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ActiveIslands

Definition of Catagories

Please note that you will be asked to pay for the remainder of the month at point of signing up. If you sign up for the membership on or after the 20th you will be expected to pay for the remainder of the month plus full payment of the following month.

ActiveIslands Individual – Monthly - £15.00
Annual - £180.00

Allows unlimited access to the islands facilities within the scheme for individuals over 8.

ActiveIslands Family – Monthly - £20.00
Annual - £240.00

Allows unlimited access to the islands facilities within the Active Islands scheme for family members living in the same household.

A family may contain up to 2 Adults over 18 and unlimited children under 18 living at the same address.

Budget Membership – 50p Per Activity

Allows individuals in receipt of certain benefits to access activities for 50p per visit. Proof of eligibility will be required every 6 months.

IMAGE: The page displays the ActiveIslands logo with the tagline “More people, more active, more often”, alongside logos for the Pickaquoy Centre, Direct Debit and Orkney Islands Council. It presents the three membership categories and their prices.

Direct Debit Instruction

Please fill in the whole form using a ballpoint pen and send it to:

The Pickaquoy Centre
Muddisdale Road
Kirkwall
Orkney
KW15 1LR

Account Details

  • Name(s) of Account Holder(s)
  • Bank/Building Society account number
  • Sort code
  • Name and full postal address of your Bank or Building Society
  • To the Manager Bank/Building Society
  • Address:
  • Postcode
  • Signature(s)
  • Date:

Instructions to your Bank or Building Society to pay by Direct Debit

Service User Number: 2 4 6 5 4 3

Reference Number: ___________

New Membership / New Details: ___________

Membership Type: _______________

Member Name: ______________

Instructions to your Bank or Building Society

Please pay The Pickaquoy Centre Trust Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee.

I understand that this instruction may remain with The Pickaquoy Centre Trust and, if so, details will be passed electronically to my Bank/Building Society.

Banks and Building Societies may not accept Direct Debit Instructions from some types of account.

IMAGE: The page is a Direct Debit mandate form addressed to The Pickaquoy Centre, with fields for account holder, account number, sort code, bank address, signature and date. It includes Service User Number 246543 and a separate Direct Debit Guarantee section marked for detachment and retention by the payer.

The Direct Debit Guarantee

  • This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits.
  • If there are any changes to the amount, date or frequency of your Direct Debit, The Pickaquoy Centre Trust will notify you not less than 15 days in advance of your account being debited or as otherwise agreed. If you request The Pickaquoy Centre Trust to collect a payment, confirmation of the amount and day will be given to you at the time of request.
  • If an error is made in the payment of your Direct Debit by The Pickaquoy Centre Trust or your Bank or Building Society, you are entitled to a full and immediate refund of the amount you paid by your Bank or Building Society.
  • If you receive a refund you are not entitled to, you must pay it back when The Pickaquoy Centre Trust asks you.
  • You can cancel a Direct Debit at any time by simply contacting your Bank or Building Society. Written confirmation may be required. Please also notify The Pickaquoy Centre Trust.

Your Details

  • Title
  • Forenames
  • Surname
  • Date of Birth
  • Address
  • Postcode
  • Telephone
  • Mobile
  • Email

Additional Adult

  • Title
  • Forenames
  • Surname
  • Date of Birth
  • Telephone
  • Mobile
  • Email

Junior 1

  • Title
  • Forenames
  • Surname
  • Date of Birth

Junior 2

  • Title
  • Forenames
  • Surname
  • Date of Birth

Junior 3

  • Title
  • Forenames
  • Surname
  • Date of Birth

Junior 4

  • Title
  • Forenames
  • Surname
  • Date of Birth

IMAGE: The page is a membership application form with separate fill-in sections for Your Details, Additional Adult and Juniors 1 through 4. Each section contains fields for names and dates of birth, with contact fields for the main member and additional adult.

