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C-CARD Booklett 2019.Pub Carer Card Information Pack With great places to visit in Northamptonshire 2018/19 30 1 The Carer Card Application form Please complete and return DISCLAIMER I would like to receive carer card on behalf of (child/adult’s name)________________________________age ______ Autism Independent UK is a non-medical advice and information I agree to use the carer card for the above-named person(s) only (One centre, helping to increase awareness of autism to the notice of all. Card per Family) The main goal is to improve the quality of life for persons with (sign)____________________(print)_________________________(date) Autism. Participating organisations affiliated with the Autism _________ Independent UKs carer card are providing a service/discount based upon their express desire to help those with an autism spectrum Please print your contact information in the space below diagnosis. We request that the cards should only be used to enrich (parent/carer) ……………………………………………………… the diagnosed individuals leisure time, in whose right, the card is issued. Address …………………………………………………………………………………… …………………………………………………………………………………… The information present within may have changed since the date of ……………… print, we strongly recommend that you contact the individual phone……………………………email……………………………… establishments to confirm opening hours, concession times and prices. Not all organisations listed have concession rates or carer card Please ensure the following are attached to your application privileges. To obtain the New Carer Card please send 2 photographs of the person requiring a carer approximately passport photo size. Proof of income support and/or DLA will also be required. Please Affix one (Do NOT send your original , please make a photo copy of your photo here Order of Content entitlement) Bowling Remaining photo is Cinema & Theatre to be left loose Fun Zones Museums Write your reference number here _______________ Parks & Lakes Swimming pool Trampoline Parks Signed _________________________ Zoo's Local Social Group By Signing this form I confirm the permission allowing the DLA Carer & leisure Card Forms reference number to be included on the carer card. Please return with an S.A.E. to Autism Independent UK, Please insert your new carer card number (displayed at the top of the accompanying letter) below Carer Card______ 2 29 Bowling The carer card facilitates a discounted rate, usually valid only on off-peak hours. Please call the bowling facility you wish to visit to confirm their concession rates and times. Rockingham Road, Kettering NN16 9AW Telephone: 01536 414004 Sixfields Leisure, Weedon Rd, Northampton, NN5 5QL @ Telephone: 08712223675 15-17 Whitworth Way, Wellingborough, NN8 2EF Telephone: 0844 826 3000 @ Sturrock Way, Bretton, BLANK PAGE Peterborough PE3 8YF Telephone: 0844 826 3027 28 3 UK Cinema Card Cinema & Theatre UK cinemas now have their own card system, the Cinema Exhibitors Association Card (CEA card). This is used to verify that the holder is entitled to one free ticket for a per- son accompanying them to the cinema. Please check with the individual cinema regarding concession requirements. Visit www.ceacard.co.uk for full details on the CEA card. To apply for the card, you will need to meet one or more of the following criteria: Disability living allowance or attendance allowance. Be a registered blind person. Personal Independence Payment (PIP). Be 8 years of age or older. Corby’s Savoy Cinema Parkland Gateway, George St, Corby NN17 1QE Telephone: 01536 266685 The Core at Corby Cube The Core Theatre seats 445 people on Parkland Gateway, three levels and hold regular professional George St, Corby visitors, local amateur groups, schools and NN17 1QE community organisations Telephone: 01536 266685 4 27 Kettering Odeon Pegasus Court Kettering Northants NN15 6Xs Telephone: 01536 485848 Sol Central Northampton NN1 2RN Telephone: 0345 308 4620 Located in the Sol Central Shopping Centre. Northampton Leisure Card Hearing assistance: infer red system in all auditoriums. Required. Concession fees available. Lings Forum Weston Favell centre Billing Brooke Road Northampton NN3 8JR Telephone: 01604 837 300 26 5 Kettering Leisure Pass Cinema & Theatre Sixfields Leisure, Northampton Weedon Rd, Northampton, NN5 5QJ Telephone: 0330 333 4444 Corby’s Savoy Cinema Parkland Gateway, George St, Corby, NN17 1QE Telephone: 01536 266685 Showcase Cinema Peterborough Boon Gate, Mallory Rd, Peterborough, PE1 5AU Telephone: 01733 555636 The Castle is a lively theatre and 10 Castle Way, cinema which is home to both pro- Wellingborough fessional touring theatre companies NN8 1XA and community groups Telephone: 01933 270007 6 25 4.