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Membership
Details
Terms & Conditions
Payment
Confirmation
Your Personal Details
Club
Waitara Health & Fitness
First Name
Last Name
Date of Birth
Gender
Male
Female
Email
Password
Confirm Password
Cell Phone
Home Phone
Work Phone
Street
Suburb
City
State
Postal Code
Country
New Zealand
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Medical Information
Behavioral Information
Start Date
First Payment Date
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Add Linked Family Member
Membership
24/7 Access Weekly
Price
$14.00 Weekly by Billing
Signup Fee
$40.00
Promotion
$0.00 until
Account Credit
applied after sign-up
Membership Start Date
Minimum Term
3 months
First Payment Date
Prorated Upfront Fee
Transaction fees may apply
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