East Hampshire Leisure Card

Application form PLEASE WRITE IN CAPITAL LETTERS Title: Mr Mrs Miss Ms Dr Other Forenames: LEISURE Surname: Address: FACILITIES Postcode: Date of birth: Mobile number: Email address: CAN ENJOY Everyone Active will manage your data securely and in accordance with all relevant Data Protection laws. We will use your data for managing the services we provide. Full details of how we manage your data can be found in our privacy policy at everyoneactive.com/privacypolicy. I agree to you holding my data If you’d like to receive Everyone Active Guest passes and further information about Sports and Leisure Management promotions and products please tick this box If you’d like to receive offers about our carefully selected partners’ promotions and products, please tick this box EAST HAMPSHIRE Opt into SLM sharing your data with the Council/Trust who own the centre, for information about their services LEISURE CARD Please tick preferred methods of communication Email SMS Telephone Push notifications Postal communications Parental consent to child’s details being held on database Centre details: Alton Sports Centre Mill Chase Leisure Centre Taro Leisure Centre Chawton Park Road, Alton Mill Chase Road, Bordon Penns Place, Petersfield 0333 005 0457 0333 005 0458 0333 005 0473 Everyone Active manages these facilities in partnership www.everyoneactive.com with East Hampshire District Council. You will be eligible if you receive any of the following: • Income Support • Job Seekers Allowance LEISURE DISCOUNTS • Pension Credit • Housing benefit • Universal Credit • Council Tax Benefit FOR THE WHOLE FAMILY! • Employment Support Allowance • Disability Allowance How does it work? If you receive: The East Hampshire Leisure Card is a partnership between Everyone Working tax credit and child tax credit and NHS tax credit exemption Active and East Hampshire District Council that applies a discount to certificate, you must provide an award notice from HM Revenue & activities on site for those that are in receipt of certain benefits, and live in Customs dated within last 12 months and in-date NHS Tax Credit the East Hampshire District. The card is free of charge. Exemption Certificate. If you are a full-time student aged 18 or over you must provide a letter from Which leisure centres are offering the discount? your college or university confirming full-time attendance. Student ID / • Alton Sports Centre NUS cards will not be accepted as proof. • Taro Leisure Centre • Mill Chase Leisure Centre How do I enrol on the scheme? Fill out the application form overleaf and pop into reception at your If eligible for the scheme, you will receive 20% off the nearest leisure centre, with any of the above documentation. You will be standard price of the following activities: given an Everyone Active card. Every time you come to site, bring your • Casual gym sessions (not fitness memberships) card and you will get the discount applied. • Swimming sessions Terms and Conditions 1. You must bring your Everyone Active card to the centre to receive the discounted rate. If you don’t have your card, you • Court bookings for squash and badminton will be charged full price. 2. The card is valid for 12 months. The expiry date will be 12 months from when you are set up. You can re-apply but would need to bring updated documentation to show you are eligible. 3. The card can only be used • Advanced court bookings by the person whose name appears on it. 4. The card remains the property of the issuing leisure centre..

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