Please enter your details below

First Name:*

Last Name:*


Address 1:

Address 2:



Post Code:*

Email Address:*

Mobile Number:*

Phone Number:

Date of Birth:*

Parent email address:

Which Leisure Centre would you like to apply for?*

Which sport are you involved in at a national level?*

To complete your application process please provide proof of your eligibility:*

Please upload your documentation proof - IMAGE*
Please upload your documentation proof - PDF*
In no more than 500 words, please add additional information on your recent achievements to date and why you feel you should be approved for the programme*

As a condition of membership, PAP members will be required to support their facility during local events and agree to be part of a case study to showcase the programme (including photo using the facility and benefit of the Programme etc).*
As a condition of membership, PAP members will be requested to share and post specific Parkwood Leisure content and good news stories via all social media channels,*
You will abide by all the eligibility & conditions of the programme at all times.*
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