Yamba Club Membership Fees
Please Note: All Fields Must Be completed.
Member Name / Applicant:
Address:
PostCode:
State:
D.O.B
Age:
Sex:
Age Group:
Telephone:
Email:
Payment For:
Name of Person Making
Payment if different to
applicant:
Please Note: If you continue with the on-line payment it is a requirement that you fill out, sign and mail to the Club the standard Surf Life Saving Association Form.

If you are paying for a Gym Membership you will be required to present your signed Declaration Form to the club prior to your training session.