FACS Application Form

FACS Application Form

Please note that if your application is successful a membership card will be posted to you using the address you have provided. We aim for membership cards to be sent to you within 1 week of your submission.
Your Name*

First NameLast Name
Date of Birth*

DayMonthYear
Telephone Number*
Please enter a valid phone number.
Your Address

House name / number

Street Address

TownState / Province

Postal Code
Email address
example@example.com

Sport Details
Sport*
E.g. Football, Rugby, Tennis etc
Standard (please specify county representation & age group)*
Club*
School (if applicable)
Centre Applied for*

Places Leisure CamberleyLightwater Leisure Centre
Which facilities would benefit your development in your sport?

Fitness SuiteSports Hall

Supporting Documentation
Please upload a passport-sized photo

Cancelof
Please upload supporting evidence

This should be recent evidence from your governing body
Cancelof
Declaration
I have read and fully understood the terms and conditions of the FACS scheme and agree to abide by them. All of the information on this form is, to the best of my knowledge, correct and I understand that any misleading statements may render this application invalid. I accept that the information I have provided within this application will be kept and processed by Surrey Heath Borough Council staff, and may be shared with Places Leisure Camberley or Lightwater Leisure Centre management as appropriate to prevent abuse of the scheme. I understand that by applying for FACS membership I may be contacted regarding the Surrey Heath Sports Awards*

I confirm
Checklist*

I have completed all sections of the application formI have enclosed 1 passport-sized photoI have enclosed recent supporting evidence from my governing body
Privacy Statement

Details of Surrey Heath Borough Council’s Privacy Notice can be found here
Should be Empty:

Sport Details