Active Leicester enquiry form

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About this form

Please use this form to let us know which sports, training facilities or physical activities you are interested in.

First Name

Surname

Date of Birth

What is your sex?

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Contact Number

Email Address

Address Line 1

Address Line 2

Town City

Enter Your Postcode

How would you like us to respond?

Email Phone

Which activity are you interested in?
*Please tick all that apply

Climbing Gym facilities Personal training Racket sports Swimming Swimming Lessons Other

Which is your preferred centre/facility?
*Please select all that apply

Aylestone Leisure Centre Braunstone Leisure Centre Cossington Street Sports Centre Evington Leisure Centre Humberstone Heights Golf Course Leicester Leys Leisure Centre New Parks Leisure Centre Saffron Lane Athletics Stadium Spence Street Sports Centre

Select How Active Are You?

Please tick if you would like to be kept up to date with promotions, marketing, features, and events.

By submitting this form, you confirm that you accept our Privacy Policy, including consent to the creation of a temporary profile to manage your enquiry. The information you provide will be stored securely and processed in accordance with our privacy practices. For more details on how your data is used and stored, please refer to our Privacy Policy

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