Member/Parent First Name

Member/Parent Last Name

Member/Parent Phone Number

Member/Parent Email Address

Membership Type

Free child memberships are only available for All Access members. Ask customer service about upgrading your membership.

How many children are you registering?

Do you have more than three children under 10? If so, just submit the form a second time to cover all children.

Child #1

Child First Name

Child Last Name

Child Date of Birth

Must be under 10Y (DD/MM/YYYY)

Current Child Age

Child Gender

Male

Female

Child #2

Child First Name 2

Child Last Name 2

Child Date of Birth 2

Must be under 10Y (DD/MM/YYYY)

Current Child Age 2

Child Gender 2

Male

Female

Child #3

Child First Name 3

Child Last Name 3

Child Date of Birth 3

Must be under 10Y (DD/MM/YYYY)

Current Child Age 3

Child Gender 3

Male

Female

Terms & Conditions

FREE Child Membership is a 'benefit' for All Access members. The child must be under the age of 10 and reside with the eligible member. FREE Child Membership provides the equivalent access privileges and inclusions as allowed by a child casual admission to the pool or stadium. Children under 10 must be actively supervised at all times while in the centre and do not have access to amenities which are not age-appropriate such as the gym, group fitness rooms, spa/sauna, etc. The amenities/activities available to FREE Child Members vary by site; BYO stadium sports equipment. Full terms and conditions can be found at www.sa.ymca.org.au/childmembership

I agree and understand

The Valleys Lifestyle Centre

Child Membership Form

Child #1

Child #2

Child #3