Toggle search Toggle menu Home All Services Leisure, Parks and Countryside Sports and Leisure Apply for a West Berkshire Card For discounts at leisure and sports centres. Card Applied for Adult Concessionary Young Person Card Number From which centre do you wish to collect the card / have the card associated with Centre Please select a Centre Cotswold Sports Centre Downland Sports Centre Hungerford Leisure Centre Kennet Leisure Centre Lambourn Centre Northcroft Leisure Centre Willink Leisure Centre You will need to bring in proof of identity and residency to collect your card. Contact Details Name Title Mr Mrs Miss Ms Other First Name Last Name Date of Birth dd/mm/yyyy Address Postcode Postcode Address Email Telephone / Mobile Numbers, spaces, + , ( , and ) are all valid characters Your telephone contact details may be used to contact you if a course or a class for which you have booked has to be cancelled. Please select Preferred method of communication Email Post Text Your details including your e-mail address may be used to keep you informed about programme developments, services and events. If you do not wish to receive such information please tick the box. Additional Information about Yourself Please complete these questions so that we can make sure that we are meeting the leisure time needs of all communities and individuals in the District. All of the information you give will be kept completely confidential and is only used as part of high level monitoring reports. Gender Female Male Do you have any long-standing illness, disability or infirmity? No Yes ('long standing' means anything that has troubled you over a period of time or that is likely to affect you over a period of time) To which of these groups do you consider you belong? Please select Please select Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Any other Asian background Black or Black British African Black or Black British Caribbean Any other Black background Chinese Mixed White and Asian Mixed White and Black African Mixed White and Black Caribbean Any other Mixed background White British White Irish Any other White background Any other ethinc group Terms and Conditions I agree to the Terms and Conditions For further information, see Terms and Conditions (pdf) Email Confirmation I would like a copy of this submitted form emailed to me For Office Use Only Centre of Issue Resident Card Number: LC Resident Card Number: Lib Resident Card Category Documents seen Active From Renewal Date Photo Taken: YES/NO Signed * Please correct any of the validation issues highlighted above Preferred method of communication Please select Email or Text Invalid Submit Pages Sports and Leisure Enquiries Accessibility Contact Us Cookies Out Of Hours Emergencies Privacy Policy Council Offices , Market Street , Newbury , RG14 5LD