Live Active

Please complete this form to allow us to reinstate your membership

If you have cancelled your payments at your bank you'll need to rejoin using this link: https://fastdd.co.uk/platinum/start.php?c=Live-Active-Leisure

Please be aware that we will manually reinstate your membership, so recommend you allow 24 hours before booking any activities to avoid being charged.

First Name(*)

Invalid Input

Surname(*)

Invalid Input

Date of Birth(*)

Invalid Input

Please put your Date of Birth in DD/MM/YY format.

Postcode(*)

Invalid Input

Email Address(*)

Invalid Input

Contact Number(*)

Invalid Input

Do you have a joint membership?

YesNo Invalid Input

Do you have an annual membership

YesNo Invalid Input

When is your payment date?

Invalid Input

Confirmation(*)

Please tick this box to confirm you have agreed to Live Active Leisure reinstating your Annual or Direct Debit membership. Invalid Input

Data Protection: The information provided by you, about you on this form, will only be used for the purposes of reinstating your membership. We are committed to complying with the General Data Protection Regulation and the Data Protection Act 2018. For further information on how we process personal data, please see our privacy policy available on our website.

Live Active Rewards

Membership Reinstatement Request