Data Protection

The information we have about you will be held on computer or manual files by Orkney Islands Council (OIC) and the Pickaquoy Centre Trust (PCT) for the purpose of providing the services you are entitled to as a holder of the ActiveLife membership. The legal basis for processing this information is so OIC and the PCT can provide this public service. Only members of staff with a need to know will access this information. We also use the information you provide to help us understand what services are needed by residents and what OIC and the PCT can do to improve those services. Otherwise, we will only share your information if required to by law or if you give us your permission to do so. More information about how the Council will process your personal data and about your rights is available here: www.orkney.gov.uk/Online-Services/privacy.htm

If you want to know more about how the PCT use your information please visit www.pickaquoy.co.uk/about-us/the-trust/

Data Protection

I agree to Orkney Island Council and The Pickaquoy Centre Trust sharing my attendance data with my local Development Trust. This data will be solely used for the purpose of monitoring the outcomes of the pilot scheme and no identifiable information will be published in any format.

Please tick to confirm agreement

Signature: ________________________ ____

Signed (Print Name): _____________________________

Date: _____

Budget Membership

To be eligible for a budget membership you must be in receipt of one of the following:

  • Income Support
  • Pension Credit
  • Job Seekers Allowance
  • Employment Support
  • Universal Credit
  • War Disability Pension
  • Disability Living Allowance
  • Personal Independence Payment
  • Attendance Allowance
  • Carers Allowance

We ask budget members to produce a dated award letter issued within the last 12 months. If you need a more recent letter, please call the benefit call line on 03456 00723. Please note - Budget Members will be asked to show proof of eligibility every 6 months.

General Terms and Conditions of Use

  1. Membership cards are non-transferable and any use other than by the member may result in immediate cancellation of the membership card.
  2. It is the paying member’s responsibility to keep us informed of any changes to their contact details.
  3. The Pickaquoy Centre Trust and Orkney Islands Council reserve the right to refuse any application for membership.
  4. We reserve the right to add, remove or amend any activities from the membership scheme. All activities are subject to availability.
  5. We reserve the right to charge additional fees for selected activities.
  6. We reserve the right to amend prices at any time.
  7. We reserve the right to amend our terms and conditions at any time.
  8. A direct debit mandate must be completed and signed by the paying member before the membership can be purchased. Collection will be made on the 1st of every month.
  9. If for any reason a facility, service or activity is closed or activities are cancelled for any period of time no refund will be given.
  10. We operate a 6-hour cancellation policy. If you do not notify us of a cancellation, at least 6 hours in advance, then you will be charged the full Pay “n” Play fee on your next visit.
  11. The membership scheme is available for the following: individuals over 8 years, or family of up to two adults over 18 years and unlimited children under 18 years of age. Proof of address may be required.
  12. Budget Membership
    • Allows users access to all activities for 50p.
    • You will be required to provide evidence every 6 month.
  13. The Budget Membership option is available for anyone who is entitled to certain benefits. Please refer to www.pickaquoy.co.uk or www.orkney.gov.uk
  14. Members will not be entitled to a refund for any part of their membership.
  15. Please refer to the general conditions of use and admission policies for each individual facility.
  16. If you wish to cancel your ActiveIslands Direct Debit, please notify us by emailing memberships@pickaquoy.com by the 20th of the month.
  17. Once you have terminated your membership, you will not be able to re-apply for a period of 3 months.
  18. A one off annual payment freeze of 2 continuous calendar months may be available if individuals have a medical condition that will stop them using the ActiveIslands Facilities.
  19. It is each user’s responsibility to disclose any relevant medical condition to the staff on duty at the time of play.
  20. A full induction is required to access any gym.

Customer signature: _____________________________

Date: _____

Staff signature: _____________________________

Date: _____

Office Only

  • SCUBA No: ___________________
  • Receipt No: __________________
  • Amount Paid £: ____________________
  • Customer informed of cancellation policy
  • Customer completed gym induction
  • Has the customer cancelled a membership in past 6 months? Y/N

ActiveIslands Data Sharing