Move-it
Discount Scheme
Leisure Services from Walsall Council
£2 Adult Sessions
£1 Junior Sessions
Monthly
£15
membership
available
restrictions apply
Eligibility Criteria: Low income household, over 60, medical or
health condition, full-time students
Registration Fee: £4 for residents or £10 for non Walsall residents
Valid: 12 months from date of purchase
All activities are subject to availability – some restrictions may apply please see Terms and Conditions*
www.walsall.gov.uk/leisure
Move-it Discount Scheme
Please tick the category that applies to you.
a) I am over 60 years old
b) My household income is less than £18,500
I have a medical condition that my GP has advised would benefit from increased physical activity
c)
I have been advised by a health professional that my future health is at significant risk due to my weight. Height (m)_____________ Weight (kg)_____________
I am applying on behalf of a junior, under 16, for whom I am the parent/legal guardian and I hold a current Move-It membership.
d)
e)
Junior Move-It Discount memberships are available where the parent or guardian holds a current Move-It
Membership – costs £2 (activities are £1).
Applicant________________________________________
Parent/Legal Guardian___________________________ My Move-It member no: ___________________
f)
I am a full time student
Applicant Details
I hereby give consent for Walsall Council to confirm the above qualifying criteria.
I understand that falsely claiming for a Discount Membership would constitute fraud.
1) Title:
Mr
Miss Ms
Mrs
2) Surname:_____________________________ 3) First name:___________________________________
4) Address:_____________________________________________________________________________
Postcode:_______________ Tel no:_______________________________ 5) Date of Birth: ___ /___ /___
6) Gender:
Male
Female
7) Do you have a disability?
Yes
No
Declaration
All the above information is accurate, and I give consent for Walsall Council to confirm these details as they
deem necessary. I understand that false information may constitute fraud and will result in the cancellation of
the Move-It promotion and recovery of any underpayments made.
Signature:
Date: ___ /___ /___
£15 per month Move-it Membership
Terms and Conditions: Some restrictions may apply between 5-8pm, Monday-Friday, including no discounted rate to the fitness suite
and studio classes. Restrictions do not apply at Walsall Gala Swimming and Fitness, Darlaston Swimming Pool or specialised sessions.
XXXXX 08/16
Available to Move-it Card holders and offers:
Unlimited swimming at any time
Access to the Fitness Suites (except between 5pm-8pm Monday-Friday)