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Leisure & Culture
Online Form
Leisure & Culture General Enquiry Form
We aim to respond to your question within three working days
Your Details
Title
Please Select ...
Mr
Mrs
Miss
Ms
Sir
Madam
Dr
Surname:
*
First Name
*
Date of Birth
DD/MM/YYYY
Date of Birth
Month
MM
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Feb
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Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
DD
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Year
Address Details
Property Name / Number
*
Street
*
Area
Town
*
County
Post code
*
Email
If you would like a faster more detailed response please provide an e mail address, alternatively we will contact you by phone within 3 working days.
Telephone Number
Mobile Phone Number
Leisure Card Number
Your Enquiry
Which area of leisure & culture is your enquiry about?
*
Please Select ...
Arts & Events
Bramcote Leisure Centre
Broxtowe Sport
Chilwell Olympia Sports Centre
DH Lawrence Heritage
Eastwood Community Sports Centre
Kimberley Leisure Centre
Don't Know
Other
Enquiry (Please provide as much information as possible)
How did you hear about us?
Please Select ...
Banner
Broxtowe Website
Current User
Friend
Internet
Leaflet
Magazine
Newspaper
Privacy Notice
All information collected will be used by Broxtowe Borough Council for the intended purpose(s) only. Your personal details will not be shared with other organisations unless the Council is legally required to do so.
You may contact the Council if you wish to stop us using your personal data for these purposes.
For more information on our privacy notice please view our page.
Click Here
Please tick the box if you wish to receive marketing or promotional material relating to Leisure and Culture from Broxtowe Borough Council.
Please tick the box if you wish to receive marketing or promotional material relating to Leisure and Culture from Broxtowe Borough Council.
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Contact Us
Leisure & Culture
T:
(0115) 917 7777
F:
(0115) 917 3377
Contact Broxtowe Borough Council