Tropical Coast Western Performance Club

Member Registration

Member Details

Residential Address

Mailing Address

Ext.

Other information

Are you a member of any of the following? *
As far as you are aware, are you allergic to any drugs/foods?
Are you taking any regular medication? If so, for what reason?
Do you have any long term illnesses (e.g. Epilepsy, Asthma, Diabetes)

Email address is already assigned to a member,
please use an alternative email address.

You appear to be an existing member.
Do you want to renew your membership?

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.