Participant Registration - Dulwich Tennis

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Thank you for registering your interest, please take five minutes to fill out the below form.

If you are registering on behalf of somebody else to attend the session, please fill the below form with their details.

Session Information

When: Sundays
Where: Dulwich LTC, Burbage Road, SE24 9HB

Time: 11 - 12 pm (5 - 8 years old) and 12 - 1 PM (9 - 11 years old)
Age: 6 - 11 years old

Cost: £60 for the term

Sessions and Dates - Summer Term 2024

Sunday 21st April/ Sunday 28th April

Sunday 5th May/ Sunday 12th May/ Sunday 19th May/ Sunday 26th May

Sunday 9th June/ Sunday 16th June/ Sunday 23rd June/ Sunday 30th June

Sunday 7th July

Booking
Sessions are booked for the 12 week term and are first come first serve. Once you have registered via this form, you will receive an email from Access Sport a few days ahead of that weeks session asking you to book your place on ClubSpark.

GDPR
Your personal information will be used for monitoring and evaluation purposes by Access Sport, and will be stored on a secure database only accessed by trusted staff members of those organisations. Please find Access Sport policies here: www.accesssport.org.uk/policies

If you have any other questions or want to find out more about the sessions, please contact Disability.Inclusion@AccessSport.org.uk or call 020 7993 9883.

Email *

Participant's first name *

Participants surname *

Participant's date of birth *

Participant's postcode (we don't need the full address, just the postcode) *

What borough do you live in, or would travel to for inclusive activities? (Please tick all that apply)
If not listed, please type all relevant boroughs in 'other' *

Bromley

Bexley

Croydon

Greenwich

Lambeth

Lewisham

Newham

Southwark

Tower Hamlets

Other:

Required

Participant's ethnicity/background *

Black/Black British/Black African/Black Caribbean

White/White British/White Other

Asian/Asian British/Asian Other

Mixed/Multiple Ethnic Background

Prefer not to say

Prefer to self-describe as... (please state in 'other')

Other:

Participant's gender *

Male (including transgender male)

Female (including transgender female)

Non-Binary

Transgender

Prefer not to say

Prefer to self-describe as... (please state in 'other')

Other:

Does the participant have difficulty with any of the following areas? (Please tick all that apply) *

None

Moving around including walking and running

Using your hands for writing or to pick things up

Seeing and using your eyes

Hearing and using your ears

Speaking and communicating

Breathing (for example asthma)

Difficulty learning new things

Attention differences (for example ADHD)

Social and or communication differences (such as autism)

Reading or writing (for example dyslexia)

Using numbers (for example dyscalculia)

Co-ordination (for example dyspraxia)

Your mental health and how you feel

Gives you pain

Affects your health for a long time (for example a long-term health condition)

Prefer not to say

Affects you in another way, please state in 'other'

Other:

Required

Please provide further details and/or medical conditions that we should be aware of to best support the participant

For example: Communication preferences e.g. makaton, BSL, non-verbal; Mobility aids used e.g. wheelchair, crutches; sensory needs, interests or triggers.

Please detail any medical conditions and any medication *

Emergency Contact Name and Number *

In the past week, on how many days have you done a total of 30 minutes or more of physical activity, which was enough to raise your breathing rate?

This may include sport, exercise, and brisk walking or cycling for recreation or to get to and from places. Include physical activity in and out of school/college and as part of your job etc.

In the past week, on how many days have you done a total of 60 minutes or more of physical activity, which was enough to raise your breathing rate? *

Would you like to register for the Ignite Newsletter, keeping you up to date about disability inclusive activities and resources across London? *

Yes please!

No thank you

Media/Photo Consent - I give permission for images/footage to be taken of me whilst taking part. I understand that the images/footage may be used to promote the work of Access Sport and the partner club, for example on our website, social media or in authorised publications *

I give permission as the parent/carer/guardian (under 18 only)

I give permission as the participant (over 18 only)

I do not give permission

How did you hear about this activity?
*

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