Profile Registration

My details

We require some details about you to use the online services.

Personal Information
Email *

Title
Gender

First Name *

Surname *

Date of Birth eg 22/01/1990 *

My Home leisure centre
My Home leisure centre
 
Please select a leisure centre for your registration. This will affect which leisure centres you can book activities for.
Contact Address
Postcode *

 
House and Street *

Address Line 2

City

County

Main Phone Number

Mobile Number

Fields marked with * are mandatory
Emergency Contact Details
Contact Name
Contact Number
Please provide a contact name and telephone number of the person you wish to be contacted in the event of an emergency whilst at the leisure centre.
Marketing Information

From time to time we may wish to contact you about products and services which we feel may be of interest to you. If you are happy to receive this information please tick the relevant boxes below:

Direct

Email:

Post:

Telephone:

Text:

Third Party

Email:

Post:

Telephone:

Text: