WimX- SEND Tennis- participant registration

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Thank you for your interest in SEND Tennis at WimX Tennis!

Please ensure you have registered before attending.

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

These are pan-disability sessions for D/deaf and/or disabled and neurodivergent children and young people aged 12 - 16 years old. All abilities/disabilities welcome.

Sessions are adapted to meet the needs of the group.

When: Tuesdays

Time: 6 - 7 pm

Where: The Ridgeway Park Tennis Hub, Chingford. E4 6XU

Age: 12 - 16 years old

Session dates - 2024

Tuesday 9th January/ Tuesday 16th January/ Tuesday 23rd January/ Tuesday 30th January/ Tuesday 6th February

Important Information

- Sessions are taught by qualified tennis coaches who have valid DBS checks, first aid and safeguarding certificates. They have also attended Access Sport's Disability Awareness Training and will adapt their sessions to meet the needs of the group.

- We do ask parent/ carers to stay to support during the session where possible

- The tennis courts at The Ridgeway are located outside where toilets are available in the Pavilion. Parents/ carers should be on hand to take their children to the toilet if necessary if under 11.

- Please arrive appropriately dressed for the activity - weather dependent

- If a session is cancelled due to the weather, you will be refunded

- Please bring anything that will support you during the session including medication

Cost & booking

- Sessions will cost £5 per session - paid termly

- Once you have registered here, you will receive a confirmation email from Access Sport which will direct you to the WimX ClubSpark booking form.

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

If you have any other questions or want to find out more about the sessions, please contact

Email: Disability.Inclusion@AccessSport.org.uk

Call: 020 7993 9883.

Email *

Participant's first name *

Participant's last name *

Participant's date of birth *

Participant's postcode (not full address) *

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 *

Asian/Asian British/ Asian Other

Black/ Black British/ Black African/ Black Caribbean

Mixed/ Multiple Ethnic Background

White/ White British/ White Other

Prefer not to say

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

Other:

What gender does the participant identify as? *

Male (including transgender male)

Female (including transgender female)

Non-binary

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

Emergency contact name *

Emergency contact number
*

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.

Does the participant have any medical needs? Please detail *

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?
*

Which sessions will the participant be taking part in? *

Tuesdays - 12 - 16 year olds (Chingford School of Tennis)

Required

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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