Guest Registration Guest Registration Form "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Select a MOVE Venue*– Select Option –Keilor East Leisure CentreAscot Vale Leisure CentreSelect a Mornington Peninsula Shire Active Venue*– Select Option –Crib Point PoolCivic Reserve Recreation CentrePelican Park Recreation CentreSomerville Recreation CentreYawa Aquatic CentreSelect a Western Downs Venue*– Select Option –Jandowae Swimming PoolMiles Swimming PoolTara Aquatic CentreWandoan Swimming PoolSelect a Wakefield Venue*– Select Option –Balaklava Swimming PoolHamley Bridge Swimming PoolOwen Swimming PoolSelect a Dubbo Venue*– Select Option –Dubbo Aquatic Leisure CentreGeurie PoolWellington Aquatic Leisure CentreSelect a District Council of Loxton Waikerie Venue*– Select Option –Loxton Community PoolThe Precinct LoxtonWaikerie Community Sports CentreWaikerie Swimming PoolSelect a Loddon Shire Council Venue*– Select Option –Boort Swimming PoolInglewood Swimming PoolMitiamo Swimming PoolPyramid Hill Swimming PoolWedderburn Swimming PoolSelect a Pyrenees Shire Council Venue*– Select Option –Avoca Swimming PoolBeaufort Swimming PoolLandsborough Swimming PoolSelect a Strathbogie Shire Council Venue*– Select Option –Avenel Swimming PoolEuroa Swimming PoolNagambie Swimming PoolViolet Town Swimming PoolSelect a Toowoomba Regional Council Venue*– Select Option –Pittsworth Aquatic CentreMillmerran Indoor Sports CentreOakey Aquatic CentreSelect an Active Merri-Bek Venue*– Select Option –Brunswick BathsCoburg Leisure CentreCoburg Olympic Swimming PoolFawkner Leisure CentreOak Park Sports & Aquatic CentrePascoe Vale Outdoor PoolName* First Last Email* Phone Number*Enquiry Type*– Select –Walk InPhone InCasual VisitCommunity OutreachArea of Interest*– Select –Health & Fitness (Gym, Pool or Group Fitness)Swimming LessonsOther (please specify in the comment box)Casual drop in gym/pool visitCommentsWho completed this form?*How did the guest hear about us?– Select –Council News SourceLocal AdvertisingLocal News SourceSchool or Sports ClubSearch Engine (Google)Social Media (Facebook, Instagram)Streaming Service (YouTube, Spotify)Pop Up EventWord of MouthPostcodeThis field is hidden when viewing the formURLThis field is hidden when viewing the formVenue NameConsent* Yes, I agree to Terms & Conditions, Privacy Policy. By ticking this form, you agree to receive communications from us.*