Leisure Hub Technical Support
Please complete this form providing us with the information below so we can support you in activating your account:
Name
*
First Name
Last Name
Address Details
*
Street Address
Street Address Line 2
City
State
Postcode
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Contact Telephone Number
*
e.g. mobile telephone number
Email Address
*
example@example.com
Lifestyle Card Number (if known):
Number under the barcode on the back of your Lifestyle Card
Which of our Leisure Centres do you normally attend?
Please select
Chase Leisure Centre
Rugeley Leisure Centre
Selby Leisure Centre
Tadcaster Leisure Centre
Please select the centre you attend the most
What type of device are you using to register for / access Leisure Hub?
*
Please select
Mobile Device e.g. mobile phone, tablet
Desktop PC
Other
Please select an option
If you are accessing from a mobile device, please could you tell us what type of device this is?
Please Select if using a Mobile Device
Apple
Android
Windows
Other
Please select an option
Please provide information on your support request:
*
Please verify that you are human
*
Submit
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