Skip survey header

Club Active Membership Application Form (old)

About this form

Use this form if you'd like to become a Club Active member. If you have any queries, please refer to our Club Active information or contact us.
What you'll need
  • If you want a yearly membership, you'll need your credit card - at the end of the form you'll be forwarded to a credit card payment system to pay
  • If you want a monthly membership, you'll need your bank account details - and proof of those details in an electronic file
  • If you have a Leisure Card, you'll need to have it handy to enter your Leisure Card number
  • If you are a student, you'll need a copy of your current student ID as an electronic file
  • If you are under 18, you'll need to have the consent of your parent or guardian on this form
  • A photo of yourself if you have one - head and shoulders please (if you don't have one, don't worry we'll just take a photo when you come in)

Save and come back later

From this page on, if you want to, you'll be able to save your responses and come back to your partially completed form at a later date.


The personal information you supply in this form will be used to process your application to join Club Active at Wellington City Council (WCC). We may pass your contact details on to a credit reporting agency if you default on any agreed payments to Club Active and WCC.


Your information will be held by Club Active at Wellington Regional Aquatic Centre or Freyberg Pool and Fitness Centre and WCC. We look after your personal information by making sure it is held, and disposed of, securely. You have the right to request access to any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or to have it corrected, please contact us