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Membership Form 2024/25
Membership is open to anyone living in the Roundhay, Moortown or Chapel Allerton Ward Boundaries.
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First Name
*
Your answer
Last Name
*
Your answer
Are you a current Member of BCA?
*
Yes - Renewing my Membership
No - New Member
Address Line 1
*
Your answer
Address Line 2
Your answer
City
*
Your answer
Post Code
*
Your answer
E-mail address (Please note without this we cannot send you our Members Discount Codes and Members Special Offers)
Your answer
Phone Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Nationality
Your answer
Job Title
Your answer
Do you attend any Groups at the Centre
Big Tots & Little Dots Playgroup
Bingo
Millie's Gang
Karate
Room with a cue
Sara Horner School of Dance
Slimming World
Tai Chi
Tea Cosy Cafe
Yoga
Zumba
Other:
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