Activity & Fitness Funding
HPLS have set up a small fund to help some of our members to start a new fitness and well-being activity. One claim of 30% up to a max of £25 can be made for some specified activities. The claim can only be for the subscribing member OR spouse / partner (living at the same address) who is taking part in the new activity. Please complete the form below and also upload a copy of the receipt or sign up document or email a copy of the course or activity sign up receipt to firstname.lastname@example.org
Staff number if applicable?
Please state which category of member you are;
Serving Hantspol Staff
Retired Hantspol Staff
Serving or retired HFRS
Non payroll member
Other (State below)
If 'other' stated above please clarify?
Are you a subscribing member of HPLS?
Name of person signing up to the activity if not the subscribing member, e.g. spouse or partner living at the same address)
State which activity you have signed up for?
Fun run, cross country or obstacle course
Aerobic, Yoga or Pilates course
Weekly slimming class
Healthy cooking course
Cycle Sportive event
Other introductory sports program or fitness based course - state below
Fitness Tracker (Slimdown 2022 Challenge)
Please provide more details of the name of the activity, location, organisation and costs?
I confirm that this is a new fitness or well-being based activity for me or spouse / partner living at the same address, which qualifies for this funding. I understand that this funding is not for ongoing existing activity that I am already involved in.
Yes I confirm
For the subsidy to be rebated please provide sort code and account number of your bank.
Please upload a copy of the receipt for any claim
Please enter the text from the image: