Barnet Leisure Pass Enrolment Barnet Leisure Pass "*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged.Barnet Leisure Pass As a carer registered in Barnet you are able to get a FREE Leisure Pass which will give you access to local leisure centres, free swimming and discounted services. Please tick below if you would like to be automatically registered for a Leisure Pass. If you consent we will send details of your name and address and contact details to Better Leisure in order to facilitate your leisure pass - those details will not be used for any other purpose. Please note: On submission of this form, there is a 2 week administrative period necessary in which details are shared and the Leisure Pass is created and emailed. Barnet Leisure Pass Enrolment* I consent for my details to be shared for me to obtain a FREE Leisure PassPlease select the statement that is appropriate* I am a registered carer not aware of the Leisure Pass scheme, and would like to apply I am a registered carer and have obtained a Leisure Pass in the last 12 months I am a registered carer with an expired Leisure Pass and would like to reapply Please enter the date that your Leisure Pass is due to expire DD slash MM slash YYYY If knownPlease enter the date that your Leisure Pass expired DD slash MM slash YYYY If knownCarer Status* I am a registered Adult Carer My child is a registered Young Carer Name of Carer* First Last Email* This will be used to send your Welcome Email.Contact Number*Address*City*Postcode*Your Date of Birth* DD slash MM slash YYYY Your Ethnicity-Please select from options-Asian Or Asian British - Any Other AsianAsian Or Asian British - BangladeshiAsian Or Asian British - ChineseAsian Or Asian British - IndianAsian Or Asian British - PakistaniBlack Or Black British - AfricanBlack Or Black British - CaribbeanBlack Or Black British - Other Black BackgroundMixed - Other Mixed BackgroundMixed - White And AsianMixed - White And Black AfricanMixed - White And Black CaribbeanWhite - Any Other White BackgroundWhite - BritishWhite - IrishWhite - JewishAny Other Ethnic GroupPrefer Not To SayUnknownDo you have a disability?* Yes No Your Disability*Name of Young Carer* First Last Email* This will be used to send your Welcome Email.Contact Number*Young Carer's Address*City*Postcode*Young Carer's Date of Birth* DD slash MM slash YYYY Young Carer's Ethnicity-Please select from options-Asian Or Asian British - Any Other AsianAsian Or Asian British - BangladeshiAsian Or Asian British - ChineseAsian Or Asian British - IndianAsian Or Asian British - PakistaniBlack Or Black British - AfricanBlack Or Black British - CaribbeanBlack Or Black British - Other Black BackgroundMixed - Other Mixed BackgroundMixed - White And AsianMixed - White And Black AfricanMixed - White And Black CaribbeanWhite - Any Other White BackgroundWhite - BritishWhite - IrishWhite - JewishAny Other Ethnic GroupPrefer Not To SayUnknownDoes your child have a disability?* Yes No Young Carer's Disability* Δ
