The Entrance Leagues

Title

Gender

First Name

Last Name

Date of Birth: (DD-MM-YYYY)

Mobile Number

Email Address

Apt/Suite Number (Optional)

Street Address

Suburb

Post Code

State

Phone Number Home (Optional)

Phone Number Work (Optional)

Language

Membership type

MEMBERSHIP PAYMENT

Please be aware that a credit card surcharge will apply.

Declaration

I hereby declare that I am 18 years or over, have read and fully understand the Privacy Policy and agree to abide by the Constitution and By-Laws of Wyong Leagues.

In the interest of helping the environment I consent to receiving Wyong Leagues communications including important Club notifications via email.

NOTE: Once this form is submitted, our team will process your Membership application. This can take up to 1 business day to activate. You must visit the Club’s reception desk and present current identification (Driver’s Licence, Passport, NSW Photo or Concession card) to complete your membership application.