FACS Application Form | SURREY HEATH BOROUGH COUNCIL

Please note that if your application is successful a membership card will be posted to you using the address you have provided. We aim for membership cards to be sent to you within 1 week of your submission.

Name

First Name *

Surname *

Date of Birth *

Day

Month

Year

Telephone Number *

Address Details

Your address

This field has been completed automatically.

Email Address

Sport Details

Sport *

Standard (please specify county representation & age group) *

Club *

School (if applicable)

Centre Applied for *

Which facilities would benefit your development in your county sport ?

Places Leisure only

Sports Hall

Fitness Suite

Supporting Documentation

Please upload a passport-sized photo

Files must be less than 32 MB.
Allowed file types: gif jpg jpeg png.

Please upload supporting evidence

This should be recent evidence from your governing body
Files must be less than 32 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx.

Declaration

I have read and fully understood the terms and conditions of the FACS scheme and agree to abide by them.

All of the information on this form is to the best of my knowledge is correct and I understand that any misleading statements may render this application invalid.

I accept that the information I have provided within this application will be kept and processed by Surrey Heath Borough Council staff, and may be shared with Places Leisure Camberley or Lightwater Leisure Centre management as appropriate to prevent abuse of the scheme.

I understand that by applying for FACS membership I may be contacted regarding the Surrey Heath Sports Awards

Please tick to indicate that you agree with the declaration above: *

I Agree

Checklist *

I have completed all sections of the application form

I have enclosed 1 passport-sized photo

I have enclosed recent supporting evidence from my governing body