Name (required)

Child(s) Name (required)

Child(s) Age (required)

School Name (required)

Is your child in receipt of free school meals (required)

Please select...YESNO

Which ward do you live in? (required)

Please select...EdisfordLow MoorOther

Your Email (required)

Your Telephone (required)

Which session are you interested in? (required)

Please select...TuesdayThursday

By completing this form I agree to the terms and conditions of use at RVHWP and understand that they may contact me via email, SMS, telephone or post for the purpose of delivering the services to me. The information collected on this form (including but not limited to my personal data) will be used by RVHWP and third parties approved by RVHWP to enable the delivery of services.

Please tick the box if you would like to receive information on Roefield Leisure events, activities and promotions.

By ticking this box I agree that RVHWP and third parties approved by RVHWP and acting on its behalf may contact me via email, SMS or post, using the personal data I have provided on this form, with information on events, activities and promotions.

If you wish to unsubscribe from future email communication regarding RVHWP events, activities and promotions please send an email to sport@roefield.co.uk and add "RVHWP Unsubscribe" to the subject line.