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Leisure Card Application - East Dunbartonshire Leisure & Culture ...

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For office use only<br />

Location<br />

Are you a current or past member? <strong>Leisure</strong> <strong>Card</strong> No.<br />

<strong>Leisure</strong> <strong>Card</strong> Plus<br />

12 Months Lump Sum<br />

Unlimited <strong>Leisure</strong> <strong>Card</strong><br />

14 – 15yrs 16 – 17yrs New Couple B E.S. Corp<br />

Adult Joint Passport Live Active<br />

EDC Staff Corporate<br />

Notes:<br />

Processed by:<br />

Approved by:<br />

<strong>Leisure</strong> <strong>Card</strong> <strong>Application</strong><br />

Terms & Conditions<br />

ALL applicants require to have their photograph taken. This<br />

will be retained on our computerised booking system for entry<br />

identification.<br />

Your card will not be accepted if the date has expired.<br />

If your circumstances change and you are no longer eligible for<br />

the scheme you should not use your card.<br />

<strong>East</strong> <strong>Dunbartonshire</strong> <strong>Leisure</strong> & <strong>Culture</strong> Trust reserves the right<br />

to change the terms and conditions of the Passport to <strong>Leisure</strong><br />

Scheme and refuse to issue if circumstances dictate.<br />

Full terms and conditions can be found at www.edlc.co.uk<br />

Other Formats & Translations<br />

This document can be provided in large print, Braille or on<br />

audio cassette and can be translated into other community<br />

languages. Please contact the Corporate Communications<br />

Team. Tel: 0300 123 4510<br />

<strong>Leisure</strong> <strong>Card</strong><br />

<strong>Application</strong><br />

A registered Scottish Charity SCO41942. Company Registration No. 389516. VAT No. GB 102 8920 37.<br />

“Inspiring Active Lifestyles”<br />

www.edlc.co.uk


Whether you’re a regular at the gym or new to <strong>Leisure</strong> Centres,<br />

<strong>East</strong> <strong>Dunbartonshire</strong> <strong>Leisure</strong> and <strong>Culture</strong> Trust has something to offer.<br />

An active healthy lifestyle is good for you in so many ways; it helps<br />

prevent heart disease, high blood pressure, diabetes, and some cancers.<br />

It will give you more energy and relieve stress. You may find regular<br />

exercise is not only good for you but fun as well!<br />

Here are the membership options, which one suits you? Joining is easy<br />

and if you do have any questions our team will be delighted<br />

to assist.<br />

<strong>Leisure</strong> <strong>Card</strong><br />

You can book activities in person or over the phone up to 14 days in<br />

advance, 7 days for fitness classes. You will receive discounts on most<br />

activities (see price list for details). Valid for 12 months.<br />

Adult £16, Junior £10, Family £32.<br />

Passport to <strong>Leisure</strong> <strong>Card</strong><br />

This is our concessionary membership, designed for aged 60 years and<br />

over, full time students and those in receipt of allowances or benefits<br />

listed on the next page.<br />

Your Passport to <strong>Leisure</strong> <strong>Card</strong> has the same benefits as the <strong>Leisure</strong> <strong>Card</strong><br />

but offers even greater discounts on activities, such as swimming (£1.50)<br />

and fitness classes (£2.40). You also get discounts within the Sports<br />

Development Programme. (If you are taking part in a racquet sport all<br />

players must hold a passport). Valid for 12 months.<br />

Individual £10, Family £16.<br />

Live Active <strong>Leisure</strong> <strong>Card</strong><br />

Referrals to this scheme are made by your local GP, Physiotherapist or<br />

by a Primary Care professional. Individual £8.<br />

<strong>Leisure</strong> <strong>Card</strong> Plus<br />

If you also wish to access the gym to use our fantastic equipment and<br />

get the very best support and motivation from our gym team, choose the<br />

<strong>Leisure</strong> <strong>Card</strong> Plus. It has all the benefits of the <strong>Leisure</strong> <strong>Card</strong>/Passport<br />

to <strong>Leisure</strong> <strong>Card</strong> and includes an induction and your own personal<br />

programme. A fee is paid on each visit (see price list for details).<br />

Valid for 12 months. Adult £32, Junior £20, Concession £20.<br />

Unlimited <strong>Leisure</strong> <strong>Card</strong><br />

Taking out an Unlimited <strong>Leisure</strong> <strong>Card</strong> membership is the easy way to<br />

