Name:

Listen and fill in the form:

SPORT CENTRE
APPLICATION FORM
(1) Mr Miss Mrs Ms. (Please tick)
(2) Full name: …………………………………………………………
(3) Address: ……………………………………………………………
(4) Post code: …………………………………
(5) Phone number: ………………………………
(6) Date of birth: ………………………………
(8) Nationality: ………………………………….
(9, 10)What sports are you interested in? (Circle, please):
Swimming - Squash - Fitness training - Basketball - Athletics - Tennis