Application for a Barnsley Leisure Card

When this form has been submitted you will need to visit an application centre to receive your Barnsley Leisure Card. You will need to take with you supporting evidence of eligibility, a clear passport sized photo and the appropriate fee.

A list of application centres and acceptable evidence can be found by clicking the link to the Barnsley Leisure Card webpage .

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* Required field

Applicant address

What is the address of the person requiring the Barnsley Leisure card? (Applicant must be resident in the Barnsley Borough)

House number/name

* PostcodeExample: S70 2TA

Person applying

* Are you applying on behalf of someone else?

Applicants contact details

Please confirm the following personal details of the applicant

* Title

* Forename

* Surname

Telephone numberExample: 01226770770

Mobile number

Email address

If an email address is supplied, an acknowledgement email of this request (including the details submitted and the reference) will be sent to the email address

Email address confirmation

* Date of birth