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Homes for Ukraine and Refugee Complimentary Access Scheme

The Mole Valley Complimentary Access Scheme is open to Homes for Ukraine guests and refugees supported under the various Afghan and Syrian Resettlement schemes, provided they are Mole Valley residents.

If you are eligible under one of these programmes, you can apply for a free annual Better Health membership providing full access to Dorking Sports Centre and Leatherhead Leisure Centre.

Simply complete the form below to submit your details. If there are multiple applicants, please submit one form per applicant.

Once your application has been considered you will be contacted with details of how to receive your membership.

Please note, where an application is made via a referral partner, or a referral which requires an eligibility check, we may share limited information with the funding partner for the purposes of administration, tracking referrals, and supporting customer enquiries relating to the application.

Community Partner

Membership type

Home Centre

Please note this type of membership is only available to Mole Valley residents. Are you a Mole Valley resident? *

Which scheme did you arrive in the UK on? A) Homes for Ukraine. B) Syrian Resettlement. C) Afghan Resettlement D) Other (Please Specify) *

Title *

First name *

Surname *

Gender *

Date of birth *

Address Line 1 *

Address Line 2

Town *

County *

Postcode *

Email *

Mobile / Contact Telephone Number *

Ethnic origin *

Disability *

Health commitment statement

You wish to embark on a programme of physical activity and confirm that You do not have any health conditions which may prevent or adversely affect Your participation in the exercise programme and/or induction. If Your health status changes, You will seek guidance and clearance to exercise from Your General Practitioner or other relevant heath professional before participating any further in the physical activity.
Your Health is your Responsibility. Exercise carries its own risk, and you should therefore never exercise beyond your ability. If you have any doubts as to your fitness, or you have any medical conditions that may affect your safety through exercise, you should seek advice from your doctor before partaking in the activity.
When You are taking part in any physical activity You are responsible for monitoring Your own physical condition throughout Your use of Our facility. In the event of any unusual symptoms occurring, You should inform a member of staff immediately.
You must use the equipment and facilities in the correct manner according to instructions and/or induction training; You must not use the equipment and facilities in any manner which constitutes a health and safety risk either to Yourself or to others. We are not responsible for any injury or loss You suffer as a consequence of misuse of any equipment, or of any health condition that You may have (except where Our negligence causes personal injury).

I confirm that I have read and understand the Health commitment statement.

Marketing preferences

I am happy to be contacted about offers and non-service related information by:

Phone call

SMS

Post

Membership Terms & conditions

Physical activity or exercise is undertaken at your own risk. If you have any concerns about your health, suitability for a chosen activity or your health status changes you should seek guidance from a doctor or relevant health professional before participating.
Always register your attendance by scanning the QR code, barcode or membership card at the centre reception or entrance gates.
There may be additional rules which apply to a particular facility or activity displayed in the Centre which you will also be required to follow.
You can view the full version of our Membership Terms and Conditions here.

I agree to the Terms and Conditions