Membership

Lengths

Name	Comments
10 Visit Pass	Can be utilised at any QPRC Pool and interchangeable
Premium 3 Month Pass	Can be utilised at any QPRC Pool and interchangeable
Premium 6 Month Pass	Can be utilised at any QPRC Pool and interchangeable
Premium 12 Month Pass	Can be utilised at any QPRC Pool and interchangeable
Summer Pass	Can only be utilised at Braidwood, Bungendore and Captains Flat Pools but interchangeable

Types

Name	Comments
Family (4 people, minimum 2 children)	Immediate family members only, must live at the same address
Family (2 adults, unlimited children)	Immediate family members only, must live at the same address
Adult	Over 18 years of age, does not fall into any of the below categories
Child	Over three and under 18 years of age (ID must be shown if requested)
Senior	Over 65 years of age (ID must be shown if requested)
Student	Must be studying full time at an approved educational institution (ID must be shown if requested)
Concession	Must hold a valid card (ID must be shown if requested)

Online Bookings

Online Request Form

Contact Details

Family Name *

First Name *

Date of Birth *

Address *

Suburb *

State *

Postcode *

Phone Number *

Email *

Any medical information we should be aware of? *

Membership Details

Location *

Length *

Type *

Other Comments

Family Member 1

Family Name *

First Name *

Date of Birth *

Family Member 2

Family Name

First Name

Date of Birth

Family Member 3

Family Name

First Name

Date of Birth

Family Member 4

Family Name

First Name

Date of Birth

Family Member 5

Family Name

First Name

Date of Birth

Family Member 6

Family Name

First Name

Date of Birth

I agree to the Terms & Conditions

Paper Booking Form

Membership Booking Form