Membership Agreement Form and Consent Form

Please fill out the following information, for your membership to be activated upon checkout. Kindly ensure you have read the Terms and Conditions of this membership, available at the bottom of this page.

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Marital Status

Health Questionaire

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If signing of behalf of a dependent,

I declare that I have disclosed all particulars relevant to this application, and I warrant that I am authorized to sign on behalf of my dependent.

Member or Representative Signature

Approved Payment Methods