- Optional To help ensure that our Leisure Services are effective and reaching our entire community please state your ethnic origin. I would describe myself as: Choose one section from A to E, then tick the appropriate box to indicate your cultural background. Fun Zones A. White British Irish Any other White background ________ ____________ Play area filed with B. Mixed White and Black African White and Black Caribbean slides, ball pools and soft Cheeky Monkees play obstacles. Enjoy the White and Asian 2 Cockerell Rd, light refreshments of Corby, Any other mixed background______________________ even hire the whole play NN17 5DU areas for a party! Telephone: 01536 443310 C. Asian or Asian Indian Pakistan Bangladeshi British Any other Asian Background______________________ Kids Play D. Black or Black Carib- bean African Thurston Drive Race your friends in the dodgems British Kettering Brave the speedy drop slide Any other Black back- ground______________________ NN15 6PB Learn to climb our 15ft climbing wall Telephone: 01536 484838 E. Chinese or Chi- nese Any other _____________________ Ride the ladybird carousal ethnic group Carer Card allows the Child to enter Woosh down the 4-lane Astra slide A for reduced price and carer enters free. Scramble nets, Ball canons, Trampo- £4 per child on Wednesday and Friday lines and more! 5. and £5 during school holidays. I wish to apply for a Northamptonshire Leisure card(s) on behalf of myself/and other members The Laser Maze of my family as detailed on the previous page. I confirm that the above details are correct and I agree to advise Northampton Borough Council of any changes to these. I agree to abide by Concession fees are 30 Church Street the conditions governing the use of the Northamptonshire Leisure card(s). available, however the Wellingborough, carer can only go for Northamptonshire. Signed: Date: free if not using the NN8 4PA equipment. Personal Data you have provided will be handled in accordance with the principles of the Da- Telephone: 01933 441300 ta Protection Act 1998, and used for the administration of your . From time to time we would like to provide you with further information about leisure activities we feel will be of Laser Maze offers you the ultimate laser tag interest. If you do not wish to receive such leisure mailings, please tick this box game. Using our new laser tag packs, you try to score points by shooting your opponents. Northampton Leisure Card Northampton Leisure Card Data Protection Act 1998 Northampton Leisure Card s box NORTHAMPTON For a wild time with ball pits and soft play, try OFFICE USE ONLY Berzerk Leisure Telephone: 01604 647213 Proof of Concession Checked Top Up Points 4 Clayfield Close, Card Number Issued Date of Issue Issued by Signature Northampton, Receipt Number NN3 6QF 24 7 APPLICATION FORM Northampton Leisure Card 1. Museums Surname First Name DOB FREE FOR EVERYONE! Northampton Museum & Art Gallery Northampton Museum Northampton Museum reflects the town's proud and Art Gallery standing as both Britain's boot & shoe capital and 4-6 Guildhall Road the focus for history of the town through the ages. Northampton Both decorative arts and fine arts are represented Northamptonshire in outstanding collections,. NN1 1DP Telephone: 01604 838111 2. Address ___________________________________________________________ ____________________________________________________________________ Postcode: ________________ Tel: Home______________ Work________________ Mobile Phone:___________________________ If you wish to be kept informed of offers and promotions at the Leisure Centres and our partner organisations then please give us your email address. We will e-mail you every two months with offers and links to information on Forum Cinema, Leisure, Museums and other leisure attractions in the area E-mail: ________________________________ Wellingborough Museum N3. - Optional To help us report back to funding bodies could you please indicate that if you 12 Castle Way Wellingborough, FREE FOR EVERYONE! Visual Impairment Hearing Impairment Multiple Impairment Northants, If you enjoy history, visit Wellingborough Physical Impairment Learning Disability Health/Other Impairment NN8 1XB museum! Displaying History of the Victorian times, Telephone: 01933 276838 WW1 artifacts, an Ironmongery, model rail are a disabled user which impairment group/s you belong way a haberdashery shop, and much more! If you wish to be kept informed of offers and promotions at the Leisure Centres and our partner organisations then please give us your email address. We will e-mail you every two months with offers and links to information on Forum Cinema, Leisure, Museums and other leisure attractions in the area E-mail:______________________________________________________________ 8 23 Abington Park Museum Park Avenue South, Abington Park Museum is set within Abington Northampton,
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