Leisure Cardholder Update Form

Please fill in the following fields to let us know of the latest information about you. The fields marked with * must be filled in.

Leisure Cardholder update Form
Card Number:
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
Disability:	If you have a disability please tick one of the options below: Visual Hearing Physical Multiple Learning Not specified
Where did you hear about us?	Town Crier Hunts Post Weekly News Cambridge Evening News Peterborough Evening Telegraph Cinema Radio Post Office Word of Mouth 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 I confirm that the above information is correct and agree to abide by the Huntingdonshire Leisure Centre regulations enforced from time to time. I agree that any information, including personal data, I provide now or in the future to the Council's Leisure Centres, may be used to manage, monitor, improve and promote the Council's services.
Please tick to confirm that you agree with the above