Reds Beach Athlete InformationName* First Last Gender*Please SelectFemaleMaleWhat is your age?*Date of Birth* DD slash MM slash YYYY Email* Enter Email Confirm Email Mobile*Address* Street Address City ZIP / Postal Code Local Government*What Local Government Area do you reside in? City of Canning City of Melville City of South Perth Town of Victoria Park Volleyball WA Membership Status*What is your current Volleyball WA Membership Status? * Please note all athletes that wish to be involved with the Reds Beach Volleyball program must have a Volleyball WA Gold or Platinum Membership. Platinum Gold Silver No Membership Your VWA membership status must be upgraded in order to register for this program. Please click on the link below to sign in or register on VWA’s Fortix system and purchase a Gold or Platinum Membership. > FORTIX LINK Once you have your membership number please return to this form to register.Emergency Contact InformationEmergency Contact Name*Emergency Contact Relationship*Emergency Contact Email* Emergency Contact Mobile*Association RequirementsReds Membership Agreement*I have read and agree to comply with the Reds Membership Agreement. Yes Policies*I agree to comply with all Association and Club policies. Yes Associate Member*I understand that by completing this membership I will become an Associate Member of the Perth Reds Volleyball Association and the Reds Volleyball Club. Yes Program InformationPlease select program*Advanced (AAA Athletes)Intermediate (AA and State Youth Team Athletes)Please choose number of sessions*4 Sessions8 SessionsPlease select the dates of the sessions you will be attending* 9 October 16 October 23 October 30 October 6 November 13 November 27 November 4 December 11 December Discount CodeIf applicable2025 Reds Beach - 4 sessions (Advanced)*Credit Card Fees Apply Price: 2025 Reds Beach - 4 sessions (Intermediate)*Credit Card Fees Apply Price: 2025 Reds Beach - 8 sessions (Advanced)*Credit Card Fees Apply Price: 2025 Reds Beach - 8 sessions (Intermediate)*Credit Card Fees Apply Price: Credit Card*Card Details Cardholder Name
