Membership Form

Looking to become a Jericho member? Please start here.

Please fill out the online form below as completely as possible to start the membership process. Fields marked with an asterisk are required. Additional fields that don’t apply to you can be left blank. Once you’re done scroll to the bottom of the page and click ‘submit’. If everything’s in order we’ll email you an invoice. Otherwise we might follow-up to ask a few questions. We look forward to seeing you down at the Centre!