Confirmation of Carer for the Barnet Leisure Pass to be completed by a carer wishing to apply for a Barnet Leisure Pass Barnet Leisure Pass "*" indicates required fields This is to confirm that the following person is registered with Barnet Carers Centre as an informal (unpaid) carer for a family member/friend/neighbour:Carer's Name*Email* To be used to send your Leisure Pass ConfirmationAddress*City*Postcode*Have you received your Carer Reference Number from one of our team?* Yes No Unfortunately, we cannot proceed with your Barnet Leisure Pass at this time Please allow for some administration time to allow one of our team to enter your details on to our system so that your Carer Reference Number can be generated. Your Carer Reference Number will be sent to you along with your completed Support Plan typically within 3-5 working days. Registered Carer Reference Number*This will be provided to you by a Barnet Carers' member of staffCarer Status*-Please select from options-Adult CarerYoung CarerIf you are aged 17 or under you are a Young Carer, otherwise you are an Adult CarerTo complete your Carer membership for the FAB Pass, visit Better - Join Membership and follow these instructions: For Adult Carers Select the location of your local leisure centre Membership Type: Adult Single Payment FAB Carers Adult Complete registration form For Young Carers Select the location of your local leisure centre Membership Type: Junior Single Payment FAB Carers Junior Complete registration form This letter is to be used as evidence that you are a registered Carer for the purpose of your membership. You may need to upload this letter on your membership profile or by showing as evidence upon arriving at your local leisure centre. Barnet BETTER Locations in Barnet with Swimming Facilities BARNET COPTHALL LEISURE CENTRE Champions Way, Hendon London NW4 1PX CHURCH FARM LEISURE CENTRE Church Hill Road, East Barnet Hertfordshire EN4 8XE FINCHLEY LIDO LEISURE CENTRE Great North Leisure, Park Chaplin Square Finchley London N12 0GL Δ