuries that may affect your ability to train:

No

Yes Please explain:

Name

Molly Smith

Email Address

mollysmith@gmail.com

Mobile Phone

+61 419 475 184

Date of Birth

12/01/1991

Gender

Female

Address

23 O'Neil Lane, Collingwood, VIC, 3066

Password

**************

This information is correct.

I have watched the induction video and understand how to safely use the facility

Debit Authority Form

Welcome to Project Better!

By Clicking Finish you will register for a free trial session at Project Better ()

You can access your chosen club at any time via mobile.
We will send you a welcome email with all the details,
If you have any questions don’t hesitate to get in touch.

Name

Molly Smith

Email Address

mollysmith@gmail.com

Mobile Phone

+61 419 475 184

Date of Birth

12/01/1991

Gender

Female

Address

23 O'Neil Lane, Collingwood, VIC, 3066

Password

**************

Member Details

Name

Email Address

Mobile Phone

Date of Birth

Gender

Address

Password

Debit Authority Form

Welcome to Project Better!

By Clicking Finish you will register for a free trial session at Project Better ()

Name

Email Address

Mobile Phone

Date of Birth

Gender

Address

Password