Register as a Provider - Let's Keep Bolton Moving

Create a Provider Account

You can only register as a Let's Keep Bolton Moving activity provider if you provide activities in the town of Bolton. Our administrators will consider your registration once you've submitted this form. We'll send you an email when this has been done.

If you already have an account, login here.

All required fields are stated, and the contact email address entered must not already be in use.

Contact Details - this information is for internal use only

Name (required)

Telephone Number (required)

Your email address and password will be used to log in to your provider account

Email Address (required)

Password (required)

Provider Details - this information will be displayed on your activities

Provider Name (required)

Provider Telephone Number

Provider Email Address

Provider Website