Edinburgh Leisure - Online Referral Form

Community Access Programme

CAP Individual Card: Our CAP Individual card offers 6 months of discounted access to Edinburgh Leisure venues and activities, promoting physical and mental well-being. Accepted participants will receive both a text message and email containing details about where, when, and for which activities they can use their card. These communications will also provide guidance on how individuals can collect their cards at one of our venues.

CAP Cashless Support Card: The CAP Cashless Support card provides 6 months of free access to Edinburgh Leisure venues and activities, aiming to support physical and mental well-being. Participants accepted for a CAP Cashless Support Card will receive either a text message or email, providing information about where, when, and for which activities they can utilize the card. These messages will also include instructions on how individuals can collect their cards at one of our venues. Please be aware that the CAP Cashless Support programme has limited spaces and is specifically designed to assist those without access or the ability to make contactless payments who are living on a low income/experiencing a high level of poverty.

When applying for either the CAP Individual, or CAP Cashless Support card, please provide additional information in the "Any other comments" section of the form to support the application. All applications must include additional supporting information, or they will not be considered.

Applications must provide a mobile and email address. Any applications that do not provide these will not be considered. If a participant is unable to provide an email address, we ask the referrer to use their own email as the participant’s contact. This ensures a copy of the welcome information is sent to the referrer and can then be shared with the participant if they have an issue with the welcome information sent via text.

Inclusion Criteria

Anyone aged 5 and above can be referred for the CAP Individual Card.
Individuals aged 18 and over are eligible for referral to the CAP Cashless Support card.
The CAP programme is designed to support individuals experiencing inequalities which are preventing them from building physical activity into their daily lives. Inequalities might include long term illness or physical or mental health condition, living on a low-income, social isolation, being inactive etc.

Exclusion Criteria

Individuals are ineligible for the programme if they:
- Are an existing CAP Individual or Edinburgh Leisure membership holder. Participants cannot have held an Edinburgh Leisure membership in the 6-month window preceding their date of referral.
- Have previously held a CAP Individual card. Applicants can only be referred once to the programme.
- Are supported by another Edinburgh Leisure Active Communities programme.
Referrals to the CAP Individual or Cashless Support Card programme can only be made by a member of a CAP affiliated organisation and who has CAP organisation cardholder status.
The CAP programme will not accept applications for individuals who live outside of the City of Edinburgh council area.

Fields marked with an * are required fields.

Community Access Card Type *

Referrer Details

First name *

Surname *

Phone number

Email address *

Referring organisation *

CAP Organisation Card Number *

Referral details

Title *

First name *

Surname *

Address *

Town *

County *

Postcode *

Please provide either a mobile number or a landline number. *

Mobile phone number

Landline phone number

Email *

Date of birth *

Gender *

Reason for referral *

Please provide additional information to support your referral request *

Consent

Edinburgh Leisure Privacy Notice The information on this form will be forwarded to Edinburgh Leisure to progress this physical activity referral. Privacy is important to Edinburgh Leisure and the information on this form will only be used to enable Edinburgh Leisure to deliver and improve their services. Edinburgh Leisure will never sell anyone’s data and will only keep data for as long as necessary to deliver and evaluate services. There is more detail on Edinburgh Leisure’s privacy notice on the website; www.edinburghleisure.co.uk/data-protection or you can send enquires to enquiries@edinburghleisure.co.uk or call 0131 458 2260. By ticking the following boxes, you are confirming that, as the referrer detailed above: - You have informed us of any contra-indicators that you are aware of which may affect the individual’s ability to take part in physical activity.

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