Powerplant Sign Up Form
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
*
Please enter a valid phone number.
Age
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Weight
*
Height
*
Photo of your beautiful face
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Do you have any medical conditions we need to be aware of?
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Emergency contact person
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Emergency contact number
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Please enter a valid phone number.
Debit Order Options
Please Select
Full Membership (Including BJJ) - R750/mth
Striking (Boxing & Muay Thai) - R650/mth
Women's No-gi BJJ - R400/mth
Kids BJJ - R500/mth
Women's Kickboxing - R200/mth
One month notice to cancel.
12 Month Upfront Options
Please Select
Full Membership (Including BJJ) - R8400 (R700/mth)
Striking (Boxing & Muay Thai) - R7000 (R583/mth)
Women's No-gi BJJ - R4000 (R333/mth)
Kids BJJ - R6000 (R500/mth)
Women's Kickboxing - R2000 (R167/mth)
The 12 month option can be initiated any time of the year.
3 Months Upfront Options
Please Select
Full Membership (Including BJJ) - R2850 (R950/mth)
Striking (Boxing & Muay Thai) - R2400 (R800/mth)
Women's No-gi BJJ - R1350 (R450/mth)
Kids BJJ - R1650 (R550/mth)
Women's Kickboxing - R900 (R300/mth)
Proof of payment required before activating your membership.
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