UEA Student - Sportspark Registration Form
The Sportspark has some fabulous sporting facilities (in addition to being a multi-use venue). Registering as a member has many benefits, including:
Free entry into the Sportspark.
Ability to book facilities in advance, both in person and over the phone.
Access to concession prices during off-peak periods (ask at reception for further details).
Questions
PLEASE COMPLETE ALL SECTIONS IN BLOCK CAPITALS
1. Title
Dr
Mr
Mrs
Miss
Other (please specify)
*2. Last Name
*3. First Name (s)
*4. UEA Email address
*5. Contact telephone number
6. School of study
*7. To identify how you will use the Sportspark, please tick the most appropriate box.
Lectures Only (Mon to Fri 8am to 5pm)
Sport & Fitness
Both Lectures and Sport & Fitness
*8. Year of study
FND
1
2
3
4+
VIS/EXCH UG
*9. Date of Birth (DD/MM/YY)
*10. UEA Student Number (Above barcode on UEA Student card)
*11. Course Expiration Date (DD/MM/YY) (Under picture on UEA Student card)
*12. Sportspark Number (under barcode on back of UEA Student card)
*13. We would like to send you information about our own sessions and programmes at ueasport and Sportspark, by email. Do you agree to being contacted in this way?
Yes
No
Submit