Create new account

Parent details

Please add the bill payers details here. If you are booking on behalf of children please include them below.

First Name*

Last Name*

Email Address*

Post Code*

Lookup Address

Address*

Mobile Number*

How did you hear about us?

Profile type

Landline number

Photo Consent

Is Parent

Is Payer

Add ICE Contacts

Gender*

Date of Birth*

Medical Consent?

Member Notes

Password*

Confirm Password*

ICE Contacts

Add ICE Contacts

ICE Contact Name*

ICE Contact Number*

Relationship to Participant/Child*

Marketing Preferences I agree to have kidsgrove sports centre contact me for marketing communications via:

Text message

Letter

Telephone

*In order to provide you with an effective service, kidsgrove sports centre is able to send you service communications without any additional consent.

I agree to the Terms and Conditions

Add Adult Member

Add child

Child details