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 We do not pass your details on to third parties but would like the ability to contact you with our own information and offers.  Please un-tick the boxes below if you do not wish to be contacted by us but understand that we will not be able to alert you about important notices such as timetable changes or unforeseen closures as well as any special offers or events.

 

Direct

Email:

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Telephone:

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Third Party

Email:

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Telephone:

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