Shredded Health & Performance – Membership Form

Membership Form for Shredded Health & Performance

"*" indicates required fields

Member Details

Please provide your First & Last Name
Birth Date:*
Residential Address:*
How did you hear about us?*

Membership Details

12 Month Membership*

12 Week Membership*

Membership Add On – Optional

Please kindly check the box if you would like to include Unlimited access to our Infrared Sauna & Ice Bath. This is an additional $20 per week to your above membership choice.
Fire & Ice Membership Add On*

Payment Information & Authorisation.

Accepted Cards: Visa, Mastercard, Amex – Ezidebit Transaction Fee of 2.2% (min 0.80c)
Ezidebit Authorisation*
Name as displayed on Card.
16 Digit Card Number
DD slash MM slash YYYY

Terms & Conditions

Fire & Ice

Terms & Conditions of use for the Ice Bath & Infrared Sauna Facilities at Shredded Health & Performance.
By signing this form, I hereby acknowledge my membership agreement at Shredded Health & Performance. This includes, all terms and conditions, as well as the assumed risk and liability outlined above.
DD slash MM slash YYYY