Name (required)

Date of Birth (required)

Email (required)

Phone number (required)

Which is your preferred site? (required)
Active CullomptonActive TivertonActive Crediton

What are you interested in hearing about? (required)
GymSwimmingFitness ClassesRacketsOther

How did you hear about us? (required)
GoogleFacebookInstagramEmailFriend/FamilyPosterOther

If other please state (required)

By completing this form, I agree to the terms and conditions of use at Active Mid Devon and understand that the centre 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 Active Mid Devon and third parties approved by Active Mid Devon to enable the delivery of services.

Please tick the box if you would like to receive information on Active Mid Devon events, activities, and promotions.

By ticking this box I agree that Active Mid Devon and third parties approved by Active Mid Devon 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 Active Mid Devon events, activities and promotions please send an email to active@middevon.gov.uk and add unsubscribe to the subject line.