3 Day Trial

Please enter details below and one of our team will be in contact within 2 business days.

First Name *

Last Name *

Date of Birth *

Phone Number *

Email Address *

Address *

Street address *

City *

State *

Postcode *

Emergency Contact Name *

Emergency Contact Phone Number *

3 Day Pass Information

The 3 day pass must be redeemed in three consecutive days.
For administration purposes and group fitness bookings, passes cannot be activated within three days of form submission.
This pass gives you access to Birrong, Max Parker (Revesby) and Roselands Leisure & Aquatic Centres - pools, group fitness classes and aqua aerobics. It also includes sauna (available at Roselands only).
Group fitness classes, including Aqua Aerobics, must be booked. Information on how to book classes can be found here.
Group fitness classes go live 72 hours in advance of class time.
Once the form has been completed, you will receive a confirmation email with details on how to access the facility.

The 3-Day Free Pass is valid for any person over 16 years old that has not previously redeemed a 3-Day Free Pass or held a membership with Canterbury-Bankstown Leisure & Aquatics within the past 6-months.

Photo identification will be required on your first visit.
Please note - entry to the facility can be denied or passes cancelled at the discretion Canterbury-Bankstown Leisure & Aquatics Staff. *

What is your preferred location? *

When would you like to start? *

Pre-Exercise Questionnaire

Has your medical Practitioner ever told you that you have a heart condition or have you ever suffered a stroke? *

Do you ever experience unexplained pains or discomfort in your chest at rest or during physical activity/exercise? *

Do you ever feel faint, dizzy or lose balance during physical activity/exercise? *

Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months? *

If you have diabetes (type l or type ll) have you had trouble controlling your blood glucose in the last 3 months? *

Do you have any other condition(s) that may require special consideration for you to exercise? *

If you answered 'Yes'
to any of the 6 questions, you will need to provide a letter/certificate/clearance from your GP or an appropriate allied health professional PRIOR to undertaking physical activity/exercise at our facilities.

Are you currently exercising? *

How many times per week do you exercise? *

When you exercise, how would you describe the intensity level?

I have read and understood the Group Fitness Booking System and requirements. *

I agree to the CB Fit Group Fitness Classes Terms and Conditions. *

I agree to the CB Leisure & Aquatic Centres Terms and Conditions of Entry. *

Privacy Notice

In submitting this form, you consent to Council:

1. collecting your personal information as contained in the form; and
2. using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request. You may access any of your personal information that Council holds upon request.

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