01582 256000

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 *

Ethnic Origin

My Home centre
My Home centre
 
Please select a centre for your registration. This will affect which 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 centre.
Marketing Information

Communication Preferences

I understand and agree that Active Luton may contact me via email, text or post for the purpose of delivering their services to me.

From time to time we’d love to send you offers, news updates or information about special events. You may update your communication preferences at any time by logging into your account or by using the unsubscribe button on our communications.

Active Luton will not share your information with third parties for the purposes of marketing and will keep your details safe and secure. Please see our Privacy Policy at https://www.activeluton.co.uk/privacy-information

I consent to receive Active Luton’s marketing information by:

Direct

Email:

Text:

Third Party