Please note: Membership applies to the child, young person, or adult with additional needs, not the parent/carer. Eligibility applies to membership to ensure the opportunities at the centre are available to those with disabilities/additional needs that prevent them from enjoying other play and leisure opportunities.

Please read the terms and conditions before filling in the form

Essential Information
I agree for this information to be stored on a membership database for users of the centre. The information you provide will be held by Warrington Borough Council and Warrington Leisure Trust and will not be shared with any other agency or provider.
Disability Information
Evidence to support membership





(evidence will be required to be shown to progress the membership application)
Additional Information (optional)