DP Online Enquiry Card - Your Leisure

Date of Enquiry

Full Name

Email *

Centre Enquired at

Employer *

How did you find out about us?

Have you used one of our leisure centre before?

Tick all that you are interested in using within a membership *

Are you currently exercising? *

Tick the boxes below to indicate your expectations from your personal exercise programme

If OTHER, please explain

How soon would you expect to see results?

Recommended Membership *

GDPR Agreement *

I consent to having Your Leisure store my submitted information so they can respond to my enquiry.