One Card Application Form

To register for a One Card please complete and submit this form. The fields marked with a * must be filled in.
Preferred Site *
Title *
First Name *
Surname *
Address: *
Post Code: *
E-mail Address: *
Confirm E-mail Address: *
Telephone (Home):
Telephone (Work):
Telephone (Mobile):
Date of Birth *	dd/mm/yyyy
Male/Female: *	Male Female
Huntingdonshire District Council recognises the need to provide an equal and fair service to all members of the public. To help us achieve survey responses that represent the community we would be grateful if you could complete the following questions.
Do you have a long standing illness, disability or infirmity	Yes No
To which of these ethnic groups do you consider you belong?	White British White European Black or Black British Asian or Asian British Chinese Mixed Other (please state below)
Where did you hear about One Leisure?.	News & Crier Hunts Post Cambridge Evening News Peterborough Telegraph Word of Mouth Website Mail Shot Other (please state below)
If you think a friend would like to use this application, please use our 'send to a friend' form All personal details are held in accordance with the Council’s Data Protection Policy - Privacy Disclaimer By submitting your details, you are indicating consent to receive marketing communications in the form of letter, emails, SMS etc from One Leisure, unless you have ticked this box to indicate your objection to receiving communication from us.
I confirm that the above information is correct and agree to abide by the One Leisure regulations and agree that any information, including personal data, I provide now or in the future to One Leisure, may be used to manage, monitor and promote the Council’s services.

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