West Lancashire Borough Council takes your privacy very seriously and will keep your information secure at all times. We will use the information you provide in this form to assess your self-referral application. We will use this information for no other purpose than that stated above and will only use your personal contact details to liaise with yourself regarding the outcome of your application. Thereafter your information will be retained securely in line with West Lancashire Borough Council's retention and disposal policies.
For more information, please click on the privacy notice . Hard copies are available on request. If you would like to discuss this notice or how we will use your personal data you can contact the Leisure and Wellbeing & Leisure Section on 01695 585145 or email Changinglifestyles@westlancs.gov.uk.
To submit this referral form, we require your consent to collate and process your information. If you do not consent you will not be able to apply.
