Get Active Pass Is Available Only to Pendle Residents Improvement and Well-Being Opportunities to the 2

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Get Active Pass Is Available Only to Pendle Residents Improvement and Well-Being Opportunities to the 2 Mission Statement Terms & Conditions Pendle Leisure Trust is committed to providing lifestyle 1. The Get Active Pass is available only to Pendle residents improvement and well-being opportunities to the 2. The Get Active Pass must only be used by the named card community through the services it provides. holder, whose photograph must be recorded Pendle Leisure Trust is an exempt charity with charity 3. The pass must be presented at Reception to claim the Get Active number XR43029 and a registered society under the discount Co-operative and Community Benefits Societies Act 2014 4. Pendle Leisure Trust has the right to refuse admission to any with registration number 29131R. customer to the Trust’s products and services provided 5. Pendle Leisure Trust may terminate the Get Active Pass without notice and with immediate effect: How & When to Apply • If the customer’s conduct, whether or not such conduct is the subject of a complaint by another Passes can be obtained Mon - Fri, 9.00am - 3.00pm customer or customers, is such that in the reasonable opinion of the Trust, it may be injurious Bring your completed form to: to the character or interests of the centre, or such that it renders the customer unfit to associate with Pendle Leisure Centre Tel: 01282 661166 other customers of the centre Crown Way, Colne BB8 9NP • If the customer shall have committed any breach of the Rules and Regulations of the centre Pendle Wavelengths Tel: 01282 661717 as are enforced from time to time Leeds Rd, Nelson BB9 9TD • If a customer brings intoxicating liquor, illegal West Craven Sports Centre Tel: 01282 666710 substances or an offensive weapon into the centre Kelbrook Road, Barnoldswick • If a customer steals or undertakes any other criminal BB18 5TB activities within the Trust facilities • If the customer has an ongoing legal dispute pertaining to any matter with Pendle Leisure Trust www.pendleleisuretrust.co.uk All decisions of the management team under this clause are final and binding 6. Pendle Leisure Trust respects the rights of all its customers and staff and will NOT tolerate violent, abusive or intimidating behaviour within its facilities. Persons exhibiting unacceptable behaviour will be asked to leave the premises and Pendle Leisure Trust will immediately ban you from this and any other Pendle Leisure Trust facility 7 If the pass holder moves out of Pendle or they no longer receive a benefit listed, the pass becomes invalid and must be returned 8. Get Active Passes are valid for a period of 6 months, after which you will be required to re-apply 9. Carers may accompany a disabled person free of charge, however if they take part in an activity then a discounted GET ACTIVE PASS admission price applies (please refer to our ‘Carers Get Active Pass’ leaflet) DISCOUNTS FOR PENDLE RESIDENTS ENTITLED TO BENEFITS 10. An initial gym induction fee is applicable for customers who have not used the gym facilities previously 11. These terms and conditions can be changed at any time and without notice Get Active Pass Activities Available... Application Form Pendle Borough Council’s scheme, in partnership with • West Craven Sports Centre 01282 666710 Pendle Leisure Trust, is to help Pendle residents who are Name: ....................................................................................................... entitled to benefits to enjoy reduced admission rates at • Pendle Leisure Centre 01282 661166 many of the area’s leisure facilities. • Pendle Wavelengths 01282 661717 Date of Birth: ....................................................................................................... • Seedhill Athletics & Fitness Centre 01282 661616 Who Qualifies for use? Gym Adult (16yrs+) £3.10 Teen/Jnr £2.10 Address: ....................................................................................................... Any Pendle resident entitled to one of the following benefits: Senior Citizens £2.10 ....................................................................................................... • Universal Credit Swimming Adult (16yrs+) £3.10 Junior £2.10 ....................................................................................................... Proof required - Letter from the benefits agency Senior Citizens £2.10 confirming allowance or allowance book or bank Postcode: ....................................................................................................... statement dated within the last three months of the Fitness Classes Adult (16yrs+) £3.10 Junior £2.10 benefit being paid in. Senior Citizens £2.10 Gender: Male Female • Job Seekers Allowance (JSA) Athletics Track Adult (16yrs+) £3.10 Junior £2.10 Proof required - JSA letter which details benefit Senior Citizens £2.10 payments. The letter must be no more than three months Email: ....................................................................................................... old or bank statement within the last three months Prices applicable for all centres. Contact the required centre showing benefits being paid in. for current timetables and facility information or visit www.pendleleisuretrust.co.uk. Not all activities are Telephone: ....................................................................................................... • Employment and Support Allowance (ESA) available at each centre. Proof required - Letter from Benefits Agency confirming allowance or allowance book or bank statement within Ethnicity: ....................................................................................................... the last 3 months showing benefits being paid in. Which benefit do you presently claim that entitles you to receive • Attendance Allowance a Get Active Pass? Proof required - Letter from the benefits agency ...................................................................................................................................... confirming allowance or allowance book or bank statement dated within the last three months of the I declare that this information is accurate and should my personal benefit being paid in. circumstances change, I will relinquish my pass back to Pendle • Income Support Leisure Trust. Proof required - Letter from Job Centre Plus confirming Signed: ...................................................... Date: ............................ Income Support and containing person’s name, address, Pendle Parks/Games and National Insurance number. The letter must be dated within three months of the application or bank statement The following are available free of charge throughout the For office use only within the last 3 months showing benefits being paid in. season (Good Friday - end of September) during the normal hours of opening. Opening times are posted at each facility. Photocopy of proof attached: What documents will be required? Parks & Outdoor Facilities Tennis Bowls Date issued: .................................. • Proof of benefit as listed above Marsden, Nelson Yes Yes Expiry Date: .................................. • Form of identification, including photograph Thomas St, Nelson No Yes Issued By: .................................. AFFIX • Proof of address Victoria, Nelson No Yes PHOTO • 1 x passport size photograph Pass No: .................................. HERE Heyhead, Brierfield Yes Yes Barrowford Memorial No Yes Pendle Leisure is registered with Alkincoats, Colne Yes Yes the Information Commissioner and complies with the Data Protection Sough, Earby Yes Yes Act 1998, Reg. No. PZ5841488.
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