LET’S LIVE LIFE Self Referral

Interested in the LET’S LIVE LIFE Scheme?

Please fill in your details on the self referral form, and a member of our team will be in contact with you shortly.

    Your First Name (required)

    Your Surname (required)

    Your Address (required)

    Your Post Code(required)

    Your Email (required)

    Your Telephone (required)

    Your Date of Birth(required)

    What is your gender? Please select. (required)

    What is your ethnicity? Please select. (required)

    Please select the criteria most appropriate to you:(required)

    Your Medical Conditions

    Your GP's Name

    Your GP Medical Practice

    By completing this form I agree to the terms and conditions of use at Roefield Leisure and understand that the centre may contact me via email, SMS, telephone or post for the purpose of delivering the services to me. The information collected on this form (including but not limited to my personal data) will be used by Roefield Leisure and third parties approved by Roefield Leisure to enable the delivery of services.

    I would like to receive information on Roefield Leisure events, activities and promotions

    If you wish to unsubscribe from future email communication regarding Roefield Leisure events, activities and promotions please send an email to sport@roefield.co.uk and add unsubscribe to the subject line.

    Roefield Leisure
    Edisford Road
    BB7 3LA

    Tel: 01200 442188
    Email: sport@roefield.co.uk

    Roefield is a large multi-purpose sports facility located in Clitheroe, Lancashire. Roefield’s facilities includes a large gym, junior gym, aerobics studio,  sports hall, sauna and steam rooms, spin studio and café lounge.


    Sorry we seem to be having a couple of problems here. Resy assured we are on it and will have it sorted asap.