Active Choices Offering you the Choices you deserve!

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1 Active Choices Offering you the Choices you deserve! activesefton.co.uk Active Sefton is a partnership between Sefton Council, NHS Sefton and the local voluntary and community sectors.

2 Active Choices is a great way to get discounts on leisure activities for children, young people and adults in Sefton. These activities include sports, library activities, golf and bowls to name a few. It also entitles you to a discounted membership rate at any Active Sefton leisure centre. There are two levels of discount available and the level you are entitled to will depend on your circumstances. This brochure is colour coded to help you identify the most appropriate level for you - simply follow the colour code that is identified below. Level 1 Discounts (up to 40%) This level is for anyone who receives additional support as detailed in the level 1 criteria, so to be eligible you must meet the criteria in level 1 stated in the green section. Registered disabled users and their carers automatically qualify for this level. Level 2 Discounts (up to 20%) This level is for anyone, at any time at any facility and features all discounts stated. Blue: Discounts Available. To apply for an Active Choices card there is a short application form available at the back of this brochure, which you can complete and return to any Active Sefton leisure centre or library. If you are interested in applying for an Active Choices card and would like support completing your application, a member of our team will be happy to assist you with your application. Please bring any evidence required (as outlined in the following pages) to your local Active Sefton leisure centre or local Sefton library. Companion Card: All individuals who are registered as disabled are automatically eligible for a level 1 card. If you are registered as disabled and need support to access our activities or leisure facilities, you can obtain a companion card. This card then entitles you to take a relative, friend or carer with you when you visit and both of you are entitled to discounted usage.

3 Level 1 Cost: 6.00 per year Discount: Up to 40% If you live in Sefton and receive any of the support detailed below, then you are eligible for a level 1 card. Alternatively, if you are aged sixty and above and live in Sefton, you automatically qualify. On a level 1 card you can apply for yourself, someone you care for, or for your whole family. If you are a member of the armed forces you are also eligible for a level 1 card. Individual Eligibility Criteria If you would like to apply for a level 1 card for yourself or someone else, you or the person you are applying for need to be: Aged 60 years or above Unable to work because of illness Registered as disabled Current member of the armed forces Family Eligibility Criteria If you or your family receive any of the following support then you may be eligible for a level 1 card: Income Support / Pension Credits Job Seekers Allowance Housing Benefit Council Tax Benefit Child Tax Credit On a New Deal Option (aged 18-24yrs) Partners of above Children of above up to and including 18yrs Children aged 7yrs or under must go on the parent s card; children aged 8yrs - 18yrs can have their own card.

4 How To Apply To apply for your card, all you have to do is provide us with a copy of your eligibility letter / form / stamp / age / proof of address. Some examples are detailed below. Benefit Letter/ DWP Office Stamp for Income Support or Pension Credits Benefit Letter / JSA Office Stamp for Job Seekers Allowance Recent Bill Notification Letter Action Plan Birth Certificate (re children named on a family card or for an individual over 60yrs) Incapacity Benefit Disability Living Allowance Severe Disablement Allowance Attendance Allowance Industrial Disablement Allowance War Disablement Allowance Carer's Allowance Bus Pass (re individual over 60yrs) Please note the names of the support packages may have changed. Level 2 Cost: 3.50 Junior / 6.00 Adult / Family / Group* Discount: Up to 20% A level 2 card is a discount card for everyone - you do not have to meet any criteria and anyone can purchase this card to get discounts to leisure activities across Sefton. You can purchase this card for an individual or for the whole family. Will I Need to Provide Any Paperwork? If you are purchasing a level 2 card, you do not need to bring any paperwork with you. *A group membership entitles discounts to group sports activities, not individual activities.

5 Discounts Level 1 Level 2 Both levels of Active Choices discount card provide a range of discounts on a number of activities. Discounts Available Active Sefton leisure centres: swimming, gym use, classes, sauna / steam, fitness memberships and inductions (level 1 only) and badminton court hire. Be Active, Active Kidz and Active Totz sessions Sefton Libraries: DVD and CD hire Golf (Southport Golf links & Bootle Golf links only) Monday - Friday (not available weekends or bank holidays) Crown and Flat Green Bowls (only available to level 1 holders) Entry to Dunes Splash World, Southport

6 Please return this application form to any Active Sefton leisure centre or library. Full postal and contact details can be found on activesefton.co.uk along with local travel information, alternatively contact the Active Sefton Team direct on the details below. Tel: Activeseftononline / Post: Active Sefton, 2nd Floor Merton House, Stanley Road, Bootle, L20 3JA All information correct at time of print (April 2013).

7 RN: Application Form (PLEASE COMPLETE IN BLACK BLOCK CAPITALS) Level Please choose level you require (tick box) Level 1 Level 2: Adult Junior Family Section 1 Name of Main Applicant: Address: Postcode: Contact Tel/Mobile: AC No: Proof of Residence: Proof of Eligibility: Section 2 Partner's Name (If applicable): Address: Postcode: Contact Tel/Mobile: AC No: Section 3 Companion Card (If applicable): Yes No AC No:

8 Section 4 Family Membership (Details of any children to be included on this membership. NB: Children under 16yrs and living at the same address as main applicant). Name: AC NO: Name: AC NO: Name: AC NO: I confirm that the information I have given is true to the best of my knowledge and belief. Sefton Council will hold the information on this form in an electronic format. We would also like to keep you informed of new activities and special offers, which may be of interest to you. If you would prefer not to be contacted by Sefton Council please tick this box. Signature: Print Name: Date: Terms & Conditions (i) Active Choices will be issued for a 12-month period, after which proof of continuing eligibility must be presented where applicable, at which time the passport will be renewed, except for senior citizens who will only need to register once. (ii) No holder of the Active Choices will be granted admission without first presenting an Active Choices Membership card to an appropriate reception desk. (iii) Active Choices must be surrendered for amendment if you, or anyone on it, is no longer eligible to use it, or if your circumstances change in any way. (iv) Misuse of Active Choices or the facilities will result in withdrawal of Active Choices. (v) Sefton Council reserves the right to amend the scheme as and when required. Revisions may include, amongst other things, changes to the discounts available and qualification criteria or the removal of services.