If you would like to receive information about the Zone children's holiday activities via email, please take the time to fill out the short online form below.

Your name
Your postal code
E-mail address
Are you (please select one answer)	Parent/guardian  Taking part in the activities
If you are going to be taking part in the activities yourself, how old are you? (Please select one answer)	5 - 7 years  8 - 12 years  13 - 15 years  16 - 19 years
Would you be interested in booking the Zone activities online?	Yes  No

Please let us know which kind of sport and leisure activities you would like to receive information about (please select all that apply):

suitable for 8 - 15 year olds	Athletics  Basketball  Cheerleading  Cricket  Football  Gymnastics  Healthy eating  Hockey  Kick-Fit  Physical activity  Rugby  Snorkelling and scuba  Street dance  Swimming  Trampolining  Tennis
suitable for 13 - 16 year olds	Climbing  Abseiling  Bridge swinging  Team challenges  Skateboarding, BMX and Rollerblading Park  Canoe rafting  Martial arts
suitable for 14 - 19 year olds	Sports Leader Level 1  Athletics Leader  First Aid  Junior Football Organiser  ASA Swimming Club Helper Award  British Gymnastics Helper Award
suitable for 5 - 15 year olds	Please let us know which leisure centre you would like to receive Active Zone information for:  Beechdale Swimming Centre  Clifton Leisure Centre  Harvey Hadden Sports Complex  John Carroll Leisure Centre  Ken Martin Leisure Centre  Noel Street Leisure Centre  Portland Leisure Centre  Southglade Leisure Centre  Victoria Leisure Centre
	Thank you