pay for your leisure and gives you unlimited access to any of our gyms,<br />

swimming pools, fitness classes and sauna/steam rooms. Payments<br />

are made monthly by direct debit and offers excellent value. There is<br />

no contract to tie you in but we are sure that with the combination of<br />

excellent facilities, variety of classes and our friendly staff we hope<br />

that we can inspire you to keep coming back. We have also introduced<br />

self service kiosks in the Centres for fast track entry for our Unlimited<br />

<strong>Leisure</strong> <strong>Card</strong> holders.<br />

Below you’ll find details of some of the membership options.<br />

Membership type Joining Fee Unlimited <strong>Leisure</strong> <strong>Card</strong>:<br />

Monthly Fee<br />

Adult £20 £36.50<br />

Junior/Student /60+/ Passport £15 £19.85<br />

Live Active £10 £18.25<br />

Couple £30 £63.35<br />

Where can I apply?<br />

You can apply for your <strong>Leisure</strong> <strong>Card</strong> at the following <strong>Leisure</strong> Centres:<br />

Allander <strong>Leisure</strong> Centre, Bearsden Tel: 0141 777 3070<br />

Kirkintilloch <strong>Leisure</strong> Centre, Kirkintilloch Tel: 0141 578 8222<br />

The <strong>Leisure</strong>drome, Bishopbriggs Tel: 0141 777 3060<br />

When can I book?<br />

Monday to Friday 8.30am – 9.30pm<br />

Saturday & Sunday 9am – 8pm<br />

Can I book for someone else?<br />

You can book another <strong>Leisure</strong> <strong>Card</strong> holder onto a fitness class .<br />

Renewal<br />

This could not be easier, just pay at reception to renew you membership for<br />

another year, you will have to bring in your proof of eligibility if you are renewing<br />

your concession. If any of your details do change please inform reception so that<br />

we can update our system.<br />

Passport: Criteria for Individuals For office use Proof of Eligibility (all require proof of address)<br />

Aged 60 and over<br />

Full-time student<br />

Carer’s Allowance<br />

Job Seekers Allowance<br />

Severe Disablement Allowance<br />

Disability Living/Attendance Allowance<br />

Long-Term Incapacity Benefit<br />

War Disablement Pension<br />

Widows/Widowed Parents/<br />

Bereavement Allowance<br />

Passport: Criteria for Individuals & Families<br />

Employment Support Allowance<br />

Income Support *<br />

Housing Benefit*<br />

Council Tax Rebate*<br />

Working Tax Credit*<br />

Any proof of age documentation<br />

Current matriculation card (or letter from educational<br />

establishment confirming full-time study status)<br />

Letter of entitlement or bank statement showing<br />

payments crediting your account. The letter or statement<br />

should be dated within the last three months<br />

Letter of entitlement - can only include dependants where<br />

benefit is accompanied by any of the benefits marked*<br />

Letter of entitlement - if you receive any of these benefits,<br />

you can apply for your spouse/partner/children under 16<br />

Select option: <strong>Leisure</strong> <strong>Card</strong> Passport to <strong>Leisure</strong><br />

Live Active <strong>Leisure</strong> <strong>Card</strong> <strong>Leisure</strong> <strong>Card</strong> Plus<br />

Unlimited <strong>Leisure</strong> <strong>Card</strong><br />

Mr n Mrs n Ms n Other n Date of birth<br />

Surname<br />

Address<br />

Mobile No.<br />

E mail<br />

First Name<br />

Post Code<br />

Name Date of birth Membership No.<br />

Name Date of birth Membership No.<br />

Name Date of birth Membership No.<br />

I confirm that all the information given in this form and proof shown is, to the best of my knowledge, correct.<br />

I accept that false information or omission may lead to the withdrawal of my Passport to <strong>Leisure</strong> <strong>Card</strong>.<br />

Your signature<br />

Signature of parent or guardian if under 16<br />

Date<br />

"<br />

The information on this form will be processed by <strong>East</strong> <strong>Dunbartonshire</strong> <strong>Leisure</strong> & <strong>Culture</strong> Trust in accordance with<br />

the Data Protection Act 1998. The data you provide will be used for administrating your Passport to <strong>Leisure</strong> and for<br />

statistical purposes. We will not pass any data you provide to a third party